Category Archives: ACA

HHS Publishes Final Rule on ACA Nondiscrimination Provisions

On May 13, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) published the final rule implementing Section 1557 of the Affordable Care Act (ACA). Section 1557 contains the nondiscrimination provisions of the ACA, which … Continue reading

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Uncertain Future for Upcoming Supreme Court Cases

With the death of Justice Scalia on February 13, the Supreme Court has been thrown off-balance. Continue reading

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Modernizing Payment Processing Methods in the Health Care Industry

Today’s health care environment has grown increasingly complex due to compliance requirements that were introduced as part of the Affordable Care Act (ACA). Among other initiatives, the ACA included an industry mandate for the development and use of a HIPAA-compliant Electronic Funds Transfer (EFT) standard for electronic claims payments. The law also increased transparency by implementing Medical Loss Ratio (MLR) requirements that limit a health plan’s ability to pass increased administrative costs on to plan participants. Continue reading

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New ACA FAQ Clarifies Coverage Requirements for Lactation, Obesity and More

The Departments of Labor (DOL), Health and Human Services (HHS), and the Treasury have released the twenty-ninth FAQ regarding the Affordable Care Act (ACA). These FAQs are released periodically to answer questions from stakeholders regarding ACA implementation. FAQ XXIX addresses … Continue reading

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HHS Proposes Rule on ACA Anti-Discrimination Provisions

On September 8, the Department of Health and Human Services (HHS) Office for Civil Rights (OCR) proposed a rule to interpret Section 1557 of the Affordable Care Act (ACA). Section 1557, which prohibits discrimination in health care and related industries, expressly bans discrimination based on race, color, national origin, sex, age and disability. Continue reading

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Premium Increases Slow, Out-of-Pocket Expenses Rise in 2015

A Kaiser Family Foundation survey found that while premiums have only risen about 4 percent in 2015 on average, deductibles have been rising faster than total health costs—and faster than wages. On average, deductibles have risen about seven times faster than wages, which have stayed relatively flat. Continue reading

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District Court Ruling Seeks to Expand Contraceptive Mandate Exception

A new ruling out of the U.S. District Court for the District of Columbia would expand the types of organizations that can opt out of providing employees with coverage for contraceptives. The Affordable Care Act (ACA) requires that group health … Continue reading

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