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3 Aug 2015, 12:07 pm by Cynthia Marcotte Stamer
Employer and other sponsors of non-grandfathered group health plans, their insurers, administrators and fiduciaries should adjust the co-payment, deductible and out of pocket limits applicable for the 2015 plan year to reflect the recent adjustment in the out-of-pocket limits on essential benefits allowed by that the Patient Protection and Affordable Care Act (ACA) § 1302(c)(1). [read post]
23 Jan 2017, 2:47 pm by Cynthia Marcotte Stamer
Stamer also shares her thought leadership, experience and advocacy on these and other concerns by her service in the leadership of a broad range of other professional and civic organization including her involvement as the Vice Chair of the North Texas Healthcare Compliance Association; Executive Director of the Coalition on Responsible Health Policy and its PROJECT COPE: Coalition on Patient Empowerment; former Board President of the early childhood development intervention agency, The… [read post]
28 Jul 2015, 8:05 am by Cynthia Marcotte Stamer
Businesses that did not file required retirement plan returns should contact legal counsel about whether  they can come into compliance and avoid painful penalties by taking advantage of a newly announced Internal Revenue Service (IRS)  low-cost penalty relief program  for IRS penalties and a Department of Labor (DOL) voluntary compliance resolution program for Employee Retirement Income Security Act (ERISA) penalties. [read post]
22 Dec 2010, 10:22 pm by legalinformatics
Abstract: This study explores how coverage of the U.S. [read post]
28 Jul 2016, 2:30 pm by Cynthia Marcotte Stamer
Employers, insurers and other health plan sponsors or issuers (health plans), health care providers, healthcare clearinghouses (covered entities) and their business associates should reevaluate the adequacy of their practices and procedures for the protection of electronic protected health information (ePHI) on or accessible through laptops or other mobile devices in light of the $2.75 million penalty and other schooling the Department of Health and Human Services Office for Civil Rights (OCR) just… [read post]
11 May 2018, 3:22 am by Cynthia Marcotte Stamer
After publishing the original $6,900 limit in Revenue Procedure 2017-37, Congress changed the rules on inflation adjustments as part of “An Act to Provide for Reconciliation Pursuant to Titles II and V of the Concurrent Resolution on the Budget for Fiscal Year 2018” (the Act), Pub. [read post]
11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
The heavy reliance by group health plans and health insurers upon internet based applications and portals to carry out online enrollment, claims administration and payment, reporting and a host of other key health plan functions makes it particularly important for health plans, their employer or other sponsors, fiduciaries, vendors, and other involved in health plan administration or using or accessing health plan data to verify and ensure the internet data sharing and other applications and portals… [read post]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
Employers sponsoring group health plan coverage now or in 2014, check the adequacy of your insurer or third party administrator’s claims and appeals processes and notices. [read post]
17 Oct 2018, 4:19 pm by Cynthia Marcotte Stamer
Following on the heels of Monday’s announcement that Anthem, Inc. is paying a record setting $16 million to resolve charges its violations of the enterprise risk assessment and other requirements of the Health Insurance Portability & Accountability Act (HIPAA) Security Rule allowed cybercriminals to breach the electronic protected health information (ePHI) of more than 79 million patients, physicians and other health care providers, health plans and health insurers, health care… [read post]