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2024 Guide to Healthcare Compliance and Reporting U.S.

WebEconomic and Labor Market Update – A Shift in Momentum. May 8, 2024, 9:00 AM – 10:00 AM CST. Q&A – Minnesota State Leave. May 9, 2024, 2:00 PM – 3:00 PM …

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URL: https://www.thehortongroup.com/resources/healthcare-compliance-reporting-2024-us-regulations/

2024 Health Care Industry Trends

WebThe health care industry faces a labor shortage driven by factors such as an aging population and health care workforce, a skills shortage and employee attrition due …

Category: Health Go Health

Considering Employer Coverage vs. Medicare

WebPro: Potential cost increases or savings. Your Medicare coverage, including a supplemental plan, might end up being markedly less expensive on a monthly basis than your contribution to employer …

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HHS Issues a Final Rule on Nondiscrimination in Health Programs …

WebOn April 26, 2024, the U.S. Department of Health and Human Services’ (HHS) Office of Civil Rights (OCR) released a final rule under Section 1557 of the Affordable …

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Compliance Update: Employer Reporting of Health Coverage …

WebUnder Code Section 6056, entities will file Forms 1094-C (a transmittal) and 1095-C (an information return) for each full-time employee for any month. Entities …

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Top 10 OSHA Violations in Healthcare

WebRespiratory Protection (1910.134) Bloodborne Pathogens (1910.1030) 2. Bloodborne Pathogens (1910.1030) Hazard Communication (1910.1200) 3. Reporting …

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Level Funded Health Plans

WebLevel funding insurance is a health plan design option that provides the security of a fully insured plan while offering the potential cost savings and flexibility of a self-insured plan. …

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Pharmacy Benefit Management (PBM) 101

WebPharmacy’s cost = $23. Pharmacy Dispensing fee = $5. PBM Admin fee = $5. Net spread for PBM = $84.75 – $33 ($23+$5+$5) = $51.75. This is their spread. To sum …

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Group Medical Options

WebThe Horton Group is an experienced leader in the employee benefits and health insurance field. Our team has managed hundreds benefit programs with a focus on keeping our …

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Insurance for Health & Human Services

WebInsurance for Health & Human Services. Horton’s Health & Human Services Practice is a highly specialized group of professionals which provides insurance brokerage and consulting services exclusively to healthcare …

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Health Care Reform

WebThe Massachusetts Health Care Reform Act (Act) was enacted in April 2006 to provide nearly universal health care coverage for Massachusetts residents. To carry …

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Proposed Rule on Short-Term Health Plans and Tax Treatment

WebIntroduction. The Department of Labor (DOL), Department of Health and Human Services (HHS), and the Internal Revenue Service (IRS), [collectively, “the …

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Self-Funded Healthcare Plans With Potential Savings

WebSixty percent of those workers covered by self-funded employers are in a plan with stop-loss insurance. Stop-loss coverage may limit claims paid per employee …

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Policy for Non-ACA Compliant Plans Extended Horton Group

WebThe Department of Health and Human Services (HHS) on March 23, 2022, indefinitely extended an existing transition policy for certain health plans that do not …

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Deadline for Submitting Gag Clause Attestation Is Approaching

WebLearn about the CAA's prohibition on gag clauses in healthcare contracts effective Dec. 27, 2020, and how health plans and issuers must submit annual …

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Health Savings Account (HSA) Contribution Limits for Spouses

WebBoth employee and spouse are eligible for HSA contributions and are treated as having only the family coverage. The maximum contribution limit (to be allocated …

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Voluntary Benefits Trends to Watch in 2022

WebThis article highlights three voluntary benefits trends to monitor in 2022. 1. Expanded Remote Health Services. The pandemic has undoubtedly increased employee …

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Supplemental Insurance 101: What Medicare Doesn’t Cover

WebSupplemental insurance plans, often called Medigap policies, can help cover costs that original Medicare doesn’t cover. Original Medicare covers medically necessary …

Category: Medical Go Health

Section 125 Mid-Year Election Change Rules Expanded by IRS

WebThe IRS released Notice 2022-41 on October 11, 2022, expanding the situations in which individuals can change their health coverage elections mid-year under …

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Compliance Reminder: December 31, 2023, Deadline for Health …

WebHealth plans and issuers must annually submit an attestation of their compliance with the CAA’s prohibition of gag clauses to the Departments. The first …

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Employee Retention Credit (ERC) Guidance Issued by the IRS

WebEmployers are required to report their total qualified wages and the related health insurance costs for each quarter on their quarterly employment tax returns. Last …

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IRS Determines the Affordability Percentages Will Increase for 2021

Web9.69% for 2017 plan years; 9.56% for 2018 plan years; 9.86% for 2019 plan years; and. 9.78% for 2020 plan years. For 2021, Rev. Proc. 20-36 increases the affordability …

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