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A Comprehensive Approach To Strategic Bill Review

Reducing costs for self-funded groups is a complex process that relies on several moving pieces. One of the tactics that many carriers and TPAs don't get right is strategic bill review. Read More

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Transparency In Coverage: Machine Readable Files Available July 1, 2022

Effective July 1, 2022, SISCO will be posting Machine-Readable Files (MRF) in compliance with the Transparency in Coverage rule.  Read More

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Requirement to Post Machine-Readable Files Begins July 1, 2022

The Transparency in Coverage Final Rules (TiC Final Rules) require group health plans and health insurance issuers to disclose on a public website detailed pricing information in three separate machin[...] Read More

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Claims Adjudication with SISCO Saves Clients Money

Case Studies

Most of us can agree that network discounts sound great. And many times they are. But while network discounts may appear to promote cost-savings upfront, your company could end up paying more money in[...] Read More

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Guidance Released on Coverage of OTC COVID-19 Tests

COVID-19

On January 10, 2022, the U.S. Department of Health & Human Services (HHS), Department of Labor, and the Treasury issued guidance regarding the requirements for group health plans and health insura[...] Read More

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Biden Administration Orders Vaccine Mandate for Large U.S. Employers and Federal Workforce

COVID-19

Last Thursday, September 9th, President Biden announced a series of more aggressive proposals in his Path Out of the Pandemic plan to continue the fight against COVID-19. The plan, most notably, inclu[...] Read More

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COBRA Subsidy Expiration Notice

COVID-19

It is already time to think about the distribution of the expiration notice for the COBRA subsidy as required by the American Rescue Plan Act (ARPA). This notice has also been referred to as a termina[...] Read More

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IRS Releases COBRA Subsidy FAQs

COVID-19

The Internal Revenue Service (IRS) has issued new COBRA subsidy guidance in Notice 2021-46 (the Notice) which supplements guidance released earlier in Notice 2021-31. The new Notice principally addres[...] Read More

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