On August 14, the U.S. Department of Homeland Security (DHS) released a final rule that imposes significant new barriers on immigrants legally applying to enter and remain in the country.
Dual eligibles are an exceedingly high-need, high-cost population.
It is critical to incorporate screening for social and emotional concerns within routine developmental and behavioral surveillance conducted during well-child visits.
There are two fraud and abuse laws we will focus on—the Civil Monetary Penalties Law (CMPL) and the Anti-Kickback Statute (AKS)—that can be implicated if an organization is offering prizes to Medicaid or Medicare program beneficiaries or to referral sources of patients reimbursed by the ...
Most health insurers and providers assume that their personal health information (PHI) is exempt, since they are covered by HIPAA.
The relatively high expense of the U.S. healthcare system compared to other nations is well known and documented.
In July 2019, Judge Gilliam of the Northern District of California issued an order interpreting the different avenues a plaintiff may pursue in bringing a parity claim—a decision that may be consequential to health plans and health insurance companies that issue plans governed by the Employee ...
The promotional review process requires a critical balance between ensuring materials achieve business goals and complying with regulatory constraints.
The Mental Health Parity and Addiction Equity Act (MHPAEA) requires health plans to provide equal levels of treatment for mental health conditions and substance use disorders (SUDs) as they do for physical illnesses.
Opportunities to sponsor events and partner with other brands can be powerful tools for building awareness, expanding reach, and offering fresh content and experiences that capture new audiences and re-engage existing ones.