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PCORI fees are due by Monday, August 1, 2022 | PA Employee Benefits Advisors

By way of background, the Affordable Care Act (ACA) created the Patient-Centered Outcomes Research Institute (PCORI) to study clinical effectiveness and health outcomes. To finance the Institute’s work, a small annual fee—commonly called the PCORI fee—is charged on group health plans. Grandfathered health plans are not exempt. Most employers do not have to take any … Continued

Transparency in Coverage | Pennsylvania Benefits Consultants

Health plan price transparency helps consumers know the cost of a covered item or service before receiving care. Beginning July 1, 2022, most group health plans and issuers of group or individual health insurance will begin posting pricing information for covered items and services. This pricing information can be used by third parties, such as … Continued

Employer Medicare Part D Notices Are Due Before October 15 | PA Benefit Advisors

Are you an employer that offers or provides group health coverage to your workers? Does your health plan cover outpatient prescription drugs—either as a medical claim or through a card system? If so, be sure to distribute your plan’s Medicare Part D notice before October 15. Purpose Medicare began offering “Part D” plans—optional prescription drug … Continued

July 2017 Compliance News | PA Benefit Advisors

Health Reform Update After many months of working on possibly repealing and replacing the Patient Protection and Affordable Care Act (ACA), it looks like Congress might be ready to throw in the towel for the time being. A revised plan to change parts of the ACA and restructure Medicaid alienated both very conservative Republicans and … Continued

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