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Employee benefits are non-wage compensations that are provided by employers to their employees, which may include health insurance, retirement plans, and vacation time. These services can include the provision of benefits such as health insurance, retirement plans , and other non-wage compensations.
A legislative fix to surprise medical billing is not working the way lawmakers imagined it would work. According to this Politico Pro article, private equity groups are disproportionately benefiting from the No Surprises Act, and the law may inadvertently lead to higher health insurance premiums. Access the article.
The Centers for Medicare & Medicaid Services (CMS) announced in March that it would allow health plans under Medicare Part D (the Medicare prescription drug benefit) to cover Wegovy and other weight-loss medications if they receive Food and Drug Administration (FDA) approval for an additional medically accepted indication.
In a recent article in Managed Healthcare Executive, Peter Wehrwein examines the trend of self-funding of group health benefits by smaller employers who used to depend mainly or entirely on fully insured programs.
Comments submitted in response to the proposed regulations under the Mental Health Parity and Addiction Equity Act (MHPAEA) reflect a broad range of perspectives. An example of this trend is […] The post The MHPAEA Proposed Rule: Standards of Care and Medical Necessity appeared first on EMPLOYEE BENEFITS BLOG.
A question in response to last week’s post on self-funding of employer group health plans assumed that stop-loss coverage under a level-funded plan could be provided under a group captive medical captive. However, it cannot (at least not without first obtaining a prohibited transaction exemption from the US Department of Labor (DOL)).
The Protect Illinoisans from Unfair Medical Debt bill will require Illinois hospitals to take a much more active role in limiting consumers’ medical debt. The bill puts into place four primary requirements designed to reduce the medical debt burden of individuals receiving care.
The enactment of the Affordable Care Act in 2010 led to a sharp increase in employers self-funding their group health insurance plans, with the market tripling in size in the decade that followed.
Group health plan sponsors, third-party administrators and other health plan service providers must navigate a shifting legal landscape as they determine how to offer gender-affirming benefits, including whether − and to what extent − group health plans must cover gender-affirming medical or surgical treatments, especially regarding minors.
Inflation is on the rise and so are the prices of everything, from gasoline to housing, with health benefits in the workplace the latest to report worrying numbers. Health benefits for employees are proving to be a huge investment for employers , with total health benefit cost per employee expected to rise 5.4%
The proposed regulations […] The post Treasury, DOL and HHS Issue Landmark Mental Health Parity Proposed Rule appeared first on EMPLOYEE BENEFITS BLOG. The proposed regulations […] The post Treasury, DOL and HHS Issue Landmark Mental Health Parity Proposed Rule appeared first on EMPLOYEE BENEFITS BLOG.
To get a comprehensive view of what they would benefit from, it is a good idea to involve their GP, says Kayleigh Frost, head of clinical at Health Assured. “As Seeking input from medical professionals and occupational health, and consulting fully with the employee are also good forms of support.
This can include free health insurance or a company car. With such a big push on employee wellbeing, offering benefits is a great way to ensure that your company is looking after the welfare of its workers, making them more likely to stay with your company. What are flexible benefits?
This post continues our focus on comment letters submitted in response to proposed regulations under the Mental Health Parity and Addiction Equity Act (MHPAEA). The proposed regulations were issued earlier this year by the US Departments of Labor, Health and Human Services and the Treasury (the Departments).
They offer a range of benefits, including health insurance, retirement plans, wellness programs, dental and vision coverage, and more specialized services like mental health support and child care assistance. They help identify the most suitable benefits, such as health insurance, retirement plans, and wellness programs.
If you sponsor a high deductible health plan (“HDHP”) and have been tracking telehealth relief, your head may be spinning and rightfully so! The relief allows, but does not require, HDHPs to provide telehealth and other remote care services on a pre-deductible basis without making participants health savings account (“HSA”) ineligible.
Take the example of a leading technology company where, by just introducing flex-time for its employees, allowing them to work from home, and far better health benefits, the whole approach toward implementing employee benefits was changed. Health insurance Arguably, this is the most important prerequisite of a good benefits package.
Effective January 1, 2022, the No Surprises Act protects healthcare consumers from surprise medical billing under certain circumstances. These companies reported receiving […].
The US Department of Health and Human Services Office for Civil Rights (OCR) recently announced a settlement with a community hospital resolving an investigation under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) privacy and security rules.
On August 3, 2023, the US District Court for the Eastern District of Texas ruled on the implementation of the No Surprises Act in Texas Medical Association, et al. US Department of Health and Human Services, et al.
From the Family and Medical Leave Act (FMLA) to the Fair Labor Standards Act (FLSA), we’ll break down the essential regulations that can impact your business. The Family and Medical Leave Act (FMLA): A Balancing Act The FMLA is like that aunt who always shows up uninvited to family gatherings.
The US Department of Health and Human Services Office for Civil Rights (OCR) recently reached a $4.75 million settlement with a New York City hospital for alleged violations of the Health Insurance Portability and Accountability Act (HIPAA). Million Over HIPAA Violations appeared first on EMPLOYEE BENEFITS BLOG.
