NJHA - Managing Managed Care

Monday, October 13, 2008

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Section: Archive

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| 2008 | 2007 | 2006 | 2005 | 2004 | 2003 | 2001 |

2008

Announcements

DOBI Proposes New Rules & Amendments for Network Cost-Sharing - January 22, 2008

NJHA Surveys Members on Changes to UM & Claims During an Emergency - February 4, 2008

DOBI Posts Payment Arbitration Decisions - February 5, 2008

Cuomo Announces Industry-Wide Investigation into Health Insurer's Fraudulent Reimbursement Scheme - March 7, 2008

DOBI Readopts HMO Regulations - See NJHA's Comments and DOBI's Response - March 17, 2008

UnitedHealthcare: Advance Notification & Admission Notification Update - 2-5-08 - February 5, 2008 [.pdf file size 117 KB 11 pgs.]

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Health Maintenance Organizations (HMOs)

Minimum Standards for Network-Based Health Benefit Plans: Proposed Rules - January 22, 2008

NJHA's Recommendations for Changes to UM & Claims During an Emergency - Survey - February 4, 2008

Payment Recoupments Under HCAPPA - March 31, 2008 [.pdf file size 65 KB 3 pgs.]

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ManagedCare

DOBI: Consent Order to Fine Health Net [.pdf file size 270 KB 13 pgs.]
PIRS Report Available
Blue Card Provider Resolution and System Enhancements - 2008 [.pdf file size 26 KB 4 pgs.]
United Healthcare Updates Admission Notification Implementation Schedule - Click to view resources
Advocacy on the Blue Card Program - Blue Cross Blue Shield Association Response to Coalition Letter [.pdf file size 36 KB 4 pgs.]
Advocacy on the Blue Card Program - Coalition Letter to the Blue Cross Blue Shield Association