The daily drama of money and work from the BBC.
…
continue reading
Player FM - Internet Radio Done Right
Checked 21d ago
Added eight years ago
Content provided by NFP's Insights from the Experts. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by NFP's Insights from the Experts or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
Similar to NFP's Insights from the Experts
News and views on business and the world of personal finance. Plus the very latest from the financial markets around the globe
…
continue reading
The definitive business podcast from the BBC. Each week, the BBC's Evan Davis is joined by bosses, entrepreneurs and industry experts, to lift the lid on how their businesses work, and what it’s like to be in charge. They discuss a big issue, a big challenge, or a big question facing their industry. From managing AI to managing millennials, from supermarkets to supercharging a new product. And our guests will share their stories of success and failure along the way. Podcasts are published ev ...
…
continue reading
The latest Business and finance news from around the world on the BBC.
…
continue reading
Every weekday, host Kai Ryssdal helps you make sense of the day's business and economic news — no econ degree or finance background required. "Marketplace" takes you beyond the numbers, bringing you context. Our team of reporters all over the world speak with CEOs, policymakers and regular people just trying to get by.
…
continue reading
Wake-up with America's first news - Host Gordon Deal goes beyond the headlines with the day's first look at news and business news from the U.S. and around the world; bringing a lively blend of intelligent information, humor, and expert analysis to morning radio.
…
continue reading
Player FM - Podcast App
Go offline with the Player FM app!
Go offline with the Player FM app!
))
Daily Deals
Podcasts Worth a Listen
SPONSORED
T
Tinfoil Swans
1 Encore: Will Poulter, Dave Beran, and The Bear 52:22
52:22 
Play Later 
Play Later 
Lists 
Like 
Liked52:22
Play Later
Play Later
Lists
Like
LikedSeason 3 of the smash hit FX/Hulu show “The Bear” roared to life just days ago, but Will Poulter (the actor who plays fan-favorite Luca) and 2014 F&W Best New Chef Dave Beran had been prepping for weeks. Poulter — like his co-star Jeremy Allen White — staged with Beran at his Santa Monica restaurant Pasjoli to learn how to accurately portray a professional chef onscreen. The lessons went so well, Beran says he’d hire Poulter as a cook — even despite a messy mishap with a pastry bag. The two dished all about getting kitchen culture right on and offscreen, what it takes to be at the top of your craft, and the pure magic of a great restaurant service. Learn more about your ad choices. Visit podcastchoices.com/adchoices…
EP 147: Background & Developments on the No Surprise Act & Independent Dispute Resolution Process
Manage episode 398482310 series 1363281
Content provided by NFP's Insights from the Experts. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by NFP's Insights from the Experts or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
In this episode, Suzanne Spradley and Chase Cannon give an overview of the No Surprises Act (NSA) — a consumer health protection law that places certain requirements on providers and payers (insurers and group health plans). Suzanne describes the main requirements under the NSA and introduces the Independent Dispute Resolution (IDR) process, which is an integral part of the NSA’s implementation. Suzanne and Chase discuss the challenges facing the IDR in its first few years, as well as the legal challenges to the federal guidance outlining IDR procedures and practices. Suzanne closes with a discussion of what to look for in 2024 and how the NSA and IDR may impact employers.
…
continue reading
168 episodes
ShareManage episode 398482310 series 1363281
Content provided by NFP's Insights from the Experts. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by NFP's Insights from the Experts or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
In this episode, Suzanne Spradley and Chase Cannon give an overview of the No Surprises Act (NSA) — a consumer health protection law that places certain requirements on providers and payers (insurers and group health plans). Suzanne describes the main requirements under the NSA and introduces the Independent Dispute Resolution (IDR) process, which is an integral part of the NSA’s implementation. Suzanne and Chase discuss the challenges facing the IDR in its first few years, as well as the legal challenges to the federal guidance outlining IDR procedures and practices. Suzanne closes with a discussion of what to look for in 2024 and how the NSA and IDR may impact employers.
