June 15, 2022
Advocacy in Action | Preventative vs. Diagnostic Claims
A member contacted her Patient Advocate to find out why she was being billed $753.00 for her routine preventative colonoscopy. This was the first time she had ever had a colonoscopy and her doctor told her it was a preventative test. She told her Patient Advocate she had just lost her mother ...
June 14, 2022
Dear HR Manager from Under a Microscope
Dear HR Manager, I have a new supervisor, and he is a grade “A” micromanager. He proofs every single one of my client emails, tracks my arrival and departure times, and doesn’t let me make even minor decisions on my projects. As a result, I am starting to second-guess whether this is the right ...
June 8, 2022
Getting Clarity on Transparency: What Health Plan Sponsors Need to Know about Publishing Machine-Readable Files
As of July 1, 2022, group health plans must clear one of the first major compliance hurdles required by the Affordable Care Act’s (ACA) Transparency in Coverage (TiC) Final Rules. By that date, plans and insurance carriers must have prepared and posted two machine-readable files (MRFs) to a ...
June 7, 2022
Workplace Culture | The Business Case for Pet Insurance
Gym reimbursements, hotel discounts, mental health resources, and more options in today’s competitive benefits packages offer more than yesteryear’s standard health insurance package. Cutting-edge companies understand that their employees are unique and that they need to provide ...
May 31, 2022
Diversity, Equity & Inclusion | Pay Transparency: More than Dollars and Cents for Women and People of Color
Pay transparency is a hot topic in the employment world. WorldAtWork describes pay transparency as the “degree to which employers are open about what, why, how and how much employees are compensated — and to what degree they allow employees to share that information with others.” This topic is ...
May 19, 2022
Advocacy in Action | Health Reimbursement Arrangement (HRA) Education
A member contacted Purple Card upset about a large amount of out-of-pocket money he owed the service provider for his emergency room visit. His Patient Advocate listened to the member and then reviewed the member’s emergency room claims and his coverage. She saw the member had selected a high ...
May 18, 2022
Compliance Recap | April 2022
After several very quiet months this year, April saw renewed compliance activity. The IRS provided guidance on transportation fringe benefits unused due to COVID-19 workplace changes and announced inflation-adjusted amounts for HSAs and HRAs. The Centers for Medicare & Medicaid Services ...
May 17, 2022
Dear HR Manager from In the Doghouse
Dear HR Manager, The cat’s out of the bag…I don’t like my colleague’s dog. A dog-friendly office sounded like a great perk when I joined the company until my co-worker’s puppy made a habit of gnawing on my leg during Zoom calls. I am also taking inconvenient breaks to walk Fido as my colleague ...
May 10, 2022
Diversity, Equity & Inclusion | Why Your Current Hiring Practices May Not Support Neurodivergent Candidates
Diversity, equity, belonging, and inclusion are in the spotlight in today’s workforce. Employers are challenged to develop programs, initiatives, and processes to encourage a broad representation of different groups. Age, ethnicity, and gender are three categories that generally come to mind ...
May 5, 2022
HHS Releases Notice of Benefit and Payment Parameters for 2023 Final Rule
The Centers for Medicare & Medicaid Services (CMS) has released a final rule along with a fact sheet addressing the benefit and payment parameters for 2023. According to CMS, the 2023 benefit and payment parameters final rule seeks to strengthen the coverage offered by qualified health ...
