1 in 5 Americans Struggle With Medical Bills

1 in 5 Americans Struggle With Medical Bills

December 31, 2015 One in five (20%) working-age Americans with health insurance say problems paying medical bills often force them to work longer hours, take a second job, spend less on food, use Read More
275,000 Select Plans in Week 8

275,000 Select Plans in Week 8

December 30, 2015 Nearly 275,000 consumers selected health care plans through the Healthcare.gov online marketplace during the eighth week of open enrollment, according to the “weekly snapshot report” issued by the Department of Read More
Reporting Deadlines Extended

Reporting Deadlines Extended

December 29, 2015 The IRS has extended by almost two months the due date for providing employees with Affordable Care Act information forms, and provided an extra three months for filing the required Read More
Medicaid and ACA Split the GOP

Medicaid and ACA Split the GOP

December 28, 2015 Republicans in Congress are finding themselves in the awkward position of arguing against the Affordable Care Act and its expansion of Medicaid coverage at the same time that Republican governors Read More
About The New ACA Information Statements

About The New ACA Information Statements

December 24, 2015 Recognizing that many individuals will receive new ACA information statements for the first time in 2016, the IRS issued a memo aimed at helping consumers understand the documents. The explanation Read More
Medical Expenses a Burden for Low-Income Insureds

Medical Expenses a Burden for Low-Income Insureds

December 24, 2015 The combined costs of premiums, deductibles and out-of-pocket expenses can exceed 20% of household income for some low-income individuals who purchase health insurance through an Affordable Care Act exchange, a Read More
Guidance on the Health Coverage Tax Credit

Guidance on the Health Coverage Tax Credit

December 23, 2015 The IRS has issued Notice 2016-02 to provide information regarding the health coverage tax credit, or HCTC. The 14-page notice explains who can claim the HCTC, the amount of the Read More
“Pay or Play” Penalties For 2015 and 2016

“Pay or Play” Penalties For 2015 and 2016

December 22, 2015 The IRS has announced the 2015 and 2016 “pay or play” penalties, adjusted for inflation, that may be imposed on employers who fail to comply with the Affordable Care Act’s Read More
Why the Number of Employees Matters

Why the Number of Employees Matters

December 21, 2015 Employer benefits, opportunities and requirements under the Affordable Care Act are all dependent upon the employer’s workforce size, the IRS points out. Generally, an employer with 50 or more full-time Read More
The Information Employers Must Provide, and When

The Information Employers Must Provide, and When

December 18, 2015 The IRS reminds employers that, beginning in 2016, the Affordable Care Act requires them and other providers of minimum essential coverage to report certain information about employees’ health coverage in Read More
1.3 Million Sign Up in Week 6

1.3 Million Sign Up in Week 6

December 17, 2015 More than 1.3 million consumers signed up for health coverage through the Healthcare.gov online marketplace during the sixth week of open enrollment, according to the “weekly snapshot report” issued by Read More
Congress Suspends “Cadillac” and Medical Device Taxes

Congress Suspends “Cadillac” and Medical Device Taxes

December 16, 2015 Congress has delayed for two years implementation the Affordable Care Act’s controversial “Cadillac Tax” on costly plans, suspended for two years the on medical devices. The changes were included in Read More
Help for Shoppers Added To HealthCare.gov

Help for Shoppers Added To HealthCare.gov

December 15, 2015 New consumer shopping aids are being made available to visitors to Healthcare.gov, the Centers for Medicare & Medicaid Services (CMS) announced. The new Out of Pocket Cost calculator, Doctor and Read More
Federal Fees Cause States to Consider Own Exchanges

Federal Fees Cause States to Consider Own Exchanges

December 15, 2015 The prospect of stiff new fees for using the federal Healthcare.gov online marketplace is causing several states to consider launching their own Affordable Care Act platforms, despite some previous attempts Read More
California Targets Neighborhoods With High Rates Of Uninsured

California Targets Neighborhoods With High Rates Of Uninsured

December 14, 2015 Covered California, the state’s Affordable Care Act insurance exchange, is intensifying efforts to sign people up in areas of the state that have exceptionally high numbers of uninsured residents. It Read More
Week 5 Plan Selections Top 800,000

Week 5 Plan Selections Top 800,000

December 10, 2015 The Healthcare.govonline marketplace was used by 804,338 consumers to select insurance plans during the fifth week of open enrollment, according to the “weekly snapshot report” issued by the Department of Read More
ACA Reporting Deadlines are Approaching

