Coverage Reforms
ISSUED 12/29/2020 What is Medical Loss Ratio (MLR)? The Medical Loss Ratio, or MLR, is the percentage of premium dollars received by a ...
Tue, Apr 13, 2021 at 10:28 PM
The Consolidated Appropriations Act, 2021 (CAA) and the Affordable Care Act’s Transparency in Coverage (TiC) Final Rules contain an array of provisions imp...
Tue, Mar 22, 2022 at 3:45 PM
https://www.onedigital.com/blog/guidance-on-insurance-coverage-of-otc-covid-19-tests/ On January 10, 2022, the DOL, HHS and Treasury (the Departments) r...
Wed, Jan 12, 2022 at 9:53 AM
The Health Resources and Services Administration (HRSA), a division of HHS, released approved updates and revisions to the Women’s Preventative Services Gui...
Thu, Mar 31, 2022 at 3:12 PM
Insurance Reform Description Applicable to (PHSA §) Grandfathered Plans? Plan Years Beginning On September 23, 2010 Prohibiti...
Mon, Mar 29, 2021 at 3:29 PM
On July 19, 2021, the DOL, HHS and Treasury (the Departments) released another round of Affordable Care Act (ACA) frequently asked questions. The question a...
Wed, Sep 22, 2021 at 11:37 AM
ISSUED 12/23/2020 Healthcare reform requires self-insured plan sponsors to complete and submit Form 720 (and its accompanying 720-V payment vouch...
Tue, Apr 13, 2021 at 10:28 PM
https://www.onedigital.com/blog/prescription-drug-data-interim-final-rule-released/ Posted: 11/19/2021 The Department of Health and Human Services, ...
Wed, Jan 12, 2022 at 11:20 AM
ISSUED 2/11/2021 • In June 2015, the IRS released draft forms for certain employers to use to meet their reporting obligations under the Affordabl...
Tue, Apr 13, 2021 at 10:29 PM
https://www.onedigital.com/blog/third-interim-final-rule-explains-the-independent-resolution-process/ Posted: 10/6/2021 On September 30, 2021, t...
Thu, Jan 13, 2022 at 5:42 PM