Posts Tagged ‘ACA’

The Affordable Care Act is here to stay

In the last few weeks we have talked to hundreds of employers about the American Health Care Act (AHCA), which was proposed in the U.S. House of Representatives on March 6. Many of you have asked about the AHCA, how it might impact the Affordable Care Act (ACA), and what you should be doing given…

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Summertime, and the Livin’ is…well, potentially complicated

Ah…summertime. It’s finally here. The long days, the slower pace. Vacations, hotdogs and hamburgers on the grill, and the ever-present risk of legal exposure. Huh? That’s right, summertime also ushers in different types of employment relationships that can get employers into trouble. Let’s review three potential culprits. First up, the “summer intern” So energetic! So…

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Leveraging wellness programs in the ACA age

The dawn of the Affordable Care Act age has sparked renewed interest in wellness programs by employers as a means to improve employee health and reduce health plan claims and costs. In fact, some wellness programs may actually help employers reduce their liability under the ACA’s forthcoming (but recently delayed) Cadillac Tax. While the solution…

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ACA reporting deadline extended — but employers should stay focused to avoid penalties

About a month ago, and just months before the reporting deadlines required under the Affordable Care Act (ACA) were set to go into effect, the Internal Revenue Service gave us all a late Christmas present and announced that it would extend the deadlines. Under the ACA, health insurers, self-insured employers, government agencies and other providers of minimum…

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Supreme Court upholds Affordable Care Act once again

This morning, the U.S. Supreme Court issued its long-awaited opinion in King v. Burwell and upheld the Affordable Care Act once again. In a 6-3 opinion written by Chief Justice John Roberts, the court held that tax credits are available for health coverage purchased through a federal exchange, like the one in Oklahoma. The ACA…

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The skinny on narrow networks

The insurance exchanges created under Affordable Care Act have facilitated increased competition. Old version managed care models implemented cost-savings measures like pre-authorizations for medical care, hospital length of stay restrictions, determinations of medical necessity for coverage, second opinions for surgery, exclusions of procedures or services, cost-shifting using higher deductibles and co-payments, and caps on coverage.

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