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Married couple must separate to keep health insurance

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A Tennessee couple says governmental policies have forced them to separate after 33 years of marriage.

 
 
 
 
 
 
 
  Reported by USATODAY.com 7 hours ago.

Covered California appoints two women to key roles at Obamacare exchange

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Covered California, the state's Obamacare exchange, has appointed two senior executives to bolster Executive Director Peter Lee's management team. One came from inside, one from outside the Sacramento-based health insurance exchange, but both hail directly from the world of government agencies. Yolanda Richardson is now Covered California's chief deputy executive director of strategy, marketing and product development. Susannah Johnsrud is chief deputy executive director of operations. Richardson… Reported by bizjournals 7 hours ago.

Report: More Than Half of Central American Immigrants on Welfare

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Report: More Than Half of Central American Immigrants on Welfare More than half of legal and illegal immigrant households from El Salvador, Guatemala, and Honduras are on at least one form of public assistance, according to an analysis of government data by a limited immigration group.

Based on the Census Bureau’s March 2013 Current Population Survey, the Center for Immigration Studies (CIS) reports that most legal and illegal immigrant heads of households from these three countries received benefits from at least one major benefit program like Temporary Assistance for Needy Families (TANF), Supplemental Security Income (SSI), Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), food stamps (SNAP), free/reduced lunch, public/subsidized housing, and/or Medicaid.

Some 57 percent of households headed by an El Salvadoran used one such major welfare program, as did 54 percent of Honduran households and 49 percent of Guatemalan households. By comparison, 24 percent of households headed by a native-born American used at least one of these programs.

While the welfare use among immigrants from these countries is higher, their levels of employment are about on par with native-born Americans.

Based on the 2013 Census data reviewed by CIS, 77 percent of immigrants between the ages of 25 to 54 from El Salvador were employed, while 74 percent of Guatemalan immigrants in that age range had a job as did 73 percent of Honduran immigrants. For native-born Americans, that figure was 76 percent.

The data comes amid a meltdown at the U.S. southern border, as tens of thousands of unaccompanied minor and family units — largely from El Salvador, Honduras, and Guatemala — stream illegally into the country.

The New York Times reported last week that the government is sending an expected 290,000 illegal immigrants around the U.S. to cope with the influx at the border.

Based on the most recent Census numbers, in 2012 there were 2.7 million immigrants from these three countries total, which, according to CIS, has increased 234 percent since 1990. The number of both legal and illegal immigrants from El Salvador in 2012 was 1.3 million, 880,000 were from Guatemala, and 536,000 were from Honduras.  

The government estimates that some 60 percent of the immigrants from these Central American countries are in the country illegally. 

Other data-points from CIS include: 



*Language:* Of immigrants from El Salvador, 70 percent report they speak English less than very well; for immigrants from Guatemala, it is 72 percent; and for immigrants from Honduras, it is 69 percent. 

*Home-ownership:* Of households headed by Salvadoran immigrants, 41 percent are owner-occupied, as are 28 percent of Guatemalan households, and 29 percent of Honduran immigrant households. The corresponding figure for natives is 66 percent.

*The Top-10 States of Settlement:* California Texas, New York, Florida, Maryland, Virginia, New Jersey, Massachusetts, North Carolina, and Georgia.*Educational Attainment:* 54 percent of Guatemalan immigrants (ages 25 to 65) have not graduated high school. The figure for Salvadorans is 53 percent, and for Hondurans, 44 percent. The corresponding figure for native-born Americans is 7 percent. 

*Poverty:* 32 percent of Honduran immigrants and their young children (under 18) live in poverty; as do 31 percent of Guatemalan immigrants and their children and 28 percent of Salvadoran immigrants and their children. The corresponding figure for natives and their children is 14 percent.^4 

*Health Insurance:* 47 percent of Guatemalan immigrants and their young children (under 18) do not have health insurance. The figure for both Salvadoran and Honduran immigrants and their young children is 41 percent. The corresponding figure for natives and their children is 13 percent.^5*Share Working:* 77 percent of immigrants from El Salvador (ages 25 to 54) have a job, as do 74 percent of Guatemalan immigrants and 73 percent of Honduran immigrants. The corresponding figure for natives is 76 percent.

Reported by Breitbart 6 hours ago.

Why the ACA has Opened a Door for Defined Contribution Sales

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Zane Benefits Announces Health Reform’s Effects on Defined Contribution

Park City, UT (PRWEB) July 08, 2014

Today, Zane Benefits, the #1 Online Health Benefits Solution, published a primer on the opportunities the ACA has created in regards to defined contribution plans.

The Affordable Care Act (ACA) is making sweeping changes to health insurance, including how small and medium sized business owners purchase health insurance for themselves, their family, and their employees.

To adapt, health insurance agents and brokers are adding new solutions to their product lines such as Defined Contribution. With "Pure" Defined Contribution Health Benefits the employer sets up a health plan to reimburse employees for individual health insurance.

Click here to read the full article.

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About Zane Benefits
Zane Benefits, the #1 Online Health Benefits Solution, was founded in 2006 to revolutionize the way employers provide employee health benefits in America. We empower employees to take control over their own healthcare, while helping employers recruit and retain the best talent. Our online solutions allow small and medium-sized businesses to successfully transition to a health benefits program that creates happier employees, reduces costs and frees up more time to serve their customers. For more information about ZaneHealth, visit http://www.zanebenefits.com. Reported by PRWeb 7 hours ago.

United States: Do Subsidized Health Care Plans Purchased Under The Affordable Care Act Trigger The Anti-Kickback Statute? - Dickinson Wright PLLC

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The advent of federally subsidized private pay health insurance under the ACA has the potential to expand the application of the federal anti-kickback statute. Reported by Mondaq 6 hours ago.

The Hollow Promise of Justice Alito's Plan B

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On Monday, in Burwell v. Hobby Lobby Stores, the Supreme Court relied heavily on "less restrictive alternatives" when it exempted closely-held corporations from the Affordable Care Act's contraceptive mandate. Justice Alito stressed that such alternatives would have "zero" effect on their employees. This assertion was drawn into question by another decision handed down a mere three days later, granting a temporary injunction in another case. This time, the case was based on the claim that at least one of these supposed alternatives is itself a violation of its religious freedom from which it has a right to an exemption.

