Some of the nation's largest insurers have announced plans to roll back their prior authorization requirements for medical services, and some are doing this in their Medicare Advantage plans as well. The moves come as states and the Centers for Medicare and Medicaid...
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EEOC Posts New Guidance on Visual Disabilities under the ADA
The Equal Employment Opportunity Commission has issued new guidance for employers to provide reasonable accommodations for visually impaired workers who request it. About 18.4% of all American adults have at least some difficulty with their vision, even when wearing...
The Risk Report – September 2023
Download Volume 5, Issue 9 of The Risk Report In this Edition: Health Plan Affordability Level Cut Significantly for 2024 Group Health Plan Cost Inflation to Pick Up Steam More Insurers Scale Back on Prior Authorizations 50% Increase in Overtime Pay Threshold on Tap...
Group Health Plan Affordability Level Cut Significantly for 2024
The IRS has significantly reduced the group plan affordability threshold — which is used to determine if an employer's lowest-premium health plan meets the Affordable Care Act rules — for 2024. The threshold for next year has been set at 8.39% of an employee's...
Report: Group Health Plan Cost Inflation to Pick Up Steam
A new report by Aon warns employers to expect average group health insurance costs to increase 8.5% in 2024, as inflation starts hitting the cost of delivering care as well as pharmaceuticals. The report predicts that employers will pay an average of $15,088 in 2024,...
Budgeting and Prepping for Open Enrollment
If you are running a business, you need to get an early start on preparations for your small group health plan open enrollment, particularly now as so much confusion abounds about the state of health insurance in the country. With recent new regulations, options have...
Handling Health Insurance for Remote Workers
Since the COVID-19 pandemic, more employers are allowing their staff to work remotely on a permanent basis, often allowing them to never have to set foot in the office again. This newfound freedom for American workers has allowed many of them to leave the cities they...
SCOTUS Sets High Bar for Rejecting Religious Accommodation Requests
A recent decision by the U.S. Supreme Court will make it more difficult for employers to deny employees' requests for religious accommodations in the workplace. The unanimous decision by the court in the case of Groff vs. DeJoy basically upends a standard for...
The Risk Report – August 2023
Download Volume 5, Issue 8 of The Risk Report In this Edition: New Mental Health Parity Rule Would Expand Care SCOTUS Sets New Bar for Declining Requests Changes May be Coming to PBMs Affecting Plan Costs Handling Health Insurance for Remote Workers Download the...
New Mental Health Parity Rules Would Expand Care
With mental health in the forefront as patients demand greater access to psychologists and psychiatrists, the Biden administration in July 2023 proposed new regulations aimed at requiring health insurers to expand their mental health coverage. The proposal aims to...