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11 Jun 2018, 11:49 am
If the medical plan prohibits assignment, the health care provider generally is unable to bring a recovery action against the employer or employer medical plan. [read post]
15 Aug 2014, 3:32 pm
On August 1, 2014, Orthopedic Specialists of California (OSSC), a provider group, urged an appellate panel to revive its putative class action alleging that California Public Employee’s Retirement System (CalPERS) health plan did not properly compensate out-of-network health care providers for non-emergency services rendered to its subscribers. [read post]
13 Jul 2009, 5:24 am
The GOP opposes any cap on exemptions and instead, as blogged earlier, proposes a new tax on the benefits of the most expensive employer-provided health insurance plans, the so-called Cadillac plans. [read post]
18 Sep 2015, 1:03 pm
For each proposed 2017 EHB plan, the CCIIO also provides: “(1) a summary of the plan’s coverage of certain benefits that appear on the Plans & Benefits Template, including a list of covered prescription drug categories and classes; and (2) supporting plan documents that provide detail regarding all plan coverage, limits, and exclusions. [read post]
13 May 2015, 10:29 am
We can also draft such plans for companies looking for ways to compensate key employees while providing incentives for such employees to remain employed by their employer.For help with your legal needs contact a business, tax, and health care law attorney at the offices of AttorneyBritt.Review-Like-Follow AttorneyBritt On: Copyright: AttorneyBritt - Gary L. [read post]
23 Apr 2012, 11:54 am
On April 17, 2012, the Internal Revenue Service (IRS) published proposed regulations that implement and provide guidance on an ACA provision imposing fees on issuers of certain health insurance policies and plan sponsors of certain self-insured health plans to fund the Patient-Centered Outcomes Research Trust Fund. [read post]
14 May 2015, 6:46 am
The ACA requires non-grandfathered group health plans to provide coverage for preventive care services without cost-sharing. [read post]
23 Aug 2023, 4:47 am
These plans are offered by employers to covered employees. [read post]
15 Jan 2021, 9:05 pm
Wade and Planned Parenthood of Southeastern Pennsylvania v. [read post]
23 Oct 2023, 5:00 am
Below are the highlights from the Work Plan update of which providers and suppliers should take notice. [read post]
2 May 2018, 12:45 pm
ACLU files suit save the Title X family planning program, which provides affordable birth control to 4 million people. [read post]
10 Aug 2017, 2:37 pm
Long-term care services are an important aspect of your health care plans and for that reason, it’s important to inform your loved ones and providers about your health care needs for the future. [read post]
13 Oct 2014, 8:53 pm
A New Jersey Senate Concurrent Resolution urges CMS to provide reimbursement to physicians for advance care planning consultations with Medicare participants. [read post]
18 Aug 2017, 11:12 am
A married same-sex couple filed a lawsuit [complaint, PDF] against a former employer on Thursday in the US District Court for the Central District of California [official website] that alleges the company discriminated by refusing to provide spousal health insurance. [read post]
16 Jun 2011, 9:57 am
The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would establish, for the first time, conditions of participation (CoPs) that Community Mental Health Centers (CMHCs) would have to meet in order to participate in the Medicare program.CMS reports that the proposed CoPs would focus on patient care, establish requirements for staff and provider operations, and encourage patients to participate in their own care plans and treatment with a… [read post]
16 Jun 2011, 9:57 am
The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule that would establish, for the first time, conditions of participation (CoPs) that Community Mental Health Centers (CMHCs) would have to meet in order to participate in the Medicare program.CMS reports that the proposed CoPs would focus on patient care, establish requirements for staff and provider operations, and encourage patients to participate in their own care plans and treatment with a… [read post]
9 Sep 2021, 11:00 pm
On September 9, 2021, President Biden issued his “Path Out of the Pandemic” COVID Action Plan (the “Plan”), which, among other mandates, calls upon the Occupational Safety and Health Administration (“OSHA”) to create and issue Emergency Temporary Standards requiring employers with 100 or more employees to require either COVID vaccinations or weekly COVID testing for unvaccinated workers, as well as to provide paid time off for… [read post]
19 Oct 2021, 10:10 am
Federal Health Program Participating Health Care Providers And Plans. [read post]
10 Feb 2011, 10:12 am
If, however, your employer provides health coverage, but the employer maintains a self-funded plan--typically only seen with large employers--then the employer is free to choose whether to cover same sex partners or not. [read post]
11 Mar 2008, 5:44 am
Much has been made of rationed health care in countries where taxpayer funded, single payer plans are the norm. [read post]
