Advertisement

http://insurancethoughtleadership.com/wp-content/uploads/2014/04/bg-h1.png

[sendtokindle]

Cynthia Marcotte Stamer

Cynthia Marcotte Stamer

Cynthia Marcotte Stamer is board-certified in labor and employment law by the Texas Board of Legal Specialization, recognized as a top healthcare, labor and employment and ERISA/employee benefits lawyer for her decades of experience advising and defending public and private, rural and metro area hospital; health care system; nursing home; home health; rehabilitation; physical therapy; medical clinic; medical staff, physician practice group, independent practice association, and management services organization; staffing; HMOs, PPOs, ACOs, Medicare and Medicaid advantage and other managed care organization; pharmacy; life sciences; durable medical equipment; allied health; health care technology; and other health industry clients.

As a board certified in labor and employment law whose practice focuses on health industry clients, Stamer’s work throughout her career has included continuous involvement advising and representing health care organizations about employment, labor-management, peer review and staffing and other workforce management and compensation concerns. Stamer also continuously advises health industry clients about compliance and internal controls, workforce and medical staff performance management and discipline; quality; governance; privacy, data security and breach; health care and other fraud prevention, risk management and defense; Medicare, Medicaid, managed care and insurance and other billing and reimbursement; safety and contagious disease; FDA; DEA; STARK, fraud & abuse, false claims act and other fraud prevention, investigation, remediation, and defense; managed care contracting and compliance; health care, insurance and other licensure and accreditation; managed care, government and other contracting and contract enforcement; antitrust; nonprofit and other general corporate and business matters and transactions; disaster preparedness and response; government audits and other enforcement; investigation and discipline; board and corporate governance; and other compliance, reengineering and change management, risk management, regulatory and government affairs, public policy and operations concerns.

Recent Articles by Cynthia Marcotte Stamer

ACA Liabilities Still Need Management

Employers and health plans! Don’t let the prospects of reform dupe you into failing to manage past and current Obamacare liability exposures. Contrary to popular perception, President Trump’s health plan executive orders do not insulate employers or their health plans from all Obamacare compliance or enforcement exposures. Among other things, the Internal Revenue Service continues to […]

IRS Set to Nail Employers on ACA

The Internal Revenue Service is acting to help individuals who are eligible for Patient Protection and Affordable Care Act (Obamacare) health subsidies and who live in regions where exchange insurers do not offer bronze (lowest-cost) coverage, even as it moves ahead to nail employers failing to comply with Obamacare’s employer shared responsibility rules (commonly referred […]

Hard Lessons on Protecting Health Data

The $2.5 million payment and corrective action plan that the U.S. Department of Health and Human Services, Office for Civil Rights (OCR) required for CardioNet to settle potential charges of noncompliance with the Health Insurance and Portability Act (HIPAA) Privacy and Security Rules contains many important lessons for other healthcare providers, health plans, healthcare clearinghouses […]

Healthcare Case on Cutting Corners

Healthcare providers, health plans, healthcare clearinghouses (covered entities) and business associates that provide services that deal with protected health information received another reminder to be prepared to prove they are properly handling and administering electronic and other protected health information. This came after the Department of Health & Human Services Office of Civil Rights (OCR) announced its latest in […]

More Pressure to Protect Health Data

Health plans, insurers and other health plan industry service providers need to ensure that their Internet applications properly safeguard protected health information (PHI), based on a recent warning from Department of Health and Human Services (HHS) Office of Civil Rights (OCR). The warning comes in a resolution agreement with St. Elizabeth’s Medical Center (SEMC) that […]

Firms Must Now Clean Up Health Plans

Businesses, brace yourself for health plan enforcement! With the Supreme Court’s much anticipated June 25, 2015, King v. Burwell decision dashing the hope that the Supreme Court would provide relief for businesses and their group health plans from the Patient Protection and Affordable Care Act (ACA) mandates by striking down ACA, U.S. businesses that offered […]

Healthcare Breaches: How to Respond

The news of a data breach at Premera Blue Cross, following on the heels of the recent announcements of large-scale,  healthcare breaches at Anthem, is another reminder that employers and other health plan sponsors, fiduciaries and insurers need to take immediate steps to assess and tighten up their privacy, data security and data breach compliance […]

Private Exchanges: Panacea or Problem?

