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19 May 2020, 5:48 am
OIG believes the toolkits will aid its public and private sector partners (e.g., Medicare Part D plan sponsors, private health plans, and State Medicaid Fraud Control Units) in combating the nation’s opioid crisis. [read post]
20 Jun 2011, 10:41 am
Until then, the Affordable Care Act provides for the phased out of annual limits. [read post]
20 Mar 2020, 4:10 pm
Most group health plans have eligibility requirements tied to the number of hours that must be worked by employees to remain eligible for coverage. [read post]
12 May 2009, 5:02 am
I am not sure the changed text suggests any formal changes in policy plans. [read post]
21 Sep 2023, 7:07 am
These stakeholders generally endorsed the concept of incentives specifically targeted at health care providers. [read post]
5 Oct 2012, 3:00 pm
Moreover, the FTC discovered that health plans have internal guidelines or regulatory “geo-access” standards requiring that services be made available within a certain distance from their members. [read post]
2 Apr 2014, 7:33 am
After watching health insurers torpedo the Clinton plan in 1994, President Obama took care to secure support for ACA from the insurance industry, as well as drug companies, physicians, and other important interest groups. [read post]
9 Mar 2018, 12:01 am
The ACA also allows states to prohibit abortion coverage entirely in health insurance plans offered through an exchange. [read post]
27 Mar 2012, 8:23 am
My husband left me and l was forced to go on a Cobra plan because my health insurance had been through his job. [read post]
11 Feb 2015, 5:30 am
An indication from the employer, combined with discussions with the worker and employer, will provide the Commission with greater assurance that worker participation in the development of ESRTW plans is happening. [read post]
21 Mar 2024, 6:16 am
” The filing notes that Wilson is “unable to properly provide for his own personal needs for physical health, food, clothing, or shelter…” The conservators (guardians) will manage the care plan for his neurocognitive disorder. [read post]
31 Jan 2012, 12:31 pm
If you are not the legally recognized or biological parent of a child, there are several legal documents you can utilize to provide you the authority you need. [read post]
12 Oct 2017, 9:30 pm
” According to Revesz and Lienke, the “very basic truth” at stake is “that any ‘savings’ achieved by rescinding the Clean Power Plan will come at an incredibly high cost to public health and welfare. [read post]
14 Aug 2012, 2:01 pm
Thank you to everyone who attended our recent Health Care Reform seminar! [read post]
10 Mar 2009, 11:30 pm
Steven Lash: Well, it could be if it's through a health plan, through an HRA, there could be premium rebates or premium discounts that can be applied from a health plan to the employer, so there are ways to have that employer receive that benefit even if it's a fully insured program.David Harlow: Okay. [read post]
16 Apr 2009, 8:21 pm
The Department of Health and Human Services is required to issue by August 17, 2009 proposed rules pertaining to similar breach notification provisions applicable to entities covered by HIPAA, namely Covered Entities (health care providers; health plans; clearinghouses) and now, as a result of the HITECH Act, Business Associates. [read post]
2 Jul 2024, 4:00 am
Health and Welfare Plans . [read post]
16 Jul 2024, 8:00 am
Legal Developments provide the latest updates and analyses of emerging topics impacting your practice area. [read post]
11 Jun 2013, 10:16 am
In Oxford Health Plans LLC v. [read post]
25 Aug 2020, 5:57 pm
The Secretary of Health and Human Services shall complete the rulemaking process he commenced seeking to:(a) exclude from safe harbor protections under the anti-kickback statute, section 1128B(b) of the Social Security Act, 42 U.S.C. 1320a–7b, certain retrospective reductions in price that are not applied at the point-of-sale or other remuneration that drug manufacturers provide to health plan sponsors, pharmacies, or PBMs in operating the… [read post]