The IRS has announced the 2024 employer mandate penalties under the Affordable Care Act for employers with 50 or more full-time equivalent employees. Under the ACA, employers may be subject to an employer mandate penalty for (1) failing to offer minimum essential coverage to 95% of full-time employees (A Penalty) or (2) offering coverage that is not affordable (B Penalty).
According to Statista, nearly half of Californians (48.1% in 2021) get their health insurance through their job. The percentage in Nevada is slightly less – at 45.9%. The Kaiser Family Foundation (KFF) found in its 24th Employer Health Benefits Survey (EHBS) in 2022 that the average annual premiums for employer-sponsored health insurance was $7,911 for single coverage and $22,463 for family coverage.
CAA 2022 Prescription Drug Data Collection (RxDC) Requirements For Health Plans – Due June 1st, 2023
The Consolidated Appropriations Act (CAA) Rx Data Collection (RxDC) component requires health plans/issuers to produce and file reports on prescription drug and health care spending for the 2022 calendar year by 6/1/2023. These reports are due annually and will be due by June 1st each year thereafter.
Courts at the state and federal levels continue grappling with the application of California insurance law to COVID-19 business interruption claims. Much uncertainty remains as to how California law applies in a number of scenarios presented by the pandemic.
A U.S. lawmaker is taking action after a KHN investigation exposed weaknesses in the federal system meant to stop repeat Medicare and Medicaid fraud and abuse. Rep. Lloyd Doggett (D-Texas) said he decided to introduce a bill in the House late last week after KHN’s reporting revealed what he called a “shocking loophole.” “The ability of fraudsters ...
The U.S. Justice Department has dismissed its own appeal challenging UnitedHealth Group’s (UNH.N) nearly $8 billion acquisition last year of Change Healthcare, a court filing showed. The healthcare deal was seen as a blow to the Biden administration’s tougher enforcement of antitrust issues. The Justice Department had argued the deal would give UnitedHealth, the largest U.S. health ...