Compensation Strategies Group, Ltd.
Nova 401(k) Associates
Nicholas Pension Consultants
“BenefitsLink continues to be the most valuable resource we have at the firm.”
-- An attorney subscriber
|2016 Benefit and Payment Final Rule, Consumer & Provider Provisions|
Timothy Jost, in Health Affairs Forefront
Feb. 22, 2015
"The preface notes that CMS has become aware of benefit designs that discourage enrollment based on age or health condition and that this is prohibited, even if the benefit design is based on a state's benchmark plan.... The final rule clarifies that health plans may refuse to count out-of-network charges toward cost-sharing limits but are not required to do so. Cost-sharing for out of network services does not count toward actuarial value calculations, however."
|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 link above).|
|An important word about authorship: BenefitsLink® is providing a hypertext link to the item shown above, but is not the author of the item (unless otherwise specified).|