Whether the fear aroused by last week's decision in the case of Wheaton College v. Sebelius is justified remains to be seen. That decision was only a temporary order. It granted a Christian college the right to refuse to sign a form that certifies that it is a non-profit religious institution entitled to a religious exemption from the contraceptive mandate, at least until a judge decides whether forcing the school to sign would violate RFRA. According to the college's beliefs (and the beliefs of many other conservative Christian institutions), it is against their religion to "facilitate sin." To provide health plans that cover certain kinds of contraception is to facilitate sin in their view because (a) the contraception to which they object are abortifacents, (b) using abortifacents is a form of murder, proscribed by their religion as a sin, and (c) contributing to their employees' health plans enables their employees to commit this sin. Transferring the financial responsibility for covering these services to another party also facilitates sin because it essentially authorizes financial support for such services.

Dozens of institutions have gone to court, claiming that having to send such letter to their insurance company certifying that it is requesting the accommodation violates their religious faith. In other words, they are demanding an exemption from the exemption!

Although the Wheaton College decision is only a temporary order, it strongly suggests that the opinion handed down by the Court a mere three days earlier was based on false promises.

That opinion, authored by Justice Alito, relied on the assertion there are "less restrictive" ways of providing coverage to employees for the health services to which their employers object. The first alternative identified by Justice Alito is for the government to pick up the tab. Call this Justice Alito's "Plan B." The second possibility suggested by the Court ("Plan C") is for the government to order the insurance companies to absorb the costs, as it does in cases involving non-profit religious institutions. Plan C was devised by the Health and Human Services Agency to accommodate non-profit religious institutions by allowing them an exemption from the contraceptive mandate. It is that plan to which Wheaton College and its fellow travelers object.

The outcry that has greeted yesterday's decision is understandable. By granting a temporary injunction in favor of Wheaton College, the Court suggested that the very alternative it had suggested was available probably violates RFRA. If the Court doesn't think that the challenge is likely to succeed, then it shouldn't be granting the order. Thus the Court seems to be saying that at least one of the two "least restrictive alternatives" that it posited in Hobby Lobby is not actually legal. More than that, if the Court decides in favor of Wheaton College's claim that Plan C substantially burdens its freedom of religion, it will eliminate the accommodation that the government devised out of respect for religious groups.

Perhaps this could be justified if there is yet another way of guaranteeing that there will be "zero effect" on employees' access to reproductive health care services, as Justice Alito promised. Justice Alito's conclusion was premised on the availability of alternative ways for employees to get coverage. By his own reasoning, if there are no alternative ways for employees to gain insurance coverage for the omitted services, then the case for the exemption fails. Yesterday's decision strongly suggests that he, along with other Justices, might well be prepared to eliminate one of the two alternatives hypothesized in Hobby Lobby. But what of the first alternative suggested in the Hobby Lobby decision, Justice Alito's Plan B? After all, even if Plan C (make the insurance company pay) is eliminated, there is still the possibility of Plan B (make the government pay.)

Or is there? The arguments being made by Wheaton College and by other parties raising similar claims, like the religious order, Little Sisters of the Poor, give the illusion -- but only the illusion -- of there being a meaningful distinction between Plan B and Plan C. This is because these parties are all arguing that they object to Plan C, but not to Plan B. That is, they object to having send a letter to their insurance carriers certifying that they are claiming an exemption from the contraceptive mandate because, they claim, in so doing, they are in essence authorizing, or triggering, the extension of coverage for the services to which they object by the carrier. But they don't object to sending documentation to the government and having the government pick up the tab.

Why not? Why is sending notification to the government of its intention to activate its right to an exemption from the contraceptive mandate any less an act of facilitating sin, from the point of view of these religious organizations, than sending a notification to an insurance carrier? In either case, the effect is to activate the assumption of the obligation to cover the omitted services by another party. Logically, there is no reason why a religious party who subscribes to the religious doctrine against "facilitating sin" would not perceive there to be just as much agency involved in sending a letter to the government and just as much responsibility for triggering the provision of insurance as there is in sending a letter to an insurance company to trigger its assumption of financial responsibility.

Of course, there is no requirement that religious beliefs be logical. If Wheaton College or Little Sisters believe there to be a meaningful distinction between the level of responsibility involved in providing documentation to the government to trigger direct government funding for coverage and the procedures necessary to get an insurance company to pay, that is its right. But the holding that will eventually be issued in the Wheaton College and Little Sisters cases will has to apply to all parties alike. If in a future case, a religious "person" or institution should claim that according to its beliefs, notifying the government that it is claiming an exemption facilitates sin because so doing will cause the government to pick up the tab, that "person" will have no less right to its beliefs than Wheaton College and Little Sisters have to theirs. It is not up to the Court to decide which religious beliefs to protect, and there is no litmus test of logic or rationality to which religious beliefs can be submitted in order to qualify for protection.

Justice Sotomayor's dissent in Wheaton College suggests otherwise. In an otherwise powerful opinion, joined by the Court's two other female Justices, Justice Sotomayor wrote that while she does "not doubt that Wheaton genuinely believes that signing the self-certification form is contrary to its religious beliefs, ... thinking one's religious beliefs are substantially burdened ... does not make it so." With this statement, Justice Sotomayor dismissed not just the belief that there is a difference between activating coverage by the insurance companies and activating coverage by the government, but the whole idea that "facilitating" the commission of "sin" by someone else could constitute a substantial burden on the free exercise of religion. This, however, is a trap that liberals should resist. It is understandable why opponents of the exemption claims in Wheaton College and Hobby Lobby want to argue against a wholly subjective criterion of religious belief. Insisting that the subjective belief that there is a burden "does not make it so" allows one to deny the existence of a burden, whereas once the existence of a substantial burden is conceded, the government faces an uphill road. But uphill is not the same thing as impassable, at least not if the Court applies the law, dare we say, conscientiously.

