News

The bulletin describes the annual adjustment of the maximum benefit for behavioral therapy coverage. This is an amount that some health benefit plans apply to services related to treatment of conditions considered autism spectrum disorders (ASD). The

PAI successfully uploaded the 2020 and 2021 Pharmacy Benefits and Drug Costs report (RxDC) before the compliance deadline. RxDC is a provision of the Consolidated Appropriations Act (CAA) that requires group health plans and health insurance issuers

The office of Civil Rights (OCR) at Health and Human Services (HHS) issued a bulletin and resource: “ Use of Online Tracking Technologies by HIPAA Covered Entities and Business Associates.” As a reminder and in summary, it is impermissible to use

Health Resources and Services Administration (HRSA) updated the preventive services for women, effective for non-grandfathered group health plans for plan years beginning on or after Jan. 1, 2023. These Health Care Reform (ACA/PPACA) requirements

The bill HR 8594, entitled the “ Restore Protections for Dialysis Patients Act.” raises concerns because its impact on how claims are handled/covered for dialysis services. Although the issue will likely return next Congress, it appears to be less

The Consolidated Appropriations Act (CAA) & Transparency in Coverage Rule (TiC) Information for Partners and Employers