ThomsonReuters

MAY 4, 2023

QUESTION: During the COVID-19 pandemic, we established a telehealth-only plan to provide benefits to individuals who were not eligible for coverage under our regular group health plan. ANSWER: During the COVID-19 pandemic, telehealth-only benefits have been exempt from certain requirements that otherwise apply to group health plans.

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ThomsonReuters

JUNE 2, 2022

CMS has created an online fact sheet that summarizes the HIPAA administrative simplification requirements that apply to covered electronic health care transactions. The fact sheet first summarizes general rules and lists the transactions for which standards have been adopted. Contributing Editors: EBIA Staff.

Compliance 98

Compliance 98

ThomsonReuters

MAY 18, 2023

ANSWER: Telehealth benefits (also referred to as telemedicine benefits) are often offered under an employer’s group health plan, which is governed by ERISA if sponsored by a private sector employer. Even if telehealth benefits are offered separately from the employer’s group health plan, the benefits are likely subject to ERISA.

Compliance 95

Compliance 95

ThomsonReuters

FEBRUARY 17, 2022

QUESTION: We’ve heard there is a requirement to report prescription drug and health care spending to the government in 2022. The agencies have indicated that the data is to be submitted through the RxDC module in the Health Insurance Oversight System (HIOS) (see our Checkpoint article ). Contributing Editors: EBIA Staff.

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ThomsonReuters

JULY 14, 2022

ANSWER: Telehealth benefits (also referred to as telemedicine benefits) are often offered under an employer’s group health plan, which is governed by ERISA if sponsored by a private sector employer. Even if telehealth benefits are offered separately from the employer’s group health plan, the benefits are likely subject to ERISA.

Compliance 98

Compliance 98

Benzinga

JANUARY 10, 2023

Oak Street Health Inc (NYSE: OSH ) shares are trading higher as CVS Health Corp (NYSE: CVS ) is reportedly exploring an acquisition of primary care center operator. providing care for more than 159,000 patients at the end of last year. providing care for more than 159,000 patients at the end of last year.

Private Equity Firm 52

Private Equity Firm Equity 52

Law 360 M&A

DECEMBER 14, 2023

The North Carolina attorney general announced Thursday his office is pursuing legal action against for-profit hospital network HCA Management Services on allegations of unsafe and unsanitary conditions at an Asheville hospital, claiming HCA broke its promise to maintain the quality of care that existed when it purchased Mission Health System four years (..)

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ThomsonReuters

MARCH 17, 2021

QUESTION: Next year, our company will set up an HRA and a health FSA covering the same employees. ANSWER: Unless you design your plan differently, the general ordering rule is that expenses are paid first from the HRA, until the HRA balance is exhausted, and then from the health FSA. Plans Cover Different Expenses.

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ThomsonReuters

NOVEMBER 24, 2021

Interim Final Rule: Prescription Drug and Health Care Spending, 26 CFR Part 54, 29 CFR Part 2590, 45 CFR Part 149, 86 Fed. 23, 2021); Fact Sheet: Prescription Drug and Health Care Spending Interim Final Rule With Request for Comments (Nov. 66662 (Nov. Regulations. Fact Sheet. News Release.

Compliance 98

Compliance Marketability 98

ThomsonReuters

JANUARY 5, 2023

QUESTION: Several participants in our company’s health FSA have asked whether vitamins qualify for reimbursement. ANSWER: Unless your plan imposes additional limits, the answer depends on whether the vitamins are being taken for general health or for a specific medical condition. What should I tell them?

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ThomsonReuters

OCTOBER 20, 2022

Health FSAs. For 2023, the dollar limit on employee salary reduction contributions to health FSAs will be $3,050 (up from $2,850). For 2023, the dollar limit on employee salary reduction contributions to health FSAs will be $3,050 (up from $2,850). Small Business Health Care Tax Credit. Archer MSAs.

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Benzinga

APRIL 7, 2023

Read on for the full interview in which Shah discusses Rocket's stock movement, the lessons he learned from his previous roles at Eli Lilly And Co (NYSE: LLY ) and Novartis AG (NYSE: NVS ), whether future M&A plans are in the works and why World Health Day , which started in 1950 and is commemorated on April 7, is still a noteworthy event.