Tempting as it is, refusing to recognize the existence of a substantial burden based on the religious doctrine of the "facilitation of sin" is in fact a more dangerous road than the uphill road faced when the burden is conceded. There are numerous reasons why it is a mistake to deny the existence of the burden. First, it is not in fact illogical to believe that when one provides another with the economic means to act one is "facilitating" or providing material support for their actions. By the same token, it is neither irrational nor crazy to believe that if the actions taken by someone who has received material support from you are immoral, then one bears some responsibility, or is complicit in that immorality. This is the same logic that underlies laws against material support for terrorist organizations. It is also the logic underlies boycotts. I might very well decide to boycott Hobby Lobby because I don't want to lend my dollars to their activities. If I do, I will be acting on a theory of facilitating sin (or immoral conduct) not unlike their own.

There is another reason why we should resist refusing to recognize the substantial burden involved in what the plaintiffs believe to be the facilitation of sin, and that is that, contrary to Justice Sotmayor's assertion, there is no substance to religious beliefs, and there is no test to which religious beliefs can be subjected in order to qualify for protection, other than what the believer subjectively thinks. We do not demand that speech meet any objective test of rationality or logic for it to be protected, and belief is no different. It is not for the Court to judge the merits of anyone's beliefs.

Fortunately, there are better grounds for refuting the claim that there is a right to an exemption. Rather than insisting that there is no burden, or that the burden is not substantial, we should accept the logic of the doctrine against the facilitation of sin and look to see where that leads. Under that doctrine, there is no principled basis for granting less protection to a plaintiff who believes it is a facilitation of sin to engage in actions that trigger Plan B than to plaintiffs like Wheaton College and Little Sisters who object to triggering Plan C. If anything, the (hypothetical) plaintiff who believes it's a facilitation of sin to trigger Plan B as well as Plan C is more logical than the actual plaintiffs who (apparently) only believe it is a violation of their religion to trigger Plan C. Indeed, if one takes the doctrine of facilitation of sin to its logical conclusion, participating in any accommodation that ensures there will be "zero" effect on the employees is by definition an act of facilitating sin.

Of course, what matters in the individual case is what the particular plaintiffs actually, subjectively believe. If Wheaton College and Little Sisters happen not to believe that it's against their religion to act in ways that lead to the government covering the tab, so be it. But if the Court is to be logically consistent itself (a matter which is now seriously open to question), then it has to be prepared to grant the same treatment to religious objectors to Plan B as to Plan C. To put it plainly, there is no logical basis on which the Court can distinguish religious objectors to accommodations that involve making the government pay.

But to allow religious objectors not to participate in "plans" that enable the government to pay for things they view as sinful is tantamount to allowing religious objectors to object to government itself. If a religious objector has a right to be exempt from signing a document that triggers the provision of government funding for contraceptive services (as would logically seem to follow from holding that a religious objector has a right to be exempt from signing a document that triggers the provision of funding the same services by an insurance carrier), then why not hold that a religious objector has a right not to pay taxes to the government that are used to pay for things that the objector deemed to be sinful. The Court has already addressed this issue in United States v. Lee, where it held, for obvious reasons, that no such right can be recognized. Similarly in the case of Bob Jones University, the Court held that a private religious institution cannot demand an exemption from regulations enforcing important government interests when those regulations accompany the receipt of government subsidies in the form of tax exemptions. In both cases, the Court recognized that the government's use of the tax system to collect revenue and to subsidize private actors (as it does when it provides tax exemptions) cannot be allowed to be subjected to exemption claims. In neither case did the Court find it necessary to deny the existence of a burden. Instead, it held that some burdens are not unconstitutional, particularly, in cases where the fundamental ability of the government to function is at stake.

Returning to Justice Alito's "Plan B" -- make the government pay -- it's worth noting what a remarkable (not to say hypocritical) concession this is coming from supposedly stalwart opponents of government-funded healthcare. We hold little hope that the Court's conservative Justices will recognize that the so-called private system of employment-based insurance that opponents of Obamacare are trying to preserve is itself a system of government funding through tax expenditures (although the Court alludes to this in in its cryptic reference to "the usual business reasons" for preferring to provide health care as a fringe benefit.). We hold no illusions about the political feasibility of getting people to Congress to enact Justice Alito's "Plan B. But what is merely a fragile hope from one point of view is a political opportunity from another. Even if passing such a law proves to be impossible, progressives should not lose this opportunity to demonstrate that by their own logic, the opponents of the contraceptive mandate have conceded that direct government funding would be a better -- "less restrictive" -- way of delivering health insurance than having it funneled through employers (which is what the "traditional" so-called "private" system amounts to). Reported by Huffington Post 5 hours ago.

Community organizations team up to connect Harrisburg children, families to needed health care

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HARRISBURG, Pa., July 8, 2014 /PRNewswire/ -- Nearly 1,000 children and more than 6,700 adults in the city of Harrisburg are not receiving adequate health care or do not have health insurance.  To address this gap in care and coverage, Capital BlueCross, Hamilton Health Center... Reported by PR Newswire 3 hours ago.

Colorado raises estimate for health care drops

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Colorado's health insurance exchange has doubled its estimate of how many will drop their policies. Reported by Miami Herald 3 hours ago.

Federal Eye: Savings plan, health insurance get top ratings from federal employees

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Federal employees rank their retirement savings and health insurance programs as the most important of their benefits, and large majorities say those programs meet their needs and provide value for the money. Reported by Washington Post 2 hours ago.

An NFL Player's Mental Illness Struggles Can Teach Us A Lot About Criminal Justice

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An NFL Player's Mental Illness Struggles Can Teach Us A Lot About Criminal Justice In a recent article in ESPN the Magazine, Chicago Bears All-Pro Wide Receiver Brandon Marshall admitted that in 2011 he was diagnosed with Borderline Personality Disorder.

Marshall was diagnosed after being hospitalized following a domestic incident. This was not the first time Mr. Marshall had trouble with the law. Since 2009, Mr. Marshall had been involved in seven other alleged cases of domestic violence. According to the National Institute of Mental Health, Borderline Personality Disorder is a serious mental illness marked by unstable moods, behavior, and relationships. 

Up to this point, Marshall’s story is not unique. Many people struggling with mental illness come into contact with the criminal justice system. For some with support and strong mental health insurance coverage, treatment and recovery are real possibilities. Marshall admits that were it not for an intervention by his agent and assistant, he would have walked away from therapy in 2011 before he was diagnosed. 

But for those less fortunate, the story too often ends with prolonged and largely unnecessary correctional control. Here’s why: Our public mental health system is in “disarray,” according to the book “The Shame of Our Prisons: New Evidence.”

