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Effective October 31, 2014, the Centers for Medicare & Medicaid Services (CMS) Office of e-Health Standards and Services (OESS), the division of the Department of Health & Human Services (HHS) that is responsible for enforcement of compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) standard transactions, code sets, unique identifiers and…
Read MorePCORI Fee IRS announced (Notice 2014-56) the PCORI adjusted applicable dollar amounts. For policy years and plan years ending on or after October 1, 2014 and before October 1, 2015, the adjusted applicable dollar amount is $2.08. For policy and plan years ending on or after October 1, 2015, and before October 1, 2019 the…
Read MoreMBA has been managing group health insurance for more than 30 years. In that time, medical technology, scientific research and community lifestyle trends have impacted both the onset and treatment of illnesses. Government regulations have transformed the way healthcare is managed and provided. Through all of that MBA has created innovative, systematic approach to promoting…
Read MoreIf you are a human resources professional, an insurance broker, or a business owner dealing with medical benefits, the audacious challenge of choosing and managing healthcare can seem a bit overwhelming, especially with the new ACA regulations. At MBA we have been working as a third party administrator for over thirty years, and we are…
Read MoreAre you compliant with PPACA requirements? Do you know about the recent changes, and who you need to work with to file all the mandated paperwork to? Included in this article are the top four action items that need attention, including; a detailed list of where to find the information, who to submit it to,…
Read MoreThere are new IRS forms, 6055, 6056, and an updated 1095, which are annual reporting requirements imposed by the Affordable Care Act. The intent behind these two forms is to identify who has access to minimum essential coverage (MEC), what costs the employer took responsibility for paying, and if an individual or family is eligible…
Read MoreUnderstanding the experience and process of receiving medical care is an important part of planning, building and collaborating to create the best possible healthcare system, including administration, diagnosis, treatment, and follow up. The Patient-Centered Outcomes Research Institute, PCORI, is a non-profit, nongovermental organization which was authorized by the Patient Protection and Affordable Care Act. This…
Read MoreAs an employer, the new rules allow a maximum 90 day watching period for new full-time hires before they are required to have health insurance coverage. The challenge with this specific regulation comes with the in-congruence between a hire date, which may be any time during a month, and the date which employee’s insurance can…
Read MoreA city raises its S&P credit rating by decreasing its employee benefits costs. In a three page report published in December of 2013, S&P applauded Marion, Indina’s drastic fiscal improvements and gave credit for the changes because of the, “city’s return to structural balance as a result of significant cost reduction, primarily in employee benefits.”…
Read MoreBy Sarah Johnson If you were in need of hip replacement, would you be willing to receive $8,000 to undergo the operation in a high quality international hospital? Not to mention the $2,200 out of pocket that you kept by avoiding a co-pay and a deductible. This question almost sounds ludicrous in a world of…
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