The Biden Administration’s Proposed IDR Rules On October 27, 2023, the Biden Administration released a proposed rule on the No Surprises Act’s (“NSA”) Federal independent dispute resolution (“IDR”) process. The IDR process has been mired in litigation since the enactment of the NSA, which is enforced by the Departments of Health and Human Services, Labor, […]
Rising healthcare costs are one of the biggest challenges facing small businesses today. Providing adequate employee healthcare coverage is a crucial component of any operation, but has become more burdensome for smaller businesses because they have limited resources. While per-employer costs are expected to rise by 6.5% in 2023—after reaching $13,020 per employee in 2022—there […]
Let’s face it, healthcare costs are out of control for everyone. This is especially true for employers who provide important healthcare benefits to their employees. According to AON, the average cost of employer-sponsored healthcare in the US is expected to rise by more than 6.5% in 2023. That means per-employee costs are expected to reach […]
If you’re an employer who’s trying to contend with excessive healthcare costs, you are not alone! While per-employee medical costs increased by 3.2% in 2022, according to Mercer’s annual survey, health plans are expected to see another sharp increase and rise another 5.6% in 2023. Needless to say, healthcare has become unconscionably expensive. The increasing […]
Most employers are bracing themselves for another round of rising healthcare costs, according to a recent survey by Willis Towers Watson consultants. Responses indicate that over the next three years, 7 out of 10 employers plan to prioritize curbing their rising healthcare costs. The fact that rising healthcare costs may require some companies to cut […]
While many employers provide healthcare coverage as a primary employee benefit, few realize they have the capability to negotiate lower costs for expensive procedures like major surgeries. This is one of the main disadvantages of traditional healthcare models: those responsible for medical costs usually have little say in how much they pay. In response, some […]
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Brokers and TPAs Need to be Aware: The December 31, 2024 Gag Clause Attestation Submission Deadline Nears
Cost ContainmentBrokers and TPAs may have the obligation to complete the Gag Clause Prohibition Compliance Attestation Submission (“Attestation”) on behalf of their self-funded group health plan clients, pursuant to an agreement with their clients. Although plans are responsible for filing the Attestation, TPAs and brokers may file on behalf of their clients. What is a Gag […]