News & Articles

July 28, 2017

Shortly after 1:30 a.m. today, the Senate voted 49-51 to reject the Health Care Freedom Act (HCFA), a "skinny repeal" of the ACA. The pared-down version was attempted after previous efforts to pass a more sweeping repeal of the law have failed. Senate Majority Leader Mitch McConnell (R-KY) began floating the idea early in the week before ultimately releasing the text of the bill at 10 p.m. Thursday, just two hours before the vote. Republican Senators Susan Collins (ME), Lisa Murkowski (AK), and...

July 20, 2017

When you share a list of in-network hospitals in a health plan's network with your client, the assumption is that the member will be treated by doctors who are in-network and also accept their insurance. It is logical to assume that a plan's in-network hospital contracts with the doctors that work inside them.

Unfortunately, many times that is not the case. Consequently, the member receives a surprise bill (a.k.a balance bill) from a doctor they believed to be part of their plan's network.

Read mo...

July 14, 2017

As more cities and companies realize bicycling reduces health care expenses, they are beginning to think cycling is good for business.  Read More

July 12, 2017

The New York Times  (7/11, Kaplan, Pear, Subscription Publication) reports that on Tuesday, Senate GOP leaders said “they would unveil a revised bill to repeal and replace the Affordable Care Act on Thursday, then debate and vote on it next week.”

        On its front page, the Wall Street Journal  (7/11, A1, Peterson, Rubin, Subscription Publication) reports that the revised bill is expected to preserve the two ACA taxes on affluent households. The article adds that while this will place billion...

July 6, 2017

New California law
Effective July 1, 2017, this new state law protects individuals from receiving unexpected "surprise or balance" medical bills from an out-of-network (OON) doctor when receiving inpatient and outpatient non-emergency care and services at an in-network healthcare facility such as a hospital, clinic, lab, imaging center or other healthcare facility.

Changes to out-of-network coverage and cost-sharing
When individuals go to an in-network facility for care but receive services fro...

July 5, 2017

The New York Times  (7/3, Pear, Subscription Publication) reported that congressional Republicans are moving to stop the IRS from enforcing the ACA’s requirement that most Americans have health insurance or pay a tax penalty. While the plan “is separate from Republican efforts to repeal the health care law, and appears more likely to be adopted because it would be written into the annual spending bill for the Treasury and the I.R.S.,” it “has a similar purpose: to weaken the health law that Pres...

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