Defined Benefit Combo Cash Balance Compliance Consultant Loren D. Stark Company (LDSCO)
|
Bates & Company, Inc.
|
Loan & Distribution Specialist AimPoint Pension
|
Regional Vice President of Sales The Retirement Plan Company
|
AimPoint Pension
|
Compass
|
“BenefitsLink continues to be the most valuable resource we have at the firm.”
-- An attorney subscriber
Third-Party Payments and Reference Pricing
Timothy Jost, in Health Affairs Forefront [Guidance Overview] May 22, 2014 "Neither the February 7 [HHS] FAQ nor the May 21 letter specifically bless payment by 'hospital-affiliated' foundations, but it seems that it would be difficult for HHS to challenge such payments in the wake of the May 21 letter.... [ACA FAQ Part XIX, issued May 2] addresses the use of reference pricing by large-employer and self-insured plans. It explicitly does not apply to non-grandfathered plans in the individual and small group market.... [T]he FAQ's endorsement of reference pricing is equivocal. The Departments express concern 'that such a pricing structure may be a subterfuge for the imposition of otherwise prohibited limitations on coverage, without ensuring access to quality care and an adequate network of providers.' " |
Please click here to report this link if it is broken (for example, if you see a "404 File Not Found" error message after you click on the linked news item's title). |
An important word about authorship: BenefitsLink® created this link to the news item, but we are not the news item's author (unless expressly shown above). |