August 2023 •
Volume 15 •
Issue 8
Providing Current Information on
Health Insurance Industry Issues and Legislation
Crack Down On Surprise Billing
As part of their ongoing endeavor to reduce healthcare expenses, the Biden administration revealed its intention on Friday to curb the prevalence of short-term health plans and surprise medical fees.
The White House proposal aims to reverse a controversial Trump-era regulation that extended the duration of short-term health plans, often criticized as "junk" plans.
If these new rules are finalized, health insurance plans claiming to be "short-term" would be restricted to only three months, with a possible extension of up to four months, instead of the current three-year maximum. Additionally, the proposed regulations would mandate plans to provide consumers, including existing enrollees, with a clear disclaimer detailing the limitations of their benefits.
The White House proposal aims to reverse a controversial Trump-era regulation that extended the duration of short-term health plans, often criticized as "junk" plans.
If these new rules are finalized, health insurance plans claiming to be "short-term" would be restricted to only three months, with a possible extension of up to four months, instead of the current three-year maximum. Additionally, the proposed regulations would mandate plans to provide consumers, including existing enrollees, with a clear disclaimer detailing the limitations of their benefits.
H.H.C Group's claims negotiation and repricing are essential components of the healthcare industry, aimed at achieving fair and cost-effective settlements between healthcare providers and self-insured clients.
Significant cost savings!
Healthcare pricing is complex and inconsistent. With a limited processing time window, claims are often managed without much analysis, objectivity, or accuracy, leading to out-of-control healthcare costs. Medicare Reference-based Pricing (RBP) is one strategy that is helping our clients realize dramatic healthcare savings by understanding the true cost of care.
Plan sponsors weigh weight management, gene therapyThe benefits landscape is witnessing a surge of new pharmacy products and services. Plan designers and their clients face the challenge of effectively incorporating them into a comprehensive package for plan members. A recent study by Pharmaceutical Strategies Group provides valuable insights into the decision-making process of these partners when it comes to selecting which products and services to offer their covered members.
Plan sponsors weigh weight management, gene therapyThe benefits landscape is witnessing a surge of new pharmacy products and services. Plan designers and their clients face the challenge of effectively incorporating them into a comprehensive package for plan members. A recent study by Pharmaceutical Strategies Group provides valuable insights into the decision-making process of these partners when it comes to selecting which products and services to offer their covered members.
Health plan improvements that are here to stay
Employers nationwide are seeking ways to enhance their plans by improving the availability and convenience of care, all while reducing expenses. Tailoring your benefits program to align with the requirements of your workforce and financial constraints is a significant endeavor. By giving priority to these trends in the decision-making process, you can guarantee that your benefits package remains at the forefront, benefiting the well-being of your employees and the success of your business.
