New ACA-Related Laws Provide More Flexibility to Employers On Monday, December 23, 2024, President Biden signed into law two bills, H.R. 3797 (the “Paperwork Reduction Act”)  and H.R. 3801 (the “Employer Reporting Improvement Act”),which will positively impact applicable large employers…

As a result of the changes to Medicare Part D under §11201 of the Inflation Reduction Act of 2022, on April 1, 2024, CMS released Final CY 2025 Part D Redesign Program Instructions (“Final Program Instructions”) for the Medicare Part D…

The Patient Centered Outcomes Research Institute (PCORI) was established as part of the Affordable Care Act (ACA) to conduct research to evaluate the effectiveness of medical treatments, procedures and strategies that treat, manage, diagnose or prevent illness or injury. Under…

As a result of the changes to Medicare Part D under §11201 of the Inflation Reduction Act of 2022, on April 1, 2024, CMS released Final Redesign Program Instructions (“Final Program Instructions”) for the Medicare Part D prescription drug program, which are…

IRS provides tax inflation adjustments for tax year 2024 WASHINGTON — The Internal Revenue Service today announced the annual inflation adjustments for more than 60 tax provisions for tax year 2024, including the tax rate schedules and other tax changes.…

As Wednesday’s tragic event in Lewiston, Maine continues, Harvard Pilgrim's thoughts and prayers are with each of you and your families, as well as the entire Maine community. They also continue to support their providers, hospital systems and community partners…

Harvard Pilgrim will stop doing business in Connecticut on December 31, 2023. As a result, the enrollment area for their HMO plans is changing. Harvard will be notifying clients based in Massachusetts, New Hampshire, and Maine with members residing in…

As a result of State and Federal laws that introduced Medical Loss Ratio (MLR) requirements, Harvard Pilgrim Health Care (HPHC) is required to rebate a portion of insurance premiums received in 2022 if they did not spend at least 88%…

Harvard Pilgrim Health Care has provided an update that includes the restoration of invoices for premiums and administrative fees for Commercial employer group clients and restoring claims invoicing for ASO accounts. This restoration also includes impacts to individual members (including…

The following are the latest updates from Harvard Pilgrim Health Care (HPHC) regarding notifications being sent to employers and members:   Credit Monitoring & Identity Theft Protection Services: These complimentary services remain available to all current and former Harvard Pilgrim…

On April 17, 2023, Point32Health, the parent organization of Harvard Pilgrim Health Care (“Harvard Pilgrim”) and Tufts Health Plan, identified a cybersecurity ransomware incident that impacted systems that support Harvard Pilgrim Health Care Commercial and Medicare Advantage Stride℠ plans (HMO)/(HMO-POS).…

HSA/HDHP Limits Will Increase for 2024 On May 16, 2023, the IRS released Revenue Procedure 2023-23 to provide the inflation-adjusted limits for health savings accounts (HSAs) and high deductible health plans (HDHPs) for 2024. The IRS is required to publish these…