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Posts Tagged ‘St. Charles’

Where each state stands on ACA’s Medicaid expansion

Tuesday, March 5th, 2013

A roundup of what each state’s leadership has said about their Medicaid plans:

Where the States Stand

Via: The Advisory Board Company

The Supreme Court’s ruling on the Affordable Care Act (ACA) allowed states to opt out of the law’s Medicaid expansion, leaving each state’s decision to participate in the hands of the nation’s governors and state leaders.

Based on lawmakers’ statements, press releases, and media coverage, the Daily Briefing and American Health Line editorial teams have rounded up where each state currently stands on the expansion.

Health care reform – should employers reduce expected health costs in 2014 by transitioning some full time employees to part time status now?

Tuesday, February 26th, 2013

Association of Corporate Counsel reports:

“2013 is shaping up to be a very busy year for employers in all industries, with the continued implementation of the Patient Protection and Affordable Care Act (“ACA”). Recognizing that in 2014, applicable large employers will avoid ACA-related penalty taxes by offering required affordable group health plan coverage just to full-time employees (i.e., those working an average of 30 hours or more per week, as calculated in a number of permitted ways), some applicable large employers have already begun examining whether to cut their employees’ hours.

Considerations in the reduction of hours decision will vary by industry and by employer, and there is no one-size-fits-all approach.  Some of the factors to weigh should include the following:

  • How much will the costs of health coverage continue to rise for this employer? What portion of those costs are expected to be specifically attributable to these employees?
  •  What tax savings are currently available for the employer-sponsored coverage for these employees?
  •  Are there employee morale, recruitment, productivity, and/or retention issues to consider?
  • Are there public relations or government relations issues to consider?
  • How many part-time employees does the company currently have?
  • Does the company’s business model permit a shift away from full time employment?
  • Will salary increases be needed if no insurance is offered to these employees?
  • How many of these employees are expected to be eligible for subsidized health insurance coverage in a state or federal exchange?  (Note that employers are not advised to solicit pledges from employees to not seek a subsidy in exchange for continued full time employment.)

IRS issues final regulations on health care reform affordability

Wednesday, February 13th, 2013

Business Insurance reports:

“Employers will not be hit with a stiff financial penalty and employees will not be eligible for federal premium subsidies to buy coverage in public health insurance exchanges regardless of how much employers charge for family coverage, under final Internal Revenue Service regulations. These regulations affirm previously proposed rules involving a health care reform law “affordability” requirement. Under that Patient Protection and Affordable Care Act rule, if employer coverage is not affordable, employers are liable for a $3,000 penalty for each full-time employee whose required premium contribution does not meet the affordability test and receives a premium subsidy to buy coverage in an exchange. Previously proposed regulations said the requirement only applied to self-only coverage, with coverage considered unaffordable if employees’ premium contribution exceeds 9.5% of household income. At the time, though, regulators said they would examine whether the penalty also should apply if the premium they charge health plan enrollees for family coverage exceeds the 9.5% of income affordability test.But in the final regulations published Wednesday, the IRS made clear that the affordability test will only apply to self-only coverage. “These final regulations adopt the proposed rule without change,” the IRS said.Federal premium subsidies only will be available “if self-only premium exceed 9.5% of household income,” said Rich Stover, a principal with Buck Consultants L.L.C. in Secaucus, N.J.Despite pressure from interest groups seeking an expansion of eligibility for premium subsidies, regulators felt constrained by the statute, said Anne Waidmann, a director with PricewaterhouseCoopers L.L.P. in Washington.”

Health Care Reform – Adjusted Gross Income VS Modified AGI

Monday, February 4th, 2013

Zane Benefits reports:

“Modified Adjusted Gross Income is a measure used by the IRS to determine if a taxpayer is eligible to use certain deductions, credits, or retirement plans. Beginning in 2014, individuals who purchase health insurance coverage through one of the new health insurance exchanges will be eligible for financial assistance if their income is no more than 400% of the federal poverty line (FPL).  “Modified Adjusted Gross Income” (not “Adjusted Gross Income”) will be used in determining eligibility for these premium tax subsidies.


5 Major Health Care Reform Changes Coming In 2013

Friday, December 21st, 2012

Business Insider reports:

“Health care reform in the coming year will go on a kind of shakedown cruise to test the seaworthiness of America’s evolving health care system as it becomes more cost-conscious and quality-focused under the Affordable Care Act.

In 2012, the health insurance law, also known as Obamacare, linked Medicare payments to the quality rather than quantity of care, started penalizing health insurers that charge too much in administrative fees and executive bonuses, and began rewarding good doctors who save Medicare money.


Health care reform exclusions raise concerns over funding for uninsured

Monday, December 17th, 2012

The Las Vegas Sun reports:

“Armando Hernandez first felt a searing headache, then his legs began to swell.

He lived with the pain for two days but finally relented and went to a hospital on day three. The Reno resident was 19 years old at the time. His kidneys were failing.


PPACA The Changing Face of Dental

Wednesday, December 5th, 2012

Follow the link to read about the new Dental guidelinds under PPACA:


Illinois Update

Tuesday, November 20th, 2012

ILLINOIS Update: As a result of the November election, the composition of the Illinois House will be 71-47, while the Senate will be 40-19.  It could mean that the health insurance exchange legislation may break loose from its “log jam” in the veto session or the first part of the spring session scheduled to begin in mid-January.  The Illinois Health Benefits Exchange Legislative Commission, which has not met in almost six months, is now scheduled to meet on November 27th to get an update from the administration on the state-federal partnership plan (effective 2014) scheduled to be submitted to the federal government by November 16.  The goal continues to be a state-based exchange in 2015.  The State of Illinois recently gathered information from carriers with respect to how many products each plan intends to market on the exchange and will soon select an IT firm to set up some of the exchange operations.

Plain Language In Health Insurance Act Goes Into Effect

Friday, September 28th, 2012

Insurance News Net reports:

“Rep. Bruce Braley (IA-01) today announced that his “Plain Language in Health Insurance Act” is going into effect. The bill requires health insurers to write healthcare documents in simple, easy-to-understand language. The goal of the act is to lower costs and cut confusion for insurance consumers.

The Plain Language in Health Insurance Act was originally introduced on June 25, 2009, and was incorporated as part of the Affordable Care Act.


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