 Approximately 2.2 million people with serious mental illnesses do not receive treatment.  As a result of public hospital closures during the 1980s, our country has fewer than 150,000 beds for patients with serious mental illness. Left with no other place to go and no viable option for treatment, the reality for many of these individuals is that when they commit crimes influenced by mental illness, they are arrested and incarcerated.

This lack of a public mental health system means that prisons and jails often function as de facto treatment centers. Just one example: Chicago’s Cook County jail is the largest provider of mental health services in the country. 

It makes sense, then, that a large percentage of people behind bars are struggling with mental illness. Approximately 36.6 percent of prisoners and 43.7 percent of persons in jail report having been diagnosed by a mental health professional with “a depressive disorder, schizophrenia or another psychotic disorder, post-traumatic stress disorder, or anxiety or another personality disorder,” according to the most recent version of the National Inmate Survey. Compounding the problem is that mental health care in many prisons and jails is, at best, substandard, and, at worst, non-existent.

“The Shame of Our Prisons” argues that “far from serving as therapeutic environments, [prisons and jails] are too often places of trauma and abuse where the strong prey on the vulnerable.” According to a recent article in the New York Times regarding the East Mississippi Correctional Facility, which is currently the subject of a lawsuit filed by the ACLU and the Southern Poverty Law Center, mental health exams of prisoners are sometimes conducted while prisoners are asleep, and “self-injurious behaviors like cutting are a daily occurrence.”

Since his diagnosis, Mr. Marshall has taken some positive steps.  In 2012, he taped a public service announcement for the National Education Alliance for Borderline Personality Disorder, spoke at the organization’s national conference, founded an organization to educate the public about BPD, and lobbied Congress in favor of legislation that would provide mental health services to children.    

The progress Mr. Marshall has made in his life, as well as his efforts to educate the broader public about serious mental illness, are commendable. His story should serve as a reminder, however, that those with means are often better able to avoid the unfortunate reality of receiving mental health “treatment” from a correctional system that is ill equipped to provide it.

To truly treat mental illness, we need to invest the resources necessary to prevent those less fortunate from ensnarement in the criminal justice system in the first place.

Join the conversation about this story » Reported by Business Insider 2 hours ago.

Democrat Lawmakers Plan Offensive Against SCOTUS Hobby Lobby Decision

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Democrat Lawmakers Plan Offensive Against SCOTUS Hobby Lobby Decision In the wake of the Supreme Court’s decision in the Hobby Lobby case, Democrat lawmakers are hoping to draw Republicans into a fight about birth control by introducing legislation that would counter the high court’s ruling that the health law’s HHS mandate cannot require some businesses to provide free contraception and abortion-inducing drugs to their employees through health insurance plans.

The bills aim to amend the Religious Freedom Restoration Act (RFRA), which the Supreme Court used as the foundation of its decision that the HHS mandate violated federal law.

The Hill reports that at least three measures, currently being crafted in the House and Senate, are likely to be introduced prior to Congress’s August recess as part of a political strategy to rejuvenate Democrats’ messaging in the mid-term election year. Democrat lawmakers who supported ObamaCare and are considered vulnerable in the upcoming elections hope to lure their Republican counterparts into debates about reproductive rights as a way to turn out female voters. 

“Last week’s decision reignited a conversation across the country reminding women once again that their access to healthcare has become a political issue, when it should be a basic right,” said Marcy Stech, national press secretary for Emily’s List. “It will drive women to the polls this November to vote for the women candidates who are on the right side of women’s access to basic healthcare.”

Similarly, Democratic Senatorial Campaign Committee (DSCC) spokesman Justin Barasky said, “This will be a huge motivator for women in the fall and a liability for Republican candidates up and down the map.”

However, Republican National Committee spokeswoman Kirsten Kukowski dismissed the notion that the high court’s ruling will help vulnerable Democrats.

“The polling shows that when we fight back, women believe in what we’re saying,” Republican National Committee spokeswoman Kirsten Kukowski said. “The Dems are a one-trick pony, and waging a false war on women is the only way they believe they can win. If you don’t fight back, why wouldn’t the voters believe them? Those days are over, and we’ve been very open and aggressive with our messaging and tactics.”

Kukowski’s comment relates to the fact that Democrats may have little else to offer women considering that, under the policies of the Obama administration, more of them have dropped out of the labor force completely.

Though details about three measures that are being considered by Democrats are still sketchy, Sen. Patty Murray (D-WA) is leading the way with a broad piece of legislation to protect employees’ access to birth control coverage.

Sen. Dick Durbin (D-IL) also has a plan that would require employers to disclose whether prescription birth control is covered in their company’s health insurance plan, a rule that could cause trouble for companies if they opt out.

Reps. Jerrold Nadler (D-NY) and Diana DeGette (D-CO) are each crafting legislation in the House to amend the RFRA in the wake of the high court’s ruling.

Helping the Democrats in their strategy are organizations like Planned Parenthood and Emily’s List. Citing a “war on women,” the political action arm of Planned Parenthood has already launched a text helpline for women affected by the Supreme Court’s Hobby Lobby decision.

As The Hill states, Democrats are unconcerned about the fact that none of their measures will have the votes to pass the House. Instead, they hope to cast Republicans in a negative light, particularly with single, female voters, who could influence a turnover in the Senate from Democrat to Republican control. Reported by Breitbart 48 minutes ago.

Request for Speaker: Home Health Seminar in New York City, September 2014

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Mobile Health is seeking speakers for a seminar in New York City to present new ideas and ways home health agencies can improve managing their business.

New York, NY (PRWEB) July 08, 2014

Speakers are requested to apply for a speaking role in Mobile Health’s second biannual Home Health Seminar in New York City. The seminar attracts home health agency leaders from New York City for a chance to learn new and innovative ways to grow and manage their businesses. Speakers are provided 20-30 minutes to present a topic fitting with the seminar theme. Deadline for applying is August 11 2014. The seminar is scheduled to take place September 25 at a Midtown Manhattan location, TBD. Apply at mobilehealth.net/seminar

This second seminar follows Mobile Health’s first event on March 27 at the Pennsylvania Hotel in New York City. The event features speakers who represented topics ranging from worker’s compensation cost reduction, influenza vaccination at the workplace, and wage parity and health insurance management. Guests were treated to a complimentary breakfast and a break session where an iPad Mini was raffled to a lucky winner.

