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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. “We liked to have control. “We liked to have control.

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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. trillion in annual health care expenditures are for chronic and mental health conditions. Economic Costs of Diabetes in the U.S.

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New Transparency Requirements for Health Plans

AssuredPartners

Departments of Health and Human Services, Labor and the Treasury (together, the Departments) issued a final rule under the Patient Protection and Affordable Care Act (PPACA) and in furtherance of an executive order issued in 2019.

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March HR News Worth Review

Higginbotham

Transparency in Health Coverage. As we discussed in our CAA webinar last July and our January compliance update, new transparency in coverage requirements apply to group health plans and health insurers in the individual and group markets. Employer Takeaway. Transparency in coverage FAQs were released on Aug.

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New Health Plan Prescription Drug Reporting Mandate

AssuredPartners

For fully insured plans, health insurance carriers will be responsible for making the necessary reporting from a legal standpoint. Employers who sponsor self-funded health plans should coordinate with their self-funded TPA and pharmacy benefit manager (PBM) to ensure timely reporting of the required data.

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The Consolidated Appropriations Act: 2021’s Employee Benefits Provisions

McNees

In addition, any assets previously transferred to a health benefits account which are not used by the effective date of the election shall be returned to the pension plan. Choice of Health Care Professional. Strengthening Parity in Mental Health and Substance Abuse Disorder Benefits. Preventing Surprise Medical Bills.