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For self-funded employers, navigating the world of health insurance can be complex and often overwhelming. On this week’s episode of the Healthcare Happy Hour, we are joined by special guest Mark Lawrence, president of HM Insurance Group, to discuss the challenges that self-insured employers face, specifically regarding large, unpredictable claims …
 
Law now requires that agent, broker and consultant compensation be disclosed for arrangements entered into, renewed or extended on or after December 27, 2021. But the nature of compensation in our industry, both direct and indirect, can be complex, making compliance with broker-compensation disclosure difficult. On this week’s episode of the Health…
 
Earlier this week, CMS released a proposed rule aimed at minimizing gaps in coverage for Medicare beneficiaries and the Medicare-eligible population. The proposed regulation would implement a few policy changes that were a part of the Consolidated Appropriations Act of 2021, most notably new special enrollment periods that would be triggered in cer…
 
For several plan years now, NAHU has had the opportunity to submit comments and suggested edits to CMS regarding the next plan year edition of the “Medicare & You” handbook. On this week’s episode of the Healthcare Happy Hour, president of The Brokerage Inc. and chair of the Medicare Advisory Group Mike Smith and NAHU’s John Greene join us to discu…
 
Judge Ketanji Brown Jackson has been officially confirmed to the Supreme Court of the United States – but she has not been sworn in quite yet. Judge Jackson was confirmed by the Senate last Thursday, April 7, cementing her place in history as the first Black woman to be a member of the nation’s highest court. On this week’s episode of the Healthcar…
 
Earlier this week, the Biden Administration announced the release of a proposed rule to fix the “family glitch,” an inconsistency in current ACA regulations. Fixing the family glitch has been a legislative priority of NAHU for several years now. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner explains the family glitch and wha…
 
NAHU’s legislative advocacy work takes many forms, one of which is the process of submitting written testimony to Congress. On this week’s episode of the Healthcare Happy Hour, Senior Vice President of Government Affairs Marcy M. Buckner and Vice Presidents of Congressional Affairs John Greene and Chris Hartmann discuss two pieces of testimony we s…
 
While NAHU staff handle certain crucial duties, NAHU is ultimately a member-driven organization. That means that what we do relies on NAHU members such as you volunteering in various capacities and helping make our association what it is. Did you know that NAHU has a wide array of volunteer committees covering a large swath of areas, from legislati…
 
Following Capitol Conference, we are taking a break from policy and politics to talk about the importance of finding the right products and vendors for your agency. On this week’s episode of the Healthcare Happy Hour, we are joined by our friends Kelsey Rosauer and Steve Ogden from NAHU partner and agency management company AgencyBloc to discuss Ag…
 
This week’s episode was recorded at the Hyatt Regency on Capitol Hill during the last day of NAHU’s annual Capitol Conference, where hundreds of agents, brokers and health insurance professionals showed up both in-person and virtually to make their voices heard. On this week’s episode of the Healthcare Happy Hour, Marcy Buckner is joined by Legisla…
 
This past Friday, NAHU senior vice president of government affairs Marcy M. Buckner reviewed everything you need to know about our 32nd annual Capitol Conference before you go. Today, as promised, we are discussing our tailored legislative talking points – the list of legislative priorities and why we support or oppose them - that you will utilize …
 
Calling all Capitol Conference attendees and those curious about this year’s event: In just a little over one week, NAHU members from across the country will attend NAHU’s premier legislative event, both in-person and virtually. On this week’s episode, NAHU’s Marcy M. Buckner is here to preview this year’s conference. We break down the agenda and t…
 
We are just a little over two weeks away from NAHU’s 32nd annual Capitol Conference, where health insurance professionals from across the country will be able to meet with their legislators, in-person and virtually, to advocate on behalf of our industry. Recently, NAHU’s government affairs staff learned of a new potential threat to the employer exc…
 
January 31 was the last day for the California Assembly to pass bills introduced in 2021, including AB 1400 – a bill that would have established a single-payer healthcare system for all California residents… had it passed. Thankfully that bill did not pass, due in large part to the efforts of our guests this week. On this week’s episode of the Heal…
 
Supreme Court Justice Stephen Breyer announced this week that he will be retiring, setting the stage for President Biden to make the first Supreme Court nomination of his term. What does Breyer’s retirement mean for the Supreme Court moving forward? In addition to that piece of news, NAHU submitted comments to CMS this week regarding the proposed N…
 
NAHU’s 32nd annual Capitol Conference is going to be held in-person once again, from February 27 to March 2 at the Hyatt Regency on Capitol Hill here in the nation’s capital. This unique and inspiring meeting has the potential to be a game-changer this year. We’re sure you have plenty of questions before you register, so on this week’s episode of t…
 
