Insurance News

March 10, 2023

President Biden Releases Budget Proposal, Plan to Deal with Medicare Insolvency

The White House released President Biden’s $6.8 trillion budget request for the fiscal year 2024. The budget includes increased taxes for wealthier income brackets, enhanced tax credits and a plan to delay Medicare insolvency. As is normally the case with a president’s budget proposals, many aspects will probably not be taken up by Congress – […]
March 10, 2023

Major Insulin Manufacturer Announces $35 Cap for Certain Products

Drug manufacturer Eli Lilly & Company announced last week that it will be capping patient out-of-pocket costs for certain insulin products at $35 per month. The company’s announcement follows the passage of the Inflation Reduction Act (IRA), which instituted such a cap for Medicare beneficiaries. “While the current healthcare system provides access to insulin for […]
February 17, 2023

Federal Agencies Issue Surprise-Billing Dispute-Resolution Guidance after Lawsuit

On February 10, the administration announced that federal agencies are evaluating and updating federal independent dispute resolution (IDR) guidance following a district court ruling. In the latest decision, U.S. District Judge Jeremy D. Kernodle vacated all of the revised regulations challenged by the association, including the rule that arbiters must primarily consider the qualifying payment amount (QPA). […]
January 6, 2023

Congress Passes End-of-Year Omnibus That Includes NABIP-Supported Provisions

Congress passed a $1.7 trillion omnibus package at the end of December. The massive spending package included two major NABIP-supported provisions regarding telehealth and long-term care. Individuals will now be able to use existing retirement accounts to pay for long-term insurance. More specifically, the provision will permit individuals to pay up to $2,500 each year […]
December 9, 2022

HHS Releases New Guidance as the Surprise-Billing Ban Faces Another Legal Challenge

HHS released new guidance this week related to the surprise-billing ban included in the Consolidated Appropriations Act of 2021 (CAA). The CAA – which passed at the end of 2020 – included the No Surprises Act, which holds patients harmless from surprise medical bills, including from air-ambulance providers, by ensuring they are only responsible for their in-network […]
October 28, 2022

Will the Family Glitch Final Rule Apply to the Upcoming OEP?

NAHU received clarification from CMS/CCIIO late last week regarding the implementation of the family-glitch final rule as it related to the upcoming open enrollment period that runs from November 1 through January 15. As a reminder, an employer’s plan is not considered affordable if the employee must contribute more than 9.5 percent (9.61 percent in […]
October 7, 2022

Mergers and Acquisitions: UnitedHealth and Walgreens Finalizes Purchases, Data Management Sector Sees Interesting Acquisition

In this week’s news in the world of healthcare mergers and acquisitions: UnitedHealth Group has finalized its acquisition of Change Healthcare following a district court ruling in their favor, Walgreens finalized its majority stake in home healthcare company CareCentrix, and provider data management vendor Kyruus announced acquisition of patient engagement platform Epion Health. After a […]
September 23, 2022

New Bill to Allow COBRA to Be Considered Creditable Coverage Introduced in House

On September 9, Representatives Kurt Schrader (D-OR), Gus Bilirakis (R-FL), Mike Thompson (D-CA), Lloyd Smucker (R-PA), Mikie Sherrill (D-NJ) and Tim Walberg (R-MI) introduced H.R. 8791, legislation that would create a one-time special enrollment period (SEP) for seniors enrolled in COBRA coverage to enroll in Medicare Part B without a penalty. This is an issue […]
April 20, 2021

PPE Is Now a Qualified Medical Expense

According to new guidance from the IRS, the personal protective equipment (PPE) people use to help stop the spread of COVID-19 is now a deductible medical expense under IRC Section 213(d). Common items that we all need to buy, like masks, hand sanitizer and sanitizing wipes, could now be part of someone’s medical-expense deduction on […]
December 4, 2020

Coronavirus Vaccines Are on the Way but Are States Ready for Them?

With Pfizer’s and Moderna’s coronavirus vaccines on their way to FDA approval, Americans should anticipate widespread deployment of at least one company’s concoction over the next few months. A limited number of COVID-19 vaccine doses may start to become available as early as this month, with more doses available over time. There is, however, one […]