…
continue reading
168 episodes
All episodes
×
N
NFP's Insights from the Experts
1 EP 156: Benefits Provisions in the Proposed Congressional “Big, Beautiful Bill” 19:08
19:08 Play Later Play Later Lists Like Liked19:08
Play Later Play Later Lists Like LikedIn this episode, Chase Cannon and Suzanne Spradley outline the latest proposed bill from the U.S. House of Representatives, potentially up for a vote in the coming weeks. Chase outlines a key element missing from the proposed bill ‒ caps, cuts, or elimination of the so-called employer tax exclusions for health insurance ‒ and explains why it’s important for employer health plan sponsors. Chase and Suzanne spend the rest of the episode describing potential changes to HSAs and HRAs, including flexibility with HSA eligibility, increases on HSA contribution limits, and a new vehicle (called a “CHOICE arrangement”) for reimbursing an employee’s individual policy premium.…
N
NFP's Insights from the Experts
1 EP 155: Discussion: Recent Study on Impacts of Capping Employer Healthcare Tax Benefits 19:57
19:57 Play Later Play Later Lists Like Liked19:57
Play Later Play Later Lists Like LikedIn this episode, Suzanne Spradley and Chase Cannon review a recent industry focus-study on the economic impact of capping or eliminating the tax benefits associated with employer-provided health plans. Suzanne begins by providing a background on the employer-sponsored insurance tax breaks, their impact on employers and employees, and why Congress is considering a potential cap or elimination of those tax breaks. Suzanne and Chase discuss a recent study that addresses the negative downstream impact of such a cap or elimination, including detrimental economic, health insurance coverage, and health outcomes. Employers should be aware of these impacts and outcomes as Congress continues to view healthcare tax benefits as a source of revenue to offset other tax credits and breaks, including those that Congress wants to extend as part of the Tax Cuts and Jobs Act (which is set to expire at the end of 2025).…
N
NFP's Insights from the Experts
1 EP 154: Some Beginning-of-Year FAQs on HSAs and HSA Eligibility 17:51
17:51 Play Later Play Later Lists Like Liked17:51
Play Later Play Later Lists Like LikedIn this episode, Chase Cannon and Suzanne Spradley discuss some interesting questions relating to health savings accounts (HSAs), including basic eligibility, impermissible coverage, and employer responsibility when determining an individual employee’s HSA eligibility. Chase jumps in on a response to a question about HSA eligibility regarding a health FSA grace period. Chase and Suzanne conclude with a discussion about Medicare enrollment and HSA eligibility and whether employers should automatically terminate HSA contributions when an employee turns 65.…
N
NFP's Insights from the Experts
1 EP 153: New Proposed HIPAA Security Rule Regulations Potential Impact on Employer Group Health Plans 21:44
21:44 Play Later Play Later Lists Like Liked21:44
Play Later Play Later Lists Like LikedIn this episode, Suzanne Spradley and Chase Cannon discuss recently published proposed regulations relating to HIPAA’s Security Rule. Suzanne leads off with an overview of the HIPAA privacy and security rules generally, focusing on security — the usage of personal health information in electronic form. Suzanne and Chase discuss potential changes in definitions under HIPAA’s Security Rule, how the risk analysis requirement might be impacted, and what employers should be considering with their internal benefits, technology, and IT teams. Suzanne closes the podcast with her thoughts on the process and timeline for finalizing the proposed regulations.…
N
NFP's Insights from the Experts
1 EP 152: Understanding the Debate Surrounding Employer-Sponsored Insurance Tax Exclusion 21:57
21:57 Play Later Play Later Lists Like Liked21:57
Play Later Play Later Lists Like LikedIn this episode, Suzanne Spradley and Chase Cannon discuss the debate relating to employer-sponsored group health plan coverage and insurance tax exclusion. Suzanne describes what is meant by employer-sponsored insurance (ESI) and the background on the tax breaks that employers and employees receive when it comes to ESI. Suzanne and Chase walk through the two sides of the debate on keeping or remodeling the ESI tax exclusion, which could become a bigger issue in 2025 with respect to tax and health policy under the constantly changing legislative environment in DC.…
N
NFP's Insights from the Experts
1 EP 151: Problematic Wellness Indemnity Arrangements Bubbling Up Again! 22:36
22:36 Play Later Play Later Lists Like Liked22:36
Play Later Play Later Lists Like LikedIn this episode, Chase Cannon and Suzanne Spradley discuss the recent revival of vendor-promoted pre-tax wellness arrangements that promise large tax savings for employers and employees with little employer investment. Chase leads off with a brief description of these programs and their purported claims on employment tax savings for both employees and employers. Chase and Suzanne review the various iterations of the programs, explain how their tax-free reimbursements are not allowed under the related rules, and discuss how the IRS has attempted to address their illegitimacy through several pieces of guidance. Chase closes out the podcast by identifying red flags to help listeners recognize these problematic programs.…