Employers trying to continue offering affordable health and welfare benefits amid the expanding costs and regulations enacted under the Patient Protection & Affordable Care Act (ACA) often are encouraged by some consultants and brokers to consider offering  coverage options pursuant to a “private exchange.” While these options sound attractive, not all work for all employers. The consumer-driven healthcare […]

Important Guidance on ACA Health Plans

The new FAQS About Affordable Care Act Implementation, published Nov. 6, 2014, confirm that employers can’t reimburse employees for purchasing individual coverage, even though various vendors are promoting that approach in lieu of group health plan coverage. FAQ XXII makes clear that the departments of Labor, Health and Human Services and Treasury object to this practice. […]

How to Prepare for ACA Transitional Reinsurance Costs

Employer and other plan sponsors should start working now with their insurers, administrators and advisors to understand the implications of and their options for addressing the “Transitional Reinsurance Program” and other new Patient Protection & Affordable Care Act (ACA)-associated cost and plan design changes  so that they are prepared to finalize and implement their health plan design, […]

13 Steps to Take Now to Prepare for ACA

The Affordable Care Act “pay or play” penalty under §4980 now, after a delay, takes effect for large companies in January 2015 and for smaller companies (with at least 50 employees) a year later. There is a great deal for all employers to do now to get ready. Here are the 13 steps you should take […]

13 Steps to Take Now to Prepare for ACA

The Affordable Care Act “pay or play” penalty under §4980 now, after a delay, takes effect for large companies in January 2015 and for smaller companies (with at least 50 employees) a year later. There is a great deal for all employers to do now to get ready. Here are the 13 steps you should take […]

Security Lessons From Concentra and QCA

“Encrypt your laptops and other mobile devices.” That is one of the key lessons that leaders of health plans, health care providers, health care clearinghouses (“covered entities”) and their business associates should take away from the Department of Health and Human Services Office for Civil Rights (OCR)'s April 22 announcement that Concentra Health Services and QCA […]

More Issues With Healthcare Privacy

Think your healthcare organization or health plan has healthcare privacy covered? Think again. A series of supplemental guidance issued by the Department of Health and Human Services Office of Civil Rights (OCR) in recent weeks is giving healthcare providers, health plans, healthcare clearinghouses (covered entities) and their business associates even more to do. They must […]

Restated HIPAA Regulations Require Health Plans To Tighten Privacy Policies And Practices

Health plans, their insurers, employer and other sponsors, and business associates have work to do. Health care providers, health plans, health care clearinghouses and their business associates will need to review and update their policies and practices for handling and disclosing personally identifiable health care information (“PHI”) in response to the omnibus restatement of the […]

OCR Nails Hospice For $50K In First HIPAA Breach Settlement Involving Small Data Breach

Properly encrypt and protected electronic protected health information (ePHI) on laptops and in other mediums! That’s the clear message of the Department of Health and Human Services (HHS) Office of Civil Rights (OCR) in its announcement of its first settlement under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule involving a […]

$1.25M Backpay Highlights Risks of Mismanaging Union Risks In Merger & Acquisition Deals

September’s National Labor Relations Board (NLRB) order requiring the buyer of a California nursing home to pay approximately $1.25 million in backpay and interest, rehire 50 employees and recognize the seller’s union reminds buyers of union-organized businesses of some of the significant risks of mishandling union-related obligations in merger and acquisition, bankruptcy and other corporate […]

Supreme Court Decision Means Health Plans Under Fire …

… To Complete ACA-Required Summary of Benefits & Communications & Other Health Plan Updates The June 28, 2012 Supreme Court National Federation of Independent Business v. Sebelius ruling rejecting constitutional challenges to the Patient Protection and Affordable Care Act (Affordable Care Act) means most health plans, their employers and other sponsors, fiduciaries and administrators, and […]

Women's Health Services And The Patient Protection & Affordable Care Act

Effective August 1, 2012, federal regulators expanded the list of prevention-related services that the Patient Protection & Affordable Care Act (Affordable Care Act) requires that non-grandfathered group health plans cover in-network at no cost to covered persons to include eight more prevention-related health services for women including coverage for the mandate to cover certain contraceptive […]

12 Steps Businesses Should Take Now To Manage Health Plan Risks

August 1 marked the effective date of yet another Patient Protection & Affordable Care Act (Affordable Care Act) mandate: the controversial contraceptive coverage and other women’s health preventive coverage benefits mandates. Although many new Affordable Care Act and other federal health benefit requirements have taken effect over the past two years, few employer plans are […]

Connect With Cynthia Marcotte Stamer

Connect with Dave Walker on LinkedIn Connect with Dave Walker on Twitter Connect with Dave Walker on Facebook Connect with Dave Walker on Google Plus

  • Benefits & Long-Term Care
  • Claims Management
  • Cyber
  • Enterprise Risk Management
  • Innovation & Technology
  • Insurance Law
  • Leadership
  • Life Insurance
Do NOT follow this link or you will be banned from the site!