In preparation for the next seminar, Mobile Health is interested in covering topics related to understanding and maximizing tax credits, ensuring compliance across different vendors and government agencies, human resource management and optimization, new affordable technology solutions, and other topics of benefit to home health agencies. Speakers with knowledge and experience in these topics are encouraged to apply and present themselves at the seminar. Candidates may apply online.

The seminar series is part of Mobile Health’s ongoing events and educational series. Other events include networking socials for compliance professionals in healthcare staffing, workshop on promoting flu vaccines to employees, and other educational training opportunities for clients.

Mobile Health is an employee screening and occupational health company designed to maintain a safe, healthy, and compliant workplace. Their 6 locations in New York City and in Long Island specialize in employment related medical exams, drug testing, and job specific screening needs. For more information about Mobile Health, please visit mobilehealth.net. Reported by PRWeb 42 minutes ago.

Couple Separates After 33 Years So Sick Wife Can Keep Healthcare

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The Tennessee couple says that government policies would not allow them to stay together and keep their health insurance. WBIR’s Kelsey Pape reports. Reported by msnbc.com 23 minutes ago.

The Hobby Lobby Reversal: Feminists Now Want Government In Their Vaginas

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In our increasingly polarized country there has always been one character trait I could respect in anyone despite any political or cultural differences. If all someone wanted in life was to be the left the hell alone, I admired that. Some of my friends on the political right wonder how it is I can admire Muhammad  Ali, Malcolm X, most of Robert Redford's screen characters, Thelma and Louise, and the characters of Wyatt and Billy in director Dennis Hopper's "Easy Rider."

That's easy -- because those are people who just wanted to be left the hell alone. Don't bother me, don't harass me, don't persecute me… Stay out of my life, I'll stay out of yours. I'm not violating your rights, don't violate mine. I don't want anything from you, don't take anything from me.

Once upon a time left-wing feminists claimed to be bound by the same code. Yep,  I'm old enough to remember when the rallying cry of the feminist was, "Keep the government out of my vagina."

That wasn't a perfect rallying cry when it came to abortion. There was a separate human life at stake in that regard. But the sentiment was dead on.

Now with the Hobby Lobby Supreme Court decision, though, the Feminist Left (which is made up of men and women) has made a complete 180. Feminists not only want the government *in* their vaginas, they are demanding the government get into their vaginas and drag a bunch of us along for the ride (with our credit cards).  

The feminist ideology is now so warped, pathetic, and totalitarian-minded that in order to be provided birth control from their employer's health insurance  -- the same birth control that is widely and cheaply available throughout this great country of ours -- this is how the feminist left is justifying their greed:

1. It is *not* a violation of anyone's rights for the government to force someone to provide or purchase something that violates their religious conscience.

2. It is a violation of my rights if someone doesn't provide or give me something.

This is utter lunacy; anti-logic, anti-science. But they are running with it.

An example of someone who I frequently disagree with but still respect is the brilliant Megan McArdle, who wrote of this:

Cards on the table: I think that institutions Hobby Lobby and Little Sisters of the Poor are obviously correct -- they are being forced by the government to buy something that they don’t want to buy. We can argue about whether this is a good or a bad idea, but the fact that it is coercive seems indisputable. If it weren’t for state power, the Little Sisters of the Poor would be happily not facilitating the birth-control purchases of its employees; the Barack Obama administration has attempted to force them to do otherwise. The U.S. Supreme Court has ruled that this coercion violates the Religious Freedom Restoration Act, and it must therefore cease.

 

All this is old ground. The interesting question is why people on the other side view ceasing the coercion as itself coercive while arguing that the original law did not, in fact, force anyone to violate their religious beliefs.

That's not only old ground, it has been the "no shit" position in this country for decades; the position that helped keep our politics relatively civil.

But left-wing feminists now seem to believe that if others aren't forced by a coercive government to give them stuff, somehow their rights are being violated. Some even believe that if their company doesn’t provide them with birth control, it means the company is forcing their religion on them.

That's like saying that a company that doesn't buy me steak is pushing their vegetarianism on me, or a company that doesn't buy me a gas guzzler is pushing their environmentalism on me.

Scarier still is the incomprehensible delusion that once you start a business you somehow forfeit all your Constitutional, God-given rights. My guess is that if the government starts shutting down MSNBC, the Daily Beast, George Soros' and Warren Buffet's various companies without due process, a whole lot of feminists will argue the First and Fourth Amendments of those multinational corporation have been violated.

You leftist feminists okay with Arizona Sheriff Joe Arpaio shutting down this corporation, which I'm told is okay because corporations have no rights, right? 

Sally Kohn conjured up a whole lot of "Founding Father, Constitutional" language together in a Daily Beast column today to make the absurd leap that the Founding Fathers' legitimate concern over the power of religious and business institutions would somehow translate into them wanting the Constitutional rights stripped of everyone who joins either institution. (Kohn also argues that the Supreme Court allowing people to opt out of unions could violate the right of free association.)

Repeatedly using words and terms like "liberty" and "privacy" and "individual liberty," Kohn tries to make a case that the definition of all three cannot be achieved until the government has the coercive power to make people do things they don't want to do.

Only when the government can force you to join a union will you truly be free!

Only when the government can force you to violate your faith and buy me stuff will you truly be free!

God help us, it's really happening.

 

Follow  John Nolte on Twitter @NolteNC              

  Reported by Breitbart 23 hours ago.

How to Help Manhattan Beach's Shark Victim with His Medical Bills

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How to Help Manhattan Beach's Shark Victim with His Medical Bills Patch Westwood-Century City, CA --

Steven Robles doesn't have health insurance, says his open-water swim teammates. So they set up a fund to raise money for him. Reported by Patch 23 hours ago.

How Do You Know When You've Grown Up?

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A few things happened over the past week that made me wonder whether or not I had officially grown up:

1. My parents got smartphones and tried to jump into the 21st century without training.

2. I finally watched the Game of Thrones finale and started pondering if it was too late for me to be a warrior.

3. I went to the dentist (more on this later).

4. I had extra days off at work, which typically leads me to spend time thinking superfluously.

Age-wise, I'm definitely an adult, as I'm turning 30 in October (holla!). But growing up involves more than a numerical cut-off. It's about mindset: abandoning youthful ideology, recognizing hard truths, remembering to get an oil change, and buying your own self an ice cream cone. This doesn't come easy.

