Search for: "HEALTH PARTNERS PLANS, INC." Results 21 - 40 of 865
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30 Sep 2021, 4:50 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. is hosting a complimentary briefing by Cynthia Marcotte Stamer on key requirements of the Act expected to impact health plans and their administration on Monday, October 18, 2021 from 11:30 a.m. to 1:00 p.m. [read post]
4 Oct 2011, 9:13 am by DBL Law
Benzinger practices in the areas of health care law, corporate law and estate planning and probate. [read post]
25 May 2016, 7:56 am by Daily Record Staff
Maryland Care, Inc., a managed care organization that administers health care services to more than 190,000 Marylander’s enrolled in the Maryland HealthChoice program, has selected Envolve Inc. to provide health plan management services for its managed Medicaid operations in Maryland effective July 1, 2017. [read post]
6 May 2019, 5:44 pm by Cynthia Marcotte Stamer
Health plans, their sponsoring employers and unions, insurers, fiduciaries, administrators, insurers and other service providers should learn from the $3 million lesson a Franklin, Tennessee-based diagnostic medical imaging services provider is learning about the heavy penalties a health plan, health care provider, health care clearinghouse  or business associate  (“Covered Entity”) risks if a post-data breach… [read post]
17 Apr 2012, 10:43 am by fraudfighters
Earlier this month, the Department of Justice announced a $137.5 million settlement with WellCare Health Plans, Inc. to resolve four separate lawsuits alleging False Claims Act violations. [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
Act To Verify Compliance, Leverage Opportunities FAQ 31 and the other guidance presents a two-edged sword for health insurers and group health plans and their sponsors. [read post]
27 Apr 2016, 9:01 am by Cynthia Marcotte Stamer
Act To Verify Compliance, Leverage Opportunities FAQ 31 and the other guidance presents a two-edged sword for health insurers and group health plans and their sponsors. [read post]
31 May 2016, 4:05 pm by Cynthia Marcotte Stamer
Gobeille involved a challenge to a Vermont “all payer” law similar to laws enacted by at least 20 other states, that requires health plan payers, their administrators or both to disclose individually identifiable health claims and other claims data about Plan members to a state created all payer data base. [read post]
16 Feb 2017, 3:01 pm by Cynthia Marcotte Stamer
MHS, a nonprofit corporation which operates six hospitals, an urgent care center, a nursing home, and a variety of ancillary health care facilities throughout the South Florida area with affiliated physician offices through an Organized Health Care Arrangement (OHCA) also agreed to implement a robust corrective action plan as part of the Resolution Agreement. [read post]
10 May 2017, 10:20 am by Cynthia Marcotte Stamer
 While small employers plans sometimes qualify for some relief from a few of these requirements, depending on their size,  the majority of these federal rules apply to most if not all group health plans. [read post]
23 Feb 2013, 5:00 pm by Cynthia Marcotte Stamer
Of course,  most health plan sponsors, fiduciaries, administrators and service providers already recognize the need to use care when dealing with health plan data. [read post]
10 May 2017, 3:14 pm by Cynthia Marcotte Stamer
Healthcare providers, health plans, healthcare clearinghouses and their business associates (Covered Entities) can’t disclose the name or other protected health care information about a patient in press releases or other announcements without prior authorization from the patient. [read post]
18 Nov 2018, 8:30 pm by Cynthia Marcotte Stamer
  Historically, insurers promised to steer patients to health care providers contracting to become “preferred providers” to health plan members in return for health care provider’s agreement to provide care a preferred rates or in accordance with other health plan rules. [read post]
6 Sep 2023, 9:36 am by Geoff Schweller
On August 28, the United States Attorney for the Eastern District of Washington announced that Lincare Holdings, Inc. agreed to pay $29 million to settle charges that it violated the False Claims Act (FCA) by overbilling Medicare and Medicare Advantage Plans for oxygen equipment. [read post]
7 Mar 2017, 8:10 am by Altman & Altman
The Occupational Safety and Health Administration (OSHA) has partnered with Barr & Barr Inc, a construction management company, to use the construction of Amherst College’s New Science Center as a model for workplace safety. [read post]
2 Feb 2018, 8:57 am by Cynthia Marcotte Stamer
When weighing the importance of HIPAA compliance and risk management for their health plans, health plans, their employer or other sponsors, fiduciaries, insurers, administrators and their business associates should resist the temptation to underestimate the exposure because providers, rather than health plans, have been  the most common target of the majority of the announced OCR enforcement actions resulting in substantial civil monetary… [read post]
3 Apr 2020, 5:29 am by Thaddeus Mason Pope, JD, PhD
   With consumer users in over 50 countries, MyDirectives is the world’s first all-digital advance care planning platform with enterprise partners that include Humana and UnitedHealthcare/AARP, EHR integrations via Cerner and Epic, content partnerships with AMDA – The Society for Post-Acute and Long-Term Care Medicine, the Center for Practical Bioethics, and health information exchange relationships that allow over 75% of the hospitals in the USA to… [read post]