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Health & Welfare Plans Newsletter

September 26, 2022

3 New Job Opportunities 3 New Job Opportunities


Surprise Billing Arbitration Updates: New Lawsuit and New Context on Rate-Setting Approaches

"[1] A provider association that earlier won a lawsuit over the No Surprises Act arbitration process is going to court again over the same issue. [2] Delays in resolving arbitration cases can be expected to continue. [3] Findings of a new study indicate the diverging impact of using a rate-setting approach as opposed to a percent-of-charges benchmark to resolve out-of-network payments." [Texas Medical Association v. HHS, DOL and Treasury, No. 22-0372 (E.D. Tex. complaint filed Sep. 22, 2022)]  MORE >>

Healthcare Financial Management Association [HFMA]; free registration required

Health Insurance Alone Won't Keep Workers from Quitting, Even During a Pandemic

"Health care might keep employees from looking elsewhere, but it might not be the factor drawing new ones in.... Some companies have experimented with new tools to attract employees, while maintaining their health care offerings."  MORE >>

Pittsburgh Post-Gazette

Inflation Provides a Reason to Keep Adult Children on Parents' Health Plan

"Sit down with your child and review the cost of getting their own coverage through their employer, because the financial case to continue carrying them until 26 is compelling if you can afford it. Even when employees have coverage, the combined cost of premiums, deductibles and other out-of-pocket expenses can be considerable."  MORE >>

Who Will Benefit from Prescription Drug Price Regulation Changes?

"Sponsors of employer/union group Medicare plans may see lower costs ... and supplementary benefits in group Medicare plans will count toward the new $2,000 patient Part D out-of-pocket maximum, making it more attractive for employers to supplement benefits. Some employers fear that drug costs will shift from Medicare to employers. But the high visibility of the lower Medicare prices could create additional leverage for commercial payers to negotiate lower net prices."  MORE >>

Why Single Seniors Pay More for Health Care

"Out-of-pocket spending for recurring health care expenses, it found, averaged roughly $2,500 per person for both single and couple households, and generally did not change with age. The average total non-recurring expense for singles age 65 and older, however, was $7,122, compared with $3,161 for couples. The differences are greatest for nursing home costs and home health care, which suggests couples may benefit from having their spouse or partner available to deliver care."  MORE >>


Employee Benefits Jobs

View job as ESOP Administrator
            for Blue Ridge ESOP Associates

ESOP Administrator

Blue Ridge ESOP Associates


View job as ESOP Administrator for Blue Ridge ESOP Associates

View job as Experienced Retirement Plan Administrator
            for Karel-Gordon & Associates

Experienced Retirement Plan Administrator

Karel-Gordon & Associates

Remote / Deerfield IL

View job as Experienced Retirement Plan Administrator for Karel-Gordon & Associates

View job as Benefits Consultant
            for Long Beach Unified School District

Benefits Consultant

Long Beach Unified School District

Remote / Long Beach CA

View job as Benefits Consultant for Long Beach Unified School District

Press Releases

DOL Investigation, Litigation Result in Settlement Requiring Interarch Inc. Fiduciaries to Pay More Than $2 Million

Employee Benefits Security Administration [EBSA], U.S. Department of Labor

Wealth Management Team Led by Harold Reinstein and Michael Nelson Joins First Republic

First Republic

Webcasts and Conferences
(Health & Welfare Plans)

HIPAA Training for Employers

October 11, 2022 WEBCAST


Last Issue's Most Popular Items

Basic Nondiscrimination Rules for Health and Cafeteria Plan Benefits


Final Rule Changes No Surprises Act Requirements

Sheppard Mullin

The ACA Integration Rules for Specialty HRAs


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BenefitsLink Retirement Plans Newsletter, ISSN no. 1536-9587.

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