Search for: "Option Health Care Network Inc."
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3 Aug 2015, 12:07 pm
While employers can design their group health plans to apply higher out-of-pocket limitations on coverages for non-essential benefits and out-of-network care, employers are cautioned to use care to ensure both that: The plan properly essential and non-essential health benefits, both in terms and in operation; and The application of higher out-of-pocket limitations for non-essential benefits does not violate other federal health plan rules such as… [read post]
3 Feb 2010, 1:00 pm
Author Robert Elliott, executive vice president, Amaxx Risks Solutions, Inc. has worked successfully for 20 years with many industries to reduce Workers' Compensation costs, including airlines, health care, manufacturing, printing/publishing, pharmaceuticals, retail, hospitality and manufacturing. [read post]
21 Aug 2015, 6:07 pm
Group health plans can face lawsuits from covered persons, their health care providers as assignees or the DOL, to enforce rights to benefits, plus attorneys’ fees and other costs of enforcement. [read post]
16 Oct 2018, 3:55 pm
Health plans, their employer and other sponsors and fiduciaries, health insurers, health care providers, health care clearinghouses and their business associates should study and learn from the just announced, record-setting $16 million resolution agreement between health insurance giant, Anthem, Inc., to resolve Department of Health & Human Services Office of Civil Rights (OCR) charges that Anthem, Inc. [read post]
16 Sep 2010, 2:06 pm
This isn't shockingly new information, but the institute says booming health care costs make getting a tech upgrade an urgent necessity. [read post]
30 Apr 2019, 10:23 am
Covered Entities Obligated To Disclose ePHI to Apps Chosen By Individuals The FAQs make crystal clear that covered entities do not have the option of refusing to share ePHI to an app when requested to do so by the subject of the ePHI or its personal representative. [read post]
26 Dec 2013, 3:15 pm
The Coalition for Responsible Health Care Policy is a group hosted by Solutions Law Press, Inc. [read post]
20 Dec 2023, 9:52 am
According to the government, BioTelemetry and LifeWatch violated the FCA “when LifeWatch, through its marketing and enrollment process for remote cardiac monitoring services, knowingly submitted false claims to federal health care programs for a higher level of remote cardiac monitoring service than physicians had intended to order or which was medically necessary, thus resulting in a higher level of reimbursement to LifeWatch. [read post]
11 Jul 2015, 2:14 pm
Elizabeth’s Medical Center (SEMC) includes a clear message to health plans, health care providers, health care clearinghouses (Covered Entities) and their business associates to adequately secure and ensure that workforce members properly use internet applications and other systems used to share, access or maintain personally identifiable health information considered protected health information (PHI) in accordance with HIPAA. [read post]
12 Jun 2009, 11:22 am
Last month, United Health Care followed suit by publishing a coverage change in its May 2009 Network Bulletin . [read post]
14 Nov 2011, 9:25 am
At the acquirer’s option, New West and the five hospital owners must also use their best efforts to assign the health-care provider contracts not under their control to the acquirer or to lease New West’s provider network to the acquirer for up to three years. [read post]
29 Nov 2012, 7:26 am
The United States, No. 12-173C (Nov. 27, 2012), held that the VA reasonably interpreted the Veterans Benefits, Health Care, and Information Technology Act of 2006 as not requiring consideration of a SDVOSB set-aside before the VA procures goods and services under the Federal Supply Schedule. [read post]
29 Nov 2012, 7:26 am
The United States, No. 12-173C (Nov. 27, 2012), held that the VA reasonably interpreted the Veterans Benefits, Health Care, and Information Technology Act of 2006 as not requiring consideration of a SDVOSB set-aside before the VA procures goods and services under the Federal Supply Schedule. [read post]
5 Feb 2014, 6:30 am
The theme of this year’s conference is “Upheaval in the Market for Health Care – Facts and Myths. [read post]
7 Sep 2009, 12:24 pm
Tennessee debates whether to include complementary care in health care reform: reported by The Tennessean newspaper. [read post]
7 Sep 2009, 12:24 pm
Tennessee debates whether to include complementary care in health care reform: reported by The Tennessean newspaper. [read post]
21 Aug 2015, 11:24 am
Adjusted Out-Of-Pocket Limit Amounts The ACA out-of-pocket maximum limitation is one of many broad health care reforms enacted by ACA. [read post]
27 Oct 2016, 8:48 am
Compliance with the Privacy and Security Rules of the Health Insurance Portability & Accountability Act (HIPAA) is a living process that requires employer and other health plans, health insurers, health care providers and healthcare clearinghouses to recurrently reevaluate their HIPAA enterprise risk and timely act to mitigate security threats to electronic (ePHI) and other protected health information and other HIPAA compliance… [read post]
17 Oct 2018, 4:19 pm
The experience of Anthem, Inc. illustrates this point. [read post]
16 Mar 2020, 12:43 pm
When choosing and implementing their options, however, business leaders should carefully weigh all of their options and use care when designing and implementing their workforce and other business adjustments strategically to best position their businesses to survive the current crisis without triggering unanticipated employment, employee benefit, compensation or other liabilities as well as to best position their organizations and its leaders to retain the trust and… [read post]
