Healthcare Happy Hour

As I’m sure all of our listeners are aware, the open enrollment period is underway! Running from November 1 through January 15 (although consumers will actually get one additional day to enroll this year as January 15 falls on a federal holiday), the OEP is an opportunity for millions to get covered, especially those who have lost coverage during the Medicaid unwinding. In addition to the OEP, we have exciting news about one of our oldest legislative priorities – employer reporting relief! On this week’s episode of the Healthcare Happy Hour, John Greene and Michael Andel return to discuss.

On September 1, the National Association of Benefits and Insurance Professionals welcomed new Chief Executive Officer Jessica Brooks-Woods. Prior to NABIP, Jessica served as president and CEO of the Pittsburgh Business Group on Health. On this week’s episode of the Healthcare Happy Hour, Dan Parker is joined by Jessica to discuss what led her to NABIP, what her goals are for the association, and everything else you might have questions about!

Last week, Kevin McCarthy became the first speaker of the House in United States history to be ousted from the position via vote. This week, the House has scrambled to replace McCarthy. While the chamber has a temporary speaker in place, his powers are limited and the GOP majority must choose a permanent leader before anything can be considered on the floor. On this week’s episode of the Healthcare Happy Hour, John Greene and Michael Andel discuss what they’re seeing on the Hill. Additionally, the Medicare AEP is about to begin, so we’ll discuss some resources for our members to help with all the requirements for agents.

Since its passage well over a decade ago, the Affordable Care Act has fundamentally transformed health insurance and employee benefits – and every year there seems to be more regulation and legislation building on the landmark law. To best serve your clients, you need to be up to speed on all things ACA and beyond. On this week’s episode of the Healthcare Happy Hour, NABIP’s Dan Parker is joined by Paul Roberts, senior director of education and market development at Word & Brown and instructor of one of NABIP’s best professional development courses – “ACA and Beyond: A Modern Look at Employee Benefits.” Listen to the whole podcast episode to hear a special code you can use to get 20% off our ACA and Beyond course! The code expires October 13.

NABIP submitted a comment letter in response to a proposed rule on mental health parity. Mental health parity and network adequacy in the mental health space has been a prime issue for employers across the country, and NABIP, for several years now. This new proposed rule was issued in early August. On this week’s episode of the Healthcare Happy Hour, Senior Vice President of Government Affairs John Greene is back on the pod to discuss the proposed rule and our comments. Today’s podcast episode covers a portion of our comments. If you are interested in learning more, please read the executive summary and full comment letter on NABIP.org!

Over the course of the past decade, the industry has seen a tremendous increase in the sophistication and costs of medical treatment options, including enhanced care of newborns, groundbreaking cancer treatments and pharmaceutical advancements like gene and cell therapies. These have created potentially big wins for patients with challenging diagnoses, but also brought about a continued trend in rising claim costs. As the costs have grown, so has the need to ensure appropriate coverage is in place with a carrier that has the right knowledge, experience and financial stability to help protect each client’s bottom line. On this week’s episode of the Healthcare Happy Hour, sponsored by HM Insurance Group, Dan Parker is joined by president of HM Insurance Group’s Mark Lawrence and Eric Berg to discuss the importance of stop-loss coverage amidst this continued trend in rising claim costs. Sponsored by HM Insurance Group.

Health insurance professionals who in the employer market are acutely aware of health reimbursement arrangements, commonly shortened to HRAs, and how they work. However, the world of individual coverage HRAs, or ICHRAs, is a relatively new form coverage that employers and brokers alike are still learning how to utilize effectively. On this week’s episode of the Healthcare Happy Hour, sponsored by Remodel Health, NABIP’s Dan Parker is joined by Justin Clemets co-founder and chief ICHRA officer, Travis Hall, VP of marketing, and John Staub, director of outreach, to discuss how ALEs can utilize ICHRAs, tailoring ICHRAs for various employee classes, broader potential of ICHRAs for different types of reimbursements, and how the Family Glitch fits into all this. Sponsored by Remodel Health

NABIP submitted a comment letter earlier this week in response to a proposed rule by the Treasury Department, DOL, and HHS on short-term plans, fixed indemnity plans and excepted benefits coverage. The proposed rule also included a request for information on level-funded plans, broadly. On this week’s episode of the Healthcare Happy Hour, your favorite NABIP staff members John Greene and Michael Andel review the proposed rule and our comments. Read this comment letter, and all of our regulatory comments and written testimony, on NABIP.org - specifically under "Advocacy," under "Policy Documents."

It’s September 1, which means it’s officially fourth quarter – though we probably didn’t actually need to tell you that. September 1 also means that we are just a couple of days away from the end of August recess. If you met with your lawmakers over the summer, please log those appointments using a link on NABIP.org, under Advocacy, then Legislative Issues. With that said, we have plenty to discuss this week, most of which is at the regulatory level – between ACA affordability changes and proposed Medicare regulations. To discuss all of this and more on this week’s episode of the Healthcare Happy Hour are none other than NABIP’s John Greene and Michael Andel.

Welcome back to the Healthcare Happy Hour! Even though we are in the midst of August recess, a new bill that would resolve one of our Medicare issues has been introduced in the House. NABIP is calling on all members to contact their federal legislators and urge them to co-sponsor bipartisan legislation that would address this important issue. In addition to that, our listeners who work in the individual market will be delighted to hear that our model consent form for those in federally facilitated marketplace states is finally available. To discuss this and more, on this week’s episode of the podcast, is NABIP’s John Greene and Michael Andel.

