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Stay up to date on the latest News on our industry.
Break Your Sugar Addiction in 10 Days (Infographic)
Break Your Sugar Addiction in 10 Days (Infographic) From our wellness partner, Cleveland Clinic Do you have a sweet tooth? Most of us will overindulge at times. But the more sugar we consume, the more we want, says Mark Hyman, MD. However, the good news is that people...
NYS 2017 Final Rates Approved
NYS 2017 FINAL Rates Approved NYS has approved 2017 Final Rates. Small group rates will increase 8.3%, a reduction from the 12.3% average originally requested. In the individual market, the average increase will be 16.6%, a reduction from the originally...
Clinton vs Trump on Healthcare
Clinton vs Trump Healthcare. A helpful overview from SHRM on the differences between the Candidates. They presumably agree on repealing the Cadillac Tax and well-needed price transparencies.
Empire Strikes Back
Empire Strikes Back Empire recently announced that they will be re-entering the New York small group market in 2017. This is welcome news indeed especially in the NY small group market of 1-100 employees. Recently, the broad national networks have been diminished to...
Breaking: Oxford Exits Metro Indiv & Oxford Liberty HMO 2017
Breaking: Oxford Exits Metro Indiv & Oxford Liberty HMO 2017 A neat quote mentioned in yesterday’s Crains Health Pulse. I only wish it were for better news. 1. Oxford will be leaving NY Individual health plans. The popular Oxford Metro plan offered...
Final 2017 Marketplace Guidance
Final 2017 Marketplace Guidance Health and Human Services had released earlier this year the final version of its 2017 Notice of Benefit and Payment Parameters. Under the Affordable Care Act (ACA) this is issued annually. While the guidance is mostly relate dot the...
Updating Your Employee Handbook for Benefit Provisions
Employee Handbooks are important 4 informing employees of their rights and duties, communicating available resources, and outlining paid time off policies.
NYS Obamacare Lost $100 Million
According to a released study by United Hospital Fund May 2016 report Insurance companies operating on New York’s individual exchange market lost $100 million in 2014.
NYS 2017 Rate Requests
NYS 2017 Rate Requests The State released NYS 2017 Rate Requests with average increases of 17.3% individual market and 12% for small groups. This early 5/12/16 deadline request requirement is not an Obamacare requirement. As per NY State Law carriers are required to...
NYS FMLA Update
NYS FMLA Update Last month Governor Cuomo signed into law New York’s Paid Family Leave Act,that will require employers to provide paid family leave benefits to eligible employees as part of the state’s disability insurance program.The law exceeds federal FMLA of...
HSA 2017 Limits
HSA 2017 Limits The IRS has released the 2017 Health Savings Account (HSA) inflation adjustments. To be eligible to make HSA contributions, an individual must be covered under a high deductible health plan (HDHP) and meet certain other eligibility requirements. New...
UnitedHealthcare will drop ACA exchanges
UnitedHealthcare will drop out of most ACA exchanges
Mergesurance Mania
Mergersuance mania Health Insurance Mergers and Provider Hospital consolidation
1095B and 6055 Reporting Requirements FAQ
The 1095-B is issued by Insurers on behalf of fully insurers members directly. Call us today for a helpful ACA audit (855) 667-4621 or info@medicalsolutionscorp.com.
Brand Name Drugs Are a Waste of Money?
On average, generics cost 80 to 85 percent less than name-brand medicines, according to the Food and Drug Administration (FDA). And buying unbranded drugs isn’t like opting for cheap toilet paper or no-name face cream: Less expensive here doesn’t necessarily mean lower quality
IRS Extends 1094 and 1095 Deadlines
IRS Extends 1094 and 1095 Deadlines to March 31, 2016 and May 31, 2016 repectively.
Breaking: Cadillac Tax Delayed
The Cadillac Tax delayed for two years from 2018 to 2020.
Aftermath of Health Republic Shut Down
Doctors, Insurance Brokers Could Lose Millions After Health Republic’s Collapse – Mahopac NY News
Health Republic NY Shutting Down Nov 30
Breaking: according to early reports the healthcare Co-Op Health Republic will be shutting down Nov 30t, 2015.