On this week’s episode of the Healthcare Happy Hour, NAHU CEO Janet Trautwein sits down for a discussion with Managing Director of Business Consulting at The Alera Group Perry Braun. This is the fourth annual conversation between the two. They discuss health insurance industry trends of the last year as well as potential trends to watch in 2022, in…
 
Happy New Year! We hope you had a fun and safe holiday season and we’re happy to be back in your feed wherever you listen to podcasts. As you all know, the Consolidated Appropriations Act’s broker compensation disclosure requirements apply to contracts entered or renewed on December 27, 2021. Late last week, the Department of Labor finally issued g…
 
Surprise billing is the focus on this week’s episode of the Healthcare Happy Hour, as NAHU submitted comments to the Biden administration last week with our commentary on the latest surprise-billing interim final rule. This much-anticipated IFR, considered “Part 2” of the administration’s surprise-billing-ban regulations, was published in October. …
 
While the Senate continues deliberation on the Build Back Better Act and lawmakers await decisions from the parliamentarian on what can be included in the reconciliation package, we are taking a break from that conversation to discuss public polling and Medicare for All with very special guests from the Partnership for America’s Health Care Future.…
 
Welcome back to the podcast everyone! We hope you had a safe and fun Thanksgiving with your friends and family. On this week’s episode of the Healthcare Happy Hour, we are catching you up on several things that transpired over the break, including a new IRS notice that impacts ACA reporting requirements, the status of OSHA and CMS vaccine mandates,…
 
The Healthcare Happy Hour and Washington Update will be taking a break next week as we get together with family and friends to celebrate Thanksgiving. In light of the holiday, on this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner, John Greene and Chris Hartmann review everything that we at NAHU have been thankful for so far this yea…
 
The House of Representatives passed the INVEST in America Act last Friday, the $1 trillion bipartisan legislative package that is comprised of “pure” infrastructure provisions. Since the Senate already passed the package in August the bill is ready to be signed into law by President Biden, which is expected to occur next week. This bill is separate…
 
Back in September, HHS released a set of proposed rules dealing with broker compensation disclosure in the individual and short-term limited duration markets, as well as surprise billing requirements for air ambulance providers. As we do with all relevant proposed regulations, NAHU submitted comments to the Administration with our questions and con…
 
The White House released a new framework for Democrats’ reconciliation package this week that cuts back many of the health insurance provisions initially included in early House versions of the bill. What is still included? What has been cut? How does this framework relate to what will be included in the final version of the Build Back Better Act? …
 
Last month, federal agencies published a proposed rule regarding requirements created by the No Surprises Act, a section of the Consolidated Appropriations Act. That proposed rule deals with broker-compensation transparency requirements for individual and short-term limited duration plans as well as information regarding surprise billing of air amb…
 
On this week’s episode of the Healthcare Happy Hour, we are joined by Michelle Barki, Senior Legal Counsel at Medcom Benefit Solutions, and member of NAHU’s Compliance Corner committee. As some listeners may know, Medcom is an NAHU affinity partner. We discuss what sorts of benefit solutions Medcom offers their clients, how folks can leverage NAHU’…
 
Last week federal agencies published an interim final rule regarding requirements related to surprise billing. This much-anticipated IFR, considered “Part 2” of the administration’s surprise billing ban regulations, deals with the process to settle out-of-network payment disputes that will arise between providers and payers in addition to outlining…
 
NAHU allies in the House introduced H.R. 5318 last week, better known as the Commonsense Reporting Act. This bill deals with ACA employer reporting requirements under section 6055 and 6056. In addition, things are heating up on Capitol Hill as Democrats continue infighting regarding what to include in their reconciliation package. On this week’s ep…
 
Late last week HHS and the Treasury Department released a final rule on the 2022 Notice of Benefit and Payment Parameters, or NBPP, updating several areas and finalizing standards for issuers, marketplaces and navigators for the 2022 plan year. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner discusses what changes this final r…
 
This week HHS published a proposed rule regarding requirements created by the Consolidated Appropriations Act. This much-anticipated proposed rule deals with broker compensation transparency requirements for individual and short-term limited duration plans as well as information regarding surprise billing of air ambulances. On this week’s episode o…
 
As August recess comes to an end, Congress will be back to work on the two major legislative packages that NAHU has discussed for the past few months – the $1 trillion bipartisan INVEST in America Act, and Democrats’ $3.5 trillion dollar reconciliation package. On the July 30 edition of the podcast, we discussed the status of these packages prior t…
 
Federal agencies recently released an interim final rule, “Part One” of the highly anticipated regulation regarding the ban on surprise billing included in the Consolidated Appropriations Act of 2021. This week, NAHU submitted comments to the administration with our thoughts and concerns about the rule. If you want to hear a detailed analysis of wh…
 
Late last week, the Department of Labor released new guidance regarding the implementation of the Transparency in Coverage final rule and sections of the Consolidated Appropriations Act, or CAA. The guidance, a series of FAQs, provides an updated timeline for when these policies will go in to place, just as NAHU requested. On this week’s episode of…
 
