Senators say they’re serious about tackling surprise medical bills

If you have an emergency, you often don’t have a choice about which provider treats you.  HMOs offer in-network coverage only.  High deductible health plans (HDHPs) may or may not have out-of-network options. Hospitals need to set the tone.  When an emergency department hires non-contracted providers, they must accept the insurance carriers with which the hospital is contracted.  If the... Read More

PCORI Fees Reminder – July 31, 2016

Potomac Companies, washington, obamacare, health insurance, insurance, compliance, aca, affordable care act, audit, healthcare, broker, health care, benefits
PCORI (Patient Centered Outcomes Research Institute) Fees On December 6, 2012 the IRS issued final regulations regarding the ‘temporary’ annual payment of the PCORI Fees by fully-insured carriers and self-insured plan sponsors of ‘applicable’ health plans, including those covering retirees and COBRA individuals (Internal Revenue Code Sections 4375 and 4376). Beginning July 2013, the fully insured carriers and most plan... Read More