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Group Health Plans and Discrimination Rules

Section 108, Division BB of the Consolidated Appropriations Act bars group health plans and health insurance carriers from discriminating, with regard to participation under a plan or coverage..

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Tri-Agencies Report MHPAEA Compliance Lacking

DOL, Department of Health and Human Services, and the Treasury published the first annual report on group health plans’ and health insurance issuers’ compliance with the Mental Health Parity and Addiction Equity Act

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Can You Take a Home Office Tax Deduction Due to COVID-19? A Reality Check

Can You Take a Home Office Tax Deduction Due to COVID-19? A Reality Check Can You Take a Home Office Tax Deduction Due to COVID-19? A Reality Check If you ve been working from home in a home office due to the coronavirus pandemic, you may be wondering if you can claim the home office tax deduction. Margaret Heidenry, provided by FacebookTwitterEmail 2020 was the year of WFH: Working from home became a reality for countless Americans, as company offices closed down to curb the spread of COVID-19. And, as the time nears to file your 2020 taxes, you might be wondering: Does your home office add up to any tax deductions for you?

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Surprise Billing in the Consolidated Appropriations Act, 2021

Wednesday, January 27, 2021 Introduction Surprise billing describes a situation when an insured patient unknowingly receives care from an out-of-network provider and then is presented with a bill for services and payment obligation beyond what the patient’s insurer will cover. Surprise medical bills can arise in an emergency when the patient has no ability to select the facility or provider rendering services. Surprise bills can also arise when a patient receives planned care, such as when a patient receives care at an in-network facility but later finds out that a provider who treated the patient is out-of-network. This most often happens with providers with whom the patient does not interact prior to the service, such as pathologists and radiologists.

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Consolidated Appropriations Act 2021 Provides Funding for GME Support

Friday, January 15, 2021 The Consolidated Appropriations Act, 2021, creates 1,000 new Medicare-funded graduate medical education (GME) residency positions, expands opportunities for rural residency training, and allows hospitals that have very low resident full-time equivalent (FTE) caps and/or per resident amounts (PRAs) due to short-term resident rotations to “reset” their calculations, resulting in increased opportunities to receive Medicare payment for resident training. These changes represent the first significant increase in Medicare funding for residency training in almost 25 years. IN DEPTH The Medicare program subsidizes a portion of residency training costs incurred by teaching hospitals through both direct GME (DGME) payments, which are calculated by multiplying the teaching hospital’s PRA by the weighted number of FTE residents and the hospital’s Medicare share of total inpatient days and indirect medical education (IME) payments, which are calculate

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