Ryan Mitchell
Final Rule Issued Under Mental Health and Substance Use Disorder Coverage
New MHPAEA rules in 2025 ensure MH/SUD benefit parity. By 2026, plans must address access gaps and prevent discrimination.
IRS Expands Eligible Medical Expenses and Preventive Care Benefits
The IRS Notices 2024-71 and 2024-75 expand eligible expenses for FSAs, HRAs, HSAs, and HDHPs. Employers should update benefit plans.
New HIPAA Rules Strengthen Reproductive Health Privacy
On April 26, 2024, the Department of Health and Human Services (HHS) released new HIPAA Privacy Rule regulations that add enhanced privacy protections for reproductive health information. The changes require covered entities, including self-insured health plans, to obtain a specific attestation before sharing Protected Health Information (“PHI”) related to reproductive health in certain cases. These regulations aim to restrict the use and disclosure of PHI for non-healthcare purposes, such as investigations or legal actions. Compliance deadlines are fast approaching, making it essential for organizations to review and update their HIPAA procedures accordingly.
How the Inflation Reduction Act of 2022 Impacts Medicare Part D and Employer-Sponsored Coverage
The Inflation Reduction Act of 2022 introduces significant changes to Medicare Part D that could impact your company’s prescription drug coverage. From new out-of-pocket caps to insulin pricing, these updates may affect your plan’s status as “creditable” coverage.
ACA Affordability Safe Harbor Adjustment for 2025
The IRS has announced an increase in the ACA affordability threshold to 9.02% for 2025. This change may require employers to adjust health coverage contributions to remain compliant with ACA regulations and avoid penalties. Learn more about how these updates impact your responsibilities as an employer.
How to Manage a Surplus in Your Self-Funded Health Plan
Learn how to use it to improve benefits or reduce costs for your employees. Discover best practices for managing surplus funds and making informed decisions.