Right now, I'd say I'm 75 percent grown up. I have a job and health insurance, plus guest towels in my bathroom, which, if you ask me and I am, is the ultimate sign of maturity. I'm also fully aware that The Lion King was not based on a true story.

Yet 25 percent of me still believes you can make friends by sharing your dessert at lunch, and checks for bad things under my bed every night before I go to sleep. Considering I believed in Santa Claus until the fifth grade, it's no surprise I'm running behind grown-upness-wise. I was verging on age 10 when my grandmother accidentally broke the news about Jolly Old St. Nick.

"You're still pretending about Santa for your little brother, aren't you?" She asked me during a car ride over summer vacation. I felt like all the ice cream in the entire world had melted.

"Huh?" I said.

"Ronnie still believes in that stuff, so you need to go along with it for a little while longer. Don't ruin it for him."

Ruin WHAT!?

I'd had my doubts, of course; I knew there were disputes as to who was the "real" guy. But there was also a bunch of proof: The Christmas cookies we left out that were eaten in the morning. The magic feeling in the air around the holidays. The news coverage of Santa's flight progress on Christmas Eve. The wish lists mailed directly to the North Pole. One time I even saw hoof prints in the snow on our roof -- you could put someone in jail with that kind of a case!

Therefore, I could never be sure Santa was a fraud until my grandmother destroyed him with her imagination ax. I've long since come to terms with the situation, but there are other things I'm unwilling to forfeit.

For instance, I was legitimately bummed when the dentist didn't let me choose what color toothbrush I got to take home on my visit. When did that start happening? It was bad enough they scaled back on toothpaste. LET ME PICK OUT A DAMN BRUSH.

Also, remember free cookies at the grocery store? Only for kids. It's really like that. FYI -- I don't not want cookies now; if anything, I want two.

Looking through photos, it's unclear where I'm at in the whole grown-up process. I appear most mystified by life around the time I received first communion at church. The Catholics lay a lot on you about Heaven, Jesus, and managing your sins, and it's hard to balance all that while also finding the perfect outfit ...I also look pretty innocent here, searching for treasure in the leaves ... I'd have taken candy from any stranger that day, and I probably still would.

I think I am most grown up while chopping wood on my first and last camping trip. Super adult of me, right? I can tell by the level of how much it sucked.

Finally, I honed in on this picture at my grandparents' house in Florida.

They used to live in a big place on a lake with an orange grove, and everything in the world was possible. We looked for gators and went fishing and only once did my bubble of awesome burst when fire ants obliterated my bare feet; then I came back and obliterated them with my Keds.

Looking at that photo, I decided you grow up a little bit each time you learn what it means to lose something you can't get back. Time, of course, is the most significant loss to digest, but it's hard to understand the value of a minute. I only totally get it when I'm on my way to work in the morning.

When my grandparents died, when there was no more house on a lake with an orange grove, I grew up a lot. When Santa Claus stopped delivering gifts, I grew up too.

When I crashed my car a month after I got my license, and was forced to drive 200 hours with my mother in order to get another one, I grew up a shit ton.

Any time I wasted an opportunity to try something new or act spontaneously, I grew up because I was stuck with the end result.

Some people grow up faster than others depending on when they lose what (I'm talking to you, Teen Mom!). Some people choose to grow up by eluding their faith or fancy. You also gain things along the way.

The one thing I haven't lost is my imagination, and all the wonderings that once made me believe in Santa. I still think people are inherently good (except the bitches who work for United Airlines), I get really excited about rollercoasters, and I consider birthday cake one of the best things ever. Furthermore, to this day, I'm devastated by the death of Littlefoot's mom in The Land Before Time. What an emotional rollercoaster.

Most importantly, I continue to believe if you try really hard, one day it will work out. Whatever it is you're trying for, it will work out. Even if you want to be Batman like this kid...
You have to live with a little romance, or you'll never experience a miracle.

That said I'm hoping to be the next Arya Stark! I'm at least going to dress up like her for Halloween this year.

See, I'm like 75 percent grown up. Reported by Huffington Post 21 hours ago.

8 Reasons to Close the Border Now

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With thousands of illegal immigrant minors continuing to pour over America’s southern border, the same politicians are singing the same songs: we can’t close the border, we must pursue comprehensive immigration reform, we can only reach political consensus if we compromise on border enforcement. It’s all nonsense. As I’ve explained in this space, we could easily close the border if we had the political will to do so.

The lack of political will springs from a fundamental misunderstanding of the risks of mass illegal immigration – to immigrants, both legal and illegal, and to American citizens. Here, then, are the top reasons to close the border, and to close it forthwith:

*Disease.* America is now coping with diseases it believed it had eradicated, at least in part thanks to unrestricted immigration. In early June, ABC 15 in Arizona reported, “US Border Patrol agents are worried that what’s coming over into the US could harm everyone… Agents are worried about a viral outbreak.” According to Border Patrol Agent and Rio Grande Valley Union representative Chris Cabrera, agents are experiencing contagious outbreaks – and so-called quarantine areas are nothing of the sort, often separated from the general population by mere caution tape. “There’s been an outbreak of scabies that’s been going on for the past month,” Cabrera said. And it’s not just scabies, it’s chicken pox, MRSA, staph infections. The Department of Homeland Security will not allow media to speak with doctors and medical staff treating illegal immigrants. A health official told The Blaze, “There is really no hard stop at the border, and we have no idea health-wise what diseases are coming across.”

*The Safety of US Citizens.* Crafting a system in which American authorities have no idea who is in the country is a recipe for public safety disaster. Immigration and Customs Enforcement admits that in 2013, it released 36,007 convicted criminal aliens awaiting deportation outcomes, including immigrants responsible for homicides, sexual assaults, kidnapping, and other serious crimes. The CIS breaks it down: “193 homicide convictions (including one willful killing of a public official with gun); 426 sexual assault convictions; 303 kidnapping convictions; 1,075 aggravated assault convictions; 1,160 stolen vehicle convictions; 9,187 dangerous drug convictions; 16,070 drunk or drugged driving convictions; 303 flight escape convictions.” Meanwhile, ranchers along the southern border are victimized with impunity by drug cartels exploiting the open border.