N
NFP's Insights from the Experts
1 EP 150: PBM Regulation and Litigation and a Review of the J&J Case 21:46
21:46 Play Later Play Later Lists Like Liked21:46
Play Later Play Later Lists Like LikedIn this episode, Suzanne Spradley and Chase Cannon review the current state and federal regulation of pharmacy benefit managers (PBMs), focusing on litigation surrounding recent state-enacted PBM rules. Suzanne starts off with a high-level description of PBMs and the role they play in the group health plan context. Suzanne and Chase discuss the plethora of state laws (proposed and enacted) focused on PBM regulation and the role courts have played in ERISA preemption of state laws, including in Arkansas, Oklahoma, and North Dakota. Suzanne concludes with a discussion of ERISA fiduciary obligations in the context of the J&J lawsuit, including a few employer takeaways on establishing a process for making plan-related decisions on pharmacy and other benefits and administration.…
N
NFP's Insights from the Experts
1 EP 149: Updates on Prescription Drug Importation in the US 17:36
17:36 Play Later Play Later Lists Like Liked17:36
Play Later Play Later Lists Like LikedIn this episode, Suzanne Spradley and Chase Cannon discuss the US importation policies and rules aimed at lowering domestic prescription drug costs. Suzanne walks through the legalities of drug importation generally and then outlines the specific programs by which states can develop importation plans. Chase and Suzanne discuss several state importation proposals and how they could potentially bring savings to US consumers. Suzanne closes by addressing Canadian concerns relating to potential US drug importation.…
N
NFP's Insights from the Experts
1 EP 148: IRS Reminders: Employer Reporting Deadlines, Annual Numbers and an Alert on Wellness Vendors 21:50
21:50 Play Later Play Later Lists Like Liked21:50
Play Later Play Later Lists Like LikedIn this episode, Chase Cannon and Suzanne Spradley remind employers about important ACA employer mandate reporting deadlines with the IRS, including a change in electronic reporting in 2024 for smaller employers. Chase also outlines some updated numbers relating to the federal poverty line (FPL), ACA affordability calculations and ACA penalty amounts, which are all adjusted annually. Suzanne and Chase finish with a discussion on an IRS alert regarding wellness vendors that are erroneously claiming certain expenses are “medical care” under the IRS rules.…
N
NFP's Insights from the Experts
1 EP 147: Background & Developments on the No Surprise Act & Independent Dispute Resolution Process 21:07
21:07 Play Later Play Later Lists Like Liked21:07
Play Later Play Later Lists Like LikedIn this episode, Suzanne Spradley and Chase Cannon give an overview of the No Surprises Act (NSA) — a consumer health protection law that places certain requirements on providers and payers (insurers and group health plans). Suzanne describes the main requirements under the NSA and introduces the Independent Dispute Resolution (IDR) process, which is an integral part of the NSA’s implementation. Suzanne and Chase discuss the challenges facing the IDR in its first few years, as well as the legal challenges to the federal guidance outlining IDR procedures and practices. Suzanne closes with a discussion of what to look for in 2024 and how the NSA and IDR may impact employers.…
N
NFP's Insights from the Experts
1 EP 146: Recent HIPAA Settlements Shed Light on Employer Compliance w/ HIPAA Privacy & Security Rules 20:10
20:10 Play Later Play Later Lists Like Liked20:10
Play Later Play Later Lists Like LikedIn this episode, Chase Cannon and Suzanne Spradley discuss employer compliance with the HIPAA privacy and security rules via lessons learned from three new HHS HIPAA settlement announcements. Chase leads off with a high-level review of the HIPAA rules for both fully and self-insured plans and the importance of safeguarding protected health information (PHI). Chase and Suzanne discuss the background and scenarios that led to the HHS investigation, how unauthorized access to PHI arose in the three settlement scenarios, and the importance of employers running a HIPAA risk assessment to get ahead of potential HIPAA problems. Chase and Suzanne share practical tips on HIPAA compliance, including training employees, involving IT and Technology teams when developing policies and procedures, and controlling access points (servers, emails, etc.) to electronic and physical PHI.…
N
NFP's Insights from the Experts
1 EP 145: Recent Court Case on Interfering with Plan Participant’s ERISA 510 Rights 17:38
17:38 Play Later Play Later Lists Like Liked17:38
