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16 Mar 2020, 12:43 pm by Cynthia Marcotte Stamer
The financial effects of the COVID-19 pandemic and containment efforts has many businesses flailing to reconfigure their staffing and other business models even as Congress is preparing to impose paid COVID related leave mandate on employers with less than 500 employees. [read post]
15 Mar 2020, 9:48 pm by Cynthia Marcotte Stamer
Unemployment Insurance The bill also includes $1 billion in emergency unemployment insurance (UI) relief to the states: $500 million for costs associated with increased administration of each state’s unemployment insurance (“UI”) program and places $500 million in reserve to help states with a 10 percent increase in unemployment. [read post]
11 Mar 2020, 2:07 pm by Cynthia Marcotte Stamer
  Notable for its involvement in heath care and related insurance matters, the National Association of Insurance Commissioners (“NAIC”)is one of a growing number of event sponsors that are allowing workers to work from home, are cancelling or banning participation in   live meetings and other events and/or are converting from live to virtual formats in response to the outbreak. [read post]
2 Mar 2020, 11:04 am by Cynthia Marcotte Stamer
With the official comment deadline set to expire on March 2, 2020, employer and other insured and self-insured health plan sponsors of health plans using PBMs, fiduciaries and advisors should turn their attention to evaluating the likely implications of the 02/06/20 Proposed Rule on their health plan arrangements as well as  more generally evaluating their pharmacy benefit designs, PBM contracts and compensation arrangements, and associated arrangements and… [read post]
2 Mar 2020, 7:29 am by Cynthia Marcotte Stamer
Stamer’s work throughout her 30 plus year career has focused heavily on working with health care and managed care, health and other employee benefit plan, insurance and financial services and other public and private organizations and their technology, data, and other service providers and advisors domestically and internationally with legal and operational compliance and risk management, performance and workforce management, regulatory and public policy and other… [read post]
25 Feb 2020, 4:17 pm by Cynthia Marcotte Stamer
Stamer also is a highly popular lecturer, symposia chair and author, who publishes and speaks extensively on health and managed care industry, human resources, employment and other privacy, data security and other technology, regulatory and operational risk management for the American Bar Association, ALI-ABA, American Health Lawyers, Society of Human Resources Professionals, the Southwest Benefits Association, the Society of Employee Benefits Administrators, the American Law… [read post]
25 Feb 2020, 4:02 pm by Cynthia Marcotte Stamer
Stamer also is a highly popular lecturer, symposia chair and author, who publishes and speaks extensively on health and managed care industry, human resources, employment and other privacy, data security and other technology, regulatory and operational risk management for the American Bar Association, ALI-ABA, American Health Lawyers, Society of Human Resources Professionals, the Southwest Benefits Association, the Society of Employee Benefits Administrators, the American Law… [read post]
3 Feb 2020, 8:21 am by Cynthia Marcotte Stamer
  Employer and other plan sponsors, fiduciaries, administrators, advisors and service providers also will want to consider the advisability of modifying budget estimates, data collection and recordkeeping practices or other related activities and plans to account for the modified rules and responsibilities. [read post]
28 Jan 2020, 9:58 pm by Cynthia Marcotte Stamer
Health plans and their health plan records providers and other business associates should review and update their existing policies and practices concerning providing and charging individuals for access to protected health information in response to modifications in the Department of Health & Human Service (“HHS”) Office of Civil Rights (“OCR”) rules implementing the Health Insurance Portability & Accountability Act (“HIPAA”) requirements… [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]
1 Jan 2020, 10:35 am by Cynthia Marcotte Stamer
Insurers, third of art administrators and others also can face duties and liabilities under state insurance and data privacy laws from regulator or private litigant actions. [read post]
18 Dec 2019, 10:03 am by Cynthia Marcotte Stamer
District Court for the Southern District of New York today (December 17, 2019) against the nation’s largest long term care pharmacy provider, Omnicare, and its parent, CVS Healthcare Corporation may signal the advisability for insurers, fiduciaries, administrators and sponsors of insured and self-insured health and other benefit plans providing pharmacy benefits to tighten claims and audit past claims payments for prescription drug claims submitted by… [read post]
17 Dec 2019, 8:40 pm by Cynthia Marcotte Stamer
Stamer’s work throughout her 30 plus year career has focused heavily on working with health care and managed care, health and other employee benefit plan, insurance and financial services and other public and private organizations and their technology, data, and other service providers and advisors domestically and internationally with legal and operational compliance and risk management, performance and workforce management, regulatory and public policy and other… [read post]
16 Dec 2019, 3:59 pm by Cynthia Marcotte Stamer
Stamer’s work throughout her 30 plus year career has focused heavily on working with health care and managed care, health and other employee benefit plan, insurance and financial services and other public and private organizations and their technology, data, and other service providers and advisors domestically and internationally with legal and operational compliance and risk management, performance and workforce management, regulatory and public policy and other… [read post]
16 Dec 2019, 3:13 pm by Cynthia Marcotte Stamer
Beyond the substantial HIPAA CMPs assessed, health plans, insurers, their fiduciaries and administrative or other service providers serving as business associates need to keep in mind their likely exposure to liability and expenses from fiduciary  responsibility breaches under the Employee Retirement Income Security Act of 1974, state insurance and other data security and breach requireents, contracts and other pbligations. [read post]
20 Sep 2019, 3:00 am by Jim Sedor
From the States and Municipalities Alaska – Insurance-Focused Political Group Fined $5,500 After Decade of Failed Disclosure Anchorage Daily News – James Brooks | Published: 9/18/2019 The Alaska Public Offices Commission (APOC) voted to fine an insurance-focused PAC $5,500 to settle a complaint it failed to register with the commission for more than a decade and for two years accepted contributions that violated state law. [read post]
23 Jul 2019, 4:30 pm by Kevin LaCroix
”   President Trump is also lining up against some of his own political appointees and advisors. [read post]
15 Mar 2019, 8:19 am by Cynthia Marcotte Stamer
Impacted organizations, their leaders and advisors will want to adjust accordingly. [read post]
14 Mar 2019, 7:29 am by Cynthia Marcotte Stamer
Coalition for Responsible Health Policy, its PROJECT COPE: Coalition on Patient Empowerment, and a broad range of other professional and civic organizations including North Texas Healthcare Compliance Association, a founding Board Member and past President of the Alliance for Healthcare Excellence, past Board Member and Board Compliance Committee Chair for the National Kidney Foundation of North Texas; former Board President of the early child [read post]
17 Oct 2018, 4:19 pm by Cynthia Marcotte Stamer
Following on the heels of Monday’s announcement that Anthem, Inc. is paying a record setting $16 million to resolve charges its violations of the enterprise risk assessment and other requirements of the Health Insurance Portability & Accountability Act (HIPAA) Security Rule allowed cybercriminals to breach the electronic protected health information (ePHI) of more than 79 million patients, physicians and other health care providers, health plans and health insurers,… [read post]