On August 16, 2017, the Department of Labor (“DOLâ€) led a lawsuit against Macy’s Inc. Health and Welfare plan (and its third party administrators) under ERISA Title I. Specifically, the complaint alleges: The health plan and its fiduciaries failed to follow the written terms of the health plan’s Summary Plan Description (SPD) when reimbursing…
AmeriHealth New Jersey Laboratory Network Update As a reminder, effective May 1, 2018, LabCorp Corporation of America® Holdings (LabCorp) will become the exclusive outpatient lab for all AmeriHealth HMO, Inc. and AmeriHealth Insurance Company of New Jersey (collectively AmeriHealth New Jersey) commercial HMO, HMO Plus, POS, POS Plus, PPO, EPO, and self-funded business. As…
On April 13, 2017, the Department of Health and Human Services (HHS) issued final regulations to help stabilize the individual and small group markets. These final regulations, effective June 19, 2017, do not significantly differ from the proposed regulations issued February 16, 2017. They do not directly impact large group or expatriate health plans, but…
Independence Blue Cross (Independence) and University of Pennsylvania Health System (UPHS) have signed an innovative, five-year contract that strengthens both organizations’ emphasis on coordinated patient care, exchange of critical data, and shared accountability for both quality and cost of care. Independence Blue Cross