Play Later Play Later Lists Like LikedIn this episode, Suzanne Spradley and Chase Cannon discuss a recent circuit-level decision relating to employee termination and its interaction with a participant lawsuit based on ERISA Section 510 (which prohibits an employer’s interference with a plan participant’s right to benefits). Suzanne provides background on ERISA 510 and how it applies to employer’s group health plans. Suzanne and Chase analyze a case where an employer terminated an employee shortly after their return to work following a leave of absence for a medical procedure. The two close by discussing how the court weighed certain factors when determining the employer violated the participant’s Section 510 rights.…
N
NFP's Insights from the Experts
1 EP 144: Recent Developments at the State Level in CA, NY, TX, IL, OR, and ME 21:22
21:22 Play Later Play Later Lists Like Liked21:22
Play Later Play Later Lists Like LikedIn this episode, Chase Cannon and Suzanne Spradley take a tour across the nation as they review several new regulatory developments in six states that could impact employers with employees or fully insured plans in those states. Chase outlines new or recently effective paid family leave rules in New York, Oregon, and Maine. Chase and Suzanne delve into the impact of 2024 rate adjustments relating to San Francisco’s Health Care Security Ordinance and New York’s Paid Family Leave laws, including updated notices and other information on which employers need awareness. The two attorneys also highlight several new Texas laws that implicate multiple employer welfare arrangements (MEWAs) and fully insured plan coverage of prescription drugs and ground ambulance services.…
N
NFP's Insights from the Experts
1 EP 143: Recent Court Case Addresses ERISA Preemption of Oklahoma PBM Law 18:17
18:17 Play Later Play Later Lists Like Liked18:17
Play Later Play Later Lists Like LikedIn this episode, Suzanne Spradley and Chase Cannon address a recent appellate-level court case that addresses ERISA preemption of a recently enacted Oklahoma state law regulating pharmacy benefit managers (PBM). Suzanne begins by laying the groundwork and history of ERISA and ERISA preemption. Suzanne and Chase discuss the Oklahoma state PBM law and the players in the court case challenging the applicability of that state law. Suzanne details the court’s analysis on the circumstances required for ERISA to preempt (overrule) a state law, and she covers the court’s opinion and decision. Suzanne and Chase conclude the podcast by discussing the impact of the court’s decision on employers.…
N
NFP's Insights from the Experts
1 EP 142: Recent DOL Enforcement on MHPAEA and Applied Behavior Analysis (ABA) Therapy Exclusions 19:15
19:15 Play Later Play Later Lists Like Liked19:15
Play Later Play Later Lists Like LikedIn this episode, Chase Cannon and Suzanne Spradley discuss recent enforcement on MHPAEA. Chase jumps in with a description of DOL’s enforcement approach, including working through TPAs to identify plans that have or had ABA therapy exclusions. Suzanne and Chase discuss the administrative challenges with reprocessing ABA exclusion claims, which the DOL is asking TPAs to assist plans with. The two close with a high-level review of the recent DOL Enforcement Fact Sheet and promise a more in-depth review of the recent MHPAEA proposed regulations and report to Congress on the next podcast.…
Welcome to Player FM!
Player FM is scanning the web for high-quality podcasts for you to enjoy right now. It's the best podcast app and works on Android, iPhone, and the web. Signup to sync subscriptions across devices.
Daily Deals
Daily Deals
Similar to NFP's Insights from the Experts
The daily drama of money and work from the BBC.
…
continue reading
News and views on business and the world of personal finance. Plus the very latest from the financial markets around the globe
…
continue reading
The definitive business podcast from the BBC. Each week, the BBC's Evan Davis is joined by bosses, entrepreneurs and industry experts, to lift the lid on how their businesses work, and what it’s like to be in charge. They discuss a big issue, a big challenge, or a big question facing their industry. From managing AI to managing millennials, from supermarkets to supercharging a new product. And our guests will share their stories of success and failure along the way. Podcasts are published ev ...
…
continue reading
The latest Business and finance news from around the world on the BBC.
…
continue reading
Every weekday, host Kai Ryssdal helps you make sense of the day's business and economic news — no econ degree or finance background required. "Marketplace" takes you beyond the numbers, bringing you context. Our team of reporters all over the world speak with CEOs, policymakers and regular people just trying to get by.
…
continue reading
Wake-up with America's first news - Host Gordon Deal goes beyond the headlines with the day's first look at news and business news from the U.S. and around the world; bringing a lively blend of intelligent information, humor, and expert analysis to morning radio.
…
continue reading
Player FM - Podcast App
Go offline with the Player FM app!
Go offline with the Player FM app!
