Tag: HHS

Supreme Court to Rule on Whether Health Reform Stands or Falls

Fast on the heels of the latest pertinent appeals court ruling, the U.S. Supreme Court definitively announced on Nov. 14 it will decide the question of whether Congress exceeded its powers to regulate commerce when it required people to buy health insurance as part of health reform (or in the converse, whether the individual mandate is allowed […]

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 […]

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 […]

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 […]

Fed Agencies Packing in More PPACA Health Reform Rules

When it comes to implementing health reform, the federal government agencies definitely are not taking a summer vacation. Just this week, new rules on communicating health plan information to consumers, health insurance exchanges and premium tax credits have been issued. Here’s a quick list: 1. Communicating health plan information. The U.S. Departments of Labor, Health […]

Individual mandate declared unconstitutional in Circuit Court ruling

The 11th U.S. Circuit Court of Appeals about 30 minutes ago issued a ruling that forcing Americans to purchase health insurance, a key element of the 2010 health reform law, is unconstitutional. The court however allowed the rest of the law stand (including preventive care, dependent care and preexisting condition mandates), overturning the lower court on […]

Whistleblowing compliance officer: Trouble from within

Your company’s compliance officer — the person to whom you entrusted your confidential business information — alleges you wrongfully terminated her after she tried to prevent you from violating a federal law. This 8th Circuit opinion rules against the whistleblower in a case that is a fine example of internal breakdown handling a compliance complaint, and sparks […]

‘Mini-med’ plans get a new lease on limits

Employer sponsored health plans that set low annual limits on “essential” benefits have been able to apply to HHS for a waiver if they can demonstrate that compliance with June 28, 2010 interim final rules phasing out such caps would cause a “significant decrease in access to benefits or a significant increase in premiums.” Waivers […]

New HIPAA Rules Proposed for Disclosure Accounting

A dreaded accounting-of-disclosure rule for electronic protected health information (ePHI) will require action by many employers, in their roles of health plan sponsors. (Employers are not technically “covered entities” under HIPAA privacy but, in effect, must comply if they’re involved in plan administration.) The rule came out in proposed form on May 31. It would […]

FTC, HHS Propose Rules, Seek Comments on Electronic Health Records

Does your organization offer or plan to offer employees online or electronic personal health records (PHRs)? Can employees enter their personal health information into online programs that help them evaluate and improve their health, such as weight loss applications? If you’ve answered yes or if your organization provides electronic PHR programs to others, you should […]