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5 Feb 2020, 1:47 pm
ANNAPOLIS — Providing state subsidies to some people who get their health insurance through Maryland’s individual market would make plans for most people more affordable and bring more uninsured people into the market, supporters of a bill to create those subsidies said Wednesday. [read post]
5 May 2021, 9:45 am
Long-Term Health Insurance Options The best option for most people after divorce is the group health insurance plan offered by one’s employer. [read post]
17 Feb 2012, 2:25 pm
" The question in this case is whether section 425.12 applies to a lawsuit against an HMO or other health care plan, alleging that it devised a compensation scheme that induced the participating health care providers to deny costly medical services to plan members. [read post]
25 Mar 2013, 5:14 pm
The Department of Health & Human Services (HHS) Office of Civil Rights (OCR) wants to ask the 115 health plans, health care clearinghouses, and health care providers (covered entities) that OCR audited in 2012 for compliance with Privacy and Security Rules of the Health Insurance Portability & Accountability Act (HIPAA) under its HIPAA Audit Program [...] [read post]
16 Feb 2016, 9:33 am
Whether a mobile app developer is directly employed by a covered entity (i.e., health plans, health care clearing houses, and most health care providers) or a business associate of a covered entity (or one of the covered entity's contractors), reasonable safeguards must be applied when the developer creates, receives, maintains or transmits protected health information ("PHI") on behalf of a covered entity or other business… [read post]
14 Mar 2018, 9:44 am
On review, the appellate court began by stating that services not paid for by a health insurer cannot be reimbursed from PIP benefits if the insurer would have covered the medical services had the claimant sought treatment in accordance with his health insurer’s plan. [read post]
13 Dec 2011, 2:49 pm
As amended by the Affordable Care, Section 2718 of the Public Health Service Act (PHSA) requires that health insurance issuers: Publicly report on major categories of spending of policyholder premium dollars, such as clinical services provided to enrollees and activities that will improve health care quality; Establishes medical loss ratio (MLR) standards for issuers; and Requires issuers to provide rebates to enrollees when their spending for the… [read post]
25 Jul 2016, 10:00 am
There are also Federally Qualified Health Centers, which provide discounted care for people within specific income thresholds. [read post]
1 Feb 2011, 7:46 pm
Senior Life Care Planning provides seniors and their families, expertise and resources they need to better navigate the many health care, social, legal, and financial complexities associated with aging. [read post]
11 Mar 2020, 5:13 pm
Washington Health Benefit Exchange Announces Special Enrollment Period Today, the IRS issued Notice 2020-15 clarifying that high-deductible health plans (HDHPs) may provide benefits associated with testing and treatment of COVID-19 (commonly referred to as coronavirus) without application of a deductible or cost-sharing. [read post]
15 Jun 2009, 3:56 pm
The post below addresses the leading current rival to a public plan option, "cooperative" nonprofit health insurers.The House of Representatives is strongly endorsing a public plan option in health reform, and the Senate is groping toward something less scary for private health insurers. [read post]
25 Oct 2006, 5:53 am
Kiernan McGorty provide the answer in How Readable Are Summary Plan Descriptions for Health Care Plans? [read post]
17 Jan 2012, 10:45 am
Medical discount plans are not health insurance. [read post]
7 Feb 2011, 3:24 am
The health insurance plan’s procedure, however, provided that [n]o lawsuit may be started to obtain benefits until after 60 days after written proof of claim or loss is given. [read post]
17 Mar 2022, 11:17 am
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
22 Feb 2010, 3:18 pm
The article originally published in the Solutions Law Press HR & Benefit Update highlights the need for health plans, employer and other plan sponsors, administrators, and health insurers as well as the brokers, advisors, and other service providers performing functions on behalf of these entities to update their plans, policies, vendor agreements, practices, privacy notices and other communications and other materials, conduct… [read post]
31 Oct 2012, 6:52 am
~At Matthews Law Firm, P.A., we practice criminal defense & health law.~ [read post]
28 Aug 2009, 7:10 am
The IRS has posted on its website a reminder that any individual who has qualified for and is receiving the 65 percent subsidy for COBRA health insurance, due to involuntary termination from a prior job from September 1, 2008 through December 31, 2009, should notify the plan providing the COBRA coverage, in writing, if he or she becomes eligible for other group health plan coverage. [read post]
8 Apr 2020, 2:00 am
Employer-sponsored group health plans (both insured and self-insured and regardless of grandfather status) must provide coverage for Federal Drug Administration (FDA)-approved diagnostic testing products for the coronavirus. [read post]
24 Aug 2009, 2:38 pm
For plan years after 10/3/09, a group health plan that provides mental health and substance abuse benefits cannot have special caps for benefits related to treatment for these disorders. [read post]
