health plan

Sponsoring a Group Health Plan for Employees? What Employers Need to Know About the Consolidated Appropriations Act

  • Employers sponsoring group health plans must understand and comply with new requirements imposed by the Consolidated Appropriations Act.
  • On the plus side, the new compliance requirements can provide sponsors with valuable insights into the operation of their group health plans.
  • To avoid potential liabilities, however, sponsors should act proactively to avoid allegations of imprudent fiduciary processes.   




health plan

Commissioner Trinidad Navarro Announces National Improper Marketing of Health Plans Working Group

National Antifraud Task Force takes on new charges to protect consumers Delaware Insurance Commissioner Trinidad Navarro, Chair of the National Association of Insurance Commissioners’ (NAIC) Antifraud Task Force, announced today the successful creation of the Improper Marketing of Health Plans Working Group, which aims to tackle some of the nation’s most serious consumer-centered health scam […]




health plan

Centene Corporation to Acquire Arkansas Health Plan Administrator

Centene Corporation to Acquire Arkansas Health Plan Administrator




health plan

Former DestinationRx or DRX Founder Michael Cho Launches Medicare Sales Platform for Health Plans

Leaders of the team that created DestinationRx or DRX Medicare sales tools have launched the MMB Medicare Sales Platform to help health plans deliver an omni channel consumer experience across their web, telesales and broker channels.




health plan

Rx.Health Shares a Novel Approach to Integrate Digital Therapeutics (DTx) into Digital Care Pathways for Health Systems, Payviders, and Health Plans

Unification and Integration is key in the fragmented digital health ecosystem




health plan

MyMedicareBot Begins 2020 AEP Retrospective Analysis for Health Plans

MyMedicareBot LLC announces its 2020 Medicare Portfolio Analysis, a cutting-edge analytics and consulting service that allows health plans to identify and retain their at-risk members before AEP begins




health plan

Moda Health Plan, Inc. v. US

(United States Federal Circuit) - In this insurance law claim a health insurer contends that the US failed to satisfy its payment obligation under a federal health insurance pool program. The Court of Federal Claims entered judgement for the insurer. The Court of Appeals reversed the judgment stating that Congress suspended the governments obligation and that subsequent regulation did not create a contract promising full payment.




health plan

Vantage Health Plan, Inc. v. Willis-Knighton Medical Center

(United States Fifth Circuit) - In a healthcare antitrust case, affirmed a protective order that said certain confidential business documents belonging to a non-party health insurer should be unsealed (but redacted) if and when they are filed on the public docket. The non-party sought stronger confidentiality protections.




health plan

Your Money: Eight guiding principles when buying a health plan

Understanding your health coverage, getting familiar with the services covered and how much you will have to pay in case of an unfortunate eventuality is important.




health plan

Ray of hope as Scots armed forces veterans wait two years for a mental health plan

ARMED forces veterans are facing a threat from an enemy they cannot see.




health plan

Blue Cross Blue Shield of Michigan and Physicians Health Plan of Mid-Michigan Abandon Merger Plans

Blue Cross Blue Shield of Michigan abandoned its attempt to purchase Physicians Health Plan of Mid-Michigan after the Department informed the companies that it would file an antitrust lawsuit to block the acquisition.



  • OPA Press Releases

health plan

Florida-Based Wellcare Health Plans Agrees to Pay $137.5 Million to Resolve False Claims Act Allegations

WellCare Health Plans Inc. will pay $137.5 million to the federal government and nine states to resolve four lawsuits alleging violations of the False Claims Act, the Justice Department announced today.



  • OPA Press Releases

health plan

Flipkart, ICICI Lombard offer health plan for Covid-19 with instant claim

'Covid-19 Protection Cover' provides an instant Rs 25,000 benefit plan for to the customer if he tests positive for Covid-19




health plan

Information pathways : how organizational culture influences the utilization of outcome measures in the Texas Children's Mental Health Plan