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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…
 
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’…
 
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…
 
Democrats were able to pass the American Rescue Plan Act last month using their razor-thin majority in the Senate by utilizing budget reconciliation. Now, the Senate parliamentarian ruled that Democrats could use the reconciliation process again if they so choose. On this week’s episode of the Healthcare Happy Hour, John Greene and Chris Hartmann d…
 
Last week, the Department of Labor released guidance regarding the COBRA subsidy provisions of the American Rescue Plan, offering much-needed answers to some frequently asked questions agents, brokers, employers and consumers have had over the last month. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner reviews this guidance, w…
 
Congress is out of session this week, but while they are on recess the Healthcare Happy Hour is focused on innovation. On this week’s episode, we are joined by special guest Dr. Daniel Kraft, a Stanford- and Harvard-trained physician and scientist, and the host of CVS Health’s new podcast Healthy Conversations. Dr. Kraft discusses the many innovati…
 
“Transparency” is the word on this week’s episode of the Healthcare Happy Hour, as we are joined by special guest Cynthia Fisher, founder and chairman of Patient Rights Advocate, a nonprofit organization focused on transparency in healthcare. In addition to Cynthia, we are also joined by NAHU Legislative Council Vice Chair and staunch transparency …
 
The $1.9 trillion American Rescue Plan Act was signed into law a few weeks ago, and with it came an abundance of compliance concerns. Last week, NAHU hosted a Compliance Corner webinar presented by Vice President and Director of Employee Benefit Compliance for First Insurance Group Barb Gerken. On this week’s episode of the Healthcare Happy Hour, B…
 
This is the second part of a conversation between Marcy M. Buckner, Mark Gaunya and Dan Parker about NAHU’s first-ever virtual Capitol Conference. In Part 1 we discussed what attendees heard from the keynote speakers, members of Congress, Jeff Grant from CMS/CCIIO, and Avik Roy from the Foundation for Research on Equal Opportunity. This week, we ar…
 
We know you anticipated part two of our Capitol Conference recap, but we decided to push that to next Friday, March 19, because earlier this week Congress passed the $1.9 trillion American Rescue Plan Act, another immense piece of legislation aimed at providing COVID-19 relief to businesses and consumers. On this week’ episode of the Healthcare Hap…
 
Welcome back to the Healthcare Happy Hour after our short Capitol Conference hiatus. And what a Cap Con it was! We were able to bring to you legislators from both sides of the aisle, innovative thinkers in health economics, a big name from CMS, coalition partners and, of course, our keynotes - Dr. Deepak Chopra and Shasta Nelson. Today Marcy M. Buc…
 
We are just three days away from our 31st annual Capitol Conference so if you haven’t registered yet – registration closes tomorrow, so what are you waiting for? Go to NAHU.org now! And while you register, listen to Marcy M. Buckner, John Greene and Chris Hartmann talk about one of the most pertinent issues our industry is facing – the potential fo…
 
We are rapidly approaching our 31st annual – and first-ever virtual - Capitol Conference. We are reviewing NAHU’s legislative priorities in detail leading up to the conference so that you are prepared for meetings with your members of Congress. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner, John Greene and Chris Hartmann tal…
 
We are less than three weeks away from our 31st Annual – and first-ever virtual - Capitol Conference! As promised, we are reviewing NAHU’s legislative priorities in detail leading up to our conference so that you are prepared for your meetings with your member of Congress. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner discus…
 
On last week’s edition of the Healthcare Happy Hour, we briefly discussed our general talking points that Capitol Conference attendees will use in their meetings with their members of Congress – those are available in the Advocacy section of the NAHU website. On this week’s episode of the Healthcare Happy Hour, John Greene and Chris Hartmann discus…
 
Earlier this week, NAHU released the general talking points that Capitol Conference attendees will use in their meetings with their members of Congress. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner gives a brief overview of these talking points and what you can expect if you attend the first-ever virtual Capitol Conference.…
 
As we discussed on last week’s podcast, Democrats now have a narrow majority in the Senate, meaning President-Elect Joe Biden will have a much easier time forming his cabinet. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner, John Greene and Chris Hartmann discuss Biden’s nominations for key positions so far, including secretar…
 
Jon Ossoff and The Reverend Dr. Raphael Warnock emerged victorious in Tuesday’s Georgia runoffs, meaning the Senate is now split 50-50 between Democrats and Republicans, with the vice president able to break any ties. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner, John Greene and Chris Hartmann explain what this means for Co…
 
Congress has voted to pass a 1.4 trillion dollar omnibus spending bill, which includes provisions on COVID-19 relief, a ban on surprise billing, the ability for employees to roll over funds from Flexible Spending Accounts, and disclosure of broker compensation. We covered surprise billing at great lengths on last week’s podcast, so on this week’s s…
 
Congressional leaders seem to finally be closing in on a $900 billion omnibus spending deal to prevent a government shutdown tonight. This spending deal is expected to include a wide variety of provisions, including additional funding to the PPP and a ban on surprise billing. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner, Jo…
 
While we wait to see what Congress will be doing in regards to a potential end-of-year package, we are taking a break from proposed rules and politics. On this week’s episode of the Healthcare Happy Hour, Joe Lesher, CEO of Travel MedEvac Insurance, joins us to discuss the world of travel insurance and the benefits it can bring to brokers and clien…
 
On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner reviews some regulatory developments that occurred right before the holiday: two major rules regarding prescription drugs. In addition, CMS and OIG just released final rules in an attempt to modernize the Stark Law and Anti-Kickback Statute.…
 
After well over a year of discussion in the media, the Supreme Court finally heard oral arguments in California v Texas, the case that will decide the fate of the Affordable Care Act. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner is joined by co-founder and CEO of MZQ Consulting Jennifer Berman to talk about the case, what w…
 
After a long election week plagued by uncertainty, Joe Biden has reportedly secured 290 electoral votes compared to President Donald Trump’s 217. You only need 270 to win, and while there are still recounts and legal challenges underway, the former vice president has surpassed that number. On this week’s episode of the Healthcare Happy Hour, Marcy …
 
In our most recent “Live from NAHU” webinar, NAHU CEO Janet Trautwein recapped the election results thus far and what they mean for the next Congress. Listen to Janet and special guest Alan Katz, co-founder and CEO of NextAgency, discuss what we know so far and how the results shape NAHU’s legislative strategy.…
 
Amy Coney Barrett is officially an associate justice of the Supreme Court of the United States. Barrett was sworn in on Tuesday October 27 by Justice Clarence Thomas, cementing her place in history as a member of the nation’s highest court. On this week’s episode of the Healthcare Happy Hour, Marcy discusses what this could mean for both healthcare…
 
On this week’s episode of the Healthcare Happy Hour we are joined by Mark Lawrence from HM Insurance Group to discuss what underwriting has been like during the pandemic and the impact of the pandemic on his business. Mark Lawrence was senior vice president of underwriting at the time of this recording – he has since been named president of HM Insu…
 
On this week’s episode of the Healthcare Happy Hour we are taking a break from the crazy politics in Washington to focus on potential data-driven solutions to lower healthcare costs. Susan Dentzer, Senior Policy Fellow for the Robert J. Margolis Center for Health Policy at Duke University and host of Optum’s new health policy podcast Until It’s Fix…
 
Have you ever wanted to get an inside scoop on our government relations efforts? On this week’s episode of the Healthcare Happy Hour, we are joined by special guests Legislative Council Chair Scott Wham and Jonathon Jones, partner at Peck Madigan Jones – the firm that NAHU works with to ensure that the legislative priorities of the association are …
 
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