Category Archives: Uncategorized

“Pay Or Play” Reprieve Still Leaves Employers Facing Challenging 2014 Health Care Reform Deadlines

The Internal Revenue Service (IRS) yesterday (July 10, 2013) shared its first “formal” guidance officially implementing the Obama Administration’s decision to delay until 2015 enforcement of certain of the employer shared responsibility or “pay-or-play” rules of new Internal Revenue Code…

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Study Finds Down Economy, Not Health Care Reform Accounts For Slower Health Care Cost Increases; Projects Renewed Costs When Economy Improves

Bad economic times, and not health care reform, account for the record slowdown in U.S. health care spending, according to a new Kaiser Family Foundation study, Assessing the Effects of the Economy on the Recent Slowdown in Health Spending (Study).  …

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The Department of Health & Human Services (HHS) Office of Civil Rights (OCR) wants to ask the 115 health plans, health care clearinghouses, and health care providers (covered entities) that OCR audited in 2012 for compliance with Privacy and Security…

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Originally posted on Risk Operations Compliance:
Since the Supreme Court’s June 28, 2012 National Federation of Independent Business v. Sebelius health care reform ruling upholding the “pay or play” mandates of the Patient Protection & Affordable Care Act (ACA), most business…

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Originally posted on Risk Operations Compliance:
Businesses using non-employee workers should heed the recently announced expansion of the Internal Revenue Service (IRS) Voluntary Classification VCS Program (VCS Program) as yet another warning to clean up their worker classification practices and…

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Employers and other health plan sponsors, insurers, and their administrators and service providers should consider the advisability of updating health plan cost projections, plan documents and procedures, communications and other practices in response to new and proposed guidance interpreting federal health…

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2012 Expected To Bring Increased Enrollment, Lower Premiums & New Enforcement & Regulatory Challenges For Medicare Advantage Plans

Medicare Advantage enrollment will rise and premiums will decline in 2012. While plans can expect increased enrollment, the also face increasing challenges in managing the demands of increased government regulation under Health Care Reform and other new regulations, as well as rising governmental scrutiny of premiums and compliance.

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Health Plans Should Begin Preparing For ACA Low Income Voucher Responsibilities

The Affordable Care Act will require employer sponsored plans to honor vouchers to help pay the cost of coverage for certain lower income individuals and children. Employers and their health plans will face new responsibilities to determine relevant family income, to … Continue reading

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