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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.

IRS' 2023 Contribution Limits For HSA, FSA, 401(K): What Plan Sponsors Need To Know

Following recent announcements by both the IRS and the Social Security Administration, we now know most of the dollar amounts that employers will need in order to administer their benefit plans for 2023.

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Biden Administration Proposes Crackdown On Scam Medicare Ads

The Biden administration on Wednesday proposed a ban on misleading ads for Medicare Advantage plans that have targeted older Americans and, in some cases, convinced them to sign up for plans that don’t cover their doctors or prescriptions.

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After Congress Extends Subsidies, Officials Urge Nevadans To Get Health Insurance

State officials are urging Nevadans to take advantage of low-cost health insurance plans available on the marketplace created through Obamacare, touting a multi-year extension of government subsidies approved over the summer through the Inflation Reduction Act.

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Out-Of-Pocket Health Costs Spiked In 2021

Americans’ out-of-pocket health spending rose 10.4% in 2021, a growth rate not seen since 1985 that was driven in part by demand for dental services, eyeglasses and medical supplies, according to Centers for Medicare and Medicaid Services’ annual National Health Expenditures report. The big picture: Overall health spending grew by only 2.7%, a much smaller rate than ...

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Health Insurance is Helping Cool Inflation. But ‘It’s Not a Very Good Reflection’ of What People Pay, Cautions Economist

In an environment of high inflation, health insurance costs are doing the opposite: They’ve begun to deflate, and are poised to continue dropping each month until fall 2023, economists predict. Health insurance prices fell by 4% in October and 4.3% in November, according to the consumer price index, a key measure of inflation. By comparison, the ...

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Annual Employer Compliance Responsibilities

Each year brings annual compliance responsibilities to employers regarding their health plans, federal Affordable Care Act (ACA) compliance, and COBRA responsibilities. It’s important for employers to be aware of – and adhere to – these responsibilities, supported by their health insurance brokers.

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Employers Estimate Health Benefits Costs Will Rise 5.4% Next Year

Analysts at Mercer polled more than 2,000 employers representing 124 million full-time and part-time employees and found that they expect benefits costs to increase by 5.4% next year. And they're expecting faster cost growth to continue in the near future, according to the survey.

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The System Feds Rely On to Stop Repeat Health Fraud Is Broken

The federal system meant to stop health care business owners and executives from repeatedly bilking government health programs fails to do so, a KHN investigation has found.

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CMS Proposes Cap On Nonstandard ACA Plans, Network Adequacy Standard Changes For 2024

The Biden administration wants to limit to two the number of nonstandardized Affordable Care Act (ACA) exchange plans an insurer can offer on HealthCare.gov in 2024 as part of an effort to make it easier for consumers to pick a plan. The Centers for Medicare & Medicaid Services (CMS) released Monday the proposed Notice of ...

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Amazon Ends Support For Third-Party HIPAA-Compliant Alexa Skills

Amazon is ending support for a program that allowed patients to share HIPAA-protected health information with healthcare organizations through Alexa. The news was first reported by Voicebot.ai. The invite-only program, which first launched in 2019, allowed select developers to create and launch HIPAA-compliant healthcare skills for Alexa (skills are the third-party voice apps that run on Alexa ...

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