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News Flash - NPRM for Health Exchanges Published - From SIIA! The Exchanges, which will become operational by January 1, 2014, are intended to serve as a marketplace where individuals and small employers will be able to purchase insurance coverage.In preparation of implementation of the Exchanges, the U.S. Department of Health and Human Services (HHS) published two Notices of Proposed Rulemaking (NPRM). The first proposed rule, the Exchange NPRM, outlines a framework that will enable States to build Affordable Insurance Exchanges. The second NPRM addresses standards related to reinsurance, risk corridors and risk adjustment. News Flash - AMA Finds Increasing Inaccuracy in Claims Payment! AMA Insurer Report Card .Read more!... RBS (REGULATORY BUDGET SENTINEL) This is the first of an occasional (and if the politicians are doing what they do, "occasional" may mean more often) column on regulatory topics. Just remember we don't write the regs, we just try and implement them. 5010 Testing is here and ICD-10 is coming. Read more..... "CHS - Software that makes it easier for you to do business with your customers!" CHS SOFTWARE UPDATE Often, we at CHS, are guilty of not informing you of product or features that we have implemented over the past year that you may want to use. This year we have rounded out our individual enrollment, billing and administration offering with a full cycle product. If you sell individual policies or sell voluntary products in addition to your regular employer sponsored group health offerings, this may interest you. Read more... "CHS - Software that makes it easier for you to do business with your customers" THERE ARE SOME BEHAVIORS YOU JUST CAN'T REGULATE Regulations depend on carrots and sticks. If you don’t pay your taxes, there will be serious consequences – the stick. If you buy a home with a home loan, we’ll let you take the interest payment deduction on your taxes – the carrot. The HITECH Act has a number of sticks associated with the security of Protected Health Information (PHI). We at CHS will be addressing the issue of security of PHI in forthcoming articles. There is, under some circumstances, one link in the security chain that no regulation can affect -the uninformed behavior of the user. This article addresses one method where cyber criminals make unwitting users, partners in a security breach. Prior to founding Apple Computers, the Steves (Wozniak and Jobs) could be found ripping off Ma Bell using a blue box to make long distance phone calls (domestic and international) for free. The subculture that reveled in this activity called "phreaking" was probably the progenitor of the subculture of hackers who, today, like to hack computer systems just because they're there. Big carrot(the thrill of beating the big company)- small stick. There is the story of Steve Woz(niak) actually making a "phreak" phone call to the Vatican and asking to speak to the Pope while pretending to be Henry Kissinger with a thick German accent. These are the same guys who later found legal ways to take your money. |