One of the fastest growing parts of the health care system, and which touches significantly on group health plans, is telemedicine. From 2016 to 2017, insurance claims for services rendered via telehealth ― as a percentage of all medical claim lines ― grew 53%...
Mental Health Benefits
Court Rules ACA Individual Mandate Unconstitutional
The U.S. Fifth Circuit Court of Appeals has upheld a lower court’s decision that the individual mandate portion of the Affordable Care Act is unconstitutional because the penalty was set to zero in 2017. However, the fate of the entire law is still in play after the...
New Rules Allow Employers to Reimburse for Health Premiums
Starting Jan. 1, 2020, employers can establish accounts for their employees to help them pay for individual health insurance policies they purchase, as well as for other health care expenses. A new regulation expands on how health reimbursement accounts can be used....
You Don’t Need To Be Walmart To Use COE’s
Spend 20 minutes to hear what Walmart was able to accomplish with their Center of Excellence Program, which has only grown since this 2018 presentation.
Happy New Year!
Wishing you a Happy New Year with the hope that you will have many blessings in the year to come! Happy New Year!
Study Attributes 25% of Health Spending to ‘Waste’
A new study published in the Journal of the American Medical Association estimates that about 25% of all health care spending in the U.S. is attributable to waste in the system. The study, conducted by health insurer Humana and the University of Pittsburgh School of...
Happy Holidays!
Happy Holidays! Wishing you every happiness this holiday season and throughout the coming year.
Preventative Care Services Available in All ACA-Compliant Plans
One beneficial change the Affordable Care Act brought about was the complete coverage of preventative care. With all approved insurance plans and Marketplace plans, several preventative services such as shots and screenings are provided at no cost to the policyholder....
Generic Drug Makers Sued over Pricing Practices
One of the country’s largest health insurers has sued a number of pharmaceutical companies, accusing them of running a price-fixing cartel of common generic drugs. Humana Inc. has accused the companies of colluding on the prices of generics to the detriment of health...
Mike Hill interviewed at the World Health Care Congress
Mike Hill, principal at Total Control Health Plans, talks about companies who are taking control to manage their own healthcare supply chain in the WHCC TV Studio with Mabel Jong (@mabeljong) at the 16th...