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Self-Funded Health Plan Can’t Shake Down Providers for Benefits Paid for Non-Enrollee

The sponsor of a self-funded health plan cannot escape its responsibility to ensure that only fully eligible people are enrolled. Illustrating this maxim is a self-funded plan’s sad quest to recover gigantic sums from health providers for services it paid on behalf of a non-beneficiary. The plan paid more than $1 million in claims for a […]

technology

Is Technology a Friend or Foe to L&D Professionals?

Although 70% of Americans don’t think that robots will necessarily overtake their jobs in coming years, an overwhelming number of Americans are worried that other automated technologies and innovations will, according to a Pew Research survey.

Fire Somebody Today: And Other Surprising Tactics for Making Your Business a Success

Employment law attorney Mike Maslanka reviews Bob Pritchett’s Fire Somebody Today: And Other Surprising Tactics for Making Your Business a Success. In his book Fire Someone Today: And Other Surprising Tactics for Making Your Business a Success Bob Pritchett nails why managers are always afraid to fire someone: They fear admitting they made a mistake […]

Use Star Profile to Avoid Peter Principle Promotions

Author Jathan Janove says he’s had a ringside seat for innumerable employee/employer battles that led down a path of frustrated desires and expectations. To make that relationship work better, he developed the “Star Profile.” Janove developed the “Star Profile” to provide a basis for mutual understanding between direct reports and their supervisors. One of its […]

Puerto Rico Health Insurer Will Pay Record $3.5M HIPAA Settlement

A Puerto Rico health insurer agreed to pay $3.5 million in a HIPAA settlement after the U.S. Department of Health and Human Services, investigating multiple breach reports from the company, found what it called “widespread noncompliance” throughout the organization. Triple-S Management Corp. is an insurance holding company that offers many insurance products and services through […]

Model notice for new Massachusetts paid sick leave law published

by Kimberly A. Klimczuk The Massachusetts attorney general (AG) has published a model notice that employers may use to fulfill their obligations to notify employees about the state’s new earned sick leave law that goes into effect on July 1. In addition, the AG has issued a new “safe harbor” notice that makes it easier […]

New IRS Rule Consolidates and Clarifies Guidance on Employer Play-or-pay Mandate

Employers trying to comply with health reform’s play-or-play mandate — and calculate their exposure to penalties — now have more insight based upon a new notice of proposed rulemaking and a new set of questions and answers from the IRS. Under reform, employers have to calculate full-time equivalent employees for one or more of the […]

HRDA Frankly Speaking: McKesson’s Sr. Director of Talent Succession: How to Make Engagement a Repeatable Outcome

Every organizational system, be it performance management, feedback cycles, development, or succession planning, should communicate an organization’s values. When messaging across these systems is cohesive, engagement becomes repeatable. But when feedback, goals, and strategy feel disconnected, employee engagement plummets. Jenessa Disler, Senior Director of Talent Succession at McKesson, and SPARK HR 2026 speaker, knows that this kind […]