Monthly Archives: March 2014

Agencies Clarify Applicability of ACA Out-Of-Pocket Versus Deductible Cost Sharing Limitations

Non-grandfathered self-insured and large group health plans must comply with the out-of-pocket limits in 2014 but pending further guidance are excused from the duty to comply with deductible limitations imposed by the cost-sharing limitations of the Patient Protection & Affordable…

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New OCR Guidance Assigns More HIPAA Homework Health Plans, Providers, Business Associates and Employers

Think your?health plan, health care organization, health care clearinghouse or their business associates?has health care privacy covered?? Think again. A series of supplemental guidance issued by the Department of Health & Human Services Office of Civil Rights (OCR) in recent…

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HHS Extends Proposed EDI Rule Time to 4/3 To Get More Input From Self-Insured Plans, TPAs

Third party administrators? (TPAs), self-insured health plans and concerned payers and plan sponsors now have a little more time to comment on the Department of Health & Human Services (HHS) proposed rule, “Administrative Simplification: Health Plan Certification of Compliance.” HHS…

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Use Care Before Using “Skinny Plan” Option

Employers considering skinny plans and the brokers, third party administrators (TPAs), insurers and consultants recommending the use of these arrangements alone or as part of a broader health plan design should seek qualified legal advice for help with structuring and…

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