Feb 11, 2025 | Benefits Advisory Conference, Benefits management, Caroline Fraker, Compliance, Forensic claims review, MedBen University, No Surprises Act (NSA), Pharmacy, Stop-Loss, Wellness
Over 70 guests from seven states attended the MedBen 2025 Benefits Advisory Conference on January 30. Featuring some of the most respected names in the industry, this invitation-only event provided brokers with an extensive look at the state of benefits...
Dec 21, 2023 | Announcements, Compliance, Independent Dispute Resolution (IDR), No Surprises Act (NSA), Regulatory
This past August, a federal court in the Eastern District of Texas vacated certain portions of regulatory guidance establishing the fees charged under the No Surprises Act (NSA) Independent Dispute Resolution (IDR) process. In response to the court’s Order, on...
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...
Feb 15, 2023 | Compliance, Independent Dispute Resolution (IDR), Lawsuits, News, No Surprises Act (NSA), Regulatory
Independent Dispute Resolution (IDR) review decisions have been placed on hold due to a lawsuit brought forth by the Texas Medical Association (TMA). The lawsuit challenges the Final Rules of the No Surprises Act, specifically those relating to how the Qualified...
Jan 9, 2023 | Announcements, Compliance, News, No Surprises Act (NSA), Regulatory, Uncategorized
Higher fees and an extended reporting deadline are among the updated No Surprises Act (NSA) guidance and relief released by the Departments of Labor, Health and Human Services, and Treasury (the “Tri-Agencies”) on December 23. Specific updates include: An...
Dec 9, 2022 | Conferences, No Surprises Act (NSA), Regulatory
The No Surprises Act and Transparency in Coverage rules (NSA) have prompted a number of questions about how it affects employer plan sponsors… so it should come as, well, no surprise that plan members also have their own questions about what the rules mean to...
