ARPA Updates, Health Net Q3 Rate Updates and More

Memorial Day Weekend Schedule

Our office will close at 3pm on Friday and will also be closed on Monday, May 31st in observance of Memorial Day. We will reopen on Tuesday, June 1st.

Ease Site Maintenance Scheduled for 5/29/21

On Saturday, May 29th, 2021 Ease will perform scheduled maintenance from 8pm to 11pm PST. During this time, the customer portals and APIs from the site will be unavailable. Ease is upgrading their systems and all services will be restored as soon as the maintenance is completed. SFTP and email services will not be affected by the outage. Please plan accordingly and schedule any high-priority operations before or after the 3-hour maintenance window.  If you have any additional questions contact your account manager or the ease support team support@ease.com.

Approved Rates for Health Net Small Business Group

Health Net just approved their Q3 2021 Small group premium rates for ACA-compliant medical, dental, and vision plans, effective 7/1/21-9/30/21.
Rate Summary:
  • Medical: Q3 2021 small business rates have a 0.3% increase for PPO and EnhancedCare PPO plans, and a 0.4% increase for HMO and HSP plans.
  • Dental: No rate or plan changes at this time.
  • Vision: No rate or plan changes at this time.
  • Optional Chiro: No rate or plan changes at this time
Call your Dickerson Sales rep today for more information!

AMERICAN RESCUE PLAN ACT

IRS Releases Guidance on ARPA COBRA Premium Assistance

The American Rescue Plan Act is legislation that applies to CalCobra subscribers who lost group coverage for termination of employment or reduction in hours. The subscribers with these qualifying events are eligible to receive a 100% premium subsidy for the CalCobra coverage for the period of April 1, 2021, through September 30, 2021. The IRS released Notice 2021-31, which contains guidance on the American Rescue Plan Act (ARPA) COBRA premium assistance provisions. To read the full story, click here.

Anthem Updates on American Rescue Plan Act

Here’s the latest update from Anthem regarding the American Rescue Plan Act. To read the full story, click here. For FAQs on ARP COBRA and State Continuation Subsidiaries, Click here.

Blue Shield Updates on American Rescue Plan Act

To learn more about the COBRA subsidy and eligibility information, please visit the Blue Shield resource page where you will find additional details, FAQs, and copies of the notices for eligible employees.

California Choice Updates on American Rescue Plan Act

California Choice administrators are collaborating with plan partners, WageWorks, and their COBRA administrator, to determine the impact of the premium assistance on eligible COBRA enrollees. Please review the COBRA and Cal-COBRA information here.  Complete and return the Notice of Assistance Eligible Individual form to COBRA-ARPA@calchoice.com or fax to 714-908-3549 no later than June 14,2021. For more information on DOL FAQ and model notices click here.

DICKERSON INDIVIDUAL MARKET

UCLA Primary Care Physicians for L.A. Care subscribers

L.A. Care enrollees can have the benefit of receiving primary care from the UCLA Medical Group or hospitals. UCLA Health includes four hospitals on two campuses and more than 170 primary and specialty care practices throughout Southern California. UCLA Health ranks #1 in Los Angeles and #7 nationally in U.S. News & World Report’s Best Hospitals survey.
To enroll your clients in UCLA, verify their Primary Care Physician through our Find a Provider tool located at our home page. Once the member’s plan has effectuated, their Primary Care Physician will be assigned by calling Member Services.

DICKERSON INDUSTRY NEWS UPDATES

No-Cancel Culture: How Telehealth Is Making It Easier to Keep That Therapy Session

When the pandemic forced behavioral health providers to stop seeing patients in person and instead hold therapy sessions remotely, the switch produced an unintended, positive consequence: Fewer patients skipped appointments. That had long been a problem in mental health care. Some outpatient programs previously had no-show rates as high as 60%, according to several studies.
To read the full story, click here.

Prescription drug price fight gets a funding infusion

Millions of dollars are being poured into the fight over prescription drug costs, and not just from pharmaceutical companies and their allies. Lowering prescription drug costs has been a top Democratic priority for years and is hugely popular among the public, a fact that both supporters and opponents of reform aren’t taking lightly.
To read the full story, click here.

Pandemic Leads Doctors to Rethink Unnecessary Treatment

Covid-19 is opening the door for researchers to address a problem that has vexed the medical community for decades: the over-treatment and unnecessary treatment of patients. On one hand, the pandemic caused major health setbacks for non-covid patients who were forced to, or chose to, avoid tests and treatments for various illnesses. On the other hand, in cases in which no harm was done by delays or cancellations, medical experts can now reevaluate whether those procedures are truly necessary.
To read the full story, click here.