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The Departments of Labor, Treasury, and Health and Human Services jointly issued Final HIPAA Wellness Rules. These rules affect what employers can and cannot do with population health management program incentives for plan years on or after January 1, 2014. read more

All Plan Sponsors must determine if their Plan(s) meet Minimum Value. Minimum Value determinations will affect employers and their employees in terms of coverage decisions and the potential for employer penalties to be incurred if an employee participates in the exchange and qualifies for a subsidy. Whether the Plan(s) met Minimum Value or not is information that must be included in the Summary of Benefits and Coverage (SBC) as well as the Exchange Marketplace Notice (which must be distributed to all employees by October 1, 2013). read more

Beginning with plan years on or after January 1, 2014, annual and lifetime dollar limits on Essential Health Benefits (EHBs) are prohibited. However, other forms of cost containment, including day and/or visit limits, will continue to be allowed. This regulation applies to both non-grandfathered and grandfathered plans. The following categories of services are considered read more

Health care reform created a new nonprofit corporation, the Patient-Centered Outcomes Research Institute, to support clinical effectiveness research. read more