Category Archives: health care

Obama-era Fiduciary Rule Voided by U.S. Appeals Court

Last week, a federal appeals court voided the DOL’s Obama-era fiduciary rule. The rule was adopted in 2016 in an attempt to curb conflicts of interest among providers working with Americans that were planning for retirement. The Fifth U.S. Circuit … Continue reading

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New All Agency Memorandum Establishes Tiered SCA Fringe Rate

Federal contractors already know that the Service Contract Act (SCA) fringe rate is generally updated annually. In 2016, the Department of Labor (DOL) issued All Agency Memorandum 221, which made no change to the the fringe rate of $4.27 per hour … Continue reading

Posted in compliance, DOL, employee benefits, Executive Orders, Fair Labor Standards Act, federal contractors, fringe benefits, government contractors, health care, labor laws, paid sick leave, Service Contract Act, Uncategorized, worker classification | Leave a comment

Discussion About Prescription Drug Coverage Grows With Awareness of Opioids, Contraceptives, Spiking Prices

In the past year, legislators, employers, the media and healthcare consumers have focused on a variety of topics related to prescription drug coverage and use. The opioid epidemic sweeping the country, changes in access to contraceptives and the rising prices of prescription drugs have all contributed to a renewed interest in how insurance plans cover prescription drugs and how health care consumers use them. Continue reading

Posted in compliance, contraceptive mandate, employee benefits, employer-sponsored group health plans, health care, health care costs, health care price transparency, prescription drug prices, Supreme Court | Tagged , , , , , , , | Leave a comment

EEOC Lawsuit Probes Intersection Between ADA, Wellness Programs

A new case out of the U.S. District Court for the Western District of Wisconsin tested the boundaries of the Americans with Disabilities Act (ADA) with respect to employer wellness programs. 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

Posted in ACA, Affordable Care Act, health care, health care payment processing, health insurance, health insurance claims | Tagged , , , , , | Leave a comment

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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