In an effort to combat high prescription drug costs, legislators included language in the Consolidated Appropriations Act, 2021, requiring group health plans to submit detailed information about prescription drug pricing and health care spending to the federal government. The submission form is known as the “RxDC report.”
IRVINE, Calif. (August 1, 2022) Pinnacle Claims Management, Inc., part of the Western Growers Family of Companies (WGFC), has announced it will facilitate patient care as a managing services organization at the Cedar Health and Wellness Center located in Santa Maria, California. This comes after Pinnacle announced
In late 2020, the Departments of Health and Human Services, Labor, and Treasury released the Transparency in Coverage Final Rules (TIC) and the Consolidated Appropriations Act (CAA) was signed into law. These two initiatives provide new consumer protections as described below, and include extensive transparency reforms intended
Pinnacle Claims Management Health Plan Transparency Pinnacle is committed to our clients, and as such, we actively work to ensure you receive the necessary guidance as it pertains to legislative changes in health care. There have been several provisions of the Consolidated Appropriations Act of 2021 (CAA)
California’s latest COVID-19 Supplemental Paid Sick Leave Bill (AB 84) was signed into law on February 9, 2022 by Governor Newsom. Details of this new legislation are set out below. Employee Use of COVID-related Supplemental Paid Sick Leave (SPSL) SPSL is available for employees unable to work
On January 10, 2022, the Biden Administration announced that, beginning January 15, individuals with private health insurance coverage or covered by a group health plan who purchase an over-the-counter COVID test authorized, cleared, or approved by the U.S. Food and Drug Administration (FDA) will be able to
On December 27, 2020, President Trump signed Consolidated Appropriations Act, 2021 (“Act”). The voluminous appropriations and COVID-19 relief package also includes the most significant health care legislation since the Affordable Care Act, addressing balancing billing and cost transparency, as well as extending the COVID-related FSA relief measures
Introduction In October 2020, the Departments of Health and Human Services, Labor, and Treasury (collectively referred to as the “Departments”) released the Transparency in Coverage Final Rules (TIC) requiring, among other things, that non-grandfathered health plans disclose, on a public website, three machine-readable files disclosing health care
To our valued clients: We are pleased to announce that Anthem Blue Cross (“Anthem”) and Dignity Health (“Dignity”) have reached a new contract agreement that returns Dignity facilities to the Anthem network. The agreement is retroactive to July 15, 2021, and any care provided and received through
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