It’s not just you: everything is getting more expensive. And that includes healthcare. When you consider the astronomical amounts of money the United States spends for healthcare, you’d expect to see more accessibility to top-of-the-line facilities and cutting-edge services. And yet, despite the trillions of dollars spent annually on U.S. healthcare and healthcare-related services, the prices continue […]
As long as the U.S. military has existed, veterans have struggled with health issues related to their service. A recent survey by the Wounded Warrior Project finds that among post-9/11 veterans, 94% experienced severe physical injuries, 91% experienced severe mental health issues, and over a third of those injured require daily assistance. While the U.S. […]
Medical debt collection is a huge burden for many Americans. Medical emergencies and unexpected diagnoses often result in giant bills that can easily overwhelm people who otherwise never miss a debt payment. Unpaid bills appear on credit reports, lowering credit scores and making it difficult for consumers to access affordable mortgages, car loans, and other […]
Small groups can benefit from self-funding. There are four essential elements to a successful small group self-funded program. Experienced Third Party Administrator (TPA). For a small group, a TPA should have experience and staff that can handle the specific issues that may arise because many small groups do not have fully staffed Human Resource and […]
New regulations, effective January 15, 2022, require group health plans and health insurance issuers to cover up to 8 at-home Covid tests per covered individual per month. The rules require group health plans and health insurance issuers to cover rapid at-home COVID-19 tests with: No cost-sharing applied No prior authorization required No medical management requirements. Here are […]
What is the No Surprises Act? The No Surprises Act (the “Act”) took effect on January 1, 2022. The Act restricts surprise and excessive out-of-pocket balance bills for consumers. It also ensures coverage of emergency services without prior authorization and regardless of network status. Does the No Surprises Act prevent balance bills? No. The law […]
