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6 Jul 2012, 11:34 am
2012 Health Plan-U Coping With Health Care Reform Series Provides Key Training & Information For Health Plans, Sponsoring Employers, Fiduciaries, Administrators & Advisors On ACA & Other Responsibilities Health plans, their employer and other plan sponsors, fiduciaries, administrators, brokers and consultants and other service providers are invited to geta 2012/2013… [read post]
21 Oct 2014, 5:16 am
A health plan is an individual or group plan that provides or pays the cost of medical care (as defined in 45 CFR 160.103). [read post]
19 Aug 2012, 9:00 am
In addition to traditional employer plans, an exempt health care provider may also offer supplemental plan options to its managers and highly compensated employees. [read post]
19 Aug 2014, 10:00 am
Advanced health care directives and financial power of attorney are helpful planning tools to ensure that in the later years of life, one’s health care and financial needs are provided for. [read post]
31 May 2012, 2:26 pm
For example, for plans that provide a grace period for use of contributions, unused salary reduction contributions to the health FSA for plan years beginning in 2012 or later that are carried over into the grace period for that plan year will not count against the $2500 limit for the subsequent plan year. [read post]
10 May 2017, 3:14 pm
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]
23 Jul 2010, 8:26 pm
August 24 “2010 Health Plan Update” Internet Workshop Provides Key Information The August 24, 2010 “2010 Health Plan Update” briefing will cover the latest guidance on Affordable [read post]
11 Jun 2014, 11:45 am
Health care providers, health plans and insurers, health care clearinghouses (collectively “Covered Entities”), their business associates, and others concerned about medical privacy regulations or protections should check out two new reports to Congress about breach notifications reported and other compliance data under the Health Insurance Portability & Accountability Act (HIPAA) by the U.S. [read post]
21 Dec 2023, 2:18 am
Employers that sponsor self-insured group health plans should connect with the plans’ third-party administrators or other service providers to determine who will file the GCPCA. [read post]
12 Dec 2016, 3:38 pm
A new Center for Medicare and Medicaid Services (CMS) Rule published on December 12 tries to deter providers from encouraging Medicare and Medicaid eligible dialysis patients to enroll iprivate health insurance offered through health insurance exchanges that provide higher reimbursement for providers than Medicare and Medicaid. [read post]
12 Dec 2016, 3:38 pm
A new Center for Medicare and Medicaid Services (CMS) Rule published on December 12 tries to deter providers from encouraging Medicare and Medicaid eligible dialysis patients to enroll iprivate health insurance offered through health insurance exchanges that provide higher reimbursement for providers than Medicare and Medicaid. [read post]
27 Oct 2020, 6:58 pm
It requires that health plans provide coverage for all medically necessary services for mental health issues under the same terms and conditions applied to other medical conditions. [read post]
31 Oct 2023, 2:15 pm
Cross-plan offsetting is a practice of recovering an overpayment made to a provider for a patient covered by a health plan by underpaying the same provider for services rendered to a separate patient covered by a separate health plan. [read post]
29 Mar 2020, 5:00 pm
The Act also creates certain restrictions on the reimbursement rates that group health plans and health insurance issuers may use to reimburse providers for COVID-19 diagnostic tests. [read post]
23 May 2012, 3:42 pm
Stamer available including: Review & Updated Health Plan Mental Health Coverage As DOL Supplements Guidance On Health Plan Mental Health Parity Rules Western Mixers & Officers Ordered To Pay $1.2M+ For Improperly Using Benefit Plan Funds For Company Operations, Other ERISA Violations Plan Administrator Faces Civil & Criminal Prosecution For Allegedly Making Prohibited $3.2 Million Real… [read post]
25 Feb 2019, 9:56 am
The rule makes changes to the Title X Public Health Service Act by prohibiting abortion as a method of family planning and preventing Title X funds from being distributed to providers who maintain this practice. [read post]
11 Mar 2009, 3:16 pm
Previously only health plans and providers were covered under HIPAA and subject to the criminal and civil monetary penalties. [read post]
22 Apr 2022, 4:59 am
These transparency rules also try to provide health ... [read post]
28 Oct 2014, 12:00 am
Finn Pressly The Centers for Medicare and Medicaid Services (CMS) has revised its Health Plan ID (HPID) FAQs to provide clearer guidance for employers who wrap multiple self-funded benefit programs into a single ERISA plan for purposes of the annual Form 5500 filing.read more [read post]
9 Jul 2012, 11:22 pm
Completing the preparations to meet the deadline for providing SBCs won’t be easy for most health plans and insurers planning to conduct annual or other enrollment periods this Fall. [read post]
