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12 Jun 2019, 11:00 pm
von Briesen continues to monitor the United States Department of Health and Human Services, Office of Inspector General (the "OIG") Work Plan to provide insight into emerging legal trends in health care. [read post]
3 Nov 2021, 3:50 am by Rebecca C. Morgan Stetson Law
A couple of weeks ago, CNN ran this article, Seniors decry age bias, say they feel devalued when interacting with health care providers. [read post]
4 Apr 2021, 5:00 pm by Samuel J. Baldwin
Some employers that sponsor a self-funded group health plan transfer funds to an account with their third-party administrator, which the third-party administrator then uses to make payments to providers and plan participants. [read post]
22 May 2019, 11:25 am by Silver Law Group
Almost 37,000 consumers are left paying $6.3 million in monthly premiums for insurance plans with Simple Health Plans LLC. [read post]
25 Apr 2017, 3:21 pm by Cynthia Marcotte Stamer
 Among other things, group health plans and their fiduciaries can face audits, litigation and enforcement actions by the Centers for Medicare & Medicaid Services and other health plans for improperly coordinating plan claims with other coverage as well as lawsuits from covered persons, their health care providers or other beneficiaries, the Department of Labor and CMS, or others seeking to enforce rights to benefits, penalties… [read post]
18 Sep 2007, 12:45 am
Nonetheless, Clinton's plan provides an immediate, pragmatic solution to the tragic problem of the millions of Americans who are entirely without health insurance. [read post]
13 Mar 2024, 9:05 pm by Cynthia Marcotte Stamer
Health care providers, health plans and other HIPAA covered entities and business associates impacted by disruptions arising from the Choice Health/UHG breach should consult with legal counsel for advice and help evaluating their resulting HIPAA security, breach notification and other obligations as soon as possible to mitigate their own HIPAA risks from the consequences of the attacks as soon as possible in light of new guidance just released by OCR. [read post]
13 Jul 2018, 10:37 pm by Cynthia Marcotte Stamer
  Health care providers, employer and other health plan sponsors, individual Americans and their families, and others interested in health benefit and health care reform will want to keep a close eye on these and other developments as Congress continues to debate health care reform in the runup to the upcoming 2018 health benefit plan renewal and annual enrollment season and November’s mid-term elections. [read post]
8 May 2023, 3:06 pm by Cynthia Marcotte Stamer
Health care providers, health plans, healthcare clearinghouses (“Covered Entities”) and their business associates, plan sponsors and fiduciaries, and leaders confirm the defensibility of their practices for responding to patient record requests in light of the schooling licensed professional counselor David Mente, MA, LPC (“Mente”) and other 43 other unrelated health care providers already have received […] [read post]
31 Jan 2010, 2:03 pm by Curran Tomko Tarski LLP
Jointly published by the Treasury, Health & Human Services and Labor Departments and available for review here , the MHP Regulations interpret and implement federal rules prohibiting group health plans and their insurers from imposing certain special limits on benefits provided for mental health and substance abuse treatments not applicable to general medical or surgical benefits. [read post]
6 Aug 2023, 10:00 pm
A recently issued White House Fact Sheet, along with a regulatory package from the US Departments of the Treasury, Labor, and Health and Human Services (the Departments), provides some welcome clarity for plan sponsors and fiduciaries on the requirements imposed on group health plans by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), while also raising key questions for stakeholders. [read post]
6 Aug 2023, 10:00 pm
A recently issued White House Fact Sheet, along with a regulatory package from the US Departments of the Treasury, Labor, and Health and Human Services (the Departments), provides some welcome clarity for plan sponsors and fiduciaries on the requirements imposed on group health plans by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), while also raising key questions for stakeholders. [read post]
6 Aug 2023, 10:00 pm
A recently issued White House Fact Sheet, along with a regulatory package from the US Departments of the Treasury, Labor, and Health and Human Services (the Departments), provides some welcome clarity for plan sponsors and fiduciaries on the requirements imposed on group health plans by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), while also raising key questions for stakeholders. [read post]
6 Aug 2023, 10:00 pm
A recently issued White House Fact Sheet, along with a regulatory package from the US Departments of the Treasury, Labor, and Health and Human Services (the Departments), provides some welcome clarity for plan sponsors and fiduciaries on the requirements imposed on group health plans by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), while also raising key questions for stakeholders. [read post]
6 Aug 2023, 10:00 pm
A recently issued White House Fact Sheet, along with a regulatory package from the US Departments of the Treasury, Labor, and Health and Human Services (the Departments), provides some welcome clarity for plan sponsors and fiduciaries on the requirements imposed on group health plans by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), while also raising key questions for stakeholders. [read post]
6 Aug 2023, 10:00 pm
A recently issued White House Fact Sheet, along with a regulatory package from the US Departments of the Treasury, Labor, and Health and Human Services (the Departments), provides some welcome clarity for plan sponsors and fiduciaries on the requirements imposed on group health plans by the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), while also raising key questions for stakeholders. [read post]
20 Jul 2015, 10:00 am
Consulting firm Avalere Health conducted a study that provides a statistical basis which supports anecdotal reports from consumers and others. [read post]
20 Jul 2015, 10:00 am
Consulting firm Avalere Health conducted a study that provides a statistical basis which supports anecdotal reports from consumers and others. [read post]
20 Jul 2015, 10:00 am
Consulting firm Avalere Health conducted a study that provides a statistical basis which supports anecdotal reports from consumers and others. [read post]
7 May 2013, 5:00 am by Epstein Becker & Green, P.C.
  Individuals generally may not receive a premium tax credit in connection with the enrollment in a qualified health plan through an Exchange if they are eligible for affordable coverage under an employer-sponsored plan that provides minimum value. [read post]