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17 Mar 2024, 5:42 pm by Cynthia Marcotte Stamer
  Among other things: Due to the widespread use of the Change Healthcare tools and systems as a financial clearinghouse for connecting pharmacy benefit managers, health care providers, and other key plays and health plans throughout the health care and health benefits industry, the attack has and continues to disrupt key billing, care-authorization, payment and other transactions between health care payers and pharmacies, physicians and other health care providers and… [read post]
12 Feb 2024, 6:07 am by Kevin LaCroix
  Just like the cases alleging overpayments to TIAA and Fidelity in the retirement space, this lawsuit is claiming that J&J fiduciaries must pay for alleged excessive overpayments or markups to the pharmacy benefit manager (PBM) for specialty generic drugs. [read post]
19 Dec 2023, 4:48 pm by Cynthia Marcotte Stamer
$115 is the fee that health plans participating in the Independent Dispute Resolution (“IDR”) process required by the No Surprises Act (the “NSA”) to resolve disputes with health care providers, facilities, and providers of air ambulance services (“providers”) over the amount the health plan will pay the provider for out-of-network health care or items for because the health plan and provider cannot reach agreement about the appropriate amount outside the IDR… [read post]
8 Dec 2023, 10:02 am by Cynthia Marcotte Stamer
Health plans and other entities covered by the Health Insurance Portability and Accountability Act (“HIPAA”) should tighten their phishing deterrence and other safeguards in response to the announcement of the Department of Health and Human Services Office of Civil Rights (“OCR”) of its settlement of its first official phishing-related HIPAA charges with a Louisiana medical group subject to HIPAA as a health care provider. [read post]
10 Nov 2023, 1:35 pm by Cynthia Marcotte Stamer
Eligible Long-Term Care Premiums & Periodic Payments For taxable years beginning in 2024, the limitations under § 213(d)(10), regarding eligible long-term care premiums includible in the term “medical care”, as adjusted for inflation, are as follows: Attained Age Before the Close of the Taxable YearLimitation on Premiums40 or less$470More than 40 but not more than 50$880More than 50 but not more than 60$1,760More than 60 but not more than 70$4,710More than 70$5,880For… [read post]
9 Nov 2023, 1:48 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. invites you receive future updates by registering on our Solutions Law Press, Inc. [read post]
9 Nov 2023, 1:07 pm by Cynthia Marcotte Stamer
Eligible Long-Term Care Premiums & Periodic Payments For taxable years beginning in 2024, the limitations under § 213(d)(10), regarding eligible long-term care premiums includible in the term “medical care”, as adjusted for inflation, are as follows: Attained Age Before the Close of the Taxable YearLimitation on Premiums40 or less$470More than 40 but not more than 50$880More than 50 but not more than 60$1,760More than 60 but not more than 70$4,710More than 70$5,880For… [read post]
5 Nov 2023, 3:10 pm by Cynthia Marcotte Stamer
Health plans, health care providers, healthcare clearinghouses and their business associates (“Covered Entities” should check out this new Office of Civil Rights (“OCR”) video intended to educate health care industry players about real world cyber-attack trends from OCR breach reports, OCR investigations and how implementation of appropriate Health Insurance Portability & Accountability Act (“HIPAA”) Security Rile compliance can mitigate their exposure to… [read post]
27 Oct 2023, 6:17 am by Searcy Law
Yet, contamination remains a very real concern, and each year numerous people suffer life-altering (and in some cases life-threatening) complications that eye drop manufacturers could—and should—have prevented. [read post]
27 Oct 2023, 6:17 am by Searcy Law
Yet, contamination remains a very real concern, and each year numerous people suffer life-altering (and in some cases life-threatening) complications that eye drop manufacturers could—and should—have prevented. [read post]
27 Oct 2023, 6:17 am by Searcy Law
Yet, contamination remains a very real concern, and each year numerous people suffer life-altering (and in some cases life-threatening) complications that eye drop manufacturers could—and should—have prevented. [read post]
17 Oct 2023, 11:38 am by Cynthia Marcotte Stamer
Giving a qualifying applicant for a work opportunity in your business might translate into Work Opportunity Tax Credit (WOTC) for your business if your business meets and follows the requirements. [read post]
2 Oct 2023, 12:34 pm by Cynthia Marcotte Stamer
Solutions Law Press, Inc. invites you to receive future updates by registering on our Solutions Law Press, Inc. [read post]
11 Sep 2023, 1:58 pm by Cynthia Marcotte Stamer
See Record $16M Anthem HIPAA Settlement Signals Need To Tighten HIPAA Compliance & Risk Management  In January, 2021, OCR announced New York health insurer, Excellus Health Plan, Inc., would pay $5.1 million to settle potential HIPAA violations related to a breach affecting over 9.3 million people. [read post]