Marketability 97

Marketability 97

ThomsonReuters

JULY 29, 2021

QUESTION: A few participants in our company’s health FSA told us that their doctors have started charging patients a monthly fee that is payable whether or not the patients visit the office. Can our health FSA reimburse this fee? ANSWER: Generally, fees of this type are not reimbursable.

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ThomsonReuters

JANUARY 5, 2023

Congress has passed, and the President has signed, the Consolidated Appropriations Act, 2023 (CAA, 2023), containing provisions that impact both retirement and group health plan sponsors and advisors. Here are highlights of the provisions affecting group health plans: Telehealth/HDHPs. Mental Health Parity.

Compliance 88

Compliance Equity 88

ThomsonReuters

APRIL 13, 2023

17, 2023) Available at [link] In a heavily redacted private letter ruling, the IRS has concluded that the cost of a product that was “neither medicine nor a drug but rather food” was not a medical care expense under Code § 213(d). 4 (“Special Foods”), and XX.M (“Table of Common Expenses, Showing Whether They Are for ‘Medical Care’”).

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ThomsonReuters

AUGUST 19, 2021

Two recently released IRS information letters provide general information about the circumstances under which health FSA participants can continue to be reimbursed for eligible expenses after termination of employment. Whether to amend a plan is solely in the employer’s discretion.

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ThomsonReuters

AUGUST 15, 2022

Supplemental Public Health Emergency (PHE) Leave. The Colorado Department of Labor and Employment (CDLE) has updated its webpage to clarify that state law requires supplemental paid leave for a federal public health emergency that is declared a “highly fatal infectious agent.” San Francisco.

Comps 97

Comps 97

ThomsonReuters

MARCH 16, 2023

QUESTION: Our company sponsors a high-deductible health plan (HDHP) in conjunction with employee HSAs. As group health plans, HDHPs that provide dependent coverage of children must make the coverage available until a child turns age 26. The age 26 mandate does not generally apply to HSAs because they are not group health plans.)

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ThomsonReuters

OCTOBER 13, 2022

As background, the Affordable Care (ACA) enacted Code § 4980H, which imposes employer shared responsibility penalties on ALEs that fail to offer full-time employees adequate employer-sponsored health coverage. Form 1094-C generally indicates whether the ALE offered coverage to enough employees to avoid Code § 4980H(a) penalties.

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ThomsonReuters

NOVEMBER 17, 2022

QUESTION: Does our company have to pay for employees’ health coverage while they are on FMLA leave? ANSWER: Your company does not have to pay your employees’ share of health coverage premiums while they are on FMLA leave.

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Law 360 M&A

SEPTEMBER 29, 2023

billion) acquisition by health care giant UnitedHealth Group Inc. of EMIS Group PLC, a supplier of software and information technology to Britain's general practitioners. antitrust authority Friday gave the green light to the £1.2 billion ($1.5

Technology 40

Technology 40

ThomsonReuters

NOVEMBER 11, 2021

Health FSAs. For 2022, the dollar limit on employee salary reduction contributions to health FSAs will be $2, 850 (up from $2,750). For 2022, the dollar limit on employee salary reduction contributions to health FSAs will be $2, 850 (up from $2,750). Small Business Health Care Tax Credit. Archer MSAs.

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ThomsonReuters

JANUARY 5, 2023

The rate when an automobile is used to obtain medical care—which may be deductible under Code § 213 if it is primarily for, and essential to, the medical care—is 22 cents per mile for 2023. To simplify administration, some employers’ health FSAs or HRAs exclude medical transportation expenses from the list of reimbursable items.)

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ThomsonReuters

JANUARY 19, 2023

QUESTION: We’ve heard that the requirement to report prescription drug and health care spending to the government has been delayed. For more information, see EBIA’s Health Care Reform manual at Section XXXVI.L (“Prescription Drug and Health Care Spending Reporting”). Contributing Editors: EBIA Staff.

