MLR Rebates from insurance carriers

Under the Affordable Care Act, carriers are required to spend 80 cents of every premium dollar to pay claims, clinical services and activities that improve the quality of health care for members. This percentage is known as the minimum Medical Loss Ratio. If a health...

Association Health Plans: new opportunity or non-starter?

The Department of Labor published a final rule on June 21, 2018 creating flexibilities for employers to band together to sponsor a single Association Health Plan (AHP) The final rule allows multiple employers to jointly sponsor a single group health plan by expanding...

PCOR Fee Filing Reminder for Self Insured Plans

The PCOR filing deadline is July 31, 2018 for all self-funded medical plans and HRAs for plan years ending in 2017. The plan years and associated amounts are as follows: Plan Year Amount of PCOR Fee Payment and Filing Date February 1, 2016 – January 31, 2017...

House Republicans unveil ACA repeal and replacement plan

On March 6, 2017, the House Ways and Means Committee and the House Energy and Commerce Committee (the “Committees”) released legislation as part of House Republicans’ effort to repeal and replace the Affordable Care Act (“ACA”) through a budget process known as...

UPDATE ON THE STATUS OF THE ACA

With the impending inauguration, recent actions by the Senate and some confusing media reports, this provides a short Q&A t help you understand current events and what to expect as we head down the health care reform road in 2017. What’s the latest news?...

Independence Blue Cross updates

Independence Blue Cross has issued two updates, both related to Medicare Secondary Payer. In one, they acknowledge that clients with fewer than 100 employees recently received letters about Medicare Secondary Payer with incorrect customer names. If you have received...