New Claims Reimbursement and Records Request Requirements for California Plans and Insurers
On September 27, 2024, two new bills were signed into law that will have an impact on California health care service plans ...
Healthcare
New Prescription Drug Requirements for Kentucky
Joining Idaho, Oklahoma, and Florida, Kentucky Governor Andy Bashear signed SB 188 into law earlier this year, which is new legislation ...
Hospital & Fixed Indemnity Insurance: New Notice Requirement
Recently, the Departments of Labor, Health and Human Services, and the Treasury (collectively, the Departments) released final regulations which, among ...
CMS Final Rules on Civil Monetary Penalties for Medicare Secondary Payer Reporting to be Applied on or after October 11, 2024
The Centers for Medicare and Medicaid (CMS) issued Final Rules on how and when civil monetary penalties may be imposed ...
California Makes Changes to State Disability Insurance and Paid Family Leave
On September 28, 2024, California Governor Gavin Newsom approved SB 1090, which makes changes to California state disability insurance (SDI) and paid family ...
Health Insurance Options for Small Businesses and Startups
PPO? HMO? HDHP? People often think of health insurance as a confusing alphabet soup for a reason. For small businesses...
California Mandates Infertility & IVF Coverage
On September 29, 2024, California Governor Gavin Newsom signed bill SB 729 into law, which requires fully insured, large group health plans to ...
Mental Health Parity Final Rules Released
On September 9, 2024, the Departments of Treasury (IRS), Labor (DOL) and Health and Human Services (HHS) (collectively, the “Departments”) published their ...
Telehealth Extension Update
Since January 1, 2020, temporary relief has permitted high deductible health plans (HDHPs) to provide telehealth services at low or no cost ...
[Updated]: HIPAA Privacy Rule Amended to Support Reproductive Health Care Privacy: Employer Impact
Recently, the Department of Health and Human Services (HHS) published a Final Rule, HIPAA Privacy Rule to Support Reproductive Health ...
GLP-1 Coverage: Group Health Plan Considerations
GLP-1 medications (glucagon-like peptide 1 such as Ozempic, Mounjaro, Zepbound, and Wegovy) have become popular topics of discussion since their arrival ...
Addressing Rising Medical Costs: Strategies for Startups
The rising cost of providing health insurance to employees has become a pressing issue for employers today. PWC’s Health ...