December 5, 2020
PCORI, TRF and HIP Fee Highlights
The IRS and the Department of Health and Human Services have issued final regulations that provide details on several fees that will be due as part of the Patient Protection and Affordable Care Act (ACA). Self-funded plans will calculate and pay these fees directly. Insurers will calculate and ...
December 1, 2020
Spending Bill Extends PCORI Fee and Repeals Cadillac Tax, HIP Fee, and Medical Device Excise Tax
On December 20, 2019, President Trump signed the Further Consolidated Appropriations Act, 2020 (Act) to keep the federal government running through September 2020. The Act significantly affects provisions under the Patient Protection and Affordable Care Act (ACA), largely though one fee ...
November 24, 2020
Scam Alert | Beware of PreTexting
Earlier this afternoon, two Purple Card clients independently reported that a team member of theirs received a fraudulent phone call. The callers represented themselves to be with a company contracted by the health plan for their prescription benefits and made it sound as if they already knew ...
November 17, 2020
When Boundaries Collide: Holidays & COVID-19
The holidays are often associated with friends, family, and food. It is a great excuse to get folks together whom you may not have seen all year. Calendars resemble a bingo card as celebrations fill dates for weeks, if not months, in advance. Historically, the biggest obstacle you had to work ...
November 12, 2020
Advocacy in Action | Resolving Denied Claims
One member reached out to The Purple Card with an issue about her MRI. It was denied and she was potentially liable for over $6,500. Her Patient Advocate started working her purple magic! After reaching out to the doctor and the insurance company multiple times, the appeal was approved and the ...
November 11, 2020
Compliance Recap | October 2020
October was a busy month in the employee benefits world. The Department of Health and Human Services (HHS) renewed the public health emergency due to COVID-19 which took effect on October 23, 2020. The Internal Revenue Service (IRS) issued Notice 2020-76 regarding deadline extensions and ...
November 11, 2020
Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency Interim Final Rules
The Department of Labor (DOL), Department of Health, Department of Health and Human Services (HHS), and the Department of the Treasury (Treasury), collectively “the Departments,” released interim final rules regarding implementation of the Coronavirus Aid, Relief, and Economic Security (CARES) ...
November 10, 2020
HRIS Clean-Up: Bad Data In, Bad Data Out
What would you say if I told you Human Resource Information Systems (HRIS) have been around since the 1980s? It’s true. The use of software to organize and store employee data gained popularity during the dot.com era and continued to grow as the role of human resources evolved – from that of an ...
November 9, 2020
Final Rules on Coverage Transparency Part 2
On October 29, 2020, the Internal Revenue Service (IRS), Department of Labor (DOL), and the Department of Health and Human Services (HHS) (collectively, the Departments), released final rules on coverage transparency, in order to provide health coverage recipients with an estimate of their ...
November 6, 2020
Final Rules on Coverage Transparency Part 1
On October 29, 2020, the Internal Revenue Service (IRS), Department of Labor (DOL), and the Department of Health and Human Services (HHS) (collectively, Departments), released final rules on coverage transparency, in order to provide health coverage recipients with an estimate of their ...
