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30 Apr 2019, 10:23 am by Cynthia Marcotte Stamer
Health plans must deliver electronic protected health information (“ePHI”) to electronic applications or software (“apps”) used by plan members, and are responsible under the Health Insurance Portability & Accountability Act (“HIPAA”) Privacy and Security Rules for the security of electronic protected health information (“ePHI”) on apps they sponsor or provide, according to new guidance from the Department of… [read post]
24 Dec 2013, 5:32 am by Lawrence B. Ebert
” In re ICON Health and Fitness, Inc., 496 F.3d 1374, 1379 (Fed. [read post]
26 Jan 2007, 3:01 pm
In that theft, backup tapes of medical claim data of about 130,000 Aetna Inc. health insurance members also were taken, Aetna said in December. [read post]
26 Mar 2012, 3:00 am by Ted Folkman
Last time around, the judge held that Health Science had not shown that it had made adequate service of process on the individual defendants, Robert Usher-Sparks and Trevor Taylor, on on the institutional defendants, Wellsprings Trading, Ltd., Wellsprings Ltd., and Sarati International, Inc. [read post]
11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
The heavy reliance by group health plans and health insurers upon internet based applications and portals to carry out online enrollment, claims administration and payment, reporting and a host of other key health plan functions makes it particularly important for health plans, their employer or other sponsors, fiduciaries, vendors, and other involved in health plan administration or using or accessing health plan data to verify and ensure the… [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
   FAQ 12 also states group health plans and insurers may use reasonable medical management techniques to control costs and promote efficient delivery of care, such as covering a generic drug without cost sharing and imposing cost sharing for equivalent branded drugs provided that the plan or insurer accommodates any individual for whom a particular drug (generic or brand name) would be medically inappropriate, as determined by the individual’s health care provider,… [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
   FAQ 12 also states group health plans and insurers may use reasonable medical management techniques to control costs and promote efficient delivery of care, such as covering a generic drug without cost sharing and imposing cost sharing for equivalent branded drugs provided that the plan or insurer accommodates any individual for whom a particular drug (generic or brand name) would be medically inappropriate, as determined by the individual’s health care provider,… [read post]
17 Mar 2022, 11:17 am by Cynthia Marcotte Stamer
Solutions Law Press, Inc. invites you to receive future updates by registering here and participating and contributing to the discussions in our Solutions Law Press, Inc. [read post]
29 Jul 2011, 6:00 am by Cynthia Marcotte Stamer
  Her writings frequently are published by the American Bar Association (ABA), Aspen Publishers, Bureau of National Affairs, the American Health Lawyers Association, SHRM, World At Work, Government Institutes, Inc., Atlantic Information Services, Employee Benefit News, and many others. [read post]
15 Sep 2015, 4:42 am by Cynthia Marcotte Stamer
Author of the thousands of publications and workshops these and other employment, employee benefits, health care, insurance, workforce and other mana [read post]
2 Feb 2018, 8:57 am by Cynthia Marcotte Stamer
  Like the $2.3 million HIPAA resolution agreement OCR announced with now bankrupt radiation oncology and cancer care provider 21st Century Oncology, Inc. (21CO) earlier this year,  see, e.g. [read post]
20 Nov 2012, 12:54 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. plans will host a webex executive study group briefing to update its members and other interested persons on this new and proposed guidance on Tuesday, November 27, 2012 at Noon Central Time. [read post]
2 Aug 2011, 4:24 pm by Cynthia Marcotte Stamer
On Monday, August 1, 2011, the Department of Health & Human Services (“HHS”) on Monday, August 1, 2011 announced guidelines (Women’s Preventive Services Guidelines”) that add contraception and a list of women’s health procedures to the preventive care procedures that ACA requires covered health plans and health insurance policies covered by the Affordable Care Act to cover without cost to members. [read post]
27 Jul 2015, 11:56 am by Cynthia Marcotte Stamer
  Likewise, during the current and future years after 2013, businesses offering group health plan coverage to their employees  also will want to monitor their health plan’s compliance with the federal group health plan rules  covered by Form 8929 reporting to avoid or mitigate these risks going forward. [read post]