How EBSA Is Changing the Definition of an “Employer”

2/7/18 9:03 AM

On January 5, the U.S. Department of Labor (DOL) Employee Benefit Security Administration (EBSA) proposed a rule that would change how an employer is defined under section 3(5) of Employee Retirement Income Security Act (ERISA) Association health plans. This proposal is intended to broaden the existing definition of an employer in an effort to expand access to affordable health coverage, specifically for small employers and self-employed individuals. The proposal was also developed in direct response to President Donald Trump’s executive order to expand access to association health plans.

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What’s on the Horizon for Health Policy in 2017?

2/6/17 3:40 PM

Last week, I attended the 2017 AcademyHealth National Health Policy Forum in DC, where experts from government, industry, and academia convened to discuss, debate and predict top priorities for the year ahead. 

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Topics: health claims

How DOL Could Improve Form 5500 for Group Health Plans

11/2/16 9:45 AM

On July 21, 2016, the Department of Labor (DOL) Employee Benefit Security Administration (EBSA), Internal Revenue Service (IRS), and Pension Benefit Guaranty Corporation (PBGC) proposed a rule that would change how employee benefit plans share information with the government. This proposal, which revises the existing Form 5500, is intended to make data more useful and protect employees. DOL has encouraged stakeholders to submit public comments on these changes. Read our other posts about the proposed rule here.


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Topics: health claims, Form 5500

Form 5500: What Could Change for Group Health Plan Managers

10/26/16 2:37 PM

On July 21, 2016, the Department of Labor (DOL) Employee Benefit Security Administration (EBSA), Internal Revenue Service (IRS), and Pension Benefit Guaranty Corporation (PBGC) proposed a rule that would change how employee benefit plans share information with the government. This proposal, which revises the existing Form 5500, is intended to make data more useful and protect employees. DOL has encouraged stakeholders to submit public comments on these changes. Read our other posts about the proposed rule here.

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Topics: health claims, Form 5500

Recap: 18th Annual Retirement Research Consortium (RCC)

8/10/16 9:00 AM

Last week, Summit attended the 18th Annual Retirement Research Consortium (RRC) at the National Press Club in Washington, DC. This annual meeting is organized by the Center for Retirement Research at Boston College, the Michigan Retirement Research Center, the National Bureau of Economic Research, and is funded through cooperative agreements with the Social Security Administration. 

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Topics: health claims

Exploring Shifts in Insurance Products after ACA

4/19/16 3:57 PM

In this series of blog posts, we are using an All Payer Claims Database (APCD) from the state of New Hampshire to explore some questions related to the Affordable Care Act (ACA).
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Topics: Summit Blog, health claims, all-payer claims database

Exploring the Cost and Frequency of Wellness Exams after ACA

4/12/16 11:02 AM

In this series of blog posts, we are using an all-payer claims database (APCD) from the state of New Hampshire to explore some questions related to the Affordable Care Act (ACA). 

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Topics: Summit Blog, health claims, all-payer claims database

Analyzing and Making Sense out of Claims Data

4/5/16 11:00 AM

In this series of blog posts, we are using an all-payer claims database (APCD) from the state of New Hampshire to explore some questions related to the Affordable Care Act (ACA). 

In last week’s post, we discussed our process for accessing claims data through an all-payer claims database (APCD). After investigating the twelve states with publicly accessible APCDs, we opted to request a public use data set from the state of New Hampshire from the New Hampshire Comprehensive Health Care Information System (NH CHIS).

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Topics: Summit Blog, health claims, all-payer claims database

Exploring the Impact of ACA Using an All-Payer Claims Database

3/29/16 3:30 PM

At Summit, we spend a lot of time working with health claims data. We use this data to help answer research questions, often for Federal clients, and we keep both the data and our insights confidential. To add to our domain expertise, however, sometimes we ask questions using non-client data. 

We are interested in exploring the impact of the Affordable Care Act (ACA) through an analysis of claims data. In the coming weeks, the Summit Blog will explore the steps we took to answer that question using administrative claims data acquired from an all-payer claims database.

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Topics: Summit Blog, health claims, all-payer claims database

Interviewing Dr. David Butz on Healthcare Claims and Payment Data

4/23/15 10:35 AM

Summit is excited to welcome back Dr. David Butz for a new seminar on healthcare claims and payments on May 5th. We sat down with him to learn some tips for working with health claims data. 

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Topics: Summit Blog, data analytics

About the Summit Blog

Complexity simplified.

Summit is a specialized analytics advisory firm that guides clients as they decode their most complex analytical challenges. Our blog highlights the strategies and techniques we use, as well as relevant topics in current events.

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