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Birthdays as a Benefits “Life Event”

After Singing “Happy Birthday”, Sing Another Song, Then Take Action Don’t Let Time Pass[i] Many plan sponsors use “life events” as a trigger to prompt participants to reconsider their benefit elections – marriage, birth, relocation, etc.… Read More
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You Can Stop Worrying Now that the Election is Over: The Truth Be Told Regarding Health Reform

Prior to the election, on almost every cable channel and many newspaper opinion pieces had headlines that blared something like: ‘The Trump-infused Supreme Court will overturn the entire Affordable Care Act.’ ‘Tens of millions, no hundreds of m… Read More
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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.[i] This article offers an employee benefits version of year-end actions – changes a plan sponsor and/or a… 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)[i] have either been implemented or eliminated (discussed in more detail later). As co… 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.”[1] This was Round 3 of its employer-led… 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.”[1] “For any organization, a po… 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,[1] requiring nursing homes to test staff and offer testing to residents for COVID-19. Laborator… 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.[1]… Read More
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