The Department of Health and Human Services announced $685 million in awards aimed at improving quality of care and reducing costs. The money will go to health care networks and …
September 2015
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Affordable Care ActHealth Care Coverage
Number of Uninsured Women Sharply Lower
by Robert Sheenby Robert SheenThe percentage of women aged 15 to 44 dropped sharply between 2013 and 2014, the first full year of implementation of the Affordable Care Act,,according to an analysis by the …
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Affordable Care Act
Coverage Offer Can Affect Shared Responsibility Payment
by Robert Sheenby Robert SheenUnder the Affordable Care Act, applicable large employers are subject to the employer shared responsibility provisions. They must either offer affordable minimum essential coverage to full-time employees and their dependents, …
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The IRS is preparing new regulations to help avoid duplicate reporting of an individual’s minimum essential coverage when there is reasonable certainty that the provider of the “primary” coverage will report. The …
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Health Care Coverage
Employer Premiums Up 4%, Deductibles Rising Faster
by Robert Sheenby Robert SheenPremiums for employer-sponsored health insurance rose an average of 4% this year, continuing a decade-long period of moderate growth, according to the Kaiser Family Foundation. But the size of deductibles paid …
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Affordable Care ActLegislationRegulations
House Can Sue Administration on ACA Funding
by Robert Sheenby Robert SheenThe House of Representatives can pursue its lawsuit against the Obama Administration that claims funding of subsidies under the Affordable Care Act violate the Constitution. Judge Rosemary M. Collyer of …
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As you get ready to file 2015 reports required by the Act, the Internal Revenue has released the final for submitting these reports, along with instructions for them. For reports …
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The IRS sent letters this summer to some taxpayers who were issued a Form 1095-A, Health Insurance Marketplace Statement, showing that advance payments of the premium tax credit were paid …
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Affordable Care Act
S&P Says Nonprofit Providers Are Financially Stronger
by Robert Sheenby Robert SheenThe Affordable Care Act, Medicaid expansion and the wave of mergers they have triggered have made the nonprofit healthcare sector financially stronger, according to the Standard & Poor’s ratings agency. …
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The Internal Revenue Service said it will propose a number of changes in the regulations on reports related to the Affordable Care Act. All of the proposed changes will have …
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A study by researchers at Harvard Medical School says an Act intended to make hospitals more efficient is unintentionally punishing hospitals that serve the sickest, poorest and least-educated patients. Under …
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EditorialsLegislationRegulations
Penalties Double For ACA Filing Failures
by Robert Sheenby Robert SheenPenalties for failure to satisfy the complex IRS filing requirements resulting from the Affordable Care Act (ACA) have just doubled. With filing deadlines approaching, employers should act quickly to ensure …
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The Internal Revenue Service has issued proposed regulations that will require employer-sponsored health care plans to include “substantial coverage” for in-patient hospitalization and physician services. So-called “skinny” plans that lack …
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Affordable Care ActHealth Care Coverage
Key Dates for ACA Open Enrollment
by Robert Sheenby Robert SheenNovember 1, 2015 – Open Enrollment begins. Individuals can apply for, drop, keep or change their Insurance plans. December 15, 2015 – Individuals must enroll by this date if they …
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A decision by the National Labor Relations Board that franchisors and companies using staffing agencies can be considered joint employers is expected to have a significant impact on companies that …
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Affordable Care ActReportingTax Filings
$11 Billion in Credits Paid During Filing Season
by Robert Sheenby Robert SheenConsumers who bought individual health insurance coverage through federal and state exchanges received almost $11 billion in premium assistance tax credits in fiscal year 2014, according to a report by …
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LegislationRegulationsUncategorized
ACA Reporting Requirements For Large Employers
by Robert Sheenby Robert SheenCompanies with 50 or more full-time employees should be gathering information now for Affordable Care Act reports they will have to provide to the IRS and to their employees early …
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Affordable Care ActPremium Tax Credit
Tools to Estimate ACA Fees and Credits
by Robert Sheenby Robert SheenThe IRS has developed tools for employers and individuals to estimate their credits and payments related to the Affordable Care Act. The tools, available online, only provide an estimate intended …