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20 Mar 2020, 5:41 am by Cynthia Marcotte Stamer
Employer and union-sponsored health plans, their sponsors, fiduciaries and administrators should heed the reminder of the importance of ensuring their health plans properly comply in form and operation with the mental health and substance abuse parity mandes of the Mental Health Parity and Addiction Equity Act (MHPAEA)  in when the  U.S. [read post]
12 May 2022, 6:59 am by Robert Liles
” As part of his plea, the defendant admitted that he submitted, or caused to be submitted, five fraudulent Economic Injury Disaster Loan (EIDL) applications to the Small Business Administration (SBA) on behalf of his hospice (which was never operational during the pandemic) and four other entities that he controlled. [read post]
2 Mar 2020, 11:04 am by Cynthia Marcotte Stamer
Other Health Plan Transparency Reforms The 2/06/20 Proposed Rule is one in a series of federal health rule changes the Trump Administration is pursuing as part of its initiative seeking to use health care transparency to improve the price, quality and choice in the U.S. health care system. [read post]
17 Sep 2024, 2:22 pm by Cynthia Marcotte Stamer
Employers, health plan sponsors, health care providers should carefully follow the rapidly accelerating battle between the Federal Trade Commission (“FTC”) and pharmacy benefit managers (“PBMs”), which threatens to reshape how pharmaceutical products are priced and sold to health plans and consumers. [read post]
16 Dec 2019, 3:13 pm by Cynthia Marcotte Stamer
The $1.6 million civil monetary penalty (“CMP”) assessed against the Texas Health and Human Services Commission (“TX HHSC”) for violations of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) Privacy and Security Rules between 2013 and 2017 committed by a predecessor agency, the Department of Aging and Disability Services (“DADS”) illustrates the critical need for health plans and insurers and all other HIPAA covered entities… [read post]
3 Feb 2020, 8:21 am by Cynthia Marcotte Stamer
Defined benefit and other plan sponsors, fiduciaries, administrators, and their legal counsel and other service providers should review a new Pension Benefit Guarantee Final Regulation on Miscellaneous Corrections, Clarifications, and Improvements scheduled for publication tomorrow (February 4, 2020) that will make various key changes to the PBGC’s current regulations on n Reportable Events and Certain Other Notification Requirements, Annual… [read post]
19 Aug 2022, 11:00 am by morseaua
  United States District Court – Western District of Washington U.S. [read post]