We have important information regarding Massachusetts payor surcharges and the MA Managed Care Organization Payor Assessment Notice. The Commonwealth of Massachusetts, in accordance with statutory changes that were included in its fiscal year 2025 budget, terminated the Health Safety Net surcharge program for payments to acute hospitals and ambulatory surgical centers on January 1, 2025. [...]
The Consolidated Appropriations Act (CAA) requires that Group Health Plans report various information about their prescription drug costs and spending. The government calls the data submission of information on prescription drugs and spending the “”RxDC Report”. The government will use the data to provide insight into increased spending on prescription drugs with reporting on rebates, [...]
Civil penalties were recently updated, adjusting for inflation, by the Department of Labor (DOL) for 2024. Federal law requires penalties be adjusted annually by January 15th. Employers found in violation will be assessed these increased penalties beginning after January 15, 2024. The year-over-year inflation increase for 2024 is 3.241%. Annual inflation adjustments are based on [...]
Employers have so many different options available to them to utilize when sending their enrollment data to Diversified Group (i.e. payroll, HRIS systems, etc.). To make sure we are doing the best job for you, Diversified is making changes to our policies and procedures surrounding eligibility documentation to ensure that we are meeting your [...]
The Consolidated Appropriations Act requires self-insured plan sponsors to file a gag clause attestation with CMS using the HIOS system no later than December 31st, 2023. A gag clause is any contractual term that prohibit health plan sponsors and plan issuers from having any agreements with a healthcare provider, a network, an association of providers, [...]
Before December 31, 2023, self-insured plan sponsors are required to file a gag clause attestation with CMS using the HIOS system. For self-insured clients, uploading the attestation is a plan sponsor responsibility under the Consolidated Appropriations Act. However, Diversified Group will submit the attestations to CMS on behalf of our clients in time to meet the [...]
Diversified Group is proud to again be a sponsor of the Camphill Village 5K Trail & Fun Run coming up on Saturday, May 13th! This event will take place at beautiful Camphill Village in Copake, NY and it starts at 10am with both a competitive 5k Trail Run as well as a casual run/walk for [...]
On January 30th, 2023, President Biden announced that both the public health emergency and the national health emergency declarations due to COVID-19 would expire simultaneously on May 11, 2023. Below outlines the impact to private health insurance once the emergencies expire. THE PUBLIC HEALTH EMERGENCY (PHE) The PHE was initially declared by the Department of [...]
The Consolidated Appropriations Act (CAA) requires that Group Health Plans report various information about their prescription drug costs and spending. The government calls the data submission of information on prescription drug costs and spending the “RxDC report.” The government will use the data to provide insight into increased spending on prescription drugs with reporting on rebates, [...]
Diversified Group is proud to be a sponsor of the Camphill Village 5K Trail & Fun Run coming up on Saturday, May 7th! This event will take place at beautiful Camphill Village in Copake, NY and it starts at 10am with both a casual run/walk for all ages and all abilities as well as a [...]
