Senators say they’re serious about tackling surprise medical bills

If you have an emergency, you often don’t have a choice about which provider treats you.  HMOs offer in-network coverage only.  High deductible health plans (HDHPs) may or may not have out-of-network options. Hospitals need to set the tone.  When an emergency department hires non-contracted providers, they must accept the insurance carriers with which the hospital is contracted.  If the... Read More

Comparative Effectiveness Research Fee (CERF)/PCORI Fee 2018

  Organizations with self-insured plans, including Health Reimbursement Accounts (HRAs) and certain Flexible Spending Accounts (FSAs), must pay the Comparative Effectiveness Research Fee (CERF) every year (AKA: "PCORI Fee").  This fee is part of the Affordable Care Act and funds the Patient-Centered Outcomes Research Institute (PCORI).  It is due to the IRS via Form 720 by July 31, 2018 for... Read More