Keeping Up With Clinical Risk Management:
Articles
Transparency Compliance – Machine Readable Files (MRF)
Monday, June 6, 2022
Under the “Transparency in Coverage” Final Rule (TiC), issued in 2020 by the U.S. Department of Health & Human Services, U.S. Department of Labor, and U.S. Department of the Treasury (collectively the Departments), effective 7/1/22, health plans (which include employers who sponsor employee benefit plans) and health insurance issuers must publicly post pricing data known as the “machine-readable files” or (“MRFs”).
Markets in Focus :: Crypto
Wednesday, May 25, 2022
Over the past few years, we have seen Cryptocurrency, blockchain technology and Decentralized Finance (DeFi) develop from a niche corner of the internet into mainstream technology. Within the realm of blockchain, DeFi, Non-fungible tokens (NFTs) and Cryptocurrency mining…
Markets in Focus :: Technology
Friday, May 20, 2022
Our Advanced Industries Professionals estimate that within the next decade, there will continue to be significant growth within the sectors of Automation, Connectivity, Quantum Computing, Artificial Intelligence, Machine Learning and Zero Trust.
Markets in Focus :: Advanced Industries Manufacturing
Tuesday, May 17, 2022
Two and a half years into the global pandemic known as COVID-19, manufacturing firms are still grappling with staff shortages, supply chain issues and a shift towards pandemic-focused goods and supplies.
Updated Health Savings Account & Excepted Benefit HRA Limits for 2023
Monday, May 16, 2022
The IRS released the 2023 health savings account (HSA) annual contribution limits and high deductible health plan (HDHP) requirements in IRS Rev. Proc. 2022-24
Markets in Focus: Cyber
Tuesday, May 10, 2022
The Cyber insurance marketplace continues to be “hard” as Cyber carriers are consistently looking to right-size their portfolios due to 2020 and 2021 claims results. There is an ongoing emphasis on rate increases and “must have” technical security controls.
PCORI Fees
Monday, April 11, 2022
The Affordable Care Act (ACA) created a nonprofit corporation, the Patient-Centered Outcomes Research Institute (PCORI) to support clinical effectiveness research. It is funded in part by fees paid by health insurers and sponsors of self-funded health plans (PCORI fees), which are reported on paid annually using Form 720.
Washington Paid Family and Medical Leave: Is it time to consider opting out?
Friday, April 8, 2022
For the last two years, the Washington Paid Family and Medical Leave program has been in place and paying benefits. With the state increasing premiums this year, now is a good time for your organization to consider whether opting out would be beneficial.
Congress Temporarily Reinstates Telemedicine/HSA Eligibility Relief
Friday, March 18, 2022
The recently signed Consolidated Appropriations Act, 2022 (Act) includes another twist on telemedicine (sometimes referred to as telehealth) coverage and eligibility for a health savings account (HSA). The Act provides that telemedicine coverage will again be temporarily disregarded for purposes of HSA eligibility from April 1, 2022 through December 31, 2022.
Keeping Up With Clinical Risk Management:
Employee Notaries in Healthcare
Thursday, March 10, 2022
Some healthcare facilities may also utilize their employee notaries for documents related to business operations, such as real estate documents, legal contracts, etc. Although notaries can assist with certifying important documents, they can also be held liable if the laws and guidelines that govern their position are not followed.
UPDATE – Additional Guidance Released for Health Plan Coverage of Over-The-Counter COVID-19 Tests
Thursday, February 17, 2022
The Department of Labor (DOL), Secretary of Health and Human Services (HHS), and Department of the Treasury (Treasury) [collectively, “the Departments”] have issued additional guidance, in a new set of FAQs, that clarify certain aspects of the requirement that health plans cover the cost of over-the-counter COVID test with no cost sharing.
2022 State Individual Mandates and Reporting Requirements
Monday, February 14, 2022
In the last two years, some jurisdictions have enacted their own individual mandate, similar to the repealed federal individual mandate that requires residents to have minimum essential coverage. These mandates also include various reporting requirements for employers to help the state reconcile which individuals were covered.
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