Compliance News

Medical Loss Ratio (MLR) Rebates Are Coming

Employers sponsoring a fully insured group health plan may soon be getting a check from their insurer!

Medical Loss Ratio (MLR) Rebates Are Coming

Employers sponsoring a fully insured group health plan may soon be getting a check from their insurer!

New HIPAA Administrative Simplification Fundamentals Fact Sheet

New HIPAA Administrative Simplification Fundamentals Fact Sheet From CMS - August 2024Most Group Health Plans are Covered Entities. Whether the health plan is fully-insured, self-funded or level fund...

Compliance News Week Ending August 16, 2024

Compliance News Week Ending August 16, 2024 In this Article: HHS Announces Penalties for HIPAA, Medicare Secondary Payer (MSP), and Summary of Benefits and Coverage (SBCs) Violations When is Creditabl...

Department of Health and Human Services Updates Civil Monetary Penalties

Department of Health and Human Services (HHS) Updates Civil Monetary Penalties for Certain Violations Effective August 8, 2024HHS announced adjustments of civil monetary penalties for statutes within ...

HIPAA Privacy Rule to Support Reproductive Health Care

HIPAA Privacy Rule to Support Reproductive Health Care Updated August 2024 Deemed necessary by the Department of Health and Human Services (HHS) following the U.S. Supreme Court's decision in Dobbs v....

Amwins Connect - August 2024 Question of the Month

Amwins Connect – August 2024 Question of the MonthQuestionOur medical plan year is July 1 through June 30. Coming up on our renewal, we now have less than 35 employees, so we do not believe we are an ...

Compliance News Week Ending August 9, 2024

Compliance News Week Ending August 9, 2024 In this Article: Hospital Price Transparency Current Administration Provides Reporting Tool for Emergency Medical Treatment Violations Marketplace Insurers P...

Compliance News Week Ending August 2, 2024

Compliance News Week Ending August 2, 2024 In this Article: 2025 Notice of Benefit and Payment ParametersAll Payer Claims Database (APCD)Handling Level Funded Plan Surplus Returns 2025 Notice of Benef...

ACA Health Insurance Subsidies Could Expire at the End of 2025

ACA Health Insurance Subsidies Could Expire at the End of 2025Resource for this article is from the Kaiser Family Foundation (KFF) website. The effect of the subsidies expiring would be enrollees in t...

Compliance News Week Ending July 26, 2024

Compliance News Week Ending July 26, 2024 In this Article: HIPAA Instructions and Model Attestation How Often Does a Plan Update and/or Restate a Summary Plan Description HIPAA Instructions and Model ...

States That Have Regulated Pharmacy Benefit Managers

Selected States’ Regulation of Pharmacy Benefit Managers US GAO – Government Accountability Office found the following and published their findings back in March of this year.What GAO Found Private he...