The Biden administration has released its final rule updating mental health parity compliance for group and individual health plans. Released Monday, the final rule updates how federal agencies oversee whether health plans treat behavioral health benefits differently than physical health benefits. In short, it requires and spells out how health plans are to analyze nonquantitative […]
The U.S. Department of Labor has submitted its final rule that overhauls parity regulations for a final review at the White House, a last stop before its public release. It’s not clear when the rule will be released. If published as previously proposed, the new rule would revamp provisions implementing the Paul Wellstone and Pete […]
The Biden Administration introduced a new proposed rule focused on strengthening mental health parity regulations. Specifically, the proposal sets out to clarify health plan’s requirements for nonquantitative treatment limitations (NQTL) comparative analyses and network composition. NQTL are health plan practices that are not associated with specific numbers but still have an influence on whether and […]
The Biden Administration is preparing to release proposed rules that impact how payers demonstrate mental health parity to federal regulators. The move marks another step toward resolving the disparity between how payers treat behavioral health and physical health benefits by bringing them in line with recently enacted reporting mandates. Yet little is known about the […]
The Biden administration could mix up how behavioral health operators address worker classification. The U.S. Department of Labor (DOL) said in October it would undo Trump-era classification rules that made it easier to classify workers as contractors. This bolstered the gig economy and placed an emphasis on how much control the employer had over the […]
A Southern Florida federal court has handed down its heftiest sentence yet in a $106 million substance use disorder false claims conspiracy case. Judge Rodolfo Ruiz II sentenced Mark Agresti, formerly the medical director of Good Decisions Sober Living, to 100 months of prison time and to pay about $31 million in restitution for his […]
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