ACA Reporting Deadlines are Approaching

December 9, 2015 The IRS has issued a reminder of the deadlines for applicable large employers to file Affordable Care Act information reports, and pointed out that the requirements apply whether or not Read More
When Insurance Can Be Excluded From Income

When Insurance Can Be Excluded From Income

December 8, 2015 A memo from the IRS Chief Counsel clarifies when an employer’s payment for health insurance provided under a spouse’s group health plan can be excluded from the employee’s income. The Read More
HHS Wants To Ease Exemption Claims

HHS Wants To Ease Exemption Claims

December 7, 2015 The Department of Health and Human Services (HHS) wants to make it easier for low-income people to take advantage of the “hardship exemption” from the individual mandate of the Affordable Read More
ACA Is Benefiting Minorities

ACA Is Benefiting Minorities

December 7, 2015 The Affordable Care Act has significantly improved access to healthcare for African-Americans and Latinos, with those groups benefiting slightly more whites, according to a study published in a medical journal. Read More
How Will The Newly Insured Vote?

How Will The Newly Insured Vote?

December 4, 2015 As millions of Americans have gained health insurance coverage under the Affordable Care Act, analysts are pondering whether this change in status will have implications on how these individuals vote. Read More
Week 4 Plan Selections Near 395,000

Week 4 Plan Selections Near 395,000

December 2, 2015 The Healthcare.gov online marketplace was used by 394,732 consumers to select insurance plans during the fourth week of open enrollment, according to the “weekly snapshot report” issued by the Department Read More
Slower Growth in National Health Spending

Slower Growth in National Health Spending

December 1, 2015 Per-capita health care spending grew by 4.5% in 2014, and overall health spending grew by 5.3%, according to the Centers for Medicare & Medicaid Services (CMS), a slower rates of Read More
10% of Big Nonprofits Seek Contraception Waivers

10% of Big Nonprofits Seek Contraception Waivers

November 30, 2015 One in 10 nonprofit organizations that have more than 1,000 employees have asked for an “accommodation” to the Affordable Care Act’s requirement that health plans include coverage for contraception. Federal Read More
Update on State Medicaid Expansion Waivers

Update on State Medicaid Expansion Waivers

November 27, 2015 With recent governors’ elections in  Kentucky and Louisiana refocusing attention on state Medicaid expansion decisions, the Kaiser Family Foundation has published an overview of the waivers obtained by six states, Read More
Week 3 Plan Selections Near 568,000

Week 3 Plan Selections Near 568,000

November 25, 2015 The Healthcare.gov online marketplace was used by 567,822 consumers to select insurance plans during the third week of open enrollment, according to the “weekly snapshot report” issued by the The Read More
CMS Proposes Improvements for 2017 Marketplace

CMS Proposes Improvements for 2017 Marketplace

November 23, 2015 The Centers for Medicare & Medicaid Services (CMS) issued proposals for companies that will participate in the Health Insurance Marketplaces in 2017 that are aimed at improving the consumer experience, Read More
Five Facts about Deductibles

Five Facts about Deductibles

November 20, 2015 Consumers who shop for coverage at HealthCare. gov have a variety of plans from which to choose, allowing them to find a plan that meets their health needs and budget. Read More
Week 2 Plan Selections Top 500,000

Week 2 Plan Selections Top 500,000

November 19, 2015 The Healthcare.gov online marketplace was used by 534,778 consumers to select insurance plans during the second week of open enrollment, according to the “weekly snapshot report” issued by the Department Read More
Help For Employers on ACA Filing Requirements

Help For Employers on ACA Filing Requirements

November 17, 2015 The IRS is providing information to help companies understand the requirements for electronic filing information related to the Affordable Care Act. Information and transmittals can be electronically filed through the Information Read More
Final Regulations Issued for ACA Market Reforms

Final Regulations Issued for ACA Market Reforms

November 16, 2015 In a 379-page document, the , the Labor Department and the Department and Human Services jointly issued finalized regulations on half a dozen topics related to the Act. The regulations Read More
No Change in Doctors’ Ability to Provide Care

No Change in Doctors’ Ability to Provide Care

November 16, 2015 Most primary care doctors report that the Affordable Care Act has caused no change in their ability to provide quality care, although like the general population their opinions about the Read More
HHS Will Test Bundled Fee for Joint Replacements

HHS Will Test Bundled Fee for Joint Replacements

November 13, 2015 A unit the Department and Human Services (HHS) will test bundled and quality for hip and knee replacement, beginning April 1, 2016. The test is aimed at encouraging hospitals, physicians Read More
Millions Use Healthcare.gov in Week 1

