Note: this should not be taken as tax or legal advice.
The United States Department of Health and Human Services (HHS) is a Cabinet department of the United States government with the goal of protecting the health of all Americans and providing essential human services. Its motto is "Improving the health, safety, and well-being of America".
Note: this should not be taken as tax or legal advice.
CMS (Centers for Medicare & Medicaid Services) is the U.S. federal agency that administers Medicare,
Medicaid, and the Children's Health Insurance Program.
Note: This should not be taken as tax or legal advice
The following companies (among others) have already decided to make the switch:
Click the above links for details on each company's decision.
Note: This should not be taken as tax or legal advice.
Beginning in 2012, the
Affordable Care Act is requiring Medicare to use Accountable Care Organizations (ACOs) in an attempt to slow the rise of health care costs. So, what's an ACO?
An ACO is a vehicle for paying teams of health care providers to care for patients, instead of paying for care one service at a time. An ACO limits health care providers’ financial relationships with other providers.
Proponents of ACOs argue that the programs provide:
- Personalized care management and support
- Technology that connects doctors with patient information and medical evidence
- Financial incentives that reward doctors who work hard to provide good care for patients with chronic conditions and doctors whose patients’ health improves
What do you think?
In January, 2010, the Centers for Medicare and Medicaid Services (CMS) issued a revised
MMSEA Section 111 MSP Mandatory Reporting GHP User Guide which clarifes the
Health Reimbursement Arrangement (HRA) reporting requirements for Medicare Secondary Payer.
Click here to access the most recent alert put out by CMS. Who is required to report HRA plans? If you self-administer your HRA, you will be responsible for submitting the Section 111 information on behalf of those plans. Otherwise, the third party administrator (TPA) may file on your behalf.
When is reporting required? HRA-only Responsible Reporting Entities (RREs) were expected to register by May 1, 2010 in order to complete the registration process by June 30, 2010. There will be a testing period from July 1st, 2010 until September 30th, 2010.
Beginning October 1st, 2010, reporting with begin.
Other Key Things to Note:
- HRAs offered in conjunction with a group health plan should not be reported separately from the group health plan coverage.
- HRAs with annual benefit amounts less than $1,000 are exempted from reporting requirements