Providers
Provider News
January 3, 2020
The Patient-Centered Outcomes Research Institute (PCORI) fee was set to expire in 2019 for most self-insured health plans (2020 for others), but the SECURE Act has extended it for 10 years.
October 15, 2019
In Revenue Procedure 2019-29, the IRS announced that the 2020 shared-responsibility affordability percentage will be decreased from the 2019 limit. Under the Affordable Care Act (ACA), employer-sponsored health coverage will satisfy the affordability requirement if the lowest-cost self-only coverage option available to employees does not exceed 9.78 percent of an employee’s household income.
October 15, 2019
As of January 1, 2020, responsible reporting entities (RREs) must report prescription-drug coverage to the Centers for Medicare & Medicaid Services (CMS). Currently, RREs are required to report information to CMS about individuals who are entitled to Medicare and are covered under a group health plan, so CMS may determine whether the plan is primary to (pays before) Medicare.
July 2, 2019
The Patient-Centered Outcomes Research Institute (PCORI) fee under the Affordable Care Act is due from sponsors of applicable self-funded health plans by July 31, 2019.
July 2, 2019
The IRS has released the 2020 cost-of-living amounts (COLAs) for HSA-qualifying high-deductible health plans.