Reference-Based Pricing: The New Frontier of Cost Control?
"The largest entity using [reference-based pricing (RBP)] is Medicare, which [...]
Small Employer Healthcare Relief Act Soon a Reality
"Starting January 1, 2017, small employers that do not offer [...]
IRS Extends Deadline for ALEs to Distribute 2016 ACA Reporting Forms to Individuals
The IRS has issued Notice 2016-70, which provides a 30-day [...]
Experimental and Investigational Treatments and Procedures under ERISA Group Health Plans
While most group health plans contain an exclusion for medical [...]
Testimony Shows Anthem and Cigna at Odds Over Proposed Merger
"Anthem and Cigna have quarreled for months behind the scenes [...]
Criminal Conviction of Plan Trustee, Outside Legal Counsel Shows Risks of Retaliating Against Whistleblowers for Reporting ERISA Violation
A U.S. District Court has determined, in Perez v. Scott [...]
Medicare: Insolvency Projections
"Almost from its inception, the [Hospital Insurance (HI)] Trust Fund [...]
The Rights and Duties of Your HSA Trustee
"Your HSA trust agreement cannot limit your reimbursements to eligible [...]
Just Around the Corner: HIPAA Audits for Business Associates
"For business associates, desk audits will target breach notification and [...]
Court Says Employer Can Require Health Risk Assessments for Medical Coverage
A U.S. District Court has determined, in EEOC v. Orion [...]
