Search for: "Matter of Adoption of State Health Plan" Results 21 - 40 of 2,157
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9 May 2019, 8:06 am by Cynthia Marcotte Stamer
In addition to impacting existing plan features and their administration, health plans, their fiduciaries, administrators and insurers should prepare for a predictable surge in scrutiny by plan members about health plan prescription drug formularies that in many cases will fuel new appeals and challenges to the plan denials, formularies and other impacted features. [read post]
11 Jul 2015, 2:14 pm by Cynthia Marcotte Stamer
In the face of these developments, health plans and their employer or other sponsors, health plan fiduciaries, health plan vendors acting as business associates and others dealing with health plans and their management should contact legal counsel experienced in these matters for advice and help about evaluating within the scope of attorney-client privilege the implications of the Resolution Agreement and other recent… [read post]
8 Oct 2013, 1:50 pm by Cynthia Marcotte Stamer
The contract should deliver plan services in a manner consistent with the federal and state tax, labor, health care, contractual and other legal obligations applicable to the plan sponsor. [read post]
4 Nov 2014, 4:54 pm by Cynthia Marcotte Stamer
As a result, a Non-Hospital/Non-Physician Services Plan (other than a Pre-November 4, 2014 Non-Hospital/Non-Physician Services Plan) should not be adopted for the 2015 plan year. [read post]
6 May 2019, 5:44 pm by Cynthia Marcotte Stamer
Under a new OCR Resolution Agreement and Corrective Action Plan announced May 6, 2019, Touchstone Medical Imaging (“Touchstone”) must pay $3,000,000 to OCR and adopt a corrective action plan to settle OCR charges it violated HIPAA arising from an OCR investigation of Touchstone’s handling of a 2014 breach. [read post]
15 Jul 2010, 6:49 am by Cynthia Marcotte Stamer
  The preamble accompanying the Interim Final Regulations states that the Departments are developing additional guidelines regarding the utilization of value-based insurance designs by group health plans and health insurance issuers with respect to preventive benefits and invites public comment on this and certain other matters. [read post]
16 Feb 2017, 3:01 pm by Cynthia Marcotte Stamer
Stamer’s includes nearly 30 years’ of work with a diverse range of health industry clients on an extensive range of matters. [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]
19 Jul 2023, 2:02 am by Jane Marsh, Environment.co
Health Insurance Healthcare costs are astronomical in the United States. [read post]
13 Jun 2017, 2:00 am
Beyond these basics, other sophisticated estate planning tools are available for more complex situations.If you lie awake at night worrying that  when you or your partner die the survivor will not be provided for, or that the state will determine your rights over your child you owe it to yourself and your family to establish a rock solid estate plan now.Unique Estate Law--Minnesota's lawyer for the LGBT community-- is a gay-owned and operated law firm with both… [read post]
13 Jun 2017, 2:00 am
Beyond these basics, other sophisticated estate planning tools are available for more complex situations.If you lie awake at night worrying that  when you or your partner die the survivor will not be provided for, or that the state will determine your rights over your child you owe it to yourself and your family to establish a rock solid estate plan now.Unique Estate Law--Minnesota's lawyer for the LGBT community-- is a gay-owned and operated law firm with both… [read post]
28 Nov 2022, 1:42 pm by Cynthia Marcotte Stamer
  Consequently, in addition to sharing any concerns or other input about the proposed changes during the comment period, health care providers, health plans, health care clearinghouses, employers, community agencies, state and local governments, patients and other caregivers and other concerned parties also should begin planning and preparing to respond to the anticipated changes in the requirements. [read post]
15 Jan 2021, 12:28 pm by Tom Smith
They adopted a similar plan in August only after exploring other options—and then held the release of the CDC’s playbook for states for two weeks for additional clearance and to put it out with another document, the officials said. [read post]
29 Mar 2014, 10:47 am by Lawrence B. Ebert
The Wyoming Supreme Court, in POWDER RIVER BASIN RESOURCECOUNCIL v WYOMING OIL AND GAS CONSERVATION COMMISSION discusses the matter of public access of materials disclosed to state regulators. [read post]
21 Aug 2013, 6:52 pm by Cynthia Marcotte Stamer
  Individuals and employees of small businesses beginning October 1, 2013 can apply for and, beginning January 1, 2014 to buy health care coverage offered through the Marketplace established under ACA for their state (including the Federal Marketplace for states that did not elect to establish their own Marketplace). [read post]
23 Mar 2011, 10:23 am
Doesn't matter if your child is healthy or sick. [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]
19 Mar 2014, 11:15 am by Cynthia Marcotte Stamer
Stamer has more than 25 years’ experience advising health plan and employee benefit, insurance, financial services, employer and health industry clients about these and other matters. [read post]