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New Jersey's Hint Bill Advances Administrative Simplification ( December 1999 )
The State of New Jersey has enacted S-323, legislation intended to promote and standardize electronic data interch. -
Health Industry Alert--October 6, 1999 ( October 1999 )
On September 27, 1999, California Governor Gray Davis signed into law an impressive "package" of new health care bills affecting the managed care industry in California. Although many of the 21 new laws take effect as late as January 1, 2001, there is little question that the new legislation will have immediate and far-reaching effects on the managed care industry throughout the country. -
Managed Health Care and You ( October 1999 )
Many individuals receive their major medical insurance through an employee benefit plan. Often, these employee plans are subscribers to a Health Maintenance Organization (HMO). -
New External Appeal Law in New York ( August 1999 )
The New York State Legislature recently passed a law permitting independent external appeals for denials of covera. -
Medicare: Administrative Appeal Process and Judicial Review ( June 1999 )
By this time, virtually all medical providers are routinely providing services to Medicare beneficiaries who have . -
The Antitrust "Dos" and "Don`ts" for Physician Networks ( June 1999 )
As the health care industry continues to move from traditional fee-for-service arrangements to managed-care concep. -
How to Resolve a Grievance with an HMO ( December 1998 )
This article details the HMO grievance process in the State of Florida. -
Proposed VA Rules Broaden Authority To Purchase Health Care Services, Ease Procurement Requirements ( March 1999 )
This Health Care Contracting Bulletin discusses a proposed rule under the Veterans? Health Care Eligibility Reform Act implementing the simplified acquisition provisions of the Act.
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