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Legislative Updates

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Essential Benefits - Balancing Flexibility and Affordability

02/01/2012

On Tuesday, January 24, BenefitMall’s CEO Bernard DiFiore participated in a panel discussion during a general session of the National Association of Health Underwriters Annual Capitol Conference focusing on several pivotal issues associated with how best to define and implement the “essential benefits” requirement pursuant to the Patient Protection and Affordable Care Act (PPACA).

Federal Health Care Reform Overview: 2011 Wrap-Up and 2012 Outlook

01/13/2012

In terms of federal health care reform, many social, economic and political forces are shaping how the Patient Protection and Affordable Care Act (PPACA) is being implemented.

Essential Benefits More Flexible for States

12/16/2011

Today the U.S. Department of Health and Human Services (HHS) announced through a press release that state exchanges will now determine their benchmark for essential benefits based upon use of the most popular plans in their region and the 10 benefit categories of care that were originally defined in the health care reform regulations.

State Exchanges Remain Unclear: A Dozen States Move Forward to Set Up PPACA Exchange Infrastructure

12/07/2011

Under the Patient Protection and Affordable Care Act (PPACA), each state has been given the option to either create a state-run health insurance exchange or have a local exchange implemented and run for them by the federal government.

HHS Issues MLR Rule Today

12/02/2011

With probably little to no surprise to any of us, Health and Human Services (HHS) has released the Medical Loss Ratio (MLR) rule today supporting all of the regulations the National Association of Insurance Commissioners (NAIC) recommended more than a month ago. With this ruling comes the rejection of the most recent NAIC recommendation to exclude broker/agent fees from insurance companies’ allowed administrative costs.

NAIC Approves Resolution Calling for MLR Changes

11/28/2011

The National Association of Insurance Commissioners (NAIC) has passed a resolution (26-20-5) to change health care reform laws related to Medical Loss Ratio (MLR).

HHS Releases Final ACO Rules

11/17/2011

Recently, the U.S. Department of Health and Human Services (HHS) unveiled the final rules to establish and govern Accountable Care Organizations (ACO) under the Patient Protection and Affordable Care Act (PPACA).

Bernard DiFiore Addresses Essential Benefits to HHS

11/09/2011

BenefitMall’s President and Chief Executive Officer, Bernard DiFiore, met with the Department of Health and Human Services (HHS) today in Dallas to address the topic of essential health benefits.

Capitol Hill Fall Highlights

10/26/2011

As the Presidential primaries continue to heat up, Congressional lawmakers face an extensive list of legislative priorities requiring attention before the holiday recess. While many of the pressing issues revolve around the sluggish economy, health care is still on the radar.

Health Coverage Affordability - IRS Seeks Public Comment on Proposed Rule

10/13/2011

The Internal Revenue Service (IRS) has released a new proposed Rule, Notice 2011-73, which establishes a safe harbor for employers under the “shared responsibility” provisions of the Patient Protection and Affordable Care Act (PPACA).