Key Takeaways:
..Group health plan sponsors are wrestling with abortion-related service coverage considerations in the wake of the U.S. Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization.
..Each...more
Q: Does the American Rescue Plan Act of 2021 (ARPA) impact group health plans? A: Yes, ARPA makes temporary but significant changes to Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) coverage. ...more
The healthcare industry is rapidly changing, and self-funded employer sponsored health plans have more options to consider when creating solutions for their employees. In today’s episode, Jennifer Mills and Susan Hughes...more
Q: Is our health plan required to provide free coverage of services related to COVID-19 diagnosis and treatment? (Updated June 25, 20202) - A: Yes, as it relates to diagnostic testing. Pursuant to Section 6001 of the Families...more
In an effort to alleviate the COVID-19 public health threat, the Ohio Department of Insurance (ODI) issued bulletin 2020-03, titled “Health Insurance Coverage Flexibility for Ohio Employees” (the Bulletin), effective March 20...more
Q: How would the proposed Coronavirus Aid, Relief, and Economic Security Act affect employee benefit programs? (Updated March 26)
A: Expected to be approved by Congress and signed into law by President Donald Trump on...more
This article explores: How employer group health plan sponsors can achieve greater transparency, improve cost and quality outcomes, and strengthen their payer positions....more
One of the many requirements bearing down on group health plans in 2014 is the 90-day waiting period rule found in section 2708 of the Public Health Service Act (PHS Act), as added by the Affordable Care Act (ACA)....more
One theme weaving its way through the multitude of Affordable Care Act (ACA) guidance released over the past few years is this: Employers and group health plans must learn to count, and they must learn to count the "ACA way."...more
On July 31, 2013, the first of various fees will be due that are imposed by the Affordable Care Act on self-insured group health plans and/or issuers of insured health policies providing accident and health coverage. Beyond...more
As most are aware, 2013 is an important transition year when it comes to complying with the Affordable Care Act....more