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....
MZQ Beacon Alert - March 29, 2023 In this Edition: "The federal Centers for Medicare and Medicaid Services released the 2022 instructions for the prescription drug and health care spending data collection (RxDC) requirement on Monday, March 27, 2022. RxDC is the new...
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...
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...
MZQ Beacon Alert - March 14, 2023 In this Edition: "The Affordable Care Act (ACA) requires applicable large employers (ALEs), meaning employers that averaged at least fifty full-time employees (including full-time equivalent employees) during the preceding calendar...
Large employers are unwavering in their plans to continue offering group health plans to their workers instead of funding individual reimbursement accounts that would allow them to shop for plans on government-run exchanges, according to new research. The poll of 26...
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...
MZQ Beacon Alert - March 6, 2023 In this Edition: "The new compliance obligations that the Consolidated Appropriations Act of 2021 (CAA, 21) created for employ-sponsored plans can seem endless at times. One of the lesser-known parts of the CAA, 21 is the prohibition...
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...
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.