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PROJECT COPE: COALITION ON PATIENT EMPOWERMENT
Empowering Health Care With Teamwork, Knowledge & Common Sense
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by Cynthia Marcotte StamerNovember 22, 201209:21

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Management attorney and operations consultant Cynthia Marcotte Stamer uses a client objective oriented approach to help businesses, governments, associations and their leaders manage performance, operations and risks.

  • Solutions Law Press HR & Benefits Update
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Recent Posts:

Employer Sponsors & Health Plans Face Rising Risk From Mental Health & Substance Abuse Coverage Violations

Employer Sponsors & Health Plans Face Rising Risk From Mental Health & Substance Abuse Coverage Violations

Health plans and their sponsors and fiduciaries need to realize that MHPAEA can be very costly both for the plan and its sponsor.  With private claims and enforcmeent rising and employers risking excise tax liability, plans and their sponsors need to verify compliance.

Use Prudent Process To Manage Workforce & Other Business Changes To Help Minimize Business & Management Liabilities & Protect Future Recovery

Use Prudent Process To Manage Workforce & Other Business Changes To Help Minimize Business & Management Liabilities & Protect Future Recovery

The financial effects of the COVID-19 pandemic and containment efforts has many businesses flailing to reconfigure their staffing and other business models even as Congress is preparing to impose paid COVID related leave mandate on employers with less than 500 employees.   With the sharp falloff in business threatening their current liquidity and operations, many business leaders understandably feel pressure to substantially reduce their workforces or make other radical changes in business operations to stem their business’ resulting COVID-19 created financial crisis.  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 respect their business will need to regain the customer, vendor, workforce and other business respect and loyalty their business will need to recover once the crisis has past.make appropriate arrangements to comply or implement the restructuring to minimize or avoid triggering WARN obligations.

Congress Expected To Pass COVID-19 Relief Bill With Paid Leave Mandates & Expanded Unemployment Funding This Week

Congress Expected To Pass COVID-19 Relief Bill With Paid Leave Mandates & Expanded Unemployment Funding This Week

Employers should prepare to meet new COVID-19 paid leave mandates Congress is expected to pass this week.

New Resources For Businesses, Employers, Schools & Homes To Stay Safe From COVID-19

The Centers for Disease Control is sharing the following recommendations to help Americans stay safe during the current pandemic outbreak: More Information We hope this update is helpful. For more information about the these or other health or other legal, management or public policy developments, please contact the author Cynthia Marcotte Stamer via e-mail or via telephone […]

Self Insured Plan & Contract Amendments Likely Required To Waive Deductibles, Expand Other Coronavirus Coverage

Self Insured Plan & Contract Amendments Likely Required To Waive Deductibles, Expand Other Coronavirus Coverage

Following up on the White House’s announcement yesterday that by major health insurers, Medicare and Medicaid to cover medically necessary testing and expand coverage for treatment of 2019 Novel Coronavirus (“coronavirus), without applying deductibles or coinsurance and offer expanded telemedicine and other coverage for coronavirus care, the Internal Revenue Service (“IRS”) today issued guidance giving […]

Health Plans, Providers & PBM Face Pressure To Prepare For Health Transparency As Trump Transparency Reforms March Foward

Health Plans, Providers & PBM Face Pressure To Prepare For Health Transparency As Trump Transparency Reforms March Foward

Today (March 2, 2020) is the deadline for employers and other health benefit program sponsors, insurers, plan administrators and fiduciaries, health care providers, PBMs and other interested persons to comment on proposed federal rule change that would require insured health plans to count drug rebates and price concessions retained by pharmacy benefit managers (PBMs) as […]

Proposed HHS Rule Making PBM Expenses Part of MLS Administrative Expense, Other Changes To ACA Helath Plan Rules Comment Deadline 5 P.M. Today

Proposed HHS Rule Making PBM Expenses Part of MLS Administrative Expense, Other Changes To ACA Helath Plan Rules Comment Deadline 5 P.M. Today

oday (March 2, 2020) is the last day to submit comments on Department of Health and Human Services (“HHS”) “Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2021; Notice Requirement for Non-Federal Governmental Plans Proposed Rule” (“Proposed Rule”) published by HHS on February 6. 2020. 

Among other things, the Proposed Rule, if adopted as proposed, would:

Repeal regulations relating to the Early Retiree Reinsurance Program;
Require health plans in state insurance markets to count drug rebates and price concessions retained by pharmacy benefit managers (PBMs) as administrative expenses. HHS predicts this change could generate $18.2 million more per year in medical loss ratio (MLR) rebate payments to consumers;.