*The Safety of Illegal Immigrant Children.* This new influx of illegal immigrant minors is unprecedented. Thousands of children, some as young as four years old, have been found crossing the border. Some have been found dead. Children are sometimes used by Mexican drug cartels, as well. While the Obama administration loudly proclaims that it doesn’t want children being sent through Mexico to the United States, they refuse to state that illegal immigrant minors will be deported. Homeland Security Secretary Jeh Johnson refused no less than six times on Sunday to say as much. Meanwhile, the Obama administration has already stated that it will not deport so-called DREAMers, illegal immigrants without felony records between the ages of 16 and 30.

*The Threat of Terrorism.* Both of our borders, northern and southern, are a source of anxiety with regard to terror. In 2011, a report from the Senate Homeland Security Committee found that the Canadian border gives “easy passage into America by extremists, terrorists and criminals whose purpose clearly is to harm the American people.” This month, Marine Corps General John Kelly, commander of US Southern Command, said that the southern border had become a “crime-terror convergence.” He explained, “All this corruption and violence is directly or indirectly due to the insatiable U.S. demand for drugs, particularly cocaine, heroin and now methamphetamines, all of which are produced in Latin America and smuggled into the U.S. along an incredibly efficient network along which anything — hundreds of tons of drugs, people, terrorists, potentially weapons of mass destruction or children — can travel, so long as they can pay the fare.”

*Low-Wage US Workers Will Pay.* Unions largely support illegal immigration, for three reasons: (1) they hope that illegal immigrants will one day vote, and vote for their political allies; (2) they understand that more illegal immigration means broader government, and government workers are more heavily unionized than private sector workers; and (3) they hope to legalize those illegal immigrants to force them into unions. Nonetheless, it is low-wage workers in the United States who pay the price for illegal immigration. According to the Center for Immigration Studies, virtually all of the net gain in jobs between 2000 and 2013 went to immigrants, either legal or illegal. Immigrants particularly made major strides in “building cleaning and maintenance and construction and extraction.”

*The Taxpayers Will Pay.* The illegal immigrants crossing America’s southern border are not villains. Most of them are likely looking for a place to work. But that doesn’t mean they’re not draws on public resources. Illegal immigrants have a poverty rate of 26 percent, twice that of the native-born. In Texas, CIS says that 58 percent of illegal households are on some form of welfare; that’s 55 percent in California. Taxpayers spend approximately $40 billion per year on education for illegal immigrants or their children. A huge majority of illegal immigrants don’t have health insurance, which means they take advantage of public services in some form or fashion. This isn’t about the intent of illegal immigrants, which may be great – they may be here to work, to contribute, to build a better life. But adding a huge pool of unskilled immigrants without legal working papers sets up a drain on the public dime.

*Voter Fraud.* The left dismisses the possibility of voter fraud while simultaneously declaring that voter ID is racist. But today’s decision from an Arizona court mandating that drivers’ licenses be distributed to illegal immigrants who will not be deported by the Obama administration puts us firmly on the road toward serious voter fraud.

*American Culture Is Under Attack.* This is not the fault of immigrants to America, who, like all previous generations of immigrants from a myriad of other countries (including my great-grandparents from Eastern Europe), would be willing to acculturate to the United States. This is the fault of the left, which has suggested that the melting pot ideal with unique American values is culturally imperialistic and patriarchal. The result is an increasingly fragmented nation.

Despite these grave threats to America, members of both parties continue to pretend that leaving the border open is a viable option – Republicans, because they are beholden to big businesses seeking cheap labor, and Democrats, because they wish to confiscate the wealth of citizens. But at this point, there is simply no excuse for not closing the border.

Ben Shapiro is Senior Editor-At-Large of Breitbart News and author of the new book, The People vs. Barack Obama: The Criminal Case Against The Obama Administration (Threshold Editions, June 10, 2014). He is also Editor-in-Chief ofTruthRevolt.org. Follow Ben Shapiro on Twitter @benshapiro. Reported by Breitbart 21 hours ago.

Government Made $100 Billion In Improper Payments

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WASHINGTON (AP) — By its own estimate, the government made about $100 billion in payments last year to people who may not have been entitled to receive them — tax credits to families that didn't qualify, unemployment benefits to people who had jobs and medical payments for treatments that might not have been necessary.

Congressional investigators say the figure could be even higher.

The Obama administration has reduced the amount of improper payments since they peaked in 2010. Still, estimates from federal agencies show that some are wasting big money at a time when Congress is squeezing agency budgets and looking to save more.

"Nobody knows exactly how much taxpayer money is wasted through improper payments, but the federal government's own astounding estimate is more than half a trillion dollars over the past five years," said Rep. John Mica, R-Fla. "The fact is, improper payments are staggeringly high in programs designed to help those most in need — children, seniors and low-income families."

Mica chairs the House Oversight subcommittee on government operations. The subcommittee is holding a hearing on improper payments Wednesday afternoon.

Each year, federal agencies are required to estimate the amount of improper payments they issue. They include overpayments, underpayments, payments to the wrong recipient and payments that were made without proper documentation.

Some improper payments are the result of fraud, while others are unintentional, caused by clerical errors or mistakes in awarding benefits without proper verification.

In 2013, federal agencies made $97 billion in overpayments, according to agency estimates. Underpayments totaled $9 billion.

The amount of improper payments has steadily dropped since 2010, when it peaked at $121 billion.

The Obama administration has stepped up efforts to measure improper payments, identify the cause and develop plans to reduce them, said Beth Cobert, deputy director of the White House budget office. Agencies recovered more than $22 billion in overpayments last year.

"We have strengthened accountability and transparency, saving the American people money while improving the fiscal responsibility of federal programs," Cobert said in a statement ahead of Wednesday's hearing. "We are pleased with this progress, but know that we have more work to do in this area."

However, a new report by the Government Accountability Office questions the accuracy of agency estimates, suggesting that the real tally could be higher. The GAO is the investigative arm of Congress.

"The federal government is unable to determine the full extent to which improper payments occur and reasonably assure that appropriate actions are taken to reduce them," Beryl H. Davis, director of financial management at the GAO, said in prepared testimony for Wednesday's hearing.

