Can Your Plan Recover Money It Wasn’t Responsible for Paying?

2019-08-15T08:00:08+00:00

That’s What Subrogation and Reimbursement Are All About When a plan member requires medical treatment following an injury or accident, their health plan is almost always the first line of defense. In some instances, however, the responsibility for medical treatment should really lie with another insurance plan, such as the member’s auto policy or workers [...]

Can Your Plan Recover Money It Wasn’t Responsible for Paying?2019-08-15T08:00:08+00:00

IRS Publishes PCOR Fees through September 2019

2019-01-18T10:32:44+00:00

The Patient-Centered Outcomes Research Trust Fund fee is a fee on issuers of health insurance policies and plan sponsors of self-insured health plans that helps to fund the Patient-Centered Outcomes Research Institute (PCORI), which was established by the Affordable Care Act (ACA). The institute assists, through research, patients, clinicians, purchasers and policy-makers, in making informed [...]

IRS Publishes PCOR Fees through September 20192019-01-18T10:32:44+00:00

IRS Releases Adjusted PCOR Fee

2018-11-08T16:28:39+00:00

The Patient-Centered Outcomes Research Trust Fund fee is a fee on issuers of health insurance policies and plan sponsors of self-insured health plans that helps to fund the Patient-Centered Outcomes Research Institute (PCORI), which was established by the Affordable Care Act (ACA). The institute assists, through research, patients, clinicians, purchasers and policy-makers, in making health decisions by [...]

IRS Releases Adjusted PCOR Fee2018-11-08T16:28:39+00:00

MassHealth Reinstates HIRD Reporting for Employer Sponsored Health Plans

2018-11-07T20:57:08+00:00

The Health Insurance Responsibility Disclosure (HIRD) form is a new state reporting requirement in Massachusetts beginning in 2018. This form differs from the original HIRD form that was passed into law in 2006 and repealed in 2014. The 2018 form is administered by MassHealth and the Department of Revenue (DOR) through the MassTaxConnect (MTC) web [...]

MassHealth Reinstates HIRD Reporting for Employer Sponsored Health Plans2018-11-07T20:57:08+00:00

3 reasons self-funding is a great option for smaller companies

2018-09-13T08:00:06+00:00

This article was published on September 10, 2018 on BenefitsPro, written by Darick Bradford. Why are more small businesses offering self-funded health benefit plans? I see three big reasons. Source: BenefitsPro “Wait, what’s a self-funded plan again? And why does it make sense for my clients?” These are questions I hear from brokers [...]

3 reasons self-funding is a great option for smaller companies2018-09-13T08:00:06+00:00

Value Based Pricing Gaining

2018-08-09T07:00:49+00:00

While plenty of folks talk about value based, or reference based, pricing as though it’s a fad that has come and gone, we’re finding more interest from employers all the time. This may be because many like to brand it as another form of disruption, but regardless of how you brand it, value based pricing [...]

Value Based Pricing Gaining2018-08-09T07:00:49+00:00

Association Health Plans Final Rules Released

2018-06-22T17:07:08+00:00

On June 19, 2018, the U.S. Department of Labor released the final rule on Association Health Plans (AHPs). The rule seeks to expand health coverage among small employer groups and self-employed individuals. It will make it easier for small business to join together to purchase health insurance without the myriad of regulations individual states and [...]

Association Health Plans Final Rules Released2018-06-22T17:07:08+00:00

Commonsense Reporting Bill Introduced

2018-03-01T09:00:42+00:00

In October, a bipartisan group of senators introduced a bill that would ease the ACA reporting mandates for employer-sponsored health plans. The bill would roll back the reporting requirements of Section 6056 and replace them with a voluntary reporting system. The bill would also allow payers to transmit employee notices electronically rather than having to [...]

Commonsense Reporting Bill Introduced2018-03-01T09:00:42+00:00

Is It Time to Self-Fund Your Benefit Plans?

2018-01-30T09:00:39+00:00

After reading the article included below, we couldn’t help but agree that the question every employer should be asking this year is…Should I self-fund my employee benefit plan? As the article discusses, this is a great time of year for companies to review their status, evaluate changes that have been made and consider new items [...]

Is It Time to Self-Fund Your Benefit Plans?2018-01-30T09:00:39+00:00

Amid Uncertainty in Health Care, the Forecast for Self-Funding with an Independent TPA Remains Very Positive

2017-11-07T16:03:47+00:00

The 2018 Forecast for TPAs & Self-Funding, recently released by the Society of Professional Benefit Administrators (SPBA), expects factors to fuel continued growth and expansion by TPAs and self-funded health benefit plans in the coming year. The most significant of these factors is a growing demand by today's workforce for more personalized benefit offerings that [...]

Amid Uncertainty in Health Care, the Forecast for Self-Funding with an Independent TPA Remains Very Positive2017-11-07T16:03:47+00:00