Employers Prepare For Employment Tax Withholding Changes; Review & Comment On Proposed Rule Changes

Employers Prepare For Employment Tax Withholding Changes; Review & Comment On Proposed Rule Changes

Employer must prepare for new payroll withholding rules as IRS and Treasury publish proposed regulations implementing TCJA and other tax law changes.

Employers Prepare For Employment Tax Withholding Changes; Review & Comment On Proposed Rule Changes

Employers Prepare For Employment Tax Withholding Changes; Review & Comment On Proposed Rule Changes

Employer must prepare for new payroll withholding rules as IRS and Treasury publish proposed regulations implementing TCJA and other tax law changes.

New PBGC Pension Rules Effective 3/5 May Require Action On Retirement Plans

New PBGC Pension Rules Effective 3/5 May Require Action On Retirement Plans

New PBGC Pension Rules Effective 3/5 May Require Action

Recent Updates:

CMS Steps Up Nursing Home Inspections & Tightens Inspections In Response To Continuing Continuing COVID-19 Outbreaks & Deaths

CMS Steps Up Nursing Home Inspections & Tightens Inspections In Response To Continuing Continuing COVID-19 Outbreaks & Deaths

Trump Administration sends strong message to nursing homes to clean up COVID-19 and other contagious disease prevention and management deficiencies, shares new tools to preparation for inspections under new COVID-19 inspection policy.

COVID-19 Telehealth Relief; CMS ESRD, General Practitioner Telehealth Toolkits Released

COVID-19 Telehealth Relief; CMS ESRD, General Practitioner Telehealth Toolkits Released

CDC telemedicine guidelines for ERSD, Primary Care + HIPAA telemedicine relief out

OCR Grants HIPAA Telemedicine Relief During COVID-19 Crisis

The Office for Civil Rights (OCR) at the Department of Health and Human Services (HHS) announced relief providing covered health care providers subject to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy, Security and Breach Notification Rules greater latitude for communicating with patients, and providing telehealth services, through remote communications technologies during […]

CMS COVID-19 Nursing Home Safety Guidance

On Friday, the Centers for Medicare & Medicaid Services (CMS) announced tight facilities access restrictions and other critical additional new measures designed to keep America’s nursing home residents safe from the 2019 Novel Coronavirus (COVID-19) in connection with the broader Trump Administration declaration of a national emergency to deal with the COVID-19 outbreak.   The guidance […]

Workplace, School, Commercial Establishment & Business Coronavirus Safety Tips

The Centers for Disease Control is sharing the following recommendations to help Americans stay safe during the current pandemic outbreak: More Information We hope this update is helpful. For more information about the these or other health or other legal, management or public policy developments, please contact the author Cynthia Marcotte Stamer via e-mail or via telephone […]

Providers, Patients Still Need To Confirm Coverage Specifics Despite Insurers Agreemnet To Provide No Deductible Coronavirus Testing & Other Expanded Coverage; Self-Insured Plans Not Covered By Announced Deal

Providers, Patients Still Need To Confirm Coverage Specifics Despite Insurers Agreemnet To Provide No Deductible Coronavirus Testing & Other Expanded Coverage; Self-Insured Plans Not Covered By Announced Deal

Following up on the White House’s announcement yesterday that major health insurers, Medicare and Medicaid would  cover medically necessary testing and expand coverage for treatment of 2019 Novel Coronavirus (“coronavirus), without applying deductibles or coinsurance and offer expanded telemedicine and other coverage for coronavirus care, the Internal Revenue Service (“IRS”) today issued guidance giving health […]

Gastroenterology Practices Pays $100K For HIPAA Noncompliance

Gastroenterology Practices Pays $100K For HIPAA Noncompliance

Doctor nailed for $100,000 for HIPAA violations.

ONC Adds Reducing Provider EHR Burdens & Promoting Electronic Health Data Use In Research To Health IT Priorities

ONC Adds Reducing Provider EHR Burdens & Promoting Electronic Health Data Use In Research To Health IT Priorities

New ONC agendas pushes reducing provider EHR burderns & promoting Health IT to support research and quality.https://wp.me/ptOGJ-1cK

Court Ruling Gives Health Care & Other HIPAA Covered Entities Option To Reduce Costs of Responding To 3rd Party PHI Record Requests

Court Ruling Gives Health Care & Other HIPAA Covered Entities Option To Reduce Costs of Responding To 3rd Party PHI Record Requests

Court Ruling Gives Health Care & Other HIPAA Covered Entities Option To Reduce Costs of Responding To 3rd Party PHI Records Requests

OCR Warns HIPAA Entities To “Get Serious” About HIPAA Compliance In Announcing Latest Settlement Against Ambulance Company

OCR Warns HIPAA Entities To “Get Serious” About HIPAA Compliance In Announcing Latest Settlement Against Ambulance Company

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