In 2014 non-grandfathered plans will not be allowed to have an out of pocket maximum greater than that allowed for high deductible health plans....more
5/6/2013
- Deductions IRS Out-of-Pocket Expenses
The Office of Civil Rights for Health and Human Services is launching a nationwide review of the language access policies of critical access hospitals following a 10 state review in 2012. These reviews will include an...more
5/6/2013
- Critical Access Hospitals Healthcare Hospitals OCR
Earlier this week the Agencies issued a revised Summary of Benefits & Coverage (“SBC”) template for use in describing health plan coverage that begins on or after January 1, 2014 and before January 1, 2015. ...more
4/26/2013
- Healthcare Minimum Essential Coverage SBC
Yesterday the Office of the Inspector General (OIG) released a special fraud alert addressing physician ownership in entities that derive revenue from implantable medical devices. While such arrangements are not per se...more
3/27/2013
- Anti-Kickback Statute Fraud Medical Devices OIG Physicians
Yesterday HHS, IRS, and DOL published proposed regulations implementing the waiting period restrictions of the Affordable Care Act. As expected, health plans may not impose a waiting period that is longer than 90 days from...more
3/25/2013
- Affordable Care Act DOL Healthcare Statutory Waiting Period
A small non-profit hospice in Idaho agreed to pay $50,000 to settle allegations that it violated the HIPAA security regulations. The allegations stemmed from a report made to HHS by the hospice after a laptop containing...more
2/11/2013
- Data Protection HIPAA Medical Records OCR PHI Risk Assessment
Late last week the IRS released proposed regulations implementing the employer “play or pay” provisions in the Affordable Care Act. The rules are applicable to employers with 50 or more full-time equivalents and outline the...more
1/4/2013
- Affordable Care Act Full-Time Employees IRS Pay or Play
