May 23, 2023
Up to 18 million people may no longer be eligible for Medicaid coverage now that states are required to resume annual Medicaid renewals, following a “break” and relaxed social service benefits rules during the pandemic. Because The Families First Coronavirus Response Act (FFCRA) declared a public health emergency, states were prohibited from disenrolling Medicaid recipients.
This is no longer the case — and those impacted by disenrollment will likely look toward employer-sponsored plans for coverage.
A provision of the federal Consolidated Appropriates Act of 2023 separates the public health emergency from the Medicaid enrollment process. This means states can return to their previous Medicaid redetermination processes.
As employers, you play an important role in advocating for health care coverage and can serve as a valuable resource for team members who may lose their state benefit. First, work with your benefits consultant to understand the potential impact of Medicaid recipients joining your plan. How will this impact claims, cost and coverage. A proactive communication and support strategy will help you maintain compliance while delivering important information to employees during a stressful time.
Help employees understand their options. Here are some ways you can prepare for potential changes and serve as an advocate for your people.
How can we help? Contact your TFG Employee Benefits consultant today.
Additional information can be found here.
September 8, 2023
Tenth Circuit Court of Appeals Hands Down a Big Win for ERISA Preemption After several failed attempts by pharmacy benefit managers (“PBM”) to challenge state laws regulating PBMs, the 10th Circuit Court of Appeals (in Pharmaceutical Care Management Association v. Mulready) handed down a big win for PBMs and, by extension, self-funded ERISA plans, when […]
August 28, 2023
IRS Issues Affordability Percentage Adjustment for 2024 The Internal Revenue Service (IRS) has released Rev. Proc. 2023-29, which contains the inflation adjusted amounts for 2024 used to determine whether employer-sponsored coverage is “affordable” for purposes of the Affordable Care Act’s (ACA) employer shared responsibility provisions and premium tax credit program. As shown in the table […]