Archive for Health Plans’ Category

PCORI Fee Increase for Health Plans | Houston Benefit Advisors
Oct

9

2017

PCORI Fee Increase for Health Plans | Houston Benefit Advisors

On October 6, 2017, the Internal Revenue Service (IRS) released Notice 2017-61 to announce that the health plan Patient-Centered Outcomes Research Institute (PCORI) fee for plan years ending between October 1, 2017 and September 30, 2018 will be $2.39 per plan participant. This is an increase from the prior year’s fee of $2.26 due to an inflation adjustment. Background The Affordable Care Act created the…

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Emergency vs. Urgent – What’s the Difference in Walk-In Care? | Houston Benefit Advisors
Sep

29

2017

Emergency vs. Urgent – What’s the Difference in Walk-In Care? | Houston Benefit Advisors

We’ve all been there – once or twice (or more)—when a child, spouse or family member has had to gain access to healthcare quickly. Whether a fall that requires stitches; a sprained or broken bone; or something more serious, it can be difficult to identify which avenue to take when it comes to walk-in care. With the recent boom in stand-alone ERs (Emergency Care Clinics…

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Small Businesses Healthcare Competitive, But Faces Two Big Challenges | Houston Benefit Advisors- UBA
Sep

15

2017

Small Businesses Healthcare Competitive, But Faces Two Big Challenges | Houston Benefit Advisors- UBA

We recently revealed how competitive small business health plans are when compared to national averages—and even how they are doing a better job of containing costs. But the UBA Health Plan Survey also uncovers two challenges these groups face in its new special report: “Small Businesses Keeping Pace with Nationwide Health Trends”. 1. Small businesses are passing nearly 6.6 percent more of the costs for…

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The COBRA Payment Process | Houston Benefit Advisors
Aug

29

2017

The COBRA Payment Process | Houston Benefit Advisors

The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) allows qualified beneficiaries who lose health benefits due to a qualifying event to continue group health benefits. The COBRA payment process is subject to various rules in terms of grace periods, notification, premium payment methods, and treatment of insignificant shortfalls. Grace Periods The initial premium payment is due 45 days after the qualified beneficiary elects COBRA….

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May

3

2017

Why Private Exchanges Haven’t Taken Off As Predicted | Houston 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 today doesn’t speak to that. So, what is preventing them…

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Feb

10

2017

UBA Health Plan Survey – 2016 | Houston Benefit Advisors

Employer-sponsored health insurance is greatly affected by geographic region, industry, and employer size. While some cost trends have been fairly consistent since the Patient Protection and Affordable Care Act (ACA) was put in place, United Benefit Advisors (UBA) finds several surprises in their 2016 Health Plan Survey. Based on responses from more than 11,000 employers, UBA announces the top five best and worst states for…

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