Tom Emerick Joins the Questige Team

Questige is proud to announce and welcome Tom Emerick as a new health care advisor. Emerick brings a wealth of knowledge to new and existing clients as the top consultant for Burger King, British Petroleum and Walmart. His first project will reveal cost containment insights, strategies and case studies for an upcoming webinar “How to Buy Benefits & Build a Strategy like Walmart” on May 15, 2018, at 11:00 AM ET.

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Skyrocketing Drug Prices Threaten Health Insurance Model

The US is experiencing a prescription drug pricing epidemic, and some drug companies are driving a wedge into the health insurance model by severely jacking up pharmaceutical prices to astronomical levels.

Unfortunately, the cost of some drugs has become so extreme that by paying for one prescription it could take decades to recoup the cost in premium collections.Read More

New Rules Lay Down Law for Group Plans in 2019

In the final rules that the Centers for Medicare and Medicaid Services released for 2019, it also covered annual cost-sharing limits for group plans, rules on SHOP exchanges, and grandfathered plans, among other items we’ve covered earlier.

Here we break down some of the focuses of the 2019 rules:Read More

New Rules Issued for Small Group, Individual Plans

The Centers for Medicare and Medicaid Services (CMS) has released its final rules on giving states more power to regulate individual and small group health insurance markets.

The new rules are part of the Trump administration’s effort to dismantle the Affordable Care Act after numerous GOP efforts to repeal the law failed in 2017.Read More

Medicare Advantage Plans Get Big Boost for 2019

Reflecting health care cost trends, the Centers for Medicare and Medicaid Services has issued a final rule increasing payments to Medicare Advantage plans to 3.4% in 2019.

The announcement was part of a larger one on changes that will affect Medicare Advantage plans starting 2019, including more lax rules on what can be covered expenses for medical purposes.Read More

Maximum Family HSA Contribution Reduced for 2018

One of the unintended consequences of the tax bill that was signed into law by President Trump in December was a change to the HSA contribution limits for 2018, and action needs to be taken for some participants immediately.

As a result of the new tax law, the IRS announced in March that the maximum family contribution to a health savings account for 2018 is being reduced by $50 (from $6,900 to $6,850).Read More

OSHA’s Anti-retaliation Rules for ACA

Do you know that Fed-OSHA has regulations on whistleblowing and employer retaliation under the Affordable Care Act?

The rules set forth procedures and time frames for reporting and processing whistleblower complaints by employees against their employers and expand the instances in which an employee can sue their employer for retaliation under the ACA.Read More

Proposed Regs on Small Business Association Plans Could Invite Fraud

Proposed regulations that would allow small businesses and individuals to band together to purchase group coverage could open up a new era of fraud in U.S. health insurance, according to comments filed by a number of groups.

Former Department of Labor officials, insurance companies and employee advocacy groups sounded the warning in letters to the DOL during the proposed regulations’ comment period, which ended March 6, according to a report by Bloomberg Law.Read More

Apple Also Plans to Get into Health Care Game to Create Efficiencies

First Amazon, J.P. Morgan and Berkshire Hathaway announced that they would form a consortium to tackle runaway health care and health insurance costs for their employees, and now another big hitter has announced it too plans to enter the fray – Apple.

While not giving away too many details, chief executive officer Tim Cook said during Apple’s shareholders’ meeting that the company would do more than just wellness apps and devices and try to tackle real health care costs in a variety of ways. Read More