ComplianceMnthlyRecap MH 5.16.22

Cost-Sharing Limits; Provider Discrimination FAQ Released

Posted by: Danielle Capilla    Jun 25, 2015 11:00:00 AM

FAQ releasedRecently, federal agencies, including the Department of Labor (DOL), issued a short five-question FAQ on two ACA-related issues: limitations on cost-sharing and provider discrimination.

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Topics: PPACA Affordable Care Act, Group health plans, cost-sharing limit, provider discrimination

Final Rule Issues Standards for Insurers and Marketplaces in 2016

Posted by: Linda Rowings    Mar 24, 2015 11:00:00 AM

Final Rule Issues Standards for Insurers and Marketplaces in 2016Recently, the Centers for Medicare and Medicaid Services and the Department of Health and Human Services issued a Final Rule with standards for insurers and Marketplaces in 2016, covering topics such as transparency in health insurance rate increases, formulary drug lists, drug mail order opt out provisions, determination of minimum value, and benefits discrimination. Open enrollment for the 2016 benefit year will begin on November 1, 2015, and end on January 31, 2016.

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Topics: PPACA, essential health benefits, PPACA Affordable Care Act, Transitional Reinsurance Fee, cost-sharing limit, transparency in health insurance rates, insurance Marketplace, benefits discrimination