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Those of you with no legal background, brace yourselves for this opening line: The Employee Benefits Security Administration (EBSA) – which is housed within the Department of Labor and oversees ERISA – through their Office of Health Plan Standards and Compliance Assistance, states that Parity will be subject to the “anti-abuse” proposed rule – 29 C.F.R. [...]
I am attending the California Association of Health Plans annual conference this week and thought I would share some of what I am observing. For starters, Howard Khan, CEO of LA Care Health Plan and Chairman of CAHP Board provided a keynote that immediately established the context where health plans are concerned. He pointed to [...]
The Commonwealth Fund has released it 2009 report titled: “Aiming Higher – Results from A State Scorecard on Health System Performance” and the evidence is irrefutable where suicide prevention is concerned. States that demonstrate improved access to mental health care, especially among the most vulnerable populations, show a dramatic decrease in the rate of suicide. [...]
Tuesday, the Senate Finance Committee will take up the fate of at least one reform proposal. On the eve of that vote, the American Health Insurance Plans (AHIP) released a report prepared by PricewaterhouseCoopers (PwC) demonstrating the bill will wind up costing more than its authors are admitting. Talking heads are exploding in an uproar [...]
Surprised about the delay? No, but employers and plans will need to move forward carefully, doing everything they can to comply reasonably and in “good faith” until we receive clarification.
On October 2nd, HHS Secretary Kathleen Sebelius wrote to House and Senate lawmakers saying that the administration “aims” to issue regulations for the one-year old [...]
The Senate Finance Committee has wrapped up its debate over the most significant changes in the U.S. health-care system in decades. In the process, they have made the bill more attractive to Republicans and moderate Blue Dog Democrats by making some crucial concessions. Namely, they have agreed to eliminate the legislation’s most punitive taxes and [...]
The question of what to do with employee assistance programs or EAP when Parity legislation drastically expands behavioral health coverage is not new. We have been dealing with this question for more than a decade. The questions take on several different flavors:
Is it true that mental health and substance abuse coverage will be so [...]
There are two astronomical events happening at the same time: Parity regulations are being crafted to impact more than 100 million Americans while health and insurance Reform packages are being considered -the impact of which will be felt by all of us. Oddly, both are still vague and we lack the foresight to prepare ourselves [...]
So much of what we’re hearing, reading and considering when it comes to behavioral health parity and health insurance reform is a function of our urban and suburban perceptions of health care. I lived and worked in a rural/frontier state for some time and can recall the difficulties and challenges we faced there and in [...]
The reform debate rages on (and on). Meanwhile, some very important questions remain unanswered and buried under the weight of “inflammation” rather than meaningful healthcare information. To say that this process has become inflamed and devisive – hijacked by pundits and strategists from both sides of the aisle – is a great understatement at this [...]
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