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8 Jan 2024, 10:00 am
Department of Civil Service – New York State Health Insurance Program – Payments by Beacon Health Options for Mental Health and Substance Abuse Services for Ineligible Members (Follow-Up) (2023-F-30) The Department of Civil Service (Civil Service) administers the New York State Health Insurance Program (NYSHIP) and contracts with Carelon Behavioral Health (Carelon), formerly Beacon Health Options, to… [read post]
2 Jan 2024, 12:56 pm
In July 2023, PacWest had announced its plan to merge with the Bank of California. [read post]
2 Jan 2024, 6:23 am
These are different from things like group health plans or disability policies. [read post]
28 Dec 2023, 9:05 pm
The termination of the national emergency will end waivers impacting several federal health programs, including Medicaid, Medicaid, and the Children’s Health Insurance Program (CHIP), as well as the Department of Housing and Urban Development’s COVID-19 mortgage forbearance program. [read post]
22 Dec 2023, 2:31 pm
The Federal Employee Health Benefits Program (FEHBP) is the largest employer-sponsored group health plan in the world, providing coverage for nearly 9 million Federal employees, their eligible family members, and retirees.[4] The authority to safeguard the FEHBP program from waste, fraud, and abuse has been delegated from OPM’s Director to the agency’s Office of Inspector General (OPM OIG). [read post]
22 Dec 2023, 7:39 am
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
21 Dec 2023, 2:18 am
The following entities are required to submit a GCPCA: Fully insured and self-insured group health plans, including Employee Retirement Income Security Act (ERISA) plans, nonfederal governmental plans; and church plans subject to the code; Health insurance issuers offering group health insurance coverage; and Health insurance issuers offering individual… [read post]
20 Dec 2023, 2:50 pm
LinkedIn SLP Health Care Risk Management & Operations Group, HR & Benefits Update Compliance Group, and/or Coalition for Responsible Health Care Policy. [read post]
19 Dec 2023, 4:48 pm
$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… [read post]
18 Dec 2023, 9:50 am
As it relates to health care, AIRIA would require health care organizations or providers who deploy critical or high-impact AI systems to submit transparency reports to the Secretary of Commerce. [read post]
18 Dec 2023, 6:09 am
In addition, we provide a superior 401(k) plan, ample time off programs, mental health programs, family building and caregiving, generous paid parental leave, life insurance, disability insurance, a wellness program, flexible spending accounts, and an employee referral bonus program. [read post]
15 Dec 2023, 8:55 am
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… [read post]
8 Dec 2023, 10:02 am
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… [read post]
7 Dec 2023, 10:35 am
It also announced a partnership with LegalEase to join their nationwide group legal services plans. [read post]
6 Dec 2023, 5:00 am
Insurers could then use automated systems to copy information from relevant providers into their own directories. [read post]
6 Dec 2023, 2:35 am
Below, we provide a high-level summary of the position across a number of key jurisdictions. [read post]
4 Dec 2023, 10:00 pm
ACA Health Plan Cost Data Online Tool and Disclosure Checklist Improve your healthcare organization’s regulatory compliance with this new checklist, which assists group health plan and individual and group health insurance coverage issuers meet federal requirements to provide a searchable web-based tool allowing participants to obtain individualized cost-sharing and rate information for covered items and services.… [read post]
1 Dec 2023, 4:40 am
It added that Hamas “violated” the agreement and did not meet “its obligation to release all of the women hostages today,” also accusing the group of launching “rockets at Israeli citizens. [read post]
28 Nov 2023, 4:50 pm
Those expectations include developing and implementing action plans to foster an effective and sustainable audit quality system. [read post]
22 Nov 2023, 3:16 pm
“We don’t have a financing and insurance system for long-term care,” she said. [read post]
