Insurance Archives - Page 3 of 8

RxDC Reporting Will Bring Changes . . . Here’s What to Know Now

Jonas Leyrer, CEBS

07 Dec 202207 Dec 2022

Late last year, Congress passed the Consolidated Appropriations Act, 2021 (CAA), which contained a provision requiring health care plans to submit Prescription Drug Data Collection (RxDC) reports to CMS. RxDC was made retroactive for 2020 but its implementation was delayed for a […]

Compliance Employee Benefits Health Care Insurance Legislative Prescription Drugs U.S.

Health Plans and Marijuana: What to Know Now

Kathy Bergstrom, CEBS

01 Dec 202227 Jan 2023

President Joe Biden is expected to sign a medical marijuana research bill that could eventually have an impact on health plan coverage of medical marijuana. On November 16, the U.S. Senate passed Medical Marijuana and Cannabidiol Research Act, which was passed by […]

Disease Management Employee Benefits Health Care Insurance U.S.

Four Steps for Evaluating Your Plan’s Diabetes Coverage

Kathy Bergstrom, CEBS

10 Nov 202210 Nov 2022

November is National Diabetes Month. Since diabetes affects one in eight adults in the United States and is a major driver of health plan costs, it may be a good time to review whether your health plan is designed to provide the […]

Compliance Employee Benefits Health Care Insurance Prescription Drugs U.S.

RxDC Reporting: What Plan Sponsors Need to Know

Jonas Leyrer, CEBS

04 Nov 202204 Nov 2022

RxDC Overview In late 2021, Congress passed the Consolidated Appropriations Act, 2021 (CAA) which contained a provision that requires health care plans to submit Prescription Drug Data Collection (RxDC) reports to CMS. The new reporting requirement applies to most health insurance issuers […]

Employee Benefits Health Care Insurance U.S.

Optimizing Outcomes and Containing the Costs of Surgery

Guest Contributor

20 Oct 202222 Feb 2023

By Brand Newland, Pharm. D., and Cal Beyer Surgeries that are unnecessarily invasive or performed under suboptimal conditions often needlessly increase health plan costs and lead to complications for patients. Creating better pathways to care can help health plan sponsors contain the […]

Benefits Magazine Employee Benefits Health Care Insurance

Medical Claims Reviews—What Your Plan May Be Missing

Kathy Bergstrom, CEBS

07 Oct 202207 Oct 2022

With thousands and thousands of codes that can be assigned to everything from the diagnosis of a patient’s condition to the facility where they receive care, there is plenty of room for error in medical billing. And it may never get caught—partly […]

Employee Benefits Insurance Legislative U.S.

Legal & Legislative Reporter: A Kidney Case

Guest Contributor

22 Sep 202222 Sep 2022

Every month, the International Foundation releases the Legal and Legislative Reporter, a compilation of new employee benefits-related case summaries. Below is a summary we thought you’d be interested in. Content provided by Morgan, Lewis & Bockius LLP. The U.S. Supreme Court reverses and […]

Employee Benefits Health Care Insurance U.S.

Employers Project 7.5% Rise in Health Care Costs for 2023

Cara McMullin

20 Sep 202220 Sep 2022

As industry experts predict that organizations should brace for increased health care costs in 2023, the International Foundation of Employee Benefit Plans launched a survey of U.S employers to identify the considerations they are contemplating for the coming year. Results show that […]

Communication Compliance Education Employee Benefits Health Care Human Resources (HR) Insurance Legislative Regulatory U.S.

Unraveling Post-Dobbs Implications

Staff

28 Jul 202228 Jul 2022

The legal environment relating to abortion coverage has become quite complex following the U.S. Supreme Court decision in Dobbs v. Jackson Women’s Health Organization. Health plan sponsors should review their coverage of abortion services to ensure that their health plans reflect the […]

Communication Coronavirus (COVID-19) Employee Benefits Health Care HIPAA Insurance U.S.

HIPAA Guidance on Postpandemic Audio-Only Telehealth

Amanda Wilke, CEBS

19 Jul 202219 Jul 2022

On June 13, 2022, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) issued guidance on Health Insurance Portability and Accountability Act (HIPAA) requirements as they relate to audio-only telehealth. Telehealth technology is typically thought of as […]