May 24, 2024 | Announcements, Compliance, Consolidated Appropriations Act of 2021 (CAA), Regulatory
You might remember that the Consolidated Appropriations Act of 2021 (CAA) requires all health plans to file a pharmacy data report annually to the Centers for Medicare & Medicaid Services (CMS). Each year, the Prescription Drug Data Collection reporting (RxDC)...
May 14, 2024 | Compliance, Plan compliance review, Regulatory
As our clients know, when you choose MedBen as your third party administrator, our dedicated Compliance Department performs a thorough check of your plan to ensure that it complies with applicable state and federal regulations. And our Compliance team continues to...
Apr 26, 2024 | Caroline Fraker, Compliance, MedBen University, Mental Health, Mental health parity, Regulatory, Roundtables
At the Municipality & Public Employer Roundtable on April 24, MedBen Senior Vice President Caroline Fraker discussed mental health parity and how proposed rules are expected to affect self-funded employers in 2025. “Mental health and substance use disorder...
Apr 12, 2024 | Announcements, Centers for Medicare & Medicaid Services (CMS), Compliance, Medicare, News, Regulatory
On April 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Announcement of Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the “Rate Announcement”). The Rate Announcement...
Feb 2, 2024 | Announcements, Compliance, Form 1094, Form 1095, IRS, News, Regulatory
Last year, the IRS finalized rules requiring all employers filing ten (10) or more returns to make those filing electronically, via the IRS’ e-File system. The 10-form threshold is determined based on the total number of forms the employer is required to file with the...
Dec 21, 2023 | Announcements, Compliance, Independent Dispute Resolution (IDR), No Surprises Act (NSA), Regulatory
This past August, a federal court in the Eastern District of Texas vacated certain portions of regulatory guidance establishing the fees charged under the No Surprises Act (NSA) Independent Dispute Resolution (IDR) process. In response to the court’s Order, on...
