Compliance

The study said that 53% of respondents said their ACA compliance requirement were overly burdensome, 21% said the requirement were somewhat burdensome.

For benefits professionals, administering employer sponsored health plans and providing employee participants with access to affordable, quality health care is one of the greatest economic challenges of today — and the foreseeable future.

How health insurers hide behind HIPAA in sharing any meaningful claims data with you about your employees while farming every imaginable fact about all plan members.

Federal policy changes may have public health prevention ripple effects – from vaccination to screening rates to workplace flextime so workers can still have access to care – and company policies will now need be reevaluated.

The rule would require prior authorization decisions within 72 hours for expedited, urgent requests and seven calendar days for standard, non-urgent requests – and denials would be required to include a specific reason.

Employers need to ensure that employees are informed about changes to their health benefits, regarding COVID testing and vaccines, and offer coverage to those affected by the suspension of Medicaid dis-enrollments.