August 2, 2011 (PLANSPONSOR.com) - PPACA requires that group health plans provide a new external appeal, on top of the initial claims and appeals already provided under the...
July 26, 2011 (PLANSPONSOR.com) - The interim final rule (IFR) for claims and appeals under PPACA introduced a concept of providing health plan explanations of benefit (EOBs) in...
July 19, 2011 (PLANSPONSOR.com) - What types of health insurance policies and self-insured health plans are subject to the PPACA health coverage fee to fund comparative effectiveness research? ...
July 12, 2011 (PLANSPONSOR.com) - What is the amount of the PPACA health coverage fee to fund comparative effectiveness research and for what years does it apply?
July 5, 2011 (PLANSPONSOR.com) - We have devoted a few columns to the new claims and appeals requirements under PPACA and, in particular, the ever-changing effective dates and...
June 28, 2011 (PLANSPONSOR.com) - Last year, a number of health plans requested a "waiver" from the annual limit requirements under PPACA under a process established by the...
June 21, 2011 (PLANSPONSOR.com) – Legislative amendments and modifications are a reality of life.