Supreme Court Upholds One Vaccine Mandate, Strikes Down the Other |
As a result of the Court’s decision regarding the vaccine mandate for healthcare workers, providers subject to the rule in 24 states will now need to establish plans and procedures to ensure their staff are vaccinated and to have their employees receive at least the first dose of a COVID-19 vaccine… Read More |
Compliance Now: Health Plans Must Pay 100 Percent of the Cost for over-the-Counter COVID Testing |
The FAQs specifically require that plans cover OTC COVID-19 tests without imposing any cost-sharing, prior authorization or other medical-management requirements. The guidance also expressly provides that these tests must be… Read More |
Compliance Now: Administration Announces 2023 out-of-Pocket Limits and PCORI Fee for the Upcoming Year |
The limits apply to cost-sharing items like copayments, deductibles and coinsurance expenditures. Premiums and spending for non-covered services do not count toward the out-of-pocket limits. The limits for 2023, as announced by the Centers for Medicare and Medicaid Services, are… Read More |