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5 Jan 2018, 5:35 am by Cynthia Marcotte Stamer
Continuing Fallout of 2015 Data Breach Provides Many Lessons For Other Businesses & Their Health Plans The $2.3 million (Resolution Amount) data breach settlement and other post breach fallout now bankrupt radiation oncology and cancer care provider 21st Century Oncology, Inc. (21CO)  is experiencing after data thieves hacked into the names, social security numbers and other private health and financial data of more than 2,213,597 individuals illustrates why your company and its… [read post]
26 Apr 2017, 6:14 pm by Cynthia Marcotte Stamer
Stamer’s legal, management and governmental affairs work has focused on helping health industry, health benefit and other organizations and their management use the law, performance and risk management tools and process to manage people, performance, quality, compliance, operations and risk. [read post]
24 Apr 2017, 5:08 pm by Cynthia Marcotte Stamer
Health plans, their fiduciaries and sponsors, health insurers, health care providers, health care clearinghouses (“covered entities”) and their business associates must get and keep your business associate (BA) agreements (BAAs) in place, up- to-date, and readily available for inspection in accordance with the Health Insurance Portability & Accountability Act (HIPAA) Privacy Rule, 45 C.F.R. [read post]
10 May 2017, 3:14 pm by Cynthia Marcotte Stamer
Healthcare providers, health plans, healthcare clearinghouses and their business associates (Covered Entities) can’t disclose the name or other protected health care information about a patient in press releases or other announcements without prior authorization from the patient. [read post]
17 Mar 2024, 5:42 pm by Cynthia Marcotte Stamer
What Health Plans, Their Fiduciaries, Vendors & Sponsors Should Be Doing Now Health plans, their fiduciaries, health plan sponsors and insurers, and their administrative and other service providers should move quickly to understand and act to mitigate the exposures likely to arise under the Health Insurance Portability and Accountability Act Privacy, Security and Data Breach Rules (HIPAA) Privacy, Security, and Breach Notification Rules, the claims, notice and fiduciary responsibilities under… [read post]
13 Jan 2020, 6:33 pm by Cynthia Marcotte Stamer
No business wants to get hit with a bill or judgement for unpaid overtime or other wages and penalties under the Fair Labor Standards Act (“FLSA”). [read post]
8 Dec 2023, 10:02 am by Cynthia Marcotte Stamer
Health plans and other entities covered by the Health Insurance Portability and Accountability Act (“HIPAA”) should tighten their phishing deterrence and other safeguards in response to the announcement of the Department of Health and Human Services Office of Civil Rights (“OCR”) of its settlement of its first official phishing-related HIPAA charges with a Louisiana medical group subject to HIPAA as a health care provider. [read post]
6 Feb 2024, 3:58 pm by Cynthia Marcotte Stamer
A newly announced religious discrimination settlement reminds employers of the advisability of reviewing and strengthening the defensibility of their grooming, dress code, scheduling and time off and other employment policies, practices and other procedures for applying, granting or denying religious exceptions, and other employment practices to defend against potential discrimination exposures in light of rising religious sensitivities, the Supreme Court’s 2023 ruling in Groff v. [read post]
8 Jan 2024, 2:10 pm by Cynthia Marcotte Stamer
Health plans, health care providers and health care clearinghouses (“Covered Entities”) treat the Department of Health and Human Service Office of Civil Right (“OCR”) announcement of its 46th enforcement action under the Health Insurance Portability & Accountability Act (“HIPAA”) Right of Access Rule as a warning to confirm their own organization’s timely delivery of records and other compliance with the Rule. [read post]
1 Aug 2012, 10:02 am by Cynthia Marcotte Stamer
August 1 marked the effective date of yet another Affordable Care Act mandate:  the controversial contraceptive coverage and other women’s health preventive coverage benefits mandates. [read post]
29 Apr 2019, 7:21 am by Cynthia Marcotte Stamer
A Wisconsin employer did not violate the National Labor Relations Act (“NLRA”) by ceasing to deduct union dues from employees’ paychecks for remittance to their certified union in response to Wisconsin’s enactment of a right-to-work law that curtailed dues checkoff, or communicating with employees about this action according the National Labor Relations Board ruling in Metalcraft of Mayville, Inc. [read post]
30 Jul 2012, 9:29 am by Cynthia Marcotte Stamer
Health care providers and payers should ensure that practices for billing private payers can withstand the scrutiny of federal and state health care fraud enforcers after the July 26, 2012 announcement of a ground-breaking new public-private antifraud initiative between federal and state health care fraud fighters and a private insurers under which  private insurers will share an unprecedented amount of private health claims data, fraud detection practices, and other coöperation… [read post]
23 Jul 2010, 8:26 pm by Cynthia Marcotte Stamer
Register For August 24th 2010 Health Plan Update To Catch Up On Latest Federal Health Plan Regulations Employer and other plan sponsors, administrators, and fiduciaries of non-grandfathered group health plans must move quickly to update their plan documents, administrative procedures and agreements, claims and other communications and other processes and procedures to comply with new regulations (Appeals Rules) implementing tightened health plan claims and appeals rules enacted under the… [read post]
19 Jul 2010, 9:43 am by Cynthia Marcotte Stamer
Stamer also is recognized for her publications, industry leadership, workshops and presentations on these and other health industry and human resources concerns. [read post]
20 Dec 2021, 4:44 pm by Cynthia Marcotte Stamer
Health plans, their employer and other health plan sponsors, fiduciaries and vendors as well as health care providers, healthcare clearinghouses, their vendors that are business associates covered by the Privacy, Security and Breach Notification Rules of the Health Insurance Portability & Accountability Act (“HIPAA”) are urged to act promptly to take well-documented steps to confirm and protect electronic protected health information and systems against the increasingly common… [read post]
9 Mar 2014, 1:12 pm by Cynthia Marcotte Stamer
Employers considering skinny plans and the brokers, third party administrators (TPAs), insurers and consultants recommending the use of these arrangements alone or as part of a broader health plan design should seek qualified legal advice for help with structuring and implementing these arrangements to avoid potential traps and missteps that could trigger unanticipated benefits, costs and/or tax consequences. [read post]
10 Mar 2013, 10:07 am by Cynthia Marcotte Stamer
Businesses using non-employee workers should heed the recently announced expansion of the Internal Revenue Service (IRS) Voluntary Classification VCS Program (VCS Program) as yet another warning to clean up their worker classification practices and defenses for all workers performing services for the business in any non-employee capacity. [read post]
31 Aug 2016, 2:02 am by Cynthia Marcotte Stamer
U.S. employers, employment agencies, unions, their benefit plans and fiduciaries, and their management and service providers should move quickly to review and strengthen their employment and other practices to guard against a foreseeable surge in employee retaliation claims and judgements likely to follow the August 30, 2016 issuance by the Equal Employment Opportunity Commission (EEOC) of its new final  EEOC Enforcement Guidance on Retaliation and Related Issues and concurrently published… [read post]