Sep 27, 2023 | Compliance, MedBen Access, MedBen WellLiving, Mobile App, Online Services, Preventive Care, Primary Care, Wellness exam
Believe it or not, the end of 2023 is fast approaching… so it’s a good time to remind your plan members to schedule their yearly wellness exam! Many plans may require members to get their wellness exam by December 31 to stay compliant – and failure to do...
Sep 4, 2023 | Compliance, Plan changes, Regulatory
Q: Are plan sponsors required to provide members advanced notice when making midyear changes to the plans? A: Yes! Under the Affordable Care Act (ACA), there are two notification requirements that apply to changes made midyear. These notifications are in addition to...
Jul 25, 2023 | Caroline Fraker, Claims data, Compliance, Consolidated Appropriations Act of 2021 (CAA), No Surprises Act (NSA), Regulatory
MedCity News reports on the latest in a series of lawsuits by large self-funded employers against national carrier administrators. These cases place a spotlight on health plan administrators that do not provide employers access to their medical claims data, in...
Jul 24, 2023 | Compliance, Department of Labor, Mental Health, News, Regulatory
On July 10, 2023, the United States Office of Management and Budget (OMB) received the Department of Labor’s newly proposed Mental Health Parity regulations. This latest installment in health plan Mental Health Parity compliance is expected to be released in the near...
Jun 27, 2023 | Asthma, Blood pressure, Cholesterol, Compliance, Diabetes, Hypertension, MedBen WellLiving, Wellness
Did you know that, historically… 76% of all office visits,81% of all inpatient admissions, and91% of all Rx prescriptions … are related to one or more of these chronic conditions? AsthmaCholesterolDiabetesHeart diseaseHypertension However, there is a...
May 30, 2023 | Claims data, Compliance, Employer Dashboard, HIPAA, MedBen Analytics, Privacy, Reporting, Reviews
A Fortune 500 company recently filed a lawsuit against a national third-party administrator for refusing to turn over requested claims data. It’s the latest in a series of legal actions taken by employer health plans against insurers for failing to share data....
