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Little-Known Federal Health Regulation Is Hitting Up Business for Hundreds of Millions of Dollars
Forbes; subscription may be requiredLink to more items from this source
June 4, 2015
"[F]or certain kinds of high deductible health plans, the federal government just issued an ironically named 'clarification' which confusingly reverses those earlier requirements, effective immediately, or maybe effective in 2016 ... [T]he regulation can be read either way. The 'clarification' says that [the maximum out of pocket (MOOP) limit] applies separately to each individual 'embedded' in a family plan, so each person covered under a plan has the individual cap.... AHIP estimates 17.5 million Americans are enrolled in the kind of plans subject to this embedded MOOP rule.... [E]mployers will be out hundreds of millions of dollars because federal officials changed the rules mid-game."

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