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,…
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…
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…
Do you know where your state stands, and what your options are? If not, read on…
FAQs on health insurance exchanges and the marketplaces that will be coming to your state. Federal or state-run, no matter what your state is doing, make sure you know your options.
Medicaid is poised to expand in a big way, but just who is going to treat those new patients?
Summary of ACA-related activities to date in terms of tangible benefits and policy changes.
Read more about the 100% funding for new Medicaid beneficiaries
This is what you need to understand PPACA implementation.
States have two major decisions to make with respect to the Affordable Care Act. What’s your state deciding?