#fiduciaryresponsibility

Reference-Based Pricing and Its Compliance Considerations

While we were at the National Association of Health Underwriter’s Capitol Conference, we ran into quite a few friends and blog readers. Several asked us to write a post about reference-based pricing. Specifically, they inquired if there are any compliance-related concerns. Since we love to accommodate our friends, here it is! Overview of Reference-Based Pricing [...]

What To Do About The Medicare Creditable Coverage Requirements

Many employers have a deadline coming up soon to file their annual Medicare prescription drug disclosure with the federal Centers for Medicare and Medicaid Services (CMS).  So we want to discuss the Medicare creditable coverage requirements. What they are and why employers need to comply. Also, who has to do what, when, where, and how. [...]

ERISA Disclosures for Health Plans – Is There A Better Way?

This week we are talking about disclosures mandated by the Employee Retirement Income Security Act of 1974 (ERISA) and its related amendments.  Or, what normal people call the paper that comes with your health insurance policy.   Disclosures keep coming up because we are in the thick of open enrollment season when many notices are [...]