Tag: health reform

Employer Health Plans Could Face Unpredictability as State Responses to Reform Differ

Time will soon tell how many states will run health exchanges and expand Medicaid as directed in the federal health reform law. But for employer plans, the waiting game just draws out the inevitable confusion that may occur as those plans anticipate being impacted in different ways on a state-by-state basis, speakers explained at a […]

Non-Fed Government Plans Can Remove ERISA Promises from Reform’s Denial Notices

Non-federal governmental plans may omit language describing how participants can seek remedies under ERISA in notices to be given when the plan makes an adverse decision. Notices of adverse benefit determinations are required as part of health reform’s claims appeal and external review rules. Such plans need not include the language because ERISA remedies are […]

Retailers and Hospitality Employers Face Steeper Reform Cost Increases

Health reform’s requirement that employers insure work forces will hit the retail and hospitality industries harder than others, because they are staffed with more low-wage and part-time workers, consulting firm Mercer LLC reported on Aug. 8. Forty-six percent of surveyed firms in the retail and hospitality sectors predicted health care cost increases of at least […]

Health Reform Law Upheld by U.S. Supreme Court

The health care reform law was upheld today in the U.S. Supreme Court, which concluded that the controversial individual mandate is a tax and therefore falls into Congressional authority in the Taxing Clause of the Constitution. Chief Justice Roberts’ ruling was based on logic that was not the key focus of in oral arguments last […]