Jul 18, 2024 | Claims, Claims negotiation, Compliance, Subrogation
If one of your plan members is injured as the result of an accident, it’s possible that subrogation may be necessary. Subrogation is a recovery process in which medical claim costs resulting from the injury, initially covered by the employer, are reimbursed from...
Jul 8, 2024 | Affordable Care Act, Compliance, Department of Health and Human Services (HHS), Department of Labor, News, Regulatory, Supreme Court, Treasury Department
Last month, in a 6 to 3 decision, the U.S. Supreme Court overturned the “Chevron Deference” doctrine. The Chevron Deference is a principle of administrative law that has required courts to defer to how regulatory agencies interpret federal statutes (legislation...
May 28, 2024 | Affordable Care Act, Announcements, Compliance, PCORI, Regulatory
As in year’s past, no later than July 31, 2024, all self-funded employer health plan sponsors are required to file and pay their PCORI fees. You may remember that as part of the Further Consolidated Appropriations Act of 2020, Congress extended the requirement that...
May 24, 2024 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Regulatory
You might remember that the Consolidated Appropriations Act of 2021 (CAA) requires all health plans to file a pharmacy data report annually to the Centers for Medicare & Medicaid Services (CMS). Each year, the Prescription Drug Data Collection reporting (RxDC)...
May 14, 2024 | Compliance, Plan compliance review, Regulatory
As our clients know, when you choose MedBen as your third party administrator, our dedicated Compliance Department performs a thorough check of your plan to ensure that it complies with applicable state and federal regulations. And our Compliance team continues to...
Apr 26, 2024 | Caroline Fraker, Compliance, MedBen University, Mental Health, Mental health parity, Regulatory, Roundtables
At the Municipality & Public Employer Roundtable on April 24, MedBen Senior Vice President Caroline Fraker discussed mental health parity and how proposed rules are expected to affect self-funded employers in 2025. “Mental health and substance use disorder...
