#healthcare
Financial management and accounting solutions for healthcare businesses
Employers with prescription drug coverage owe two annual disclosures — a creditable-coverage notice to Medicare-eligible participants before October 15, and an electronic filing to CMS within 60 days of the plan year start. Missing the notice can leave an employee paying a lifetime Part D penalty of 1% of the national base premium per uncovered month.
The No Surprises Act's Federal IDR administrative fee fell from $115 to $15 per party for disputes filed on or after June 11, 2026, with the rest of the operations rule effective August 3, 2026. This guide walks a small medical practice through the arbitration timeline, why low-dollar out-of-network underpayments are now worth disputing, and how to book disputed receivables, dispute fees and awards so contested claims stop leaking revenue.
Veterinary and dental practice owners weighing a private-equity sale in 2026 face new state transaction-review rules in New York and California, MSO/PC deal structures that regulators now read closely, and diligence that reprices adjusted EBITDA add-back by add-back. This guide covers the disclosure obligations, how cash, rollover, earnout and work-back slice the headline multiple, and the bookkeeping cleanup that protects your price.
Minnesota's licensed veterinary technician transition took effect July 1, 2026, with USD 282 in initial Board fees per applicant. A practical checklist for clinics to budget the costs, set reimbursement rules, control a staff roster, and clean up client-facing job titles.
A bookkeeping framework for mobile veterinary practices — track per-visit revenue in layers, capitalize the van and conversion, split loan payments into principal and interest, and use contribution margin plus a rolling 13-week forecast to price each route.
Eli Lilly Q2 2026: $23.0B revenue (+48%), $8.38 non-GAAP EPS, $85–87B guide as Mounjaro and Zepbound hit 65% of sales — tracked in a public Beancount ledger.
Association health plans could let small businesses and self-employed owners pool as a single large group under ERISA — median small-group premiums are proposed up 11% for 2026 and family coverage averages $26,993, while the Association Health Plans Act (S. 1847/H.R. 2528) would expand pooling with two-year association and nondiscrimination safeguards after the 2018 rule was rescinded in 2024.
Congress tucked sweeping PBM reforms into the Consolidated Appropriations Act of 2026 — banning spread pricing and rebate retention from 2028, mandating semiannual transparency reports, and creating any-willing-pharmacy and essential retail pharmacy protections from 2029. Here is what changes, when, and how to rebuild your books.
The CFPB's national medical-debt reporting ban was vacated in July 2025, but three-bureau reforms still remove paid collections, unpaid debt under $500, and debt less than a year old, and at least 15 states keep their own limits in place.
Small-group health insurance faces a median 11% proposed increase for 2026 based on 318 insurer filings — the sharpest in over 15 years. This guide shows small employers how to translate that median into dollars, understand the cost drivers, and evaluate renewal, plan design, and ICHRA alternatives before signing.
A 100% Section 232 tariff on patented drugs and APIs hits smaller manufacturers on September 29, 2026; here is how independent pharmacies and specialty clinics should audit country of origin, separate tariff in landed cost, and manage the working-capital lag before the cost passes through.
The enhanced ACA subsidies expired after 2025 — the 400% FPL cliff is back. Learn why $1 over 400% FPL wipes the credit, and how the §162(l) self-employed health insurance deduction can lower MAGI back under the threshold.
