Gag Clauses: Who’s Included in Attestation Requirements?

Gag Clauses: Who’s Included in Attestation Requirements?

The Consolidated Appropriations Act (CAA), 2021, includes a prohibition on gag clauses. As such, it prohibits clauses that prevent cost and quality data disclosures in ANY agreement between an issuer or group health plan with a health care provider, network or association of providers, and a third-party administrator (TPA), or other service provider offering access to a network of providers. (more…)

Second Prescription Drug Report Is Due Soon!

The deadline for health plans and health insurance issuers to submit their second prescription drug data collection (RxDC) report is June 1, 2023. This is an annual reporting requirement; plans and issuers will generally submit these reports by June 1 of each year, reporting information for the prior calendar year. Read more…






IRS Releases FAQs on Medical Expenses

The IRS released a set of frequently asked questions (FAQs) to address whether certain costs related to general health, nutrition and wellness are medical expenses that can be paid or reimbursed by a health savings account (HSA), health flexible spending account (FSA) or health reimbursement arrangement (HRA). Read more…