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Displaying items by tag: group health insurance broker

The American Health Care Act (AHCA) bill was passed by the House of Representatives on May 4, 2017. (To catch up on the content of the House bill, click here).  Instead of agreeing with The House proposal, Senate Republicans instead drafted their own bill, released on June 22, called the Better Care Reconciliation Act (BCRA).

This BCRA bill includes features such as:

Published in Healthcare Legislation
Wednesday, 28 June 2017 14:11

Filing Deadline for PCORI Fees 7/31/2017

The Patient Centered Outcomes Research Institute (PCORI) fee is due July 31, 2017 for employers with any type of self-funded plan and/or a Health Reimbursement Arrangement. 

The fee helps fund unbiased research that evaluates the clinical effectiveness of medical treatments regardless of the profit potential. This fee is also known as the Comparative Effectiveness Research Fee, or CERF.

Published in Healthcare Legislation
Wednesday, 14 June 2017 14:02

Finally, a Little Relief on Drug Trends

According to an article released by Optum, recent data shows Hepatitis C medications are positively contributing to specialty drug trend reductions and achieving lasting clinical results.

FDA approved medications for Hepatitis C, such as Sovaldi and Harvoni, started entering the market in 2013, and with great controversy. These medications have been effective, but at a huge cost. The initial price (which has since moderated) of a single course of a typical drug could run $85,000 – 95,000 in just three months.
Published in Industry Trends
Wednesday, 24 May 2017 11:22

Frustrated with Your Healthcare Costs?

Are you tired of seeing your benefit costs skyrocket year after year? Frustrated about having little or no control over the cost of healthcare? These frustrations make some employers worry about the future of their benefits package, and thus, their ability to attract and retain the right workers.  

Published in Best Practices
Tuesday, 16 May 2017 11:14

Updates on ACA Reporting and Repeal

The American Health Care Act (AHCA) revised bill designed to repeal/replace the Affordable Care Act (ACA) passed on the House Floor on May 4, 2017. The revised bill included several amendments from the original bill, including changes to limits on Flexible Spending Account (FSA) contributions, age-ratio limits, coverage for pre-existing conditions and essential health benefits (EHB). The bill is headed to the Senate floor where it will either be amended, or the Senate could start from scratch with their own bill. 
Published in Healthcare Legislation
Monday, 08 May 2017 10:58

2018 HSA Limits Announced

In early May, the IRS published inflation-adjusted Health Saving Account (HSA) contribution limits for 2018, along with minimum deductible and maximum-out-of-pocket expenses for the high deductible health plans (HDHP) associated with HSAs. 
Published in Compliance
Thursday, 27 April 2017 08:22

Introducing an Online One-Stop HR Solution

Fall River is excited to announce that our clients will now have complimentary access to HR360, a comprehensive online Human Resources portal designed to help you comply with employment and benefit laws in all 50 states. With HR360, you’ll find easy, step-by-step guidance on a broad range of laws and policies. Even non-clients can check it out at no cost! 

Published in Industry Trends
Friday, 14 April 2017 09:49

The Final Market Stabilization Rule

There is much uncertainty around what will happen with the Affordable Care Act, and the Individual Exchanges created by the ACA have suffered from:

  • carriers exiting the marketplace (in part due to the uncertainty over subsidies and enforcement of the mandate);
  • skyrocketing prices in many areas; and
  • concerns over the risk pool the market is attracting.  

Stabilizing the individual and small group markets is a top area of concern, and HHS issued final regulations for market changes on April 13, 2017.  

Published in Healthcare Legislation
Employers are naturally concerned about their rising healthcare costs, and are always looking for ways to cope with this ongoing situation.  While Fall River helps its clients create year-round strategies to address costs over the long term, some employers need some short term or one-time savings. 
Published in Industry Trends
After weeks of intense ACA repeal and replacement efforts, House Republicans withdrew the American Health Care Act (AHCA) bill on Friday, March 24th, when it was clear they lacked the votes for it to pass. 
 
The AHCA would have kept a few key components of the Affordable Care Act, such as the protection for people with pre-existing conditions as well as allowing dependent children to remain on their parent’s plan until age of 26.  The bill would have eliminated many of the taxes and the individual / employer mandates, as well as significantly defunded Medicaid. 
Published in Healthcare Legislation
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