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22 Dec 2023, 11:00 am by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and Vice-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
22 Dec 2023, 9:33 am by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and Vice-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
22 Dec 2023, 8:13 am by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and Vice-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
22 Dec 2023, 7:39 am by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and Vice-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
20 Dec 2023, 2:50 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and Vice-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [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]
15 Dec 2023, 8:55 am by Cynthia Marcotte Stamer
The No Surprises Act (“NSA”) Federal Independent Dispute Resolution (“IDR”) portal now is reopened for processing all health benefit disputes covered by the NSA between health care providers, facilities, and providers of air ambulance services (“providers”), and group health plans, health insurance issuers, and Federal Employee Health Benefits Program carriers (“payers”) (collectively, “disputing parties”). [read post]
12 Dec 2023, 3:05 am by Jenna Everhart, Health-E Commerce
For employees who have tax dependents who are living away from home, such as college-aged kids, suggest ordering an FSA or HSA debit card for them to use for such expenses. [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]
7 Dec 2023, 8:54 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and VIce-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
6 Dec 2023, 3:13 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and VIce-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
3 Dec 2023, 4:21 am by Thaddeus Mason Pope, JD, PhD
JOSEPH / CANDLER HEALTH SYSTEM, Savannah, Georgia (March 10, 2023) ● Medical Aid in Dying in Pennsylvania, PENN STATE COLLEGE OF MEDICINE, Hershey, Pennsylvania (March 6, 2023) (Physician Assistant Medical Ethics) ● Clinical Impact of Key Variations in U.S. [read post]
1 Dec 2023, 11:50 am by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and VIce-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
27 Nov 2023, 3:16 pm by Cynthia Marcotte Stamer
A Fellow in the American College of Employee Benefit Counsel, Co-Chair of the American Bar Association (“ABA”) International Section Life Sciences and Health Committee and VIce-Chair Elect of its International Employment Law Committee, Chair-Elect of the ABA TIPS Section Medicine & Law Committee, Past Chair of the ABA Managed Care & Insurance Interest Group, Scribe for the ABA JCEB Annual Agency Meeting with HHS-OCR, past chair of the ABA RPTE Employee Benefits… [read post]
22 Nov 2023, 3:28 am by jonathanturley
In early 2020, with little available evidence, two op-eds in The Lancet in February and Nature Medicine went all-in on the denial front. [read post]
21 Nov 2023, 3:15 pm by Cynthia Marcotte Stamer
A newly-announced settlement agreement and corrective action plan (the “Settlement”) between a prominent New York academic medical center and the U.S. [read post]
16 Nov 2023, 1:32 pm by Tom Kosakowski
 MWI has designated three experienced Ombuds for the AEA panel: Charmhee Kim, former Ombuds at McKinsey & Company; Nnena Odim, former Ombuds for CVS and American Planning Association; and Larry Hunt, former Ombuds for Amherst College. [read post]