News & Insights

New requirements to increase health care cost transparency

The Consolidated Appropriations Act (CAA) signed into law on December 27, 2020, and the Transparency in Coverage Act (TiC), adopted November 12, 2020, contain a number of initiatives designed to improve health care cost transparency and patient protections. Below is a calendar of key 2022 and 2023...

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PCORI fee deadline approaching

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2022 ACA affordability rate announced

Within the IRS-issued Revenue Procedure 2021-36, the affordability threshold for the 2022 calendar year has been set to 9.61% of household income. This percentage is a decrease from the 2021 threshold of 9.83%. The affordability threshold is used to determine an individual’s eligibility for a...

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2021 PCORI fee Increase

The annual Patient-Centered Outcomes Research Institute (PCORI) fee for plans ending between October 1, 2020, and October 1, 2021, is $2.66. This is an increase from the 2020 rate of $2.54.

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