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Gag Clause Prohibition Compliance Attestation

The Consolidated Appropriations Act (CAA), 2021, requires group health plans and health insurance...

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ACA and IRS Dollar Limits

October 12, 2022 WebTPA

The U.S. Department of Health and Human Services (HHS) finalized an increase in the annual limit on cost-sharing for essential health benefits for...

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Prescription Data Collection (RxDC) Reporting Requirements, Consolidated Appropriations Act, 2021 (CAA) Section 204

This notice provides information...
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CAA Rx Reporting

August 26, 2022 WebTPA

Upcoming PCORI Deadlines

July 26, 2022 WebTPA

At the end of 2021, the IRS raised the fee that insurers and sponsors of self-insured health plans pay annually to fund the federal Patient-Centered...

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Federal Independent Dispute Resolution (IDR) Portal is Now Open

On Friday, April 15, the Center for Medicare & Medicaid Services (CMS) launched the...

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On Feb. 23, 2022, the U.S. District Court for the Eastern District of Texas granted a motion for summary judgment in favor of the Texas Medical...

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As we enter the second month of 2022, we are sharing a status update on continued compliance efforts related to No Surprises Act and other regulatory...

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End of 2021 Compliance Update

February 11, 2022 WebTPA

Surprise Billing Notice Now Available

As part of the No Surprises Act requirements, the notice detailing individuals' rights and protections in...

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As many of the No Surprise Act (NSA) requirements are effective on or after January 1, 2022 for group health plans and issuers, we are providing a...

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