News

Beam helps meet the unique needs of employees and their families by providing valuable access to mental health care through Headspace Care. Headspace Care unites therapy, psychiatry, on-demand coaching and guided meditations into a single system to deliver an ongoing, human centered experience that supports mental health. Evidence-based therapy High-quality psychiatry Unlimited mental health coaching On-demand meditations and mindfulness exercises How to offer Headspace Care to your members? Enhance your mental health program with Headspace Care s continuous, connected system that meets the unique needs of employees and their families. Beam takes a modern approach to delivering benefits plans that are easy to understand and easy to use for small businesses. For Details Click Here For More Information or Help Quoting Beam, Please Contact Your Dickerson Sales Rep.

Oscar and Cigna Healthcare will not renew Cigna + Oscar Small Group plans nationally. Coverage for Cigna + Oscar Small Group services will continue through the end of each member’s policy, and specific timing is dependent on each groups’ enrollment date. Key dates to know: Cigna + Oscar will no longer enroll new small groups beginning January 1, 2025. The last date for an employer to start a new policy with Cigna + Oscar will be December 15, 2024. Cigna + Oscar will not renew Small Group plans beginning January 1, 2025. The last Cigna + Oscar Small Group plans renewed will be those with effective dates of December 15, 2024. The last date of member coverage in the market will be December 14, 2025 . Contact You Dickerson Sales Representative to Learn About Available Options.

Health Net is bringing you personal care and support during your pregnancy journey through their Doula Program. Offering help with the aim of improving health outcomes for birthing parents and their babies. Group Plans and individual and Family Plans are eligible for this new program through Health Net. For Details Click Here For More Information or Help Quoting Health Net, Please Contact Your Dickerson Sales Rep.

this (Nov 20, 2024) When the Consolidated Appropriations Act, 2021 (CAA) was enacted on December 27, 2020, it included a provision that prohibits group health plans and health insurance carriers from entering into certain agreements that, either directly or indirectly, restrict the release of certain information related to provider networks and de-identified encounter data, among other things. Such restrictions are commonly referred to as “gag clauses.” The CAA also requires plans and carriers to attest annually that their agreements do not include such impermissible gag clauses. The first gag clause attestation was due on December 31, 2023, with the next one coming due by December 31, 2024, which covers the period between the last attestation and the date this year that the attestation is submitted. The attestation was modified somewhat for 2024, including, among other things, a new requirement to include an attestation year (i.e., the year the attestation is submitted), a new requirement to include the attestation period (i.e., the date range for the attestation, which is the period between when the last gag clause attestation was submitted and the current gag clause submission) and a section to include the plan type (ERISA plan, non-federal governmental plan, or church plan). Key gag clause attestation requirements and considerations are described below, though more extensive FAQs can be located (along with the instructions, forms and user manuals for submitting the attestations) on the CMS website. To Read More Click Here

The CMS proposed additional guardrails around Medicare Advantage plans’ prior authorization practices — including their use of artificial intelligence, amid rising concerns that algorithms are being used to improperly delay or deny care. The proposed rule also aims to improve provider directories, give regulators more oversight into how plans administer supplemental benefits and crack down on predatory marketing. It also puts new criteria in place for reporting medical loss ratios, important metrics of plan spending. It’s the same rule in which the Biden administration is seeking to allow Medicare to cover weight loss drugs for patients with obesity for the first time. The incoming Trump administration will have the final say as to whether the proposals are finalized, given the timing of the rulemaking process. To Read More Click Here