We've compiled health benefit news from sources relevant to third-party administrators. From the latest updates on COVID-related initiatives to innovation in health care, we strive to provide interesting and relevant information for our customers. COVID Impacts on COBRA In May, the U.S. Department of Labor released a rule extending the time frame in which employees […]

Deadlines for Covid-19 Related Claims Approaching A joint notice from the Department of Labor, the IRS, and the Department of the Treasury recently provided guidance to health plan administrators about upcoming deadlines and requirements under ERISA and the IRS.According to the joint notice, deadlines are from March 1, 2020 until 60 days after the announcement […]

COVID-19 Effects on TPAs Surprise Billing Ban May be Included in Latest Coronavirus Legislation As the government races to push out relief for Americans, and businesses, the newest stimulus package, may include a ban on surprise billing for those affected with COVID-19. For providers and hospitals who receive assistance from the government, lawmakers are considering […]

Treatment for Covid-19 and Insurers As the pandemic begins to effect more Americans, Vice President Mike Pence met with insurers to address concerns about the cost of treatment for those who are insured. Members of this group agreed to waive co-payments and deductibles for Covid-19 testing, however America’s Health Insurance Plans (AHIP) reiterated that out-of-pocket […]

Medicare for All and Other News “Mostly False” Rating for Sanders Statement on Single-Payer Savings Senator Bernie Sanders recently cited a study from British medical journal, The Lancet, that stated a single-payer system would save the health care system “hundreds of billions of dollars”. However, the Kaiser Health News pegged this statement as “Mostly False” […]

Health Care Coverage News SPBA Comments to Transparency Coverage Rule The Society of Professional Benefits Administrators has issued comments to CMS regarding the proposed transparency rule and some concerns SPBA has about how the rule will affect third-party administrators. Some of the issues raised in the comments include the cost of compliance. Some of the […]

Health Care News IRS Due Date Extension! According to the Society of Professional Benefit Administrators (SPBA), the IRS is extending the due date for turning in 2019 Forms 1095-B and 1095-C to individuals from January 31, 2020 to March 2, 2020. Reporting entities must meet two conditions to not receive a penalty under section 6722 […]

New Hospital Pricing Transparency Rule Released On November 15, the Trump administration released the details of its hospital pricing transparency rule which it says will save patients money because they will get to shop around for the best pricing “for all services including drugs, supplies, facility fees and care by doctors who work for the […]

Health Care Industry News Humana Study Shows $265 Billion Is Wasted Each Year on Health Care Since 2014 the rate of insured Americans had been increasing, however, since 2017, the rate of uninsured has increased from 25.6 million people to 27.5 million. Health care advocates point to a decline in coverage under public health programs […]

Find us at the SIAA Conference—Booth 500! Sep 30th - Oct 2nd, 2019 The annual SIIA conference will be happening at the end of this week in San Francisco and Complete Health Systems will be there. Stop by booth #500 to enter our contest and learn more about how we can build a claims management […]