Why Private Exchanges Haven’t Taken Off As Predicted | PA Benefit Advisors

While the health care affordability crisis has become so significant, questions still linger—will private exchanges become a viable solution for employers and payers, and will they will continue to grow? Back in 2015, Accenture estimated that 40 million people would be enrolled in private exchange programs by 2018; the way we see this model’s growth … Continued

Employer Exchange Subsidy Notices: Should You Appeal? | PA Benefit Advisors

Under the Patient Protection and Affordable Care Act (ACA), all public Exchanges are required to notify employers when an employee is receiving a subsidy (tax credits and cost-sharing reductions) for individual health insurance purchased through an Exchange. According to the final rules published in August 2013, employers have the right, but are not required, to … Continued

Mandated Health Benefits – Oral Chemotherapy Medication | PA Benefit Advisors

On July 8, 2016, Pennsylvania Governor Tom Wolfe signed legislation (H.B. 60) regarding health insurance coverage for oral chemotherapy medications. Pursuant to the bill, whenever a health insurance policy provides coverage that includes coverage for intravenously administered or injected chemotherapy medications which have been approved by the U.S. Food and Drug Administration for general use … Continued

Make Tax Day Also Enrollment Deadline, One Health Expert Says

With one small fix, the administration could satisfy calls from some members of Congress to extend the time people have to enroll in new health insurance through online marketplaces, a health policy expert says. Read more…

Compliance Recap Post Government Shutdown

Because of the government shutdown, very little has been issued in the way of regulations or notices during October. Several items of interest to group health plans were released in September, however.

 

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