DOL's Critical Role in Health Care Policy

3/14/17 11:07 AM

On February 10, the U.S. Senate confirmed Tom Price as Secretary of Health and Human Services (HHS). The following week, after Andrew Puzder withdrew his candidacy, President Trump announced his nomination of Alexander Acosta for Secretary of Labor. As the newly confirmed Secretary of HHS, Price is in a pivotal position to shape the future of the Affordable Care Act (ACA) and other health policies. However, as Secretary of Labor, Acosta will also have a significant but little-discussed role in health policy, vested in the Employee Benefit Security Administration (EBSA) within the Department of Labor (DOL).

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Topics: health claims, DOL EBSA, Affordable Care Act, ACA, ACA Replacement, ACA Repeal, Alexander Acosta

DOL’s Final Disability Benefits Claims Procedure Ruling

3/14/17 11:07 AM

On December 19, 2016, the Department of Labor (DOL) Employee Benefits Security Administration (EBSA) published the final rule outlining claims procedure regulations for employee benefit plans providing disability benefits under the Employee Retirement Income Security Act of 1974 (ERISA). The rule promotes greater disclosures for plan administrators denying disability claims. While originally in effect as of January 18, 2017, the ruling is on hold for 60 days with the January 20, 2017 Regulatory Freeze.

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Topics: blog, health claims, Disability Claims Ruling, DOL EBSA

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

Form 5500: What Could Change for Pension Plan Managers

11/9/16 9:54 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.


Summit recently submitted comments on the proposed rule to revise Form 5500. In this post, we break down key revisions that pertain to pension plans.

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Topics: health claims, form 5500

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: Joint Statistical Meetings (JSM)

8/29/16 9:30 AM

On July 31, 2016, I presented a research paper at the Survey Research Methods Section of the JSM Conference in Chicago. Mine was one of six contributed papers on the topic of Raking, Post-Stratification, and Calibration Methods in survey research.

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Topics: health claims

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

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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