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The Risk Report – April 2023

The Risk Report – April 2023

Download Volume 5, Issue 4 of The Risk Report In this Edition: Judge Deals Blow to Preventative Care Coverage Under ACA Moves Afoot to Improve Prior Authorization Times Making Voluntary Benefits a Success Small Firms See Larger Premium Hikes Unless They Do This...

Insurers Make Changes to Prior Approvals Ahead of Rulemaking

Insurers Make Changes to Prior Approvals Ahead of Rulemaking

After the Centers for Medicare and Medicaid Services proposed new rules aimed at streamlining the prior approval process for most health plans in the U.S., a number of the country's largest insurers announced their own steps to improve the process. UnitedHealthcare...

Judge Deals Blow to Preventative Care Coverage under ACA

Judge Deals Blow to Preventative Care Coverage under ACA

A recent decision by a federal judge in Texas to issue an injunction on a pivotal part of the Affordable Care Act requiring insurers to offer certain types of free preventative care, has raised concerns that some health plans will stop paying for these services....

Moves Afoot to Improve Prior Authorization Times, Efficiency

Moves Afoot to Improve Prior Authorization Times, Efficiency

The Centers for Medicare and Medicaid Services has proposed new rules aimed at streamlining the prior approval process for most health plans in the U.S. Under the proposal, starting in 2026, insurers would be required to render a decision within seven days for a...

Wellness Programs Grow in Wake of Pandemic

Wellness Programs Grow in Wake of Pandemic

Employers have often long struggled to boost participation in their wellness programs, but the COVID-19 pandemic changed that as people started looking for ways to better care for themselves both physically and emotionally. The pandemic added fuel to the country's...

The Risk Report – March 2023

The Risk Report – March 2023

Download Volume 5, Issue 3 of The Risk Report In this Edition: Virtual-First Health Care Plans Hit the Market Stand-Alone Telehealth Coverage Bill Study on Employer Provider Insurance Why Employees are Speeding Through Open Enrollment Download the...

Bill Would Pave Way for Stand-Alone Telehealth Coverage

Bill Would Pave Way for Stand-Alone Telehealth Coverage

A bipartisan group of House legislators in February reintroduced legislation from 2022 that would pave the way for employer-sponsored, stand-alone telehealth benefits plans. The bill is important as the current law allowing health insurers to cover telehealth benefits...

Why You Should Engage Employees in Their Health Plan

Businesses are putting greater focus on employee retention and attraction. While some industries are facing record layoffs, others struggle to fill role vacancies. While benefits, are a large part of this equation, benefits don’t benefit anyone who doesn’t understand what they are, how they work, and how it positively impacts them.

Most Employees Spend Little Time Choosing Their Health Plan

Most Employees Spend Little Time Choosing Their Health Plan

A new study has found that individuals enrolled in high-deductible health plans (HDHPs) are more engaged than their traditional plan counterparts during open enrollment, spending more time on choosing plans and using employer-provided tools to help them make their...