Implications of Abortion Decision for Employee Benefit Plans

By Jennifer Berman, CEO, MZQ Consulting On Friday, June 24, the Supreme Court released its decision in Dobbs v. Jackson Women’s Health Organization finding that the United States Constitution does not guarantee a right to abortion access.  This decision effectively overturns its prior decisions in Roe v. Wade and Planned Parenthood v. Casey.  The decisionContinue reading “Implications of Abortion Decision for Employee Benefit Plans”

Delaware Passes Mandatory Paid Leave Law

By: Jennifer Berman, CEO, MZQ Consulting On May 10, Delaware Governor Carney signed the Healthy Delaware Families Act establishing a mandatory paid leave program, making Delaware the eleventh state to enact such a program. Contributions towards the program will begin on January 1, 2025.  Benefits will be available starting January 1, 2026. The available benefitsContinue reading “Delaware Passes Mandatory Paid Leave Law”

Revised Surprise Billing Independent Dispute Resolution Guidance

By: Jessica Waltman, Principal, Forward Health Consulting The Centers for Medicare and Medicaid Services recently opened the much-anticipated federal Independent Dispute Resolution (IDR) Portal, a component of the No Surprises Act section of the Consolidated Appropriations Act of 2021 (the Act).  The opening of the portal and newly released guidance are part of the implementationContinue reading “Revised Surprise Billing Independent Dispute Resolution Guidance”

2023 Limits Announced for High Deductible Health Plans and Health Savings Accounts

By: Megan Diehl, Manager, Compliance Consulting, MZQ Consulting Late last week, the Internal Revenue Service released updates to the maximum annual 2023 contribution limits for health savings accounts (HSAs) under high deductible health plans (HDHPs). These adjustments, which have increased slightly from 2022, apply to both individual and family coverage. The updates also include deductibleContinue reading “2023 Limits Announced for High Deductible Health Plans and Health Savings Accounts”

Proposed Regulations Issued to Substantially Increase Access to Federally Subsidized Health Insurance

Jennifer Berman, CEO, MZQ Consulting On April 5, 2022, the Administration issued new proposed regulations changing certain aspects of the affordability and minimum value rules under the Affordable Care Act (“ACA”).  Notably, the rules only impact whether an individual is eligible for federally subsidized health insurance; they DO NOT change the affordability requirements for applicableContinue reading “Proposed Regulations Issued to Substantially Increase Access to Federally Subsidized Health Insurance”

CAA of 2022 Includes Federal Extension to Telehealth Protections for HDHPs

By: Jessica Waltman, Principal, Forward Health Consulting Last week, Congress passed the Consolidated Appropriations Act (CAA) of 2022, a $1.5 trillion governmental funding package.  Among its many provisions, the bill extends access to telehealth services for individuals who are covered under a health savings account (HSA)-qualified high deductible health plan (HDHP). Typically, HSA-qualified HDHPs cannotContinue reading “CAA of 2022 Includes Federal Extension to Telehealth Protections for HDHPs”

Recent Guidance Expands Preventive Care for Women

By: Megan Diehl, Manager, Compliance Consulting, MZQ Consulting Under the ACA, non-grandfathered group health plans must provide benefits for “preventive care” on a first-dollar basis. This means such coverage must be provided at no cost to participants (i.e., no co-payments, co-insurance, or deductibles may be applied).  For this purpose, preventive care includes: Evidence-based items orContinue reading “Recent Guidance Expands Preventive Care for Women”

New Updates to Surprise Billing Independent Dispute Resolution Process

By: Megan Diehl, Manager, Compliance Consulting, MZQ Consulting Last week, a federal judge for the Eastern District of Texas invalidated a portion of the independent dispute resolution (IDR) process outlined in the interim final rules for the No Surprises Act (the Act).  The Act, which applies to plan years that take effect on or afterContinue reading “New Updates to Surprise Billing Independent Dispute Resolution Process”

New Guidance on the Federal Surprise Billing Process

By: Lee Susan Spiegel The new federal prohibition on surprise billing first went into effect on January 1, 2022 (and applies to plan years beginning on or after that date).  The new rules prohibit providers from charging “out-of-network” rates for emergency care, air ambulance services, and all care by an “out-of-network” provider in an “in-network”Continue reading “New Guidance on the Federal Surprise Billing Process”