Archive for Posts Tagged ‘Medicare’

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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Deadline text on the calendar (or desk planner) underlined with red marker
Sep

9

2016

Employer Medicare Part D Notices Are Due Before October 15

Are you an employer that offers or provides group health coverage to your workers? Does your health plan cover outpatient prescription drugs — either as a medical claim or through a card system? If so, be sure to distribute your plan’s Medicare Part D notice before October 15. Purpose Medicare began offering “Part D” plans — optional prescription drug benefit plans sold by private insurance…

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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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May

26

2016

Don’t Ignore the CMS Data Match Questionnaire Letters

Originally from United Benefit Advisors. Beginning in early 2016, many employers received letters from the IRS-SSA-CMS Data Match program. These letters are addressed to the employer and begin by stating that “Medicare needs your cooperation.” Employers are directed to report information on the IRS/SSA/CMS Data Match Secure Web Site (https://www.cob.cms.hhs.gov/DataMatch/). The data being requested is often extensive, and can cover a number of years. The…

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Oct

18

2013

Open Enrollment Changes

While individuals who are eligible for Medicare may elect to enroll in a health marketplace plan instead, most likely will find that a Medicare option best fits their needs.

Jun

17

2013

Regional Variations

A new study, reported in Kaiser Health News, concludes that health differences across the country explain between 75 percent and 85 percent of the cost variations in Medicare health care spending

Apr

26

2013

Retiree Exchanges

60% of polled companies that offer health coverage to Medicare-eligible retirees are reconsidering the way they provide those benefits

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