Compliance 52

Compliance 52

ThomsonReuters

DECEMBER 22, 2021

Moreover, it will generally be considered a group health plan potentially subject to several other laws. EAPs typically offer a wide-ranging set of benefits to address circumstances that might otherwise adversely affect employees’ work and health.

Compliance 59

Compliance 59

ThomsonReuters

APRIL 4, 2022

As a result of the CARES Act, the Provider Relief Fund (PRF) was created to reimburse eligible health care providers for increased expenses or lost revenue attributable to COVID-19. Health and Human Services (HHS) chose to have the PRF administered by the Health Resources and Services Administration (HRSA).

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ThomsonReuters

JANUARY 13, 2022

FAQs About Affordable Care Act Implementation Part 51, Families First Coronavirus Response Act and Coronavirus Aid, Relief, and Economic Security Act Implementation (Jan. Available at [link]. Here are highlights: Coverage of OTC Tests.

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ThomsonReuters

MARCH 16, 2023

9, 2023) Available at [link] The IRS has announced 2024 indexing adjustments to the applicable dollar amount used to calculate employer shared responsibility payments under the Affordable Care Act. 2023-17 (Mar. Employers and their advisors should be on the lookout for this letter so that they are prepared to promptly review and respond.

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105

Benzinga

NOVEMBER 28, 2023

28, 2023 (GLOBE NEWSWIRE) -- Season Health, the leading integrated food-as-medicine platform, today announced the closing of a strategic acquisition of clinical assets from Wellory, one of the largest networks of registered dietitians in the country providing medical nutrition therapy to patients nationwide. Austin, TX, Nov.

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ThomsonReuters

FEBRUARY 10, 2022

The DOL, IRS, and HHS have issued additional FAQ guidance addressing the terms and conditions under which group health plans must cover over-the-counter (OTC) COVID-19 diagnostic tests. However, plans must cover these types of tests in accordance with the rules for tests ordered by a health care provider. Fraud Prevention.

Compliance 98

Compliance 98

ThomsonReuters

MARCH 17, 2022

Congress has passed, and the President has signed, omnibus spending legislation that (among other things) temporarily exempts telehealth and other remote care services from certain restrictions affecting health savings account (HSA) eligibility. The relief does not apply for the first three months of 2022 so some plans (e.g.,

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Rhythm Systems

AUGUST 23, 2022

As a general rule, CEOs need easy access to a few key performance indicators—they need a CEO KPI dashboard that allows them, at a glance, to monitor how healthy the business is at a given point in time. The CEO KPIs are critical to the overall health of your business and should be chosen carefully!

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ThomsonReuters

JUNE 16, 2022

The rate when an automobile is used to obtain medical care—which may be deductible under Code § 213 if it is primarily for, and essential to, the medical care—is 22 cents per mile for travel on or after July 1, 2022 (up from 18 cents per mile). For travel on or after July 1, 2022, the business standard mileage rate is 62.5

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Business Wire M&A

MAY 1, 2023

(the “Company” or “MPT”) (NYSE: MPW) today announced the commencement of its master lease with CommonSpirit Health (“CommonSpirit”) through CommonSpirit's wholly owned subsidiary of Catholic Health Initiatives Colorado (“CHIC”), to operate five general acute care hospitals in Utah.

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ThomsonReuters

MARCH 24, 2022

ANSWER: The HHS website lists three sets of preventive services (for all adults, women, and children) that must be covered without cost-sharing under the Affordable Care Act (ACA) preventive health services rules. The lists generally correspond with the grade A and B recommendations of the U.S.

Compliance 52

Compliance 52

ThomsonReuters

MARCH 3, 2022

The HHS Health Resources and Services Administration (HRSA) has issued updated preventive services guidelines for women, which it approved on December 30, 2021. 1 (“Preventive Health Services”). You may also be interested in our upcoming webinar “ Group Health Plans Quarterly Update: Q1 2022 ” (live on 3/24/2022).

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Business Wire M&A

MARCH 31, 2023

AUSTIN, Texas--(BUSINESS WIRE)--Continental General Insurance Company (together with its affiliates, “Continental General” or the “Company”), today announced that it signed a definitive agreement to acquire a block of long-term care (“LTC”) policies from Elevance Health, Inc. NYSE: ELV).

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