Tag: health care reform

Are Forces of Secrecy Blocking Path to Health Cost Control?

Health reform has passed and it was supposed to change the world. But it has yet to take effective action on the biggest problem — the upward spiral of health costs! Raise your hand if you think there is a connection between insurers’ and providers’ lack of transparency on premiums and fees, and that upward […]

CLASS Dismissed: Health Reform Law’s LTC Program Tabled

I’ve read how, due to the cost of administering long-term care (LTC) insurance, some private-sector vendors are either revisiting that benefit  or jacking up premiums — partly because not enough people are signing up to sufficiently spread the risk, and costs, around. Well, the federal health reform law included a lofty goal of establishing a […]

Pulled in 2 Directions: The Cost of Uniform Coverage Summaries

Health reform’s uniform summary of benefits and coverage (SBC) will cost insurers and third party administrators (TPAs) about $160 million over the next three years to develop, update, and provide the SBC and glossary to applicants and enrollees, its agency drafters estimate. That includes $25 million in 2011 , $73 million in 2012 and $58 million in […]

Small Employer Self-funding Must ‘Stop’: NAIC Adviser Touts Stop-loss Limits

Employers that want to self-fund their health benefits (and the vendors and attorneys who want to serve them) have yet another (as they see it) unreasonable opponent to self-insuring health benefits. An adviser to the National Association of Insurance Commissioners has told NAIC that it should amend its model stop-loss coverage law to prohibit the […]

Top 5 Health Reform Issues Employers Should Focus on Today

It has now been almost a year since health care reform was first enacted. The first year involved many compliance challenges, not the least of which was keeping up with the many pieces of guidance issued by DOL, IRS and HHS. Plans had to expand coverage (more dependents, fewer dollar limits, no more questions about […]

Based on Latest HHS Data, Young Adults Should Love Health Reform

Health care reform may be responsible for a rise in partisan bickering, but what is also rising is the number of young adults with health insurance — 1 million more since last year,  according to the U.S. Department of Health and Human Services (HHS). In the first quarter of 2011, the percentage of adults between […]

Help the Government Figure If Your Health Coverage is ‘Unaffordable’

Jan. 1, 2014, sounds far away, but some plan sponsors may be hoping that day never comes. That’s the day the “shared responsibility provisions” of the Patient Protection and Affordable Care Act (PPACA) kick in; and it’s the time plan sponsors become subject to health reform’s “unaffordable coverage trigger.” Under the law, if an employee’s […]

The 4-Page Mini-SPD: Coming to a Plan Near You

Health care reform is still alive and kicking. Employer-sponsored health plans have implemented many of its thorny provisions, but one provision now looks like the biggest thorn of all. We are talking about Section 2715 of the Patient Protection and Affordable Care Act (PPACA). You must, of course, know all about this section … no? […]

Annual Waiver Requirement for HRAs? No Sweat for Some!

If you offer your employees health reimbursement arrangements (HRAs), you know better than I that the Patient Protection and Affordable Care Act of 2010 (PPACA) increased your administrative duties. But there’s good news, at least for some of you! The U.S. Department of Health and Human Services (HHS) has issued a reminder that HRAs established […]

Resuscitate COBRA Premium Subsidies to Help Unemployed, Commonwealth Fund Says

In the waning days of the COBRA premium subsidy, The Commonwealth Fund is calling for the program to be resuscitated as a way to help unemployed and uninsured workers until health care reform is fully implemented. In an Aug. 24 issue brief,  the Fund noted that “the worst economic downturn since the Great Depression has […]