Health Insurance Industry Issues and Legislation

ROCKVILLE, MD – December 3, 2024 – H.H.C. Group (H.H.C), the leader in reducing healthcare costs by providing high-quality cost containment using claim negotiation, repricing and independent review solutions, effectively addresses the burdens of managing an enormous volume of year-end claims. With fast, reliable turnaround times, personalized service, expert-driven strategies and a commitment to compliance, H.H.C. helps healthcare payors, TPAs, stop-loss carriers and employers efficiently tackle this seasonal surge, streamline operations and reduce the cost of care.

Most Americans, across party lines, support keeping the federal tax exclusion for employer-sponsored health benefits, according to polls by the American Benefits Council and America's Health Insurance Plans.
Although President-elect Trump and congressional leaders haven't proposed changes yet, the Republican Study Commission has suggested a capped tax exclusion for health insurance premiums for both employers and individuals.

The Fifth Circuit recently upheld the federal No Surprises Act (NSA), which governs how health provider rates are determined in surprise medical billing disputes, adding complexity to the already intricate health claims payment system.
The court reversed a lower district court's decision that the NSA's dispute resolution process, implemented in 2022, overstepped the statute's authority. The Texas Medical Association was the primary plaintiff in the case.

The term "health care dollar" is often used to discuss overall medical expenses, but where does that money actually go? According to AHIP, total hospital costs make up 40.7 cents of every dollar spent and prescription drugs make up nearly a quarter, or 24.2 cents, of every dollar spent.