The coronavirus pandemic has obviously altered many aspects of our society, but one in particular has been the way in which consumers think about healthcare and receive healthcare services. With millions of healthcare consumers looking for a way to see their physician without needing to leave their home, telemedicine has become a crucial conversati…
 
Did you know that NAHU has a brand-new Medicare and Medicare Advantage certification course? If you are looking for a new way to complete your annual Medicare Advantage training, NAHU should be your first stop. On this week’s episode of the Healthcare Happy Hour, NAHU’s senior vice president of education Farren Baer is here to discuss the course an…
 
August recess has already begun for the House and is poised to begin this weekend for the Senate. Now is the time to get on the calendars of your representative and senators to talk with them about NAHU’s legislative priorities. What are those priorities? On this week’s episode of the Healthcare Happy Hour, NAHU Senior Vice President of Government …
 
With August recess rapidly approaching, the Senate voted to move forward Wednesday on a $1 trillion bipartisan infrastructure deal with over $550 billion in new spending. Meanwhile, Democrats internally debate provisions of their own package, expected to top $3 trillion, which they plan to pass via the reconciliation process. On this week’s episode…
 
Last week we discussed the balance-billing ban included in the Consolidated Appropriations Act that passed at the end of 2020. This week, we’re discussing another provision that was included in the CAA – a request for information regarding reporting on pharmacy benefits and prescription-drug costs. Marcy M. Buckner explains the RFI and our response…
 
Federal agencies recently released “Part 1” of the highly anticipated regulation regarding the ban on surprise billing included in the Consolidated Appropriations Act of 2021. The 2,000-plus-page CAA encompassed many provisions, including a ban on surprise billing referred to as the No Surprises Act. On this week’s episode of the Healthcare Happy H…
 
On this week’s episode of the Healthcare Happy Hour, we are joined by Brian Luciani, partner at Blueprint Benefit Advisors and vice chair of the Board of Directors at United Benefit Advisors. We discuss UBA, Brian's experience during the pandemic at UBA and his personal business, their Annual Health Plan Survey, and more.…
 
NAHU allies in Congress introduced bills that would address the three-day stay requirement for Medicare beneficiaries who are considered to be under observation status while being hospitalized. On this week’s episode of the Healthcare Happy Hour, Vice President of Congressional Affairs and resident Medicare policy expert John Greene discusses these…
 
The Supreme Court finally issued a long-awaited decision in California v. Texas case, the case that could have struck down the entirety of the ACA. Ultimately the Court ruled 7 to 2 to effectively uphold the ACA as law of the land. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner discusses the ruling and its implications moving…
 
On last week’s episode of the Healthcare Happy Hour, we discussed NAHU’s letter to federal agencies regarding concerns about the implementation of the surprise billing provisions of the Consolidated Appropriations Act of 2021. This week, Marcy M. Buckner is back to talk about another comment letter we submitted last week – this one concerning the h…
 
On this week’s episode of the Healthcare Happy Hour we are revisiting an issue that we have not discussed in detail in some time – balance billing, also known as surprise billing. The Consolidated Appropriations Act of 2021, passed at the end of 2020, included a ban on surprise billing, with much of the implementation left up to regulatory bodies. …
 
Last month, NAHU began publishing the State Update, a member-exclusive newsletter highlighting all the relevant political and regulatory health insurance news at the state level. On this week’s episode of the Healthcare Happy Hour, we are joined by Husni Abdelaziz, NAHU’s director of government affairs. Husni monitors legislative and regulatory iss…
 
The Treasury Department and IRS released long-anticipated guidance regarding the full subsidization of COBRA premiums that was included in the American Rescue Plan Act. On this week’s episode of the Healthcare Happy Hour, our friends from Compliance Corner -- COO & Compliance Officer of Kirby Employee Benefits Carol Taylor and CEO of MZQ Consulting…
 
In January, President Biden established a new special enrollment period via executive order from February 15 to April 15, since extended to August 15. On this week’s episode of the Healthcare Happy Hour, we are highlighting the milestone of 1 million consumers covered on the ACA exchange since the beginning of the SEP.In addition, we preview the ne…
 
On this week’s episode of the Healthcare Happy Hour, NAHU CEO Janet Trautwein sits down with Perry Braun, executive director of the Benefit Advisors Network. The two discuss President Biden’s first 100 days in office, the impact of the pandemic on our industry, current and future industry trends, NAHU’s advocacy efforts and more.Benefit Advisors Ne…
 
The pandemic has made it more evident than ever how important it is to focus on mental and behavioral health. Along with other legislative working groups, NAHU’s Mental Health Task Force, which was first created last year, explores legislative and regulatory developments as they relate to mental health parity in the market. On this week’s episode o…
 
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