The Department of and Human Services announced awards of $112 million regional cooperatives about 5,000 primary physicians in 12 states, aimed at improving the heart health of their nearly 8 …
May 2015
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Although some insurance companies had expected the Affordable Care Act to create operationalproblems, an industry study found that the financial and administrative performance of payers actually improved for plans offered …
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Almost one out of four American adults, or 31 million people, were underinsured in 2014, a study found. High deductibles or out–pocket costs made medical coverage unaffordable for many, and …
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Affordable Care ActApplicable Large Employer (ALE)IRS
IRS Explains Definition of ‘Large Employer’
by Robert Sheenby Robert SheenThe IRS has issued an explanation of how companies can determine if they are an ”applicable large employer” or ALE, and how that affects their obligations under the Affordable Care …
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PenaltiesUncategorized
Most Consumers Satisfied With Marketplace Plans
by Robert Sheenby Robert SheenMost people who purchased their own health insurance plans through an Affordable Care Act marketplace say they are satisfied with their plan’s coverage and features, according to a Kaiser Family …
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The Affordable Care Act has resulted in higher health care costs for many employers, and a new survey finds that seven out of 10 companies believe even larger cost increases …
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Some employers choose to reimburse employees for the cost of individual health insurance coverage rather than establishing a group medical plan. But these plan don’t comply with the Affordable Care …
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Affordable Care ActPharmaceutical
Rules on Contraception Coverage Tightened
by Robert Sheenby Robert SheenThe Obama administration issued tighter rules on contraception offered by insurance companies, requiring insurers to pay for at least one form of birth control. The guidance, issued as a set …
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Visits to hospital emergency rooms are going up according to a poll ER physicians, despite the reforms implemented by the Act aimed at reducing the inflow to these – treatment …
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LegislationMinimum Essential CoverageRegulations
Article: Reporting 2015 Coverage of “MV-lite” Plans
by Robert Sheenby Robert SheenSome employers have used “MV-lite” plans that offer very limited hospital and doctor benefits, yet technically satisfy the “minimum value” calculations of the government’s online calculator. These plans have been …
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Affordable Care ActLegislation
Appeals Court Bars Challenge to ACA Mandates
by Robert Sheenby Robert SheenThe Fifth Circuit Court of Appeals rejected a challenge to the individual and employer mandates of the Affordable Care Act. The court ruled that the taxpayer who filed the lawsuit …
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A reference tool to help understand what is required for them to comply with the Affordable Care Act, and the timeline for compliance, has been prepared by the law firm …
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Montana’s Democratic Gov. Steve Bullock signed into law a Medicaid expansion bill that had been drafted by a Republican member of the state legislature. Under the new law, Montana will …
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Robert S. Sheen, Editor-in-Chief The ACA Times and President Trusaic, Inc., will speak about the Affordable Care Act at the 2015 NNAHU Expo, May 13 in Reno, Nevada. The conference, …