California’s SB 553, which went into effect July 1, 2024, creates a new layer to California employers’ existing injury and illness prevention programs. Under SB 553, all California employers are now required to implement a workplace violence prevention plan (WVPP), provide training to employees regarding the WVPP and keep records of workplace violence incidents. As […]

The post California’s New Workplace Violence Prevention Mandate Takes Effect appeared first on EMPLOYEE BENEFITS BLOG.

To adapt to the evolving healthcare landscape, health systems are seeking to identify alternatives to their traditional hospital-centric models and shift towards patient-centered care delivery. As a result, provider-sponsored health plans (PSHPs) are gaining traction as a potential framework for health systems to curate care delivery in the newly decentralized model of healthcare. In this […]

The post The Resurgence of Provider-Sponsored Health Plans in the New Health Care Ecosystem appeared first on EMPLOYEE BENEFITS BLOG.

A question in response to last week’s post on self-funding of employer group health plans assumed that stop-loss coverage under a level-funded plan could be provided under a group captive medical captive. However, it cannot (at least not without first obtaining a prohibited transaction exemption from the US Department of Labor (DOL)). While group medical […]

The post It’s the Plan Assets, Stupid: Why Group Medical Stop-Loss Captives and Level-Funded Plans Don’t Mix appeared first on EMPLOYEE BENEFITS BLOG.

In a recent article in Managed Healthcare Executive, Peter Wehrwein examines the trend of self-funding of group health benefits by smaller employers who used to depend mainly or entirely on fully insured programs. The shift to self-funding, the article explains, is grounded in the Employee Retirement Income Security (ERISA), which exempts self-funded plans from state […]

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In response to recent market conditions, employers are making difficult workforce decisions, including reducing employee headcount, eliminating departments, hiring consultants or implementing hiring freezes. Being able to navigate these events can help employers mitigate risk and prepare their workforces for the path forward. During a recent webinar, our Employment and Business Restructuring Practice Groups explored best practices and […]

The post Managing Your Workforce During Market Volatility: Large-Scale Personnel Decisions appeared first on EMPLOYEE BENEFITS BLOG.

Section 1557 of the Affordable Care Act (ACA) prohibits discrimination on the basis of race, color, national origin, sex, age or disability, or any combination thereof, in a health program or activity, any part of which is receiving federal financial assistance. On May 6, 2024, the US Department of Health and Human Services Office for […]

The post The Impact of the ACA 1557 Final Regulations on Gender-Affirming Care appeared first on EMPLOYEE BENEFITS BLOG.

The New York State fiscal year 2024 – 2025 budget institutes a new tax on health plans, including insurers and managed care organizations. This tax has been garnering attention for its promise to yield $4 billion for New York State. The expected revenue from the tax, however, is set to come not from the health […]

The post New York State Budget Institutes Revenue-Neutral Health Plan Tax appeared first on EMPLOYEE BENEFITS BLOG.

In recent years, states have been exploring innovative avenues to address rising healthcare costs and ensure access to affordable medication for their residents. One idea gaining traction involves pursuing authorization from the US Food and Drug Administration (FDA) for importation programs under Section 804 of the Federal Food, Drug, and Cosmetic Act (FDCA) to import […]

The post Imported Drugs: (Possibly) Coming Soon to a State Near You appeared first on EMPLOYEE BENEFITS BLOG.

Congressional lawmakers must soon decide to continue or end payment changes for telehealth services enacted during the COVID-19 pandemic. However, according to this KFF Health News article, Congress will likely “kick the can” past the November election. Access the article.

The post Congress Likely to Kick the Can on COVID-Era Telehealth Policies appeared first on EMPLOYEE BENEFITS BLOG.

On April 23, 2024, the Federal Trade Commission (FTC) voted 3-2 along party lines to ban all new noncompete agreements nationwide and render existing noncompete agreements binding most workers unenforceable. The Final Rule, slated for publication in the Federal Register, provides that employers’ use of noncompete agreements amounts to an “unfair method of competition” that runs afoul […]

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