[Guidance Overview]
Washington Paid Family and Medical Leave Program
"Beginning January 1, 2020, a qualified employee is entitled to a maximum combined amount of leave of up to 16 weeks per year ... For the period beginning January 1, 2019 and ending December 31, 2020, the total premium rate for the program is 0.4% of an employee's gross wages, with the employer paying 36.67% and the employee paying 63.33%.... Small employers who employ fewer than 50 employees can opt out."
CBIZ
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Reference-Based Pricing and Its Compliance Considerations
"Instead of using a traditional network-based provider model, when a plan adopts RBP, they use a benchmark rate to set the price of health care.... Employers considering reference-based pricing need to think about maximum out-of-pocket limits.... [T]he plan also must demonstrate that participants have adequate access to quality providers at the reference price by meeting [certain] criteria ... Employers need to make sure their plan documents reflect reference-based pricing."
MZQ Consulting, LLC
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COVID-19 and Paid Leave: Scenarios to Plan For
"There will be situations where an employee either has yet to be diagnosed or has no reason to believe they're at risk for COVID-19 but are unable to work. The employee may be quarantined by local authorities or by their employer.... [M]ost disability policies will not cover absences of this type.... [I]nstead of being for a fixed duration, the duration of emergency leave in response to COVID-19 may be approved by the employer in weekly increments and on a location-specific basis."
Mercer
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Questions at the Intersection of Coronavirus, HIPAA and ERISA
"[I]ssues and considerations plan sponsors and administrators should keep in mind as the coronavirus outbreak continues to escalate.... [1] HIPAA privacy and security: Non-HIPAA medical inquiries.... Health plan disclosures to public health entities.... HIPAA policies -- remote work planning.... [2] Health Plan Coverage: TPA emergency coverage contingencies.... Medical air-evacuations.... What about those surgical masks? ... [3] Disability/leave policies: Will quarantine-related leaves be covered?"
Seyfarth
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New Emergency Paid Sick Days Legislation Introduced in House and Senate
"Senator Patty Murray (D-WA) ... and Congresswoman Rosa DeLauro (CT-03) ... introduced new, emergency paid sick leave legislation, building off the Healthy Families Act (HFA), to provide paid sick days immediately to workers in light of the coronavirus crisis, and in preparation for future public health emergencies. This emergency paid sick days legislation requires all employers to allow workers to accrue seven days of paid sick leave and to provide an additional 14 days available immediately in the event of any public health emergency, including the current coronavirus crisis."
Committee on Health, Education, Labor and Pensions, U.S. Senate
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[Opinion]
What to Expect from the New Hospital Price Transparency Rule
"[1] Prices for some hospital services will become more competitive.... [2] Prices will increase for other hospital services.... [3] Some regions may see higher prices overall.... [4] The new dynamics of negotiation will accelerate consolidation.... [5] Some rural and safety-net hospitals will not be able to survive.... [6] Adoption of new technology will slow unless it has a very strong value proposition.... [7] Payers will experiment with new benefit designs and reimbursement models.... [8] Price transparency will add a new dimension to antitrust compliance.... [9] The rule will not affect the majority of consumers, who are insulated from the true cost of health care.... [10] The rule could complicate efforts to advance value-based payment."
Health Affairs
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