Search for: "Generations Health Care Network"
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31 Jan 2013, 4:34 am
Organizations are required to submit quarterly reports and take corrective action if they don’t meet solvency requirements.A white paper by California’s Integrated Healthcare Association said the regulation has made the group health provider network more stable.I haven't studied the issues enough to take a position on the proposal, but what I do find fascinating is that this represents another step in the evolution of workers' compensation towards the unification of… [read post]
16 Feb 2016, 7:25 am
Intermountain Health Care, Inc., --- Fed.Appx. ----, 2016 WL 523613, No. 14–4045 (10thCir. 2016) Intermountain Health Care is a large hospital/clinic/doctor network. [read post]
4 Apr 2024, 2:14 pm
Relatedly, AI in health care is a fast moving target. [read post]
27 Jun 2023, 11:12 am
Today, Connecticut Governor Ned Lamont signed into law HB6669, “An Act Protecting Patients and Prohibiting Unnecessary Health Care Costs” (“the Act”), which seeks to reduce the costs of health care services for Connecticut residents. [read post]
30 Mar 2012, 6:58 am
Department of Health and Human Services (HHS) issued a report earlier this month detailing a study of excluded providers in Medicaid’s managed care network. [read post]
1 Jul 2009, 11:59 am
The law amends Florida Statutes section 627.638 to require health insurers to make payment directly to hospitals, physicians, and other providers of treatment when the provider is not a member of the insurer's network. [read post]
8 Jan 2019, 9:30 pm
Managed care plans help control health care costs, in part, by selectively contracting with smaller networks of health care providers where individuals covered by the health plan can receive care at negotiated lower rates. [read post]
5 Aug 2010, 7:57 am
Preexisting condition exclusions - The Health Care Reform Act generally prevents group health plans from imposing preexisting condition exclusions for participants who are under age 19. [read post]
31 May 2013, 5:24 am
Before this bill, the legal requirements made it too costly for home health care and DME providers to form "certified networks." [read post]
7 Dec 2016, 2:57 am
While no one has an exact figure, the General Accounting Office estimates that health care fraud, waste and abuse may account for as much as 10 percent of all health care expenditures. [read post]
8 Feb 2023, 10:04 am
For years, health care organizations have relied on the Statements to guide and set guardrails for collaborative activities including the structuring and composition of Group Purchasing Organizations, clinically integrated networks and, more recently, Accountable Care Organizations (“ACOs”). [read post]
9 Sep 2009, 8:00 am
Accidentally, but relentlessly, America has built a health-care system with incentives that inexorably generate terrible and perverse results. [read post]
8 Sep 2016, 5:30 am
Engaging and Supporting General Practice in Refugee Health: Final Report (Victorian Refugee Health Network, Sept. 2016) [text]- See also related literature review and engagement tools. [read post]
2 Apr 2014, 9:00 am
Health care fraud is a very real problem; call our San Francisco health care fraud whistleblower’s law firm if you are ready to be part of this fight. [read post]
12 Mar 2013, 10:25 am
If a preventive service is not offered in-network and is obtained out-of-network, the out-of-network service must be provided with no cost-sharing. [read post]
8 Jun 2020, 9:05 pm
During the 2020 Democratic primary race, the debate over how to reform the United States’ health care system took center-stage. [read post]
25 Jun 2019, 3:40 am
” Furthermore, while the EO targets “shoppable” health care (which the Administration states makes up a significant share of the market), many health care decisions would not necessarily be different in light of additional pricing data, given patients’ established provider relationships, insurance network rules, and numerous other factors. [read post]
23 Jul 2010, 8:26 pm
These existing claims and appeals requirements generally will continue to apply to all ERISA-covered group health plans without regard to whether the group health plan qualifies as grandfathered or non-grandfathered for purposes of the affordable care act. [read post]
30 Jul 2012, 9:29 am
“This partnership is a critical step forward in strengthening our nation’s fight against health care fraud,” said Attorney General Holder. [read post]
3 Nov 2014, 8:00 am
” Similar allegations involved billing for inpatient care when less expensive outpatient services were appropriate for spinal procedures (2000-2008) and general care (2006-2013). [read post]