August Recess is underway! Every year, the House and Senate adjourn for the annual Congressional summer recess. This year, the House will be on recess until September 12 and the Senate will reconvene on September 4. This is a prime time to meet with your federal legislators about NABIP’s talking points, which this year is focused on getting the Employer Reporting Improvement Act across the finish line. In addition to August Recess, a mental health parity proposed rule and technical release was issued by the tri-agencies early last week. To discuss these items, on this week’s episode of the Healthcare Happy Hour, is NABIP Senior Vice President of Government Affairs John Greene and Vice President of Congressional Affairs Michael Andel.

As of June 18, agents and brokers who operate in states with a federally facilitated marketplace must obtain documentation that consumers they are working with have reviewed their eligibility for applying for coverage. Agents and brokers must also obtain documentation that the consumer consents to work with them when enrolling in advance payments of the premium tax credit and cost-sharing reduction payments. NABIP will be providing a model form over the coming weeks for our membership to utilize. In the meantime, on this week’s episode of the Healthcare Happy Hour, Dan is joined by AgencyBloc product director Sara Brammer and Engagement Manager Neal Price, to discuss the new rule and what steps you can take to ensure compliance. Sponsored by AgencyBloc

As you saw in last week’s Washington Update, the administration released a proposed regulation that touches on short-term limited duration plans, fixed indemnity plans and level-funded plans. On the Congressional side, NABIP is looking at the PATIENT Act of 2023, a transparency bill that includes many provisions we support. In addition to these items, NABIP submitted a comment letter to the NAIC earlier this week regarding some proposed privacy provisions. To discuss all of this on this week’s episode of the Healthcare Happy Hour are our very own John Greene and Michael Andel.

We hope you enjoyed our Annual Convention in New Orleans at the end of June, and we hope you had an excellent Fourth of July. We did not host an episode of the Healthcare Happy Hour podcast last week, but that’s because we’ve been busy with our brand-new State Legislative Tracking Tool, available now on NABIP.org. On this week’s episode of the Healthcare Happy Hour, Senior Director of Government Affairs Husni Abdelaziz is here to discuss the tool and how you can leverage it to stay informed and engaged with the legislative process in your state and region.

On Wednesday, the House passed the Employer Reporting Improvement Act (H.R. 3801), a bill that provides much-needed relief for employers by easing certain aspects of the reporting requirements under Section 6055 and 6056 of the ACA. This has been an issue that NABIP has been active in for several years now, and for employer-reporting legislation to make it this far is truly exciting. On this week’s episode of the Healthcare Happy Hour, NABIP lobbyists John Greene and Michael Andel are here to discuss the bill.

This week is Senior Vice President of Government Affairs Marcy M. Buckner’s last here at the National Association of Benefits and Insurance Professionals. For several years, Marcy has been one of the premier voices on the Healthcare Happy Hour podcast – but that has just been a small piece of her duties at NABIP. After over 11 years, Marcy has left a substantial legacy and everyone, from staff to members, are sad to see her go. On this week’s episode of the Healthcare Happy Hour, Vice President of Congressional Affairs John Greene and Marcy review some legislative and regulatory successes that NABIP has had during her tenure, as well as some fun and emotional personal anecdotes.

Earlier this week, the House Ways and Means Committee advanced the Employer Reporting Improvement Act which will simplify employer reporting on health insurance coverage. This is a priority that NABIP has long advocated on behalf of. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner discusses what this big win means, along with details of what’s included in the bill and future steps.

NABIP’s Annual Convention is rapidly approaching – our first Convention as the National Association of Benefits and Insurance Professionals! We hope that all our listeners are planning on attending Convention, which will be held June 24 through 27 in New Orleans, Louisiana. On this week’s episode of the Healthcare Happy Hour, Dan is joined by NABIP Chief Information Officer Illana Maze to discuss the Convention and all the great speakers and sessions that come with it! Register for Convention at https://www.nabip.org. The deadline to register online is June 16. On-site registration will be available but will increase by $50.

In a recent benefits survey, 92 percent of respondents said that benefits were important to their overall happiness on the job. In today’s world, that means offering benefits that go beyond health insurance. For those that work in the group market know that employers are always looking for interesting and useful supplementary benefits to attract the best and brightest employees. On this week’s episode of the Healthcare Happy Hour, we are joined by Heidi Sirota and Andee Gravitt from Nationwide along with Adam Sheehan from AccuRisk Solutions, to discuss how to best leverage employee benefits portfolios to optimize employee retention. Sponsored by Nationwide *Nationwide has received the DALBAR Plan Participant Service Award from 2014-2022. This recording is educational in nature and is not designed or intended to provide financial, tax, legal, accounting, or other professional advice. Nationwide and its representatives do not give legal or tax advice. An attorney or tax advisor should be consulted for answer

Earlier this week, a federal appeals court issued a stay on a lower court ruling that struck down provisions of the ACA’s preventive care mandate while it reviews the case. Meanwhile, NABIP submitted more written testimony to Congressional committees on a variety of topics – including direct primary care and hospital consolidation. On this week’s episode of the Healthcare Happy Hour, Marcy M. Buckner discusses the ACA case and its implications, along with the details of our statements for the Congressional Record.