Davis said some agencies don't develop estimates for programs that could be susceptible to improper payments. For example, the Health and Human Services Department says it cannot force states to help it develop estimates for the cash welfare program known as Temporary Assistance for Needy Families. The program is administered by the states.

The largest sources of improper payments are government health care programs, according to agency estimates. Medicare's various health insurance programs for older Americans accounted for $50 billion in improper payments in the 2013 budget year, far exceeding any other program.

Most of the payments were deemed improper because they were issued without proper documentation, said Shantanu Agrawal, a deputy administrator for the Centers for Medicare & Medicaid Services. In some cases, the paperwork didn't verify that services were medically necessary.

"Payments deemed 'improper' under these circumstances tend to be the result of documentation and coding errors made by the provider as opposed to payments made for inappropriate claims," Agrawal said in prepared testimony for Wednesday's hearing.

Among other programs with large amounts of improper payments:

—The earned income tax credit, which provides payments to the working poor in the form of tax refunds. Last year, improper payments totaled $14.5 billion. That's 24 percent of all payments under the program.

The EITC is one of the largest anti-poverty programs in the U.S., providing $60.3 billion in payments last year. Eligibility depends on income and family size, making it complicated to apply for the credit — and difficult to enforce, said IRS Commissioner John Koskinen.

"EITC eligibility depends on items that the IRS cannot readily verify through third-party information reporting, including marital status and the relationship and residency of children," Koskinen told a House committee in May. "In addition, the eligible population for the EITC shifts by approximately one-third each year, making it difficult for the IRS to use prior-year data to assist in validating compliance."

— Medicaid, the government health care program for the poor. Last year, improper payments totaled $14.4 billion.

Medicaid, which is run jointly by the federal government and the states, has seen a steady decline in improper payments since 2010, when they peaked at $23 billion.

The program is expanding under President Barack Obama's health law.

—Unemployment insurance, a joint federal-state program that provides temporary benefits to laid-off workers. Amount of improper payments last year: $6.2 billion, or 9 percent of all payments.

The Labor Department said most overpayments went to people who continued to get benefits after returning to work, or who didn't meet state requirements to look for work while they were unemployed. Others were ineligible for benefits because they voluntarily quit their jobs or were fired.

—Supplemental Security Income, a disability program for the poor run by the Social Security Administration. Amount of improper payments: $4.3 billion, or 8 percent of all payments.

Social Security's much larger retirement and disability programs issued $2.4 billion in improper payments, according to agency estimates. Those programs provided more than $770 billion in benefits, so improper payments accounted for less than 1 percent.

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Online: http://www.paymentaccuracy.gov/about-improper-payments

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Follow Stephen Ohlemacher on Twitter: http://twitter.com/stephenatap Reported by Huffington Post 7 hours ago.

July Issue of AIS Newsletter Reports on $800,000 HIPAA Settlement

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The July issue of Atlantic Information Services’s Report on Patient Privacy takes a look at a settlement against a health system that left boxes of patient files on a former doctor’s driveway.

Washington, DC (PRWEB) July 09, 2014

When doctors retire, someone has to take responsibility for their patient files – both keeping them secure and making them available to other providers when needed for patient care. The July issue of Atlantic Information Services’s Report on Patient Privacy (RPP) takes a look at a settlement announced late last month between the U.S. Department of Health and Human Services Office for Civil Rights (OCR) and a nonprofit health system that left boxes of patient files on a former doctor’s driveway after negotiations to buy her practice broke down.

According to the resolution agreement posted to OCR's website, Fort Wayne, Ind.-based Parkview Health System, Inc. will pay $800,000 and implement a one-year corrective action plan after an OCR investigation (Complaint Number 09-99157) determined the health system made potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule. Officials at Parkview aren’t commenting beyond a one-paragraph statement asserting their commitment to patient privacy, but notably also mentions that OCR isn’t alleging the records came to any misuse during this situation. And, Parkview’s agreement isn’t “an admission of liability.”

When a doctor gives up his or her practice, for whatever reason, safeguarding of the records under HIPAA “is always an issue,” Jeffrey Drummond, a health care attorney in Austin, Texas, tells RPP. The goal is to transfer the charts to another responsible entity, Drummond says, if you don’t want to deal with them yourself or believe you shouldn’t.

One of the options Parkview could have pursued, Drummond says, was to take the doctor to court. “You say, ‘This woman needs to take them back, the court should take custody of them’” until she does, he says.

In addition to HIPAA, state laws also come into play. In Texas, for example, physicians who are no longer practicing are “responsible for finding a new custodian, and giving patients notice of where the records are going to go,” Drummond says. They must include where the files will be sent and offer the patient an opportunity to object, after which the records will be sent, he tells RPP. Barring objections, files can then go to their new home, which need not be another provider. Drummond says a physician or other covered entity (CE) could pay for secure storage space, but then would also have to sign a business associate agreement with the storage facility, and might still retain some obligations to assure patients can access their records upon request.

Another option would be for the files to go back to the patients. A CE could notify patients that, regardless of the reason, the operations are closing and ask patients to pick up their files. “If you don’t have the original [chart], you don’t have the HIPAA obligation” to safeguard it, Drummond says.

Visit http://aishealth.com/archive/hipaa0714-01 to read the article in its entirety.

About Report on Patient Privacy
Report on Patient Privacy is the health industry’s #1 source of timely news and business strategies for safeguarding patient privacy and data security. Published for hospitals and other providers, health plans and other HIPAA-covered entities and business associates, the 12-page newsletter focuses on privacy issues that can result in huge fines, penalties and public relations nightmares, including: security breach notification; business associate relations and agreements; and new federal privacy rules for marketing, fundraising, privacy notices, minimum necessary, patient rights and safeguarding privacy in EHRs. Visit http://aishealth.com/marketplace/report-patient-privacy for more information.

About Atlantic Information Services
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://AISHealth.com. Reported by PRWeb 11 hours ago.

United States: Healthcare Legal News: July 2014 - Volume 4, Number 2 - Dickinson Wright PLLC

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The advent of federally subsidized private pay health insurance under the ACA has the potential to expand the application of the federal anti-kickback statute. Reported by Mondaq 11 hours ago.
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