Archive for Posts Tagged ‘Medicaid’

CMS Publishes 2020 Benefit Payment and Parameters Final Rule | Houston Benefits Agency
Jul

31

2019

CMS Publishes 2020 Benefit Payment and Parameters Final Rule | Houston Benefits Agency

The Centers for Medicare and Medicaid Services (CMS) published its final rule and fact sheet for benefit payment and parameters for 2020. Although the final rule primarily affects the individual market and the Exchanges, the final rule addresses the following topics that may impact employer-sponsored group health plans: The 2020 maximum annual limitation on cost sharing is $8,150 for self-only coverage and $16,300 for other-than-self-only coverage. For fully-insured plans,…

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Are Opt-Outs on the Way Out?
Oct

28

2016

Are Opt-Outs on the Way Out?

Opt-out payments or cash in lieu of benefits have been a staple in the employee benefits industry for many years. Employers offer individuals who are eligible to enroll in their group health plan a sum of money, typically paid monthly, to those who waive enrollment in the group health plan. Employers who offer group health plans often use opt-out payments to share the savings they…

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How to Complete the IRS/SSA/CMS Data Match Report
Jul

29

2016

How to Complete the IRS/SSA/CMS Data Match Report

By Danielle Capilla Chief Compliance Officer at United Benefit Advisors Data Match is a program coordinated by the Internal Revenue Service (IRS), Centers for Medicare & Medicaid Services (CMS), and the Social Security Administration (SSA) to identify Medicare beneficiaries who received Medicare benefits with Medicare as the primary payer when Medicare should have been the secondary payer. We recently covered background on this program in…

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