Overhaul Prior Authorization Process
Do you know insurers are overhauling the prior authorization process? Insurers, such as UnitedHealthcare, Cigna and Aetna, are announcing plans to revamp their prior authorization processes. These decisions were made as insurers await an impending...
Read MoreNew HHS Regulations “Clarify” that Health Plans Covering Families Must Have “Embedded” Individual Cost-Sharing Limits
By Stacy Barrow, TIG’s Compliance Attorney (Proskauer) On February 27, 2015, the Department of Health and Human Services (HHS) released its final HHS Notice of Benefit and Payment Parameters for 2016. The lengthy regulation covers...
Read MoreConcierge Medicine (like MD-VIP): A Word of Caution
Concierge Medicine is getting a lot of attention these days–especially in mid-Missouri–as some well-thought-of physicians have joined MD-VIP. These programs are popular for a reason. They apparently allow the participating physicians to practice health care...
Read MoreDeductible Limits Repealed for Small Groups
April 4, 2014 Under the Affordable Care Act (ACA), non-grandfathered, fully insured health plans in the small group market had to restrict deductibles to no more than $2,000 (self-only coverage) and $4,000 (family coverage). These...
Read More