An Employer Advisory Podcast

Health Care Happenings

The health care industry and benefits landscape are evolving, yet escalating health care costs make it clear there’s much work to be done to address this unsustainable system and improve the health care experience.

Tune in for the lighthearted banter, stay for the critical insights around trending topics, developments in the field, the pandemic, market stabilizers, public option and more.

 
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Meet the Hosts

Our hosts have a unique passion for innovating in this space and sharing novel, practical solutions to help organizations make a long-term positive impact and navigate this complex environment.

Annette Bechtold Senior Vice President of Regulatory Affairs & Compliance

Samantha Malovrh, Esq Vice President, Compliance Consulting

Scott Wham, JD Director of Compliance and Innovation

Ron Bargatze Principal

Episode 14 | Follow Up on Understanding Mental Health Parity Compliance in 2021

On this follow up episode to Mental Health Parity Compliance in 2021, the team welcomes Sarah Burns, Senior Employee Benefits Attorney, to discuss the recent Tri-Departments Mental Health Parity FAQs for group health plans having to perform comparative analysis on NQTLs. The team discusses what actions employers may want to take based of these FAQs and how they can make a good faith effort to comply with the requirements.

Episode 13 | PCORI Fee with Special Guest Anjali Radia 

The Patient-Centered Outcomes Research Institute (PCORI) fee reporting is coming. Samantha Malovrh is joined by Anjali Radia, Employee Benefits Attorney at OneDigital, to go over the basics of the PCORI fee and what employers of self-insured health plans need to be aware of.

Episode 12 | SCOTUS Decision on ACA

The third landmark decision is in. The Supreme Court’s latest decision in the ongoing saga regarding the Affordable Care Act skirts the big questions. This episode breaks down the Supreme Court’s decision, what it means to stakeholders, how it effects the future of the ACA and health care, and what, if anything, may be on the horizon.

Episode 11 | Form 5500 with Special Guest Peter Graf

On this episode, Samantha is joined by Peter Graf, senior compliance consultant at OneDigital, to discuss the basics of the annual Department of Labor’s report, the Form 5500.

Episode 10 | Today’s Health Care: Interview with Dr. Hill

As a follow up to Episode 9 where we tackled the shortage of primary physicians, we wanted to get real feedback from someone closer to the situation. Dr. Brian Hill, founder and CEO of HIPnation, an innovative company tackling better delivery of health care, joins us to share his take on defining what an effective primary care relationship looks like, pros and cons of the fee-for-service model, the reasons behind the shortage of primary care doctors, and how innovative arrangements can improve patient, employer, and overall health outcomes.

Episode 9 | Today’s Health Care: Shortage of Primary Care Physicians

The U.S. is facing a growing shortage of primary care and specialty physicians. During Part 3 of “Today’s Healthcare,” a miniseries, the team discusses the reasons for the shortage, how the shortage impacts healthcare costs, future challenges and potential resolutions.

Episode 8 | Health Care Happenings: Much Needed COBRA Premium Assistance Guidance Released

The Internal Revenue Service (IRS) released much needed guidance regarding the American Rescue Plan Act’s (ARPA) COBRA premium assistance subsidy. During this timely episode, Annette and Samantha highlight the guidance as it relates to common employer questions surrounding ARPA. Does reduction of hours include voluntary and involuntary? What is involuntary termination? How do employers obtain the credit?

Episode 7 | Today’s Health Care: Setting the Stage for Unnecessary Care

If we think about health care efforts and legislative efforts we see today, most of it is focused on access rather than the systemic issues associated with health care programs and costs. During Part 2 of “Today’s Healthcare,” a miniseries, the team delves into the discrepancies we see between the cost of care and outcomes, the reinforcing causes behind excess care and what consumers can do to take back some of their power.

Episode 6 | Today’s Health Care: Introduction

No matter how prepared, how healthy or careful you are, there’s no way to predict when you may need to access care, how much you’ll need and what it will cost. Yet, compared with any other consumer experience, people hardly know their options, and it’s generally not encouraged to ask what the cost is or shop around. Join our Health Care Happenings team for the introductory episode in the miniseries “Today’s Healthcare” dedicated to tackling the state of health care today, what each stakeholder wants, the concerns and opportunities for each of us.

Episode 5 | COBRA Subsidy FAQs and Model Notices Released April 7, 2021

Now that the dust (and panic) has settled, our team of compliance leaders review the latest guidance released by the DOL. Although there are still more questions than answers, they examine what we do know, the required notifications and what employers may want to consider enacting today.

Episode 4 | A Conversation About the Blue Cross Blue Shield Antitrust Settlement

Since 2012, the Blue Cross Blue Shield Association has been involved in a class-action lawsuit pertaining to their alleged national anti-competitive policies. Find out what’s really going on and how to determine if it’s worth your organization’s time to take any next steps.

Episode 3 | The American Rescue Plan Act, 2021 + COBRA Premium Subsidies

Following the signing of the latest COVID-19 relief law, employers and plan managers everywhere are scrambling to understand the implications on the employee benefits program, their people and the business. While there is plenty of information in this 600-page law, our compliance team shares insights on the items that impact employers most. Their biggest takeaway? Keep calm and stay tuned for additional guidance.

Episode 2 | Understanding Mental Health Parity Compliance in 2021

Our compliance team welcomes podcast guest Compliance Strategist Ron Bargatze for episode two, where they discuss the new rules, comparative analysis and how to handle non-quantitative coverage. Walk away with quick tips for more effective carrier conversations and best practices for sharing the required information with employees.

Episode 1 | 2021 Capitol Conference Recap

During the inaugural episode of Health Care Happenings, an Employer Advisory Podcast, OneDigital’s compliance leaders share their dedication for advancing the political health care landscape, their recent virtual visit to the Hill and discussions with Congress about what the most pressing topics are for employers.

OneDigital | COMPLIANCE CONSULTING

Is your organization on top of its compliance obligations?

OneDigital’s Compliance Consulting is an integrated component of our holistic approach to benefits and workplace solutions. Our experts consistently look around the corner on your behalf to protect your business from unnecessary risk and deliver the tools, education and resources needed to streamline your obligations and simplify your compliance administration.

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