New Federal FAQs Address the ACA Preventive Care Rules for HIV Prevention, Medical Management Techniques, and Recommendations that Include a Broad Scope of Care

By: Jessica Waltman, Principal, Forward Health Consulting Federal regulators recently released frequently asked questions (FAQ) guidance about how health insurance issuers and group health plans need to implement the Affordable Care Act’s (ACA) preventive care requirements. This round of FAQs specifically explains how non-grandfathered health insurance plans must provide preventive care benefits to people atContinue reading “New Federal FAQs Address the ACA Preventive Care Rules for HIV Prevention, Medical Management Techniques, and Recommendations that Include a Broad Scope of Care”

National Prohibition on Surprise Billing Effective Starting January 1

On Thursday, July 1, 2021, the Department of Labor (DOL) issued interim final rules governing the prohibition on surprise billing contained in the Consolidated Appropriations Act, 2021 (CAA).  Under the CAA and these new rules, “surprise billing” is prohibited for plan years beginning on or after January 1, 2022.[1] A surprise bill is an unexpectedContinue reading “National Prohibition on Surprise Billing Effective Starting January 1”

IRS Releases Long-Awaited COBRA Subsidy Guidance

Jennifer Berman – CEO, MZQ Consulting Late in the afternoon of May 18, 2021, the IRS released its long-awaited guidance on the COBRA subsidy created by the American Rescue Plan Act of 2021 (ARPA). The guidance, IRS Notice 2021-31, is predominantly in question-and-answer format. It addresses eighty-six specific questions related to the ARPA COBRA subsidy.Continue reading “IRS Releases Long-Awaited COBRA Subsidy Guidance”

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”