2016 Individual Open Enrollment Deadlines
Penalty: The uninsured penalty rises to $695 or 2.5% of your income, whichever is higher.
NEW 2016 Oxford Metro Network NY
Oxford has released an affordable new plan for 2016 and not a moment too soon. With the recent exit of popular Health Republic of NY, Health Republic NY is Shutting Down, the market is starving for an affordable option.
JEBCARE – Bush’s New Health Plan
Jeb Bush, running for the Republican presidential nomination, put out a detailed health proposal yesterday.
ACA Marketplace and Employer Health Plan Cost Comparison
A frequent Employer question is how do costs compare on the ACA Marektplace vs. Employer Health Plans. The infographic from the Commonwealth Fund point out that the premiums are more favorable when factoring low income premium subsidies.
Health Republic NY is Shutting Down
The young Co-Op start up of 2014 will be shutting down Dec 31, 2015. With membership totals nearing 500,000 the early exit comes as a shocking surprise despite their recent losses and 15-20% approved 2016 rate increase.
Breaking: Maimonides North Shore LIJ Partnership
Breaking News: NSLIJ, and Brooklyn’s Maimonides Announce Strategic Partnership on Wednesday. Both side shave been in talks since February.
Transit Infograph
A fun visual transit infographic highlighting the benefits of public transportation by Credit Donkey. With NYC Transit Benefit Mandate for 2016 Employers with 20 or more full-time employees in New York City must sponsor for full-time employees a pre-tax qualified transportation benefit program (excluding parking subsidies). It would mean that an estimated 450,000 more New York City-based employees will have access to the commuter tax break. That’s in addition to the 700,000 who already get the break.
MMS Adds AllCheck ACA Compliance Tool
MMS, Inc. in partnership with BenefitMall introduces allCheck!
Want to know how to easily calculate your FTE’s ( Full Time Equivilents)?
NYS 2016 Rates Approved
The rate requests for 2016 marked the first year in which insurers could rely on actual data from exchange enrollees. In many cases, insurers participating in exchanges in other states requested double-digit rate increases. New York is the second-largest state to receive final approval of its rate request
NYC Transit Benefit Mandate for 2016
Beginning in 2016, the ordinance will require employers (not including government employers) with 20 or more full-time employees in New York City to provide full-time employees a pre-tax qualified transportation benefit program (excluding parking subsidies). It would mean that an estimated 450,000 more New York City-based employees will have access to the commuter tax break. That’s in addition to the 700,000 who already get the break.
Supreme Court Upholds ACA Again
The Government’s argument prevailing: defending the subsidies, the Government argued that if you look at the entire ACA and its history, it is clear that the subsidies are available to everyone who purchases insurance on an exchange, no matter who created it.
King Ruling Awaiting Supreme Court
The King Ruling awaits As Supreme Court schedules more decision days. The decision is expected to be possibly on Thursday on the legality of the Health care subsidies. ISSUE RECAP: At issue is whether subsidies that 8.7 million people receive to help pay for their insurance are available in all 50 states, or only those that set up their own health insurance exchanges.
New Embedded Out of Pocket Requirement
Great news for families with HSA and high deductible plans. Individual out of pocket maximums will apply EVEN UNDER A FAMILY POLICY. New federal health care reform law regulatory guidance ends lingering uncertainty on how much in out-of-pocket costs employers with high-deductible plans can require employees to pick up.
HSA 2016 Limits
New HSA 2016 limits are as follows: HSA 2016 Limits Chart
HSA Annual Contribution Limit:
Single – $3,350 (NONE, $3,350 in 2015)
Family – $6,750 (+$100, $6,650 in 2015)
HDHP Minimum Annual Deductible (No change from calendar year 2011):
Order Your Medical Records 5 Steps
Anyone who has moved has been confronted with the question “How to Order Your Medical Records?”. Requesting your medical records may seem complex at first its simpler than one thinks.
HSA-FSA-HRA: Whats the Difference?
…The chart below describes the main characteristics of these types of accounts, and should help you decide which is the best option for your particular situation.
How Your Hospital Ranks
With first new star rankings released yesterday by CMS (Center for Medicare & Medicaid Services) this will be a little easier for consumers. The role of Government in medical transparency have long been touted as a qualitative and cost factor.
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