Tag Archives: Affordable Care Act

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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HHS Says Affordable Care Act Helped 1 Million Additional Young Adults Have Health Insurance

The Department of Health & Human Services is touting the Affordable Care Act as helping 1 million young adults get health coverage.  On September 21, 2011, HHS announced that data from the National Center for Health Statistics at the Centers … Continue reading

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CMS Sets 9/22/11 Deadline For Plans To Apply For Affordable Care Act Annual Limit Waiver Relief

6/17 Guidance Says Temporary Relief Offered Through 2014 Unavailable For Plans Not Applying By 9/22/11 Health plans and insurers wishing to qualify for a temporary waiver of annual limit restrictions enacted under the Affordable Care Act after September 22, 2011 … Continue reading

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New Guidance on Affordable Care Actg Grandfathered Health Plan Qualification Released

Guidance published by the Departments of Health and Human Services (HHS), Labor and the Treasury (the Agencies) on April 1, 2011 provides welcome clarifications about the workings of the “grandfathered health plan rules” that play a key role in determining what health plans and insurance policies must comply with certain key health insurance coverage reforms enacted as part of the Patient Protection and Affordable Care Act (PPACA), as amended by the Health Care and Education Reconciliation Act of 2010 (the Reconciliation Act) (collectively, the Affordable Care Act).

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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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IRS Guidance On Affordable Care Act W-2 Health Coverage Ccost Reporting Requirements

The Internal Revenue Service has released an advance copy of interim guidance implementing requirements that employers report to employees of the cost of their employer-sponsored group health plan coverage required under Internal Revenue Code (Code) § 6051(a)(14) of the Code, as enacted as part of the Affordable Care Act.

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Extended Grace Period For Some New Affordable Care Act Health Claims & Appeals Rules Gives Health Plans, Insurers Limited & Imperfect Relief

The Departments of Labor, Health & Human Services and Internal Revenue Service are extending a previously announced enforcement grace period under which the agencies will not take enforcement against health plans or health insurers that attempt to operate in good … Continue reading

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CMS Finalizes Allotments To States To Pay Medicaid Part B Premiums For Qualifying Individuals

Charts showing the final allotments made by the Centers for Medicare & Medicaid Services (CMS) to States of funds to use to pay the Medicare Part B premiums for Qualifying Individuals (QIs) for the Federal fiscal year (FY) 2010 and the preliminary QI allotments for FY 2011 appear in the March 19, 2011 Federal Register.

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New Insured Group Health Plan Non-Discrimination Rule Enforcement Delayed Pending Guidance; Agencies Invite Public Input on Rules

The Internal Revenue Service (IRS), Department of Labor (DOL) and Department of Health & Human Services (HHS) recently announced that the agencies do not plan to enforce new rules that prohibit non-grandfathered insured group health plans from discriminating in favor of highly compensated employees until guidance is published on the workings of certain key elements of these requirements.

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IRS Expands Options For HFSAs , HRAS To Allow Over-The-Counter Drug Purchases With Drug Cards

Recent Internal Revenue Service (IRS) guidance loosens the conditions under which health flexible spending account (HFSA) and health reimbursement accounts may permit participants to use debit cards to purchase over-the-counter medicines or drugs after January 15, 2011.

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