by Ed Fensholt | June 19, 2015 | Health Reform, Insurance Exchanges
A blistering report this week by the Department of Health and Human Service’s (HHS) Office of the Inspector General found shockingly poor accountability efforts by the Centers for Medicare and Medicaid Services (CMS) related to its payment of Affordable Care Act (ACA)...
by Compliance Services at Lockton | May 22, 2015 | Dollar Limits, Health Reform
UPDATE: “Embedded” Out-of-Pocket Limits Might Will Be Required for 2016 Plan Years Tri-agency guidance issued May 26, 2015 confirmed that the embedded out-of-pocket limits interpretation explained in the following article applies to non-grandfathered...
by Scott Behrens | May 22, 2015 | Health Reform
An FAQ regarding transitional reinsurance fee (TRF) submissions for 2014 appeared on the Centers for Medicare and Medicaid Services (CMS) “REGTAP” site on May 12, 2015. (CMS uses REGTAP to provide information on several different programs it administers, including TRF...
by Compliance Services at Lockton | May 14, 2015 | Compliance Services, ERISA, Grandfathered Provisions, Health Reform, Misc Health Reform, Preventive Care
New frequently asked questions (FAQs), define the contraceptive coverage that a non-grandfathered group health plan must provide in order to comply with the Affordable Care Act (ACA) mandate to cover certain preventive services without cost-sharing. The FAQs refer to...
by Ed Fensholt | April 28, 2015 | Health Reform, Misc Health Reform
Congressional Democrats today introduced a bill to repeal the Affordable Care Act’s “Cadillac Tax.” Judging by the number of Congressmen moving to co-sponsor the bill, it appears the Cadillac Tax is as largely disfavored on Capitol Hill—at least in the House of...
by Scott Behrens | April 20, 2015 | Health Reform
The Centers for Medicare and Medicaid Services (CMS), the federal agency that collects the transitional reinsurance fee (TRF) has announced an April 30, 2015 deadline for claiming certain overpayments of that fee with respect to 2014. Specifically, the deadline...
