Scott Ray, founder of 6 Degrees Health, recently appeared in BenefitsPro to explain the advantages of Reference-Based Pricing (RBP). Drawing from years of industry experience, the article highlights: Key Success Factors: Effective RBP plans share common characteristics that drive success. Common Pitfalls: Avoiding typical traps ensures smoother implementation and better outcomes. Strategic Guidance: Practical advice […]
HITRUST r2 Certification validates 6 Degrees Health is committed to strong cybersecurity and protecting sensitive data. March 17, 2025 – 6 Degrees Health, a technology-enabled healthcare payment integrity provider, today announced its Claims System and MediVI Software Platforms residing in Google Cloud has earned certified status by HITRUST for information security. HITRUST Risk-based, 2-year (r2) […]
The Office for Civil Rights at the U.S. Department of Health and Human Services (“HHS”), which administers and enforces the HIPAA Security Rule (“Security Rule”), recently issued a Notice of Proposed Rulemaking (NPRM) to strengthen cybersecurity protections for electronic protected health information (ePHI). The proposed rule introduces several new requirements and clarifications that will have […]
Brokers and TPAs may have the obligation to complete the Gag Clause Prohibition Compliance Attestation Submission (“Attestation”) on behalf of their self-funded group health plan clients, pursuant to an agreement with their clients. Although plans are responsible for filing the Attestation, TPAs and brokers may file on behalf of their clients. What is a Gag […]
The Biden-Harris Administration recently issued a proposal to eliminate medical debt from credit reporting. If the proposal becomes law, medical debt will no longer be reported by credit reporting agencies nor be a factor in determining credit scores. A Sweeping Change for Credit Reports Currently, medical debt affects millions of Americans, with 46 million people […]
The Department of Labor (DOL) Wage and Hour Division issued final regulations, effective March 11, 2024. These rules established an economic realities test which will serve as a practical guide for employers in determining whether a worker is an employee or independent contractor under the Fair Labor Standards Act (“FLSA”). [29 CFR part 795]. How […]
IMPORTANT NOTICE: Do Not Consent to Being Balance-Billed Stay protected from surprise medical bills! The No Surprises Act shields patients from balance billing but watch out for exceptions. Don’t waive your protection from NSA or consent to balance billing for non-emergency or emergency care and review all documents carefully. Are you aware of the hidden […]
What you need to know about Broker and TPA Disclosure Obligation. Consolidated Appropriations Act of 2021 Compensation Disclosure Obligation Since the enactment of the Consolidated Appropriations Act of 2021 (the “CAA”), effective December 27, 2021, Brokers and TPAs are required to report compensation received directly, or indirectly, in connection with services provided to health and […]