Category Archives: Health Care Reform

2018 Healthcare Forecast

I keep searching for a crystal ball that provides a clear vision into the cloudy future of the healthcare industry; but no luck so far.  However, here are a few things to consider: CVS Health to Buy Aetna? Well, that … Continue reading

Posted in Benefits Administration, Benefits Advisor, Employee Benefits, Employer Mandate, Health Care Reform |

Legal Alert: Senate Republicans Release Updated Discussion Draft of ACA Repeal Bill

On Thursday, June 22, 2017, Senate Majority Leader Mitch McConnell of Kentucky released a 142 page healthcare “Discussion Draft” of legislation, called the Better Care Reconciliation Act of 2017 (BCRA), which is the Senate version of the Affordable Care Act (ACA) “repeal-and-replace” legislation American … Continue reading

Posted in Affordable Care Act, Employee Benefits, Health Care Reform |

Legal Alert: Senate Republicans Release Healthcare Bill; Largely Mirroring House Bill but with Some Key Differences

On Thursday, June 22, 2017, Senate Majority Leader Mitch McConnell of Kentucky released a 142-page healthcare “Discussion Draft” of legislation, called the Better Care Reconciliation Act of 2017 (BCRA), which is the Senate version of the Affordable Care Act (ACA) “repeal-and-replace” legislation American Health … Continue reading

Posted in Affordable Care Act, Health Care Reform |

Legal Alert: REMINDER: PCORI Fees Due by July 31, 2017

Employers that sponsor self-insured group health plans, including health reimbursement arrangements (HRAs) should keep in mind the upcoming July 31, 2017 deadline for paying fees that fund the Patient-Centered Outcomes Research Institute (PCORI).  As background, the PCORI was established as … Continue reading

Posted in Affordable Care Act, Benefits Administration, Benefits Advisor, Benefits Brokerage, Benefits Consulting, Compliance, Employee Benefits, Employee Benefits Consulting, Health Care Reform |

Legal Alert: House Republicans Pass American Health Care Act; Bill Heads to Senate for Further Consideration

On Thursday, May 4, by a vote of 217 to 213 (with 20 Republicans voting against the bill), the U.S. House of Representatives passed an amended version of the American Health Care Act (AHCA), which repeals and replaces significant portions of … Continue reading

Posted in Affordable Care Act, Benefits Advisor, Benefits Brokerage, Compliance, Health Care Reform |

Legal Alert: House Republicans Withdraw the AHCA Before a Planned Vote But Efforts to Repeal Continue

On Friday, March 24, 2017, the U.S. House of Representatives’ Speaker Paul Ryan pulled from the floor the American Health Care Act (AHCA), the proposed legislation to repeal and replace the Affordable Care Act (ACA), once it was clear that … Continue reading

Posted in Affordable Care Act, Employee Benefits, Employee Benefits Consulting, Health Care Reform |

Legal Alert: House Committees Release Proposed Legislation to Repeal and Replace the ACA

On Monday, March 6, the U.S. House of Representatives Ways and Means and Energy and Commerce Committees released the American Health Care Act (AHCA), their proposed legislation to repeal and replace the Affordable Care Act (ACA) through the budget reconciliation process, which requires … Continue reading

Posted in Affordable Care Act, Benefits Consulting, Health Care Reform |

Legal Alert: IRS to Continue Accepting Tax Returns without Indication of Health Insurance

The IRS has announced that it will continue to process tax filings of individuals whose returns do not indicate whether they have maintained health insurance as required under the Affordable Care Act (ACA).  The announcement is in direct response to the … Continue reading

Posted in Benefits Advisor, Benefits Consulting, Employee Benefits Consulting, Health Care Reform |

Legal Alert: President Trump Issues Executive Order on the Affordable Care Act

President Trump moved swiftly after taking office on Friday, issuing an Executive Order intended to minimize the economic and regulatory burdens of the Affordable Care Act (“ACA”).  The order is somewhat symbolic and has no immediate effect on employers, many … Continue reading

Posted in Affordable Care Act, Compliance, Employee Benefits, Health Care Reform |

Legal Alert: Congress Passes Law Expanding use of HRAs by Small Employers

On December 7, 2016, the Senate passed the 21st Century Cures Act (“Cures Act”), an omnibus measure that includes the Small Business Healthcare Relief Act (“Relief Act”), which significantly expands small employers’ options for providing health coverage. The Cures Act passed … Continue reading

Posted in Compliance, Health Care Reform, Human Resource Solutions |

Americans are shouldering more and more of their healthcare costs

The American Medical Association recently published findings regarding patient spending on healthcare between 2009 and 2013.  It has been widely acknowledged that healthcare costs have increased and most studies have been focused on aggregate spending and the increase in costs … Continue reading

Posted in Benefits Administration, Benefits Advisor, Benefits Brokerage, Benefits Consulting, Employee Benefits, Employee Benefits Consulting, Health Care Reform, HR Service |

Start to Phase 2 of HIPAA Audit Program Announced by HHS

On March 21, 2016 the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR) announced the start of phase 2 (Phase 2) of the Health Insurance Portability and Accountability Act (HIPAA) Audit Program. Phase 2 will consist … Continue reading

Posted in Affordable Care Act, Health Care Reform |

Marketplace Guidance and Out-of-Pocket Maximums Finalized for 2017

HHS has published the final version of its 2017 Notice of Benefit and Payment Parameters, which is issued each year as part of the Affordable Care Act (ACA). The guidance focuses on ACA Marketplaces and insurers offering qualified health plans.  It does include … Continue reading

Posted in Affordable Care Act, Benefits Administration, Health Care Reform |

Individual and Small Group Plans Extended Temporary Fix

Background: In 2013, the Obama Administration responded to nationwide complaints about health insurance plans being cancelled or not renewed because of the requirements of the Affordable Care Act (ACA) by offering a one-year moratorium on key aspects of the market … Continue reading

Posted in Affordable Care Act, Benefits Administration, Benefits Consulting, Health Care Reform |