Plan Sponsors of self-funded medical plans should insist on full audit rights. Unfortunately, PPO contracts restrict, or even eliminate a plan sponsor’s right to audit. See PPO Letter
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Day: December 5, 2012
2014 – What Employers Should Be Thinking About Now
Employers have choices to make before 2014………………………
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HHS Releases New Standards Related To Essential Health Benefits
“Acknowledging some ambiguity in the ACA statute, the proposed rule clarifies that these cost-sharing limitations (such as maximum deductibles and out-of-pocket amounts) apply only in the small group market. They do not apply to self-insured plans, nor to health insurance issuers offering coverage in the large group market.”
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PPACA, Section 1334 – Republican Trojan Horse?
If the Administration wants to make good on President Obama’s election night promise to work across the aisle to solve the nation’s problems, a good place to start would be how it implements a key provision of Obamacare – namely, the Republican idea buried in Section 1334.
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Health Insurers Gear Up To Sell Direct
“………policies aimed at individuals and Medicaid beneficiaries will look a bit different than those commonly sold to employer groups. They will feature smaller networks of doctors and hospitals……”,