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The 834 is used to transfer enrollment information from the sponsor of the insurance coverage, benefits, or policy to a payer. The format attempts to meet the health care industry's specific need for the initial enrollment and subsequent maintenance of individuals who are enrolled in insurance products.
To achieve this outsized compensation for actors' representatives, the brand or ad agency parses out the money budgeted for the actors' performance by taking 20% off the top and forwarding that directly to the talent agent calling a "agent fee." The talent agent then grabs the second 20% as a commission from the money sent to the actor as wages.
Members classified as "on strike" have varied considerably throughout, although remaining less than 1 percent of the total membership. IAM contracts also cover some non-members, known as agency fee payers, which since 2005 have grown to number comparatively just over 1 percent of the size of the union's membership. [12]
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.
The deadline to sign up for coverage that would begin January 1, 2014, was December 23, 2013, by which time the problems had largely been fixed. The open enrollment period for 2016 coverage ran from November 1, 2015, to January 31, 2016. [5] State exchanges also have had the same deadlines; their performance has been varied. [6] [7] [8]
The 20 workers sought relief on three claims: 1) That the agency fee was too high to cover only collective bargaining activities as authorized by NLRA Section 8(a)(3); 2) That the high agency fee breached the CWA's duty of fair representation; and 3) That the high agency fee violated the workers' First Amendment rights. [81]
Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. [ 1 ] In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care.
HCUP includes multiyear hospital administrative (inpatient, outpatient, and emergency department) data in the United States, with all-payer, encounter-level information beginning in 1988. These databases enable research on health and policy issues at the national, State, and local levels, including cost and quality of health services, medical ...