As reported earlier this year, the Office of Civil Rights (OCR) within the U.S. Department of Health and Human Services (HHS) has increased their audit efforts and are targeting covered entities and business associates. As is often [...]
A recent US District Court case out of Michigan places a spotlight on how important it is for employers to properly administer their benefit plans. In the case of Van Loo v. Cajun Operating Company, a deceased [...]
The Department of Labor (DOL), the Internal Revenue Service (IRS), and the Pension Benefit GuarantyCorporation (PBGC) recently proposed significant changes to the form 5500 which has implications for both large employers and small employers. Targeting an effective [...]
On April 19th, United Healthcare made waves in the medical insurance world by announcing that they were going to discontinue offering individual insurance on the exchange in the majority [...]
Over the past couple months I've continued to receive questions from employers and their employees about the value of the pharmacy discount cards they are receiving in the mail, at the store, or available via Apps [...]
Various media outlets reported last week on claims that insurance carriers were adjusting their plan designs by placing higher costs medications into more expensive tiers, thus having the affect of discriminating against individuals with certain conditions.
A recent Modern Healthcare article projected an increase in mergers and acquisitions activity in 2015 amongst healthcare companies. Experts are citing “low interest rates, high cash reserves, and the impact of healthcare reform” as drivers of these [...]
Earlier this week, Blue Cross and Blue Shield of North Carolina (BCBSNC) announced that they will no longer award premium credit to employers with fewer than 100 eligible employees based upon participation in their Healthy Outcomes Group Wellness Program. [...]