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Consolidated Appropriations Act

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CAA Compliance Certification for Validated Solutions

Upon achieving validation from VI, companies will also have the option to apply for a CAA Compliance Certification, which will state the following:

We [The Recipient] warrant that, above and beyond those clearly required by the Consolidated Appropriations Act, all disclosures are being/will be made that could, or could be perceived to, create a conflict of interest that would put the employer group in a position of violating its fiduciary provisions. This includes payments made to the employer group’s consulting or brokerage firm, or carrier, or principals of either, over the last three years for any reason, or any service provided to us by them, such as actuarial consults related or not related to the particular offering or customer in question.

We warrant this subject to a self-assessed penalty of the greater of $1,000,000 or five times the annual revenues for the customer in question.

Articles

Securing The Lowest Net Cost PBM Contract

The Consolidated Appropriations Act (CAA) effective December 27, 2021, adds multiple requirements on ERISA and PHSA health plan sponsors that cannot be ignored. A key defense to scrutiny from the U.S. Department of Labor is demonstration that service providers and plan professionals’ evaluation and contracting was performed using objective strategies in the interest of plan members. 

Written By:
Scott Haas
Terrance Killilea, Pharm.D.
USI Insurance Services 

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How to Avoid CAA Liability: A Case Study

Prior to 2023, vendor misstatements of outcomes were only of academic interest to folks like the Validation Institute, and to purchasers who prioritized management of their healthcare spending in practice, rather than just as a talking point.  However, the Consolidated Appropriations Act changes everything.  Today, significant penalties await those who pay vendors who claim illegitimate outcomes.

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CAA My State Slashed Public Employee Insurance Painlessly. So can West Virginia.

Most politicians don’t want to be accused of toying with what many claim is “the best healthcare in the world”.  But now there is ample evidence that healthcare costs don’t track with quality, and there is a lot of padding on costs. Pressing PBMs and insurers is a great way to give employees and employers relief, while prodding the healthcare industry to be more transparent and competitive

View Article

Webinars

CAA Consolidated Appropriations Act, what employers need to know now

The Consolidated Appropriations Act, 2021 (CAA) is designed to increase transparency in employee health benefit plans.  As fiduciaries of the benefit plan, Government agencies like the Department of Labor, the Department of Health and Human Services, and the Treasury will hold employers responsible and accountable for the CAA. What does this mean for employers and how should CEOs meet their fiduciary obligation to their employees/plan members?

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Tools

BEST – Benefit Engagement Survey Tool

Ever noticed how all your vendors claim your employees love them?  Ever wished for an objective way of validating that claim? Welcome to BEST. BEST measures three things vendors don’t measure (or in some cases, don’t want you to measure). Specifically, BEST allows you to:

  • Measure dropouts and non-participants as well as participants
  • Compare your vendors’ employee engagement performance to one another
  • Determine which vendor gives you the most cost-effective employee engagement

 

BEST does exactly that, via a simple yet powerful survey tool that can replace all the vendor employee-satisfaction surveys you are using today.

Open BEST
Buyer's Guides

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Get ValidPoints

Sign up for ValidPoints, the complimentary monthly newsletter that offers the latest updates on:

A red line drawing of an archery target with an arrow in the center bullseye, symbolizing precision, goal achievement, and success.

The move toward high-performance and high-value healthcare

Icon depicting customer support and care with a stylized human figure embraced by a hand, set against a segmented circular backdrop.

In-depth analysis of the latest trends and solutions that improve heath outcomes, strengthen accountability, and cut costs

Icon of a seal with a checkmark, representing verified completion or approval, with a radiating effect, in red outline on a light background.

Actionable insights on how to drive better health outcomes at a far lower cost for your organization.

Icon of a badge with ribbons and a check mark, symbolizing achievement, accreditation, or quality assurance in a red outline.

Profiles in innovative solutions and organizations that are “walking the walk” when it comes to delivering better savings, outcomes, and more

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