How Healthcare Reform Impacts Employers’ Ability
to Remove Ineligible Dependents
Decisive, comprehensive eligibility management from HRAdvance
remains an employer’s best cost containment tool.
The recently passed Patient Protection and Affordability Act (PPACA) will bring about major changes in group sponsored health plans, not least among them significantly higher costs.
It is essential to prepare and react to the coming changes quickly and decisively to help control your health plan expenses.
In this new environment, a dependent eligibility audit remains one of your best cost containment tools. “Our audit tools can help control costs associated with many aspects of this new legislation,” said HRAdvance President Craig Firestone, “but that’s especially true of Section 2712.”
This section of the PPACA prohibits the rescinding of health insurance for any reason other than ‘fraud’ and ‘intentional misrepresentation of material’. Proving that an employee has committed fraud can be extremely difficult, and will only become more challenging in the future. “A dependent eligibility audit provider who can assist in those efforts will be key to success,” states Brennan Clipp, Senior Vice President of Sales at HRAdvance.
Health Care reform should not preclude cost containment efforts
For more details click here download the HRAdvance White Paper on this subject.
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