health plan rebates

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....

The Beacon – March 29, 2023

The Beacon – March 29, 2023

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...

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 Beacon – March 14, 2023

The Beacon – March 14, 2023

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...

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...