Practical HR Tips, News & Advice. Updated Daily.
The feds’ decision to release Medicare claims data for quality measurement should help employers and individuals alike make more informed decisions down the road, advancing the goals of health care quality and value, a plan sponsor representative noted. Importantly, the Centers for Medicare and Medicaid Services’ (CMS) final rules apparently will allow the selected data […]
Your employees might be disappointed when they learn their tax exempt transit benefits are no longer $230 next month. Commuter benefits for mass transit are a top benefit offered by companies. But the monthly $230 cap for mass transit is set to be cut nearly in half to $125 a month in just six days – […]
One simple line requiring that group health plans and insurers describe “continuation of coverage provisions” in summaries of benefits and coverage (SBCs) actually raises several complex issues for COBRA administrators. The health care reform law requires that group health plans and insurers accurately describe in SBCs the benefits and coverage under the applicable plan or […]
To fill in the knowledge gaps on how many individuals enrolled in the COBRA premium subsidy program — data that will be helpful in determining the program’s cost-effectiveness, who best benefited from the subsidy and how to target similar programs — the U.S. Department of Labor (DOL) plans to sponsor a study sometime in 2012. […]
It’s no surprise to most health plan administrators that the federal law on COBRA continuation coverage was used in a recent newspaper article as an example of “bureaucratic legalese.” In recounting efforts to push the “government to speak plainly,” the Dec. 2 Washington Post article said: If you want to understand Americans’ frustration with Washington, […]
Employers and plan administrators with multiple employer welfare arrangements (MEWAs) that had not been required to file a Form 5500 for their MEWA may have to if a proposal by the Department of Labor’s (DOL) Employee Benefits Security Administration (EBSA) is adopted. EBSA on Dec. 6 published a proposed revision to Section 2520 of the […]
Employers that sponsor health plans might get rebates from their group health insurers thanks to health reform, but if they do, they are required to pass the proper amount of the rebate on to employees. Under the medical loss ratio (MLR) rule (mandated by the 2010 reform law), health insurers must spend a minimum percentage […]
On Jan. 1, employers in San Francisco will have to make sure that employee health reimbursement accounts the city requires them to fund are available to employees for two years, not just one. Amendments to the Health Care Security Ordinance (HCSO) add to the requirements the city already has in place to establish access to universal […]
The effect of the Mental Health Parity and Addiction Equity Act (MHPAEA) on prior authorization practices and other “nonquantitative treatment limitations” was clarified Nov. 17 in guidance from the U.S. Department of Labor (DOL). The MHPAEA interim final rules issued in February 2010 imposed a detailed numerical formula for determining whether quantitative limits such as copayments […]
A wave of HIPAA privacy audits far more comprehensive than anything attempted to date was officially launched Nov. 8 by the U.S. Department of Health and Human Services (HHS). While their official purpose is not enforcement, these audits are likely to cast a broader net than HHS scrutiny has to date — including possibly group […]