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Posts Tagged ‘Oakbrook Terrace’

‘Sham’ Sharing Ministries Test Faith Of Patients And Insurance Regulators

Monday, May 20th, 2019

KHN reports:

“Sheri Lewis, 59, of Seattle, needed a hip transplant. Bradley Fuller, 63, of nearby Kirkland, needed chemotherapy and radiation when the pain in his jaw turned out to be throat cancer. And Kim Bruzas, 55, of Waitsburg, hundreds of miles away, needed emergency care to stop sudden —and severe — rectal bleeding.

Each of these Washington state residents required medical treatment during the past few years, and each thought they had purchased health insurance through an online site.

(more…)

Scrap ‘Obamacare’? Maybe not all, Trump administration says

Monday, May 20th, 2019

AP reports:

“Scrap “Obamacare”? Well, maybe not all of it.

The Trump administration is arguing in court that the entire Affordable Care Act should be struck down as unconstitutional. But at the same time, Justice Department lawyers recently suggested that federal judges could salvage its anti-fraud provisions, raising questions about keeping other parts as well.

(more…)

Obamacare Encounters Another Bump in the Road

Thursday, April 28th, 2016

According to News Max Finance:

” Well, the hammer has fallen: The largest health insurer in the U.S. has started pulling out of select Obamacare exchanges.

Five months ago UnitedHealth, which had been singing sunny songs to investors about its bright future on the exchanges, abruptly began crooning the blues. In an earnings call barely a month after executives assured investors that all was going swimmingly, they confessed that they were losing a ton of money on their Obamacare policies and described a pattern that sounded as if consumers were gaming the system — signing up for a few months, using a ton of services, and then canceling their policies. If this continued, they said, they would have no choice but to pull out of the exchange business. (more…)

The Employer Shared Responsibility Payment

Monday, May 11th, 2015

HealthCare.gov reports:

“The Employer Shared Responsibility Payment applies to some businesses with 50 or more full-time employees who don’t offer insurance, or whose coverage doesn’t meet certain minimum standards.

Regulations announced in 2014 have updated the following:

  • Which employers must make the payment
  • Which years some employers must begin making the payment
  • Other conditions about the payment

The Internal Revenue Service offers detailed questions and answers about the Employer Shared Responsibility Payment.

The Treasury Department has a fact sheet summarizing recent updates on the Employer Shared Responsibility Payment.

No employer with fewer than 50 full-time employees is subject to the Employer Shared Responsibility Payment in any year.

Bill Regulates Specialty Drug Co-pay Maximum

Friday, October 3rd, 2014

From Aetna health plans:

ILLINOIS: Legislators introduced a bill last week that would require health plans providing prescription drug coverage to ensure that any required copayment or coinsurance for drugs on a specialty tier not exceed $100 per month for up to a 30-day supply of any single drug.The measure also states that a beneficiary’s annual out-of-pocket expenditures for prescription drugs should not be more than 50 percent of the dollar amounts in effect under ACA. Health plans would also be required to implement an exceptions process allowing enrollees to request an exception to the tiered cost-sharing structure. Health plans also would be prohibited from placing all drugs in a specialty class on a specialty tier.

It’s Time to Kick Employer-Sponsored Healthcare to the Curb

Wednesday, September 10th, 2014

Business Cheat Sheet reports:

“A great number of people in the United States have grown accustomed to having their employer pay for, or at least subsidize their healthcare costs. That usually takes the form of employer-provided health insurance plans, which have become a staple of most compensation packages for full-time employees that are working in positions that require even menial amounts of skill — and shutting out, for the most part, unskilled or low-wage workers. On the surface, it is a bit odd that we rely on our employers to pay for our health insurance. Yet, it’s become the norm, and one of the many reasons the U.S. healthcare system, as a whole, is so complicated and for lack of a better term, screwed up.

(more…)

ACA Trade-Off: Low Premium, High Deductible

Wednesday, October 2nd, 2013

Insurance News Net reports:

“You might be pleased with the low monthly premium for one of the new health insurance plans under President Barack Obama’s overhaul, but the added expense of copayments and deductibles could burn a hole in your wallet.

An independent analysis released Wednesday, on the heels of an administration report emphasizing affordable premiums, is helping to fill out the bottom line for consumers.

(more…)

How Will Health Insurance Exchanges Work?

Friday, July 19th, 2013

The Wall Street Journal reports:

“This fall, people in every state are supposed to be able to buy health insurance through new online marketplaces, or exchanges, instituted by the federal health-care law. Insurers have been preparing for the rollout with research, trying to figure out what products to offer and how to market them. For consumers, here are some important questions and answers about the exchanges.

(more…)

My Five Obamacare Anxieties: The scenarios that keep this reform advocate up at night

Monday, June 3rd, 2013

New Republic reports:

“Conservatives are talking about the implementation of Obamacare in the same thoughtful way they talked about its enactment—that is, as an impending apocalypse. It won’t be, as I’ve noted previously. Most Americans get insurance through employers, Medicare, and Medicaid, and that will still be the case on January 1, when Obamacare’s big provisions take effect. But the minority who buy insurance on their own or have no insurance will see tremendous changes. And you don’t have to be Rush Limbaugh to have real concerns about how those changes will play out.

(more…)

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