D.C. Upholds Health Carrier Tax, Supporting ACA Health Exchanges

D.C. Upholds Health Carrier Tax, Supporting ACA Health Exchanges

October 27, 2020 3 minute read: An argument regarding the District of Columbia’s ACA health exchange tax was decided late last month. The decision rules in favor of the tax, supporting state-run health Read More
ACA Expectations Heading into the 2020 Election

ACA Expectations Heading into the 2020 Election

September 28, 2020 3 minute read: As the fourth quarter of 2020 draws near, so does the presidential election. A popular topic of debate to be addressed in the coming election is healthcare, Read More
ACA to Aid Millions in Obtaining Healthcare, KFF Report Finds

ACA to Aid Millions in Obtaining Healthcare, KFF Report Finds

September 4, 2020 2 minute read: The data is in: at least 27 million Americans have lost employer-sponsored health coverage as a result of COVID-19. The Kaiser Family Foundation issued a report in Read More
Covered California Introduces New Special Enrollment