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It’s Not Too Late – Act Now, Before Annual Enrollment

Some year-end changes, you and your employees might want to consider. An internet search can easily identify many suggested year-end tax tips. This article offers an employee benefits version of year-end actions – changes a plan sponsor and/or a pa… Read More
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Preparing for Annual Enrollment - Part 2

Beyond Health Reform This is the second of a two-part series. Part 1 provided an update on Health Reform. Many plan sponsors anticipate significant rate increases in the post-COVID-19 era – due to pent-up demand for medical services. Here are some… Read More
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Preparing for Annual Enrollment

Part 1: Health Reform 10+ Years Later Health Reform – The Path Ahead Most provisions of the Patient Protection and Affordable Care Act of 2010 (Health Reform) have either been implemented or eliminated (discussed in more detail later). As cover… Read More
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The Credit Repair Organizations Act (CROA): Who Must Comply?

The Consumer Credit Protection Act contains numerous and varied provisions to curb consumer abuse, including requirements for debt collection, credit reporting, and credit repair. One such provision is found in 15 U.S.C. 1679, et seq., commonly refer… Read More
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RAND Corporation Releases Round 3 of Its Nationwide Evaluation of Health Care Prices Paid by Private Health Plans

On September 18, 2020, RAND Corporation released its Nationwide Evaluation of Health Care Prices Paid by Private Health Plans “designed to allow an easy comparison of hospital prices using a single metric.” This was Round 3 of its employer-led tr… Read More
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COVID-19 and Hospital Financial Performance

KaufmanHall, a consulting services and software provider to 80 of the 100 largest health systems in the United States, recently published an article entitled, “The Effect of COVID-19 on Hospital Financial Health.” “For any organization, a posit… Read More
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New Provider COVID-19 Reporting and Testing Requirements

On August 25, 2020, the Centers for Medicare & Medicaid Services (CMS) promulgated regulatory changes via an interim final rule dated August 21, 2020, requiring nursing homes to test staff and offer testing to residents for COVID-19. Laboratories… Read More
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The Time is Now for Reference-Based Pricing Plans

As if the standard issues facing businesses related to healthcare were not enough, businesses now have to deal with the COVID-19 pandemic. As it was, annual premiums were on the rise – increasing 5% in 2019 and predicted to increase 6% in 2020. The… Read More
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Section 1332 Waivers-Reinsurance

Section 1332 of the Affordable Care Act (ACA) allows states to apply for a State Innovation Waiver to pursue innovative strategies for achieving high quality, affordable health insurance and to to alter key ACA requirements in the individual and smal… Read More
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U.S. District Court Holds Department of Health and Human Services’ Price Transparency Rule is Constitutional

In November 2019, the Centers for Medicare and Medicaid Services (CMS), an agency within the Department of Health and Human Services, issued a Rule entitled Medicare and Medicaid Programs: CY 2020 Hospital Outpatient PPS Policy Changes and Payment Ra… Read More
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