Other Healthcare Industry News

New ACA Claims Accumulation FAQs▼

New FAQs from the Department of Labor, Health and Human Services, and the Treasury provide some guidance on the implementation of new provisions of the Affordable Care Act. Specifically, the FAQs discuss

  • Deductible Limitation Compliance
  • Out-of-Pocket Maximum Compliance
  • Rules regarding Coverage of Preventative Services
  • Out-of-Network Cost-Sharing Limits for Preventative Services Not Covered by an Individual’s Plan
  • Disease, Treatment and Prescription Specific Information
  • Guidelines for Women’s Health

A link to the FAQs can be found here. Additionally, the rest of the Department of Labor’s website is great resource for regular updates and information regarding the implementation of the ACA over the next few years. We’ll be sure to update our site as more information becomes available as well.

Early Retiree Reinsurance Program (ERRP) ▼

Plan Sponsor participating in the Early Retiree Reinsurance Program (ERRP) from The Center for Medicare and Medicaid Services were given until December 31st, 2014 to use their ERRP funds in a manner specified by the ERRP Statue (which can be found here), so don’t forget to use your ERRP funds as soon as possible before time runs out! You can contact the ERRP Center directly here or call your Account Manager at Part D Advisors with any questions for concerns.