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26 Dec 2013, 3:15 pm by Cynthia Marcotte Stamer
February 24, 2014 is the deadline for interested employers, health insurers and plans, administrators and others to comment on proposed changes to rules defining what arrangements qualify as “excepted benefits” for purposes of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) eligibility, nondiscrimination and other portability mandates and the Patient Protection and Affordable Care Act (ACA) health coverage reform mandates jointly published December 24, 2013 by… [read post]
2 Mar 2009, 2:38 pm
If the breach involves unsecured PHI of 500 or more individuals, both media notice and notice to the Secretary of HHS must be given. [read post]
14 Dec 2011, 2:47 pm by Cynthia Marcotte Stamer
 Exposures EBSA Releases Collection of New M-1 and Other Guidance Impacting Multiple Employer Welfare Plans New Obama Administration Affirmative Action Guidance Highlights Organization’s Need To Tighten Nondiscrimination Practices Incentives To Get Employee Into Wellness Education Requires Legal Risk Management HR Key Player In Managing Rising Risk of Disability, Other Discrimination Suits Under Obama Administration Justice Department HHS Chides Insurer For… [read post]
28 May 2012, 3:27 pm by Cynthia Marcotte Stamer
With tight budgets preventing many businesses from investing in wellness consulting resources, a tight budget doesn’t mean your company, church, or other group can’t have a thriving wellness program. [read post]
28 May 2014, 2:48 pm by Cynthia Marcotte Stamer
Stamer available including: Group Health Plans & Insurer To Get More Time To Meet Affordable Care Act Summary of Benefits and Coverage Requirements CMS Final Medicare Rule Imposes Many Conditions On Access To Medicare Claims Data To Evaluate Providers & Suppliers OSHA Updates Safety Resources To Prevent Construction, Other “Top 10″ Exposures OSHA Silo Safety Citations Heads Up To Grain Operators To Manage Safety OSHA Updates Safety Resources To Prevent… [read post]
20 Mar 2015, 6:26 pm by Cynthia Marcotte Stamer
Stamer also regularly represents clients and works with Congress and state legislatures, EBSA, IRS, EEOC, OCR and other HHS agencies, state insurance and other regulators, and others. [read post]
22 Dec 2023, 7:39 am by Cynthia Marcotte Stamer
Scribe for the ABA JCEB Annual Meeting with the HHS Office of Civil Rights, her experience includes extensive involvement throughout her career in advising health care and life sciences and other clients about preventing, investigating and defending EEOC, DOJ, OFCCP and other Civil Rights Act, Section 1557 and other HHS, HUD, banking, and other federal and state discrimination investigations, audits, lawsuits and other enforcement actions as well as advocacy before Congress and… [read post]
6 Dec 2011, 4:19 pm by Cynthia Marcotte Stamer
Final Rules Make Direct Access To Data By All But Most Sophisticated Impossible The Centers For Medicare & Medicaid Services (“CMS”) says disclosures of certain Medicare provider and supplier claims performance data scheduled to begin in January will empower employers, health plans and consumers to better evaluate the quality of these health care providers and suppliers. [read post]
19 Dec 2023, 4:48 pm by Cynthia Marcotte Stamer
$115 is the fee that health plans participating in the Independent Dispute Resolution (“IDR”) process required by the No Surprises Act (the “NSA”) to resolve disputes with health care providers, facilities, and providers of air ambulance services (“providers”) over the amount the health plan will pay the provider for out-of-network health care or items for because the health plan and provider cannot reach agreement about the appropriate amount outside the IDR… [read post]
29 Dec 2011, 9:29 pm by Lyle Denniston
Within the federal HHS Department, officials have been trying to provide guidance through specific new regulations, as each of the parts of the ACA goes into effect, or n [read post]
12 May 2017, 4:54 pm by Cynthia Marcotte Stamer
The HHS alert states it is “working with our partners across government and in the private sector to develop a better understanding of the threat and to provide additional information on measures to protect your systems. [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
Employer and other group health plan sponsors, fiduciaries and administrators and  individual and group health insurers should confirm their plan documents and practices comply with new additional guidance on when the Patient Protection and Affordable Care Act (ACA) preventive care mandates set forth in Public Health Services (PHS) Act section 2713, the Employee Retirement Income Security Act (ERISA) and the Internal Revenue Code (the Code) require non-grandfathered group health plans to cover… [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
Employer and other group health plan sponsors, fiduciaries and administrators and  individual and group health insurers should confirm their plan documents and practices comply with new additional guidance on when the Patient Protection and Affordable Care Act (ACA) preventive care mandates set forth in Public Health Services (PHS) Act section 2713, the Employee Retirement Income Security Act (ERISA) and the Internal Revenue Code (the Code) require non-grandfathered group health plans to cover… [read post]
24 Apr 2020, 6:58 am by Lisa Larrimore Ouellette
HHS could, for example, purchase as many COVID-19 tests from Abbott as the company can manufacture while simultaneously soliciting bids for further supply of diagnostic tests that mimic Abbott’s. [read post]