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Compliance

This section focuses on health care compliance and regulations – both national and state – including the ACA. It includes changes in health care law, regulation, and court decisions and their impact on health insurance professionals, employers, and individuals.

Out-Of-Pocket Costs Can Vary Widely For Specialty Drugs In Part D

Medicare beneficiaries face wide variation in spending for specialty drugs across Part D plans, according to a new analysis. A report from GoodRx finds coverage variations between plans can lead to high out-of-pocket costs for medications, based on the top specialty medications covered under an Aetna Part D plan with more than 445,000 members. For example, the ...

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CalSavers Registration Deadline Approaching For 50+ Employers – June 30, 2021

California enacted a new law in 2016 requiring employers that do not already sponsor an employee-retirement plan to participate in a state-run retirement program called CalSavers. The law, implemented in stages, compels automatic enrollment in the program for employees, beginning with a 5% salary reduction, although employees can opt-out or make changes to the plan. ...

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Apple Unveils Automated Health Data Alerts, In-EHR Record Sharing, Fall Risk Analysis And More At WWDC 2021

Apple iPhone users will soon be able to review long-term analyses of their health, receive automated alerts of changes to their loved one’s condition and share health data directly to their provider’s EHR system through the Apple Health app, the tech company revealed today at its annual WWDC event. These health features will land alongside ...

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IRS Answers ARP COBRA Subsidy Questions

On May 18, 2021, the IRS released Notice 2021-31, answering 86 questions on the COBRA subsidy under the American Rescue Plan (ARP).  This client alert covers highlights from the IRS Q&As.  For more details, please contact us or register for our June 2 webinar, COBRA Subsidy 2.0.

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US Companies Can Mandate Vaccinations, Federal Agency Says

U.S. companies can mandate that employees must be vaccinated against COVID-19, the Equal Employment Opportunity Commission announced in a Friday statement.

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Federal Gov’t Says Employers Can Offer Vaccine Incentives

Employers can offer incentives to their employees to get the coronavirus vaccine without running afoul of federal anti-discrimination law, the Equal Employment Opportunity Commission said on Friday.

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Biden Administration Signals It’s in No Rush to Allow Canadian Drug Imports

The Biden administration said Friday it has no timeline on whether it will allow states to import drugs from Canada, an effort that was approved under President Donald Trump as a key strategy to control costs.

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A Nation Slowly Emerging From Pandemic Honors Memorial Day

A nation slowly emerging from social distancing measures imposed by the coronavirus pandemic honored generations of U.S. veterans killed in the line of duty on a Memorial Day observed without the severe pandemic restrictions that affected the day of tribute just a year ago. Memorial Day parades and events were held in localities large and ...

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First HRA Council Meeting May Hint At Future Of Individual Health Insurance

A new HRA Council held its first meeting Friday, and the founding member list could give hints about which insurers have the strongest interest in the commercial individual major medical insurance market. Organizers of the Washington-based group say it will be a non-partisan, nonprofit coalition that will promote awareness of health reimbursement arrangements (HRAs), help develop HRA standards, ...

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Health Spending Would Increase by 23% Under Biden Budget

Health spending would increase by almost a quarter of its current funding level as the White House aims to build a new health research agency, eliminate racial and socioeconomic disparities, and beef up the nation’s public health preparedness. President Joe Biden’s budget request, released Friday, includes includes $133.7 billion for the Department of Health and Human ...

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