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Employers ‘Unwavering’ in Providing Group Health Benefits: Research

InterWest Insurance Services

Large employers are unwavering in their plans to continue offering group health plans to their workers instead of funding individual reimbursement accounts that would allow them to shop for plans on government-run exchanges, according to new research. “It would make workers feel like you were cutting and running.”

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8 Ways Employers and Employees Can Save On Prescription Medications

Griffin Benefits

With over half of today's workforce enrolled in high-deductible health plans (51%), a majority of insured individuals are now on the hook for deductibles of at least $1,400. In doing so, you'll be helping them to become better consumers of healthcare and more satisfied enrollees in high deductible health plans. Pill-splitting.

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Healthcare Must be Focused on the Patient Journey 

HR Professionals Magazine

As the healthcare landscape has evolved to value-based care, employers, payers and pharmacy benefit managers (PBMs) have implemented new strategies to improve quality of care and affordability. Insulin prices have increased 600 percent over the last 20 years causing many consumers to be at risk of non-adherence due to cost.

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New Transparency Requirements for Health Plans

AssuredPartners

Health plans must provide an “Advanced Explanation of Benefits” to enrollees for scheduled services with a good faith estimate of the member’s cost-sharing, among other information. Insurance cards must include in-network and out-of-network deductibles and out-of-pocket maximums.

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“Free” COVID tests are causing headaches for employers

Business Management Daily

We’ve written many times about the tax code’s prohibition on double-dipping — getting a double tax benefit on the same tax item, like taking a deduction and a tax credit for the same wages paid to the same employee. Employees, on the other hand, would probably prefer safe harbor #1, since they incur no immediate out-of-pocket costs.

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March HR News Worth Review

Higginbotham

First, most non-grandfathered group health plans and health insurance issuers offering non-grandfathered health insurance coverage in the individual and group markets will be required to disclose personalized price and cost-sharing information to participants, beneficiaries and enrollees (or their authorized representatives).

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The Consolidated Appropriations Act: 2021’s Employee Benefits Provisions

McNees

The plan may also not require prior authorization for these out-of-network services and may not impose any other conditions to coverage which are not imposed upon similar in-network providers. The amounts paid by the participant must be applied toward the participant’s deductible and out-of-pocket limits. Student Loans.