The predominant of these in the United States is the “police powers“ described by the words “health, safety, and welfare." I lack medical training and expertise regarding the procedure and the potential for untoward outcomes or problems is nearly endless. America is presently in a difficult position as regards, medical care.
As reported in our January 7, 2022 SW Benefits Blog “ The DOL Asks and Answers Questions About the New Welfare Plan Fee Disclosure Rules ,” group health plans must now comply with the ERISA Section 408(b)(2) disclosure requirements. United States Department of Health and Human Services, et al.,
Social and Community managers: Government offices and non-profit organizations are always on the lookout for welfare officers. Medical and Healthcare managers: One can specialize in medical benefits and compliance issues. There are opportunities in hospital management systems, hospitality business, and sports management.
On September 9, 2024, the US Departments of Health and Human Services , Labor, and the Treasury finalized a rule related to the Mental Health Parity and Addiction Equity Act. This rule introduces significant updates to mental health and substance use disorder benefits, ensuring parity with medical and surgical benefits.
The district court granted summary judgment to the Texas Medical Association, which had brought suit against the US Departments of Health and Human […] The post District Court Vacates Provisions of No Surprises Act Final Rule appeared first on EMPLOYEE BENEFITS BLOG.
state-mandated disability, family medical leave) Employee benefits Employment practices liability insurance (EPLI) Administrative costs (both tangible and intangible) Tangible costs could be those associated with payroll administration Intangible costs might include the time and effort that comes with administering payroll.
Choosing a health care plan is not an easy task. Some employers send out surveys to their employees to get more insight on what they want included in the company’s health care plan. Here’s some information that may help you identify your company’s and employees’ medical insurance wants and needs. Health Care Costs.
If you sponsor a high deductible health plan (“HDHP”) and have been tracking telehealth relief, your head may be spinning and rightfully so! The relief allows, but does not require, HDHPs to provide telehealth and other remote care services on a pre-deductible basis without making participants health savings account (“HSA”) ineligible.
14 (SB 14), which prohibits physicians and other licensed medical professionals from providing gender-affirming medical care to minors. In May 2023, the Texas Legislature passed Senate Bill No. The bill faced numerous legal challenges but ultimately went into effect on September 1, 2023.
Department of Health & Human Services (“HHS”) published a final rule to amend the HIPAA Privacy Rules to support reproductive health care privacy (the “Reproductive Health Care Rules”). The Reproductive Health Care Rules’ protections only apply when the reproductive health care is lawful.
Image courtesy – Shutterstock ) Employees leave for many reasons, and while some include personal conditions like health and relocation of the family, there are many that pertain to the organization. Other employee retention examples include comprehensive benefits packages that are tailor-made to suit the employees’ welfare.
What kind of health and welfare benefits attract and retain employees? With unemployment at a 50-year low, health and welfare benefits have become a big differentiator for employers, which means they need to be competitive to attract and retain employees. Benchmarking studies yield details like: Medical plan type.
Working at WEX Tinto said WEX stands out in the market by offering a holistic approach to supporting employees and their family members by offering benefits that go beyond the standard medical insurance and retirement plans. What we’re seeing and what we’re learning is that employees want choice.
Poor office hygiene can lead to both physical and mental health problems. Employee Welfare. If unsanitary conditions are forced upon staff members, mental health can quickly deteriorate, and you could see a dramatic increase in resignations as this continues. Employee Health. Health & Safety.
In recent years, states have been exploring innovative avenues to address rising healthcare costs and ensure access to affordable medication for their residents.
The federal Open Payments program is designed to promote transparency by requiring applicable manufacturers of drugs, devices, and biological or medical supplies to […]. The post New California Law Requires Open Payments Notice to Patients appeared first on EMPLOYEE BENEFITS BLOG.
Costs for medical and pharmacy benefits continue to rise, which means there are adjusted employee contributions to present to an audience who’s unlikely to understand the reasoning behind cost increases. There may be new health & welfare benefits offerings that require employees to pay close attention during the decision-making process.
One crucial aspect of ensuring the welfare of employees is the provision of paid sick leave. Paid sick leave can be taken for: Personal illness Caring for a sick family member Attending medical appointments. Employees can prioritize their health and care for themselves and their loved ones without sacrificing financial stability.
In California, pending Assembly Bill 3129 could severely limit the ability of digital health companies to grow and operate in the state by prohibiting arrangements between physician, psychiatric, and dental practices and any entity that furnishes business or management services to providers that accept investments from private equity groups and hedge (..)
welfare or employee assistance programs. Health competency: Education contributes to health competency, which is key for employees to fully understand the details of healthcare benefits. Employees who are educated on their benefits are better equipped to make informed healthcare decisions and access necessary medical services.
And decent, yet affordable, medical and retirement benefits can be out of reach. Due to standardized accounting principles, a company’s financials should be a relatively transparent view of its fiscal health, existing assets and product market fit. There may be compliance laws you didn’t realize you were breaking.
This post continues our consideration of comments submitted in response to proposed regulations under the Mental Health Parity and Addiction Equity Act (MHPAEA). Our previous MHPAEA content is available here.
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