Tag: Affordable Care Act

Trump administration discontinues ACA’s CSR payments

On October 12, U.S. Health and Human Services (HHS) Acting Secretary Eric Hargan and Centers for Medicare and Medicaid Services Administrator Seema Verma released a statement announcing that cost-sharing reductions (CSR) payments were to be immediately discontinued based on a legal opinion from the attorney general. In part, the statement noted that “we believe that […]


Senate agrees to consider healthcare bill

On July 25, after much back-and-forth in the Senate and the dramatic return of Senator John McCain, who was recently diagnosed with brain cancer, the Senate agreed to open debate on legislation to repeal and replace the Affordable Care Act (ACA). With Republican Senators Susan Collins and Lisa Murkowski joining all Senate Democrats in voting […]


DOL’s health insurance marketplace form is now expired . . . but fear not

Employers have a lot to worry about these days. Fortunately, the expiration of the marketplace notice form issued by the U.S. Department of Labor (DOL) isn’t something else to add to the list. The form, New Health Insurance Marketplace Coverage Options and Your Health Coverage, comes in two versions: one for employers that offer some […]


CMS Releases 2015 National Health Expenditures

In 2015, per-capita health care spending grew by 5.0% and overall health spending grew by 5.8%, according to a study by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS) recently released as a Web First by Health Affairs.


HHS Collaborating with Private Employers to Encourage Marketplace Enrollment

The U.S. Department of Health and Human Services (HHS) has announced a commitment from 17 companies to support enrollment in the Health Insurance Marketplace. These companies will connect freelance professionals, entrepreneurs, and customers with information and resources to encourage enrollment in affordable coverage throughout the Open Enrollment period beginning November 1 and ending on January […]


More on Managing Employee Status Changes Under the Affordable Care Act (ACA)

By Jennifer Carsen, JD, Senior Legal Editor Earlier this year, we ran an article on managing employee status changes under the Affordable Care Act (ACA). I invited follow-up questions, and you delivered! Here are a few more tricky ACA status change situations (and answers) for you.


Managing Employee Status Changes Under the Affordable Care Act

By Jennifer Carsen, JD, Senior Legal Editor So, you think you’ve got a pretty good handle on this whole Affordable Care Act (ACA) thing. You know that you’re an applicable large employer (or ALE—and that “ALE” isn’t merely that thing you want to drink a lot of after a day of filling out ACA paperwork).


Boomerangs and the Affordable Care Act

In yesterday’s Advisor, we heard from senior legal editor at BLR®, Jennifer Carsen, JD, concerning how to handle tricky Affordable Care Act (ACA) situations. Today we present more on that topic.


Paying for Health Costs: Basics of the Reimbursement Alphabet Soup

As healthcare costs continue to rise, financial pressure does, too. Your employees are feeling it, especially if you’ve had to shift an increasing share of healthcare costs to them. Higher copays and coinsurance may help control premiums, but they do nothing to rein in employee out-of-pocket costs. To the contrary, in fact.