The Affordable Care Act (ACA) requires health insurance issuers and self-insured plan sponsors to pay Patient-Centered Outcomes Research Institute fees (PCORI fees). The fees are reported and paid annually using IRS Form 720, the Quarterly Federal Excise Tax Return. Form 720 and full payment of the PCORI fees are due by July 31 of each…
On May 16, 2023, the IRS released Revenue Procedure 2023-23 to provide the inflation-adjusted limits for health savings accounts (HSAs) and high deductible health plans (HDHPs) for 2024. The IRS is required to publish these limits by June 1 of each year. These limits include: These limits vary based on whether an individual has self-only…
Colorectal cancer is the fourth most common cancer, excluding some types of skin cancer, and the fourth leading cause of cancer-related deaths for adults in the United States, according to the Centers for Disease Control and Prevention. Colorectal cancer occurs in the colon or the rectum, and it is often curable if the cancerous polyps…
Employers are getting creative in an effort to reduce their healthcare costs, including looking for alternatives to the typical preferred provider organization (PPO) plan. Many are choosing self-insurance coupled with reference-based pricing (RBP), which is the assessment and payment of medical claims based on Medicare reimbursement data or the provider’s self-reported cost to deliver the…
A full-service health plan solution with the savings of reference-based pricing (RBP) built-in provides savings that could never be achieved with a PPO, and more freedom too. And with those cost savings, employers are laying the groundwork to be more competitive. The reference-based pricing (RBP) model starts at the bottom with an actual cost amount,…
At American Health & Wellness, we are not your average benefits broker, we believe it is our job to help improve the health and well-being of employees to reduce healthcare costs for our clients. My name is Penny and as Vice President of Wellness Programs and Services I design organizational health and wellness programs. I…
At American Health & Wellness, we are not your average benefits broker. We believe it is our job to help improve the health and well-being of employees to reduce healthcare costs for our clients. My name is Paige and as the Director of Wellness Programs and Services, it is my job to design and implement…
RBP: A Transformative Solution
Experts warn of a “tripledemic” threat of respiratory syncytial virus (RSV), influenza (flu) and COVID-19 this winter. With several viruses circulating, you may worry about every cough or sneeze and wonder what you have. Since these illnesses are all caused by viruses that affect your respiratory system, they also share some symptoms. This can make…
The Consolidated Appropriations Act, 2023 (CAA), which was signed into law on Dec. 29, 2022, extends the ability of high deductible health plans (HDHPs) to provide benefits for telehealth or other remote care services before plan deductibles have been met without jeopardizing health savings account (HSA) eligibility. This extension applies for plan years beginning after…