Where we’re going

Steering though the continuously shifting landscape of healthcare regulation can be daunting, especially when it comes to the Affordable Care Act (ACA). With the ACA’s affordability threshold for employer-sponsored health plans shifting annually, staying compliant is more critical than ever for applicable large employers (ALEs). In a recent Benefits Magazine article, Jack M. Towarnicky, ERISA … Continued

In response to ongoing challenges within the No Surprises Act (NSA) framework, Rep. Greg Murphy (R-NC) and colleagues have introduced new legislation to close existing loopholes and enhance patient protection. This proposed bill (H.R.9572) focuses on increasing penalties for group health plans and health insurance providers who violate balance billing regulations, ensuring that patients are … Continued

In a significant move to address the growing crisis of medical debt, New Jersey recently announced plans to forgive $100 million in medical debt for residents. This initiative is designed to alleviate the financial strain that medical bills place on individuals and families, particularly those in low-income brackets. Spearheaded by the state’s partnership with the … Continued

Understanding health coverage and its Explanation of Benefits (EOBs) is a common and persistent challenge for many Americans. Christine Cooper, CEO of aequum, addresses this issue in a recent Medical Economics article. The article presents fundamental insights to anyone seeking to understand the intricacies of health coverage and the steps necessary to bring much-needed transparency … Continued

In a constantly shifting healthcare landscape, the introduction of new legislation like the Medical Debt Cancellation Act can have profound implications for plan sponsors. Understanding these changes is crucial, especially when they could significantly impact both employees and employers. Recently, Christine Cooper, CEO of aequum LLC, and Jack Towarnicky, member of aequum LLC, highlighted these … Continued

Recently proposed legislation, the Medical Debt Cancellation Act, has garnered attention for its promise to alleviate the financial burdens from accumulated medical expenses faced by countless Americans. The Act proposes the cancellation of certain medical debts, providing temporary relief to those overwhelmed by healthcare costs. It is a legislative response to the growing challenge of … Continued

As healthcare costs rise, transparency in hospital pricing has becomes more consequential. The recent updates to the Hospital Price Transparency Rule provide plan sponsors and claims administrators with essential tools to effectively manage healthcare claims. Understanding the Hospital Price Transparency Rule The Hospital Price Transparency Rule, mandated by the Centers for Medicare & Medicaid Services … Continued

Health Savings Accounts (HSAs) have long been touted as a valuable tool in the arsenal of health coverage. Remember, it isn’t what you pay that counts, it is what you pay, after taxes.  Originating in 2003, HSAs provide a triple tax benefit: contributions are tax-deductible, earnings grow tax-free and withdrawals for qualified medical expenses are … Continued

Employer-sponsored health plans provide substantial tax advantages for employers while helping companies to attract and retain employees. Employer-paid premiums for health insurance are exempt from federal income and payroll taxes. Additionally, the portion of premiums employees pay is typically excluded from taxable income. The exclusion of premiums lowers most workers’ tax bills and thus reduces … Continued

This year’s Self-Insurance Institute of America (SIIA) Price Transparency Forum served as a vital platform for industry leaders to discuss the importance of transparency and navigating complex issues. During the event, presenters and attendees examined key issues, providing insights and key takeaways, particularly around the Federal IDR Process and the J&J litigation. The Federal Independent … Continued