Search for: "Community Health Systems Incorporated Employee Welfare Benefit Plan"
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1 Aug 2012, 10:02 am
Review & Update Health Plan Documents, SPDs & Other Communications, Administrative Forms & Procedures, Contracts & Processes To Meet Requirements & Manage Exposures Timely updating written plan documents, communications and administration forms, administrative practices, contracts and other health plan related materials processes and procedures has never been more critical. [read post]
11 Jul 2015, 2:14 pm
Beyond imposing a $218,400 penalty (“Resolution Amount”) against SEMC, the Resolution Agreement requires among other things SEMC take a number of specific steps to shore up the security of its internet applications for accessing and sharing ePHI and other related HIPAA Practices detailed in the “robust” corrective action plan incorporated into the Resolution Agreement. [read post]
21 Aug 2015, 6:07 pm
Employers sponsoring health plans and members of their management named as plan fiduciaries or otherwise having input or oversight over the health plan should verify their company’s group health plan meets the out-of-pocket maximum rules of the Patient Protection and Affordable Care Act (ACA) § 1302(c)(1) as well as a long list of other federal health benefit rules to minimize the risk that violations will… [read post]
21 Aug 2013, 6:52 pm
Impending deadlines to update and deliver the initial Exchange Notice by October 1, 2013, the Summary of Benefits and Communications (SBC) disclosure before their next enrollment period begins, and 60-day prior notice of material reductions in benefits or services under the plan mandated by the Patient Protection and Affordable Care Act (ACA) require employers or other sponsors to finalize design decisions and amendments well in advance of January 1, 2014. [read post]
17 Mar 2024, 5:42 pm
See, e.g., As UHG has worked to recover from the Choice Health attack, the resulting shutdown and disruption to electronic payment and medical claims systems incorporating the compromised Change Healthcare tools create various legal and operational headaches for many health plans and other health care payers by preventing or obstructing the submission and processing of health care claims and other transactions between… [read post]
16 Oct 2018, 3:55 pm
Stamer uses her deep and highly specialized health, insurance, labor and employment and other knowledge and experience to help health industry, insurance and financial services and other employers and other employee benefit plan sponsors; health, pension and other employee benefit plans, their fiduciaries, administrators and service providers, insurers, and others design legally compl [read post]
20 Nov 2014, 1:06 pm
A Fellow in the American College of Employee Benefits Council, immediate past-Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPPT Employee Benefits & Other Compensation Arrangements, an ABA Joint Committee on Employee Benefits Council Representative, the ABA TIPS Employee Benefit Plan Committee Vice Chair, former ABA Health Law… [read post]
21 Aug 2015, 11:24 am
Employers sponsoring health plans and members of their management named as plan fiduciaries or otherwise having input or oversight over the health plan should verify their company’s group health plan meets the out-of-pocket maximum rules of the Patient Protection and Affordable Care Act (ACA) § 1302(c)(1) as well as a long list of other federal health benefit rules to minimize the risk that violations will… [read post]
6 Nov 2014, 6:09 pm
A Fellow in the American College of Employee Benefits Council, immediate past-Chair and current Welfare Benefit Committee Co-Chair of the American Bar Association (ABA) RPPT Employee Benefits & Other Compensation Arrangements, an ABA Joint Committee on Employee Benefits Council Representative, the ABA TIPS Employee Benefit Plan Committee Vice Chair, former ABA Health Law… [read post]
8 Dec 2023, 10:02 am
We all have a role to play in keeping our health care system safe and taking preventive steps against phishing attacks. [read post]
27 Oct 2016, 8:48 am
To resolve the HIPAA charges, the OHSU Settlement requires OHSU to pay OCR $2,700,000 as well as take a long series of corrective actions detailed in the Corrective Action Plan incorporated into the Settlement Agreement. [read post]
5 Mar 2013, 1:51 pm
Health Care Reform Challenges All Businesses The small business sequester wrinkle is just the latest in a long list of challenges for business in setting a reliable direction for their health and other employee benefit programs. [read post]
21 Nov 2023, 3:15 pm
Furthermore, since the Employee Benefit Security Administration now views HIPAA compliance and other prudent steps to protect PHI and other sensitive health information as part of fiduciaries and plan administrator’s ERISA compliance obligations, the management of these and other HIPAA obligations also is critical to ERISA compliance. [read post]
22 Oct 2019, 3:16 pm
As part of this work, she has worked extensively on employee benefit communication and other employee benefit plan legislative and regulatory policy, design, compliance and enforcement including testifying to the EBSA Advisory Council on Employee Welfare and Pension Benefit Plans in on the effectiveness of employee benefit plan disclosu [read post]
25 Mar 2024, 6:38 am
The resulting shutdown and disruption to electronic payment and medical claims systems incorporating the compromised Change Healthcare tools create various legal and operational headaches for many health plans and other health care payers by preventing or obstructing the submission and processing of health care claims and other transactions between health care providers and health plans. [read post]
12 Jul 2013, 8:49 am
Health care providers use them for health care operations, as well as patient engagement and communication tools. [read post]
28 May 2012, 3:27 pm
A Fellow in the American College of Employee Benefit Council, immediate past Chair of the American Bar Association (ABA) RPTE Employee Benefits & Other Compensation Group and current Co-Chair of its Welfare Benefit Committee, Vice-Chair of the ABA TIPS Employee Benefits Committee, a council member of the ABA Joint Committee on Employee Benefits, and past Chair of the ABA Health Law Section… [read post]
16 Mar 2014, 6:07 pm
The Resolution Agreement documents this expectation by specifically incorporating this requirement as part of its terms. [read post]
9 Jul 2020, 12:03 pm
Increasing line speeds benefits meatpacking corporations at the expense of both animals and people, undermining necessary animal welfare and workforce protections that should be followed particularly during the COVID-19 pandemic. [read post]
17 Oct 2018, 4:19 pm
In addition, employer, union, association and other health plan sponsors and fiduciaries should consider incorporating enterprise risk assessments of their health plans and its vendors as well as specific contractual assurance requirements into their business associate agreements to help mitigate their health plan related liabilities and risks. [read post]
