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Benefits in the News > By Subject >

Health plans - fraud


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[Opinion] New MEWA Reporting Requirements: An Unlikely Solution to MEWA Fraud
The Proposed MEWA Rules: Cracking Down on Health Insurance Scams
Focus on Health Care Fraud: MEWAs
[Guidance Overview] DOL Press Release Summarizes Proposed EBSA Regs Providing Enhanced Reporting Requirements and Enforcement Authority on Multiple Employer Welfare Arrangements (MEWAs)
[Official Guidance] Text of Proposed EBSA Regs Providing Enhanced Reporting Requirements and Enforcement Authority on Multiple Employer Welfare Arrangements (MEWAs) (PDF)
[Opinion] To Save on Health Care, First Crack Down on Fraud
'Mini-Med' Health Plan Waivers Top 700, Says HHS
Insurers' Efforts to Prevent Health Care Fraud (PDF)
Health Reform Law Has Far-Reaching Impact on Compliance World
[Guidance Overview] CMS's Self-Referral Disclosure Protocol Process to Self-Disclose Stark Law Violations
[Guidance Overview] CMS Publishes Stark Self-Disclosure Protocol
Employers See Greater Health Care Savings Through Dependent Eligibility Audits
[Guidance Overview] What Does HIPAA Say About Patients Who Want to Hide Information from Their Health Plan?
Removing Ineligible Dependents Could Save Companies Between 4% to 6% of Their Annual Health Care Costs.
Fringe Benefits a 'Key Area' of Upcoming IRS Audits
GAO Proactive Testing of ARRA Tax Credits for COBRA Premium Payments
Companies Crack Down on Defining Dependents in Employee Benefit Plans
[Guidance Overview] The Fraud and Abuse Provisions of the Health Care Reform Act
Rescissions After The PPACA ? A Preview
[Guidance Overview] What's Next for Health Care Fraud Investigations under Health Care Reform?
[Guidance Overview] Health Care Reform Legislation Makes Significant Changes to Fraud and Abuse Laws
[Guidance Overview] Health Care Reform's Fraud-Fighting Provisions Increase the Potential for Liability for All in the Health Care Industry
Health Care Reform Law: Health Care Fraud and Abuse and Program Integrity Provisions
Considering a Health Plan Dependent Eligibility Audit? (PDF)
Making Your Healthcare Plan More Cost-Effective Through a Dependent Audit (PDF)
Health Care Fraud Costs U.S. More Than $60 Billion Annually, According to Justice Department
Using Dependent Eligibility Audits to Keep Health Plans Healthy: A Case Study
[Guidance Overview] 2010 Medicare Premiums, Deductibles and Coinsurance
Pfizer Settles Largest Health Care Fraud Case in History
$5-a-Day Cinergy Health Insurance Piles Up Complaints
[Guidance Overview] Employee Who Signed Up Ineligible Individual for Health Plan Must Repay Benefits
Dependent Audits Surge As Employers Look for Cost-Cutting Alternatives
[Guidance Overview] 9th Circuit Affirms Reimbursement of Benefits for Fraudulent Beneficiary
Health Plans Ramp Up Efforts, Employ New Technologies, to Detect and Thwart Fraud
Blue Cross Accused of Deceptive Practices
California Regulators Shut Down Alleged Health Insurance Scheme
Health Insurers Refuse to Limit Rescission of Coverage
Health Insurers Refuse to Limit Rescission of Coverage
UAW OKs Healthcare Benefits Reduction for GM Retirees; DB Plan to Continue
Employers See Substantial Savings from Dependent Eligibility Audits
Health Care Regulatory Update: 2008 Year in Review
Employers Use Eligibility Audits to Control Health Care Costs
New Jersey Audit of Health Benefits Botched, Unions Charge
Some U.S. Employers Searching for Workers Who Are Collecting Health Benefits for Which They Aren't Eligible
Fact Sheet: EBSA Achieves Nearly $12 Billion in Total Monetary Results in Last Eight Years
Managing Workforce and Benefit Program Risks during an Economic Downturn (PDF)
State High Risk Pools for Health Coverage Information Page, September 2008
Dependent Health Care Audits Become 'Hot Topic'
More Than 500 Backlogged Whistle-Blower Cases Allege Health Care, Drug Company Fraud
Three Groups Announce Formation of Consortium To Fight Health Insurance Fraud
Medical Scans Face Scrutiny by Insurers, Doctors Over Safety, Expense, Even Fraud
[Opinion] Criminalizing Health Insurance Disputes
LA City Attorney Alleges Health Net Defrauded Policyholders by Dropping Patients Who Needed Costly Care
'Health Plan' Promoter Sentenced to Four Years for Embezzling Premiums Paid by Small Businesses
Health Insurance Scams Targeting Small Businesses, Individuals Increasing
Auditing for the Health Insurance Ineligibles
Health Insurance Audits Becoming All the Rage
Proposed California Rescission Regulation Could Mean New Expenses for MCOs
Calif. Agencies Release Proposed Regs to Prevent Improper Cancellations of Health Insurance Policies
Overview: IRS Goes After Abusive IRC Sec. 419(e) Schemes

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