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5 Aug 2024, 12:22 pm
With these HIPAA penalties in addition to the up to the $190 per day per request Labor Department administrative penalty, and discretionary award up to $100 per day plus attorneys’ fee and court cost courts can award suing participants or beneficiaries wrongfully denied timely access to plan information or documents under the Employee Retirement Income Security Act (“ERISA”) health plans, their plan administrators, insurers and fiduciaries… [read post]
5 Jul 2014, 7:29 pm
Barth Bracy, director of the Rhode Island Right to Life Committee and a resident of Connecticut, along with his wife, filed suit two months ago because the only health care plans available through the Health Insurance Exchange in Connecticut include abortion coverage. [read post]
29 Jul 2010, 4:51 am
Oregon retired police officers do not have a property interest in continuing in the health insurance plan available to police officers on active dutyDoyle v City of Medford, USCA, 9th Circuit, No. 09-16037Although the City of Medford, Oregon did not provide health insurance coverage to its retired police officers upon their retirement, the retirees could elect to remain covered in the City’s plan for 18 months after their retirement under the… [read post]
14 Mar 2011, 2:35 pm
However, if your employer provides various levels of coverage, such as an HMO and a PPO, the employer will choose what the default plan in which employees are automatically enrolled, subject to an opt-out. [read post]
4 May 2017, 11:04 am
So the other day we reported that Premier Health and United Healthcare had parted ways:"[F]olks with either individual or group medical plans from UHC are no longer able to receive services at Premier Health facilities at negotiated rates, and their co-insurance obligations from these providers wil be treated as out-of-network. [read post]
28 Dec 2022, 2:04 am
Mental health should be a priority in your organization, and employees should know what resources are available to them — either through their health plan or the company’s Employee Assistance Program – to help them work through any mental health issues. [read post]
29 Jan 2008, 7:05 am
To help people monitor changes in private plans in Medicare, the Kaiser Family Foundation has updated its interactive online resource, the Medicare Health and Prescription Drug Plan Tracker, with new 2008 data. [read post]
6 Oct 2023, 3:51 pm
Out-of-Network: What It Means and How It Impacts Your Care Health insurance plans provide coverage pursuant to policies for in-network care. [read post]
10 Aug 2010, 12:22 pm
At a minimum, the state external review process must provide: External Review of plan decisions to deny coverage for case based on medical necessity, appropriateness, health care setting, level of care, or effectiveness of a covered benefit. [read post]
8 Mar 2016, 2:00 pm
Another reason to create an Estate Plan is to make sure your spouse is provided for in the event you need long-term care. [read post]
2 Apr 2012, 8:04 am
WellCare Health Plans Inc. has consented to pay $137.5 million to settle four whistleblower lawsuits filed against it over allegations of fraudulent Medicaid and Medicare claims. [read post]
16 Jun 2010, 3:15 pm
Pieces to the health care reform puzzle continue to take shape as regulations were issued this week, providing clarification on what is referred to as the "grandfather" rule. [read post]
8 Feb 2011, 8:42 am
Estate planning for traditional couples usually consists of having a Will, Financial Power of Attorney, Medical Power of Attorney and Advanced Health Care Directive.The traditional plan itself usually consists of each spouse leaving money to the other (occasionally in trust for tax planning purposes). [read post]
18 Aug 2011, 9:40 am
Jon Kyl made false and misleading statements about Planned Parenthood's prenatal services, Arizona is once again attacking groups that provide abortion information or services. [read post]
25 Jan 2019, 3:57 pm
On January 24, 2019, the National Institute for Occupational Safety and Health (NIOSH) published a document entitled Continuing to Protect the Nanotechnology Workforce: NIOSH Nanotechnology Research Plan for 2018-2025. [read post]
11 Feb 2022, 9:03 pm
Health care planning for incarcerated individuals often deemphasizes and neglects dental care despite the physical and psychosocial benefits of oral health, writes Anne S. [read post]
20 Jan 2014, 2:50 pm
She regularly designs and presents HIPAA and other risk management, compliance and other training for health plans, employers, health care providers, professional associations and others. [read post]
25 Feb 2009, 10:28 pm
Put a compliance plan in place and make it operative.Second, these fraud cases create pressure on the health care system where the government assumes that there is a layer of fraud in billing and services provided to beneficiaries. [read post]
4 Aug 2010, 11:33 am
Under the proposed plan, manufacturers would pay a fee to enroll in the program and a fee for every five minute intervals of time scheduled with each health care provider. [read post]
20 Mar 2007, 2:30 am
Large health insurers, managed care plans, and large medical providers now operate in many states.The Bush administration and the prior Republican controlled Congress have consistently favored tax incentives and market driven policies when addressing health care access and cost issues. [read post]
