Posts Tagged: Preventive Care

DOL Part VI Guidance – Grandfather Plans

in Affordable Care Act

This afternoon the Department of Labor issued additional Affordable Care Act guidance, labeled as Part VI.  This guidance was rumored to include claims and appeals issues.  But, instead it almost exclusively covers grandfather plan questions, with one question covering preventive care requirements.  Here is the link: FAQs About Affordable Care Act Implementation Part VI

DOL RFI for Preventive Care

in Affordable Care Act, Wellness Programs

As noted last week, the DOL announced on its webpage that it would publish an RFI regarding possible value-based plan designs in light of the preventive care requirements.  (A nongrandfathered plan is required to provide preventive care, as defined by the Agencies, at 100% with no deductible and no coinsurance for in-network claims.)  Based on the preventive care requirements, it is hard to see how plans could offer incentives in the context of preventive care (unless the existing regulations are revised).  However, the Agencies remain interested in ideas on how this could be accomplished.  Specifically, the RFI solicits information on specific examples… Continue Reading