Millions Use Healthcare.gov in Week 1

November 12, 2015 Almost 3.2 million consumers used the website during the first open for Act , the Department and Human Services announced in its initial weekly “snapshot” report for the current . Read More
IRS Posts Information for Large Employers

IRS Posts Information for Large Employers

November 10, 2015 The Internal Revenue Services has added a page to its website which centralizes information to help “applicable large employers” comply with provisions of the Affordable Care Act. An applicable large Read More
Contraception Back Before Supreme Court

Contraception Back Before Supreme Court

November 9, 2015 At the request the Obama administration, the Supreme Court has agreed to hear a case centered on religious freedom and access to contraception under the Act. The court will hear Read More
Tax Considerations During Open Enrollment

Tax Considerations During Open Enrollment

November 6, 2015 The is alerting consumers to three matters they should consider while purchasing or renewing via an online . When a consumer applies for assistance to help pay the premiums for Read More
Understanding Form 1095-B

Understanding Form 1095-B

November 5, 2015 The has issued a memo explaining to , employees and consumers what information needs to be included in Form when . Form is used to report information to the and Read More
Mid-Size Companies Must Offer Coverage in 2016

Mid-Size Companies Must Offer Coverage in 2016

November 2, 2015 Employers with 50 to 99 full-time workers, or full-time equivalents, will be required to offer Affordable Care Act-compliant health insurance in 2016. Companies with 100 or more employees (or FTEs), Read More
ACA Automatic Enrollment Repealed

ACA Automatic Enrollment Repealed

November 2, 2015 The “automatic enrollment” provision of the Affordable Care Act, never enforced, has been repealed under the budget deal hammered out between Congress and the White House and signed into law Read More
Premiums For Key Plans Up An Average Of 7.5%

Premiums For Key Plans Up An Average Of 7.5%

November 2, 2015 Premiums will increase an average 7.5% for the second-lowest- silver insurance plans offered next year in the 37 states where the federal government operates marketplaces, according to a Kaiser Foundation Read More
Prescription Drug Costs Are Top Issue For Public

Prescription Drug Costs Are Top Issue For Public

November 2, 2015 With presidential candidates in both parties proposing changes to the nation’s health care system, most consumers are much more interested in the cost of prescription drugs, according to a poll Read More
ACA Enrollment Opens November 1

ACA Enrollment Opens November 1

October 29, 2015 The third annual open enrollment period for Affordable Care Act insurance coverage begins November 1, continuing through January 31. The federal government and many states are launching public information campaigns Read More
How To Know If Coverage Meets ACA Requirements

How To Know If Coverage Meets ACA Requirements

October 29, 2015 Under the Affordable Care Act, employers with 50 or more full-time or full-time equivalent employees – called applicable large employers, or ALEs – are subject to the employer shared responsibility Read More
One Million May Lose Insurance Subsidies

One Million May Lose Insurance Subsidies

October 28, 2015 Well over a million low-income Americans could lose the subsidies they receive under the Affordable Care Act because they failed to file federal income tax returns, failed to include IRS Read More
Deductibles Causing Patients to Delay Care

Deductibles Causing Patients to Delay Care

October 26, 2015 Emergency room physicians say more of the patients they see have delayed seeking medical care despite having health insurance, because of high out-of-pocket expenses, high deductibles or high co-insurance. In Read More
ACA 2016 Reporting Forms and Deadlines

ACA 2016 Reporting Forms and Deadlines

October 22, 2015 The IRS reminded employers, insurance providers and other entities that provide coverage under the Affordable Care Act of their reporting obligations under the ACA and the 2016 deadlines for submitting Read More
ACA Assurance Testing System Opens Soon

ACA Assurance Testing System Opens Soon

October 21, 2015 Tax Year 2015 ACA Assurance Testing System (AATS) will open for testing in early November for Information Returns that will be processed in 2016, the IRS announced. The testing is Read More
Pennsylvania Limits Premium Hikes on ACA Plans

Pennsylvania Limits Premium Hikes on ACA Plans

October 20, 2015 Pennsylvania’s insurance regulator has rolled back the health insurance premium increases some of the state’s largest insurers had requested for plans that will be sold on its marketplace in 2016. Read More
Health Program Launched for Low-Income New Yorkers

Health Program Launched for Low-Income New Yorkers

October 19, 2015 New York State has introduced a new affordable health insurance plan designed for low-income residents who make too much money to qualify for Medicaid, but not enough to afford private Read More