PPE is Now A Qualified Medical Expense

Jessica Waltman – Principal, Forward Health Consulting According to new guidance from the Internal Revenue Service (IRS), the personal protective equipment (PPE) people use to help stop the spread of COVID-19 is now a deductible medical expense under IRC Section 213(d). Common items that we all need to buy like masks, hand sanitizer, and sanitizingContinue reading “PPE is Now A Qualified Medical Expense”

President Biden’s Executive Order Marks New Era for ACA

Jennifer Berman JD, MBA – CEO of MZQ Consulting On January 20, 2017, the date of his inauguration, former President Trump issued an the first of several executive orders directing the federal government to “minimize the economic burden” of the Patient Protection and Affordable Care Act (ACA).  Last week, on Thursday January 28, 2021, PresidentContinue reading “President Biden’s Executive Order Marks New Era for ACA”

COBRA During the Pandemic: COBRA Election Opportunity Not Over For Most

The Compliance NOW! team would like to thank this post’s guest writer Michelle Turner, MBA, CEBS.  Michelle is a talented compliance professional and a good friend of the blog.  Her post below highlights an important issue that is still highly relevant for employer plans, even in the midst of the “tornado” of new rules andContinue reading “COBRA During the Pandemic: COBRA Election Opportunity Not Over For Most”

The PCORI Fee Is Going Up Again! Here’s Why and How Your Clients Need to Pay It

Jessica Waltman – Principal of Forward Health Consulting The Internal Revenue Service recently announced that the Patient-Centered Outcomes Research Institute fee (PCORI fee) will rise to $2.66 per covered life for policy years and plan years that end on or after October 1, 2020.  For group health plans with policy years and plan years thatContinue reading “The PCORI Fee Is Going Up Again! Here’s Why and How Your Clients Need to Pay It”

What Can We Expect in Terms of Federal Regulations Now That Election Season is Almost Over?

Jessica Waltman – Principal of Forward Health Consulting Since nothing is normal in 2020, Election Day decided to stretch itself out over two seasons this year. We won’t know which political party will control the United States Senate until January. Still, as states move to certify their election results, it is clear that former ViceContinue reading “What Can We Expect in Terms of Federal Regulations Now That Election Season is Almost Over?”

Major New COVID-19 and Transparency Regulations Issued Days Before the Election

Jennifer Spiegel Berman, JD, MBA – CEO of MZQ Consulting Jessica Waltman – Principal of Forward Health Consulting Two substantial new sets of final regulations were released on October 30, 2020, just days before the election.  The first clarifies and refines certain federal policies in response to COVID-19.  The second is the long-awaited transparency rulesContinue reading “Major New COVID-19 and Transparency Regulations Issued Days Before the Election”

Data, Information, and Healthcare Price Transparency

Submitted by Ed Oleksiak, Senior Vice President of Employee Benefits for Holmes Murphy. Used with permission from Holmes Murphy. Despite an election year’s numbing impact on regulatory and legislative healthcare change, one issue that could move forward in 2020 is “healthcare price transparency.” On June 24, 2019, President Trump issued Executive Order 13877 directing federal agencies toContinue reading “Data, Information, and Healthcare Price Transparency”

What is Medical Loss Ratio and How Do You Handle MLR Rebates?

Submitted by Annette Bechtold, Senior Vice President of Regulatory Affairs and Reform Initiatives for OneDigital. Used with permission from OneDigital. The Medical Loss Ratio, or MLR, is the percentage of premium dollars received by a health insurance carrier that is spent on medical claims and quality improvement. The Affordable Care Act (ACA) requires health insurance carriersContinue reading “What is Medical Loss Ratio and How Do You Handle MLR Rebates?”

IRS Expands List of Preventive Care for HSA Participants to Include Certain Care for Chronic Conditions

Today the IRS added care for a range of chronic conditions to the list of preventive care benefits that may be provided by a HSA compatible high deductible health plans (HDHP). Notice 2019-45, lists the new types of medical care that may be treated as preventive care for this purpose. Individuals covered by an HSAContinue reading “IRS Expands List of Preventive Care for HSA Participants to Include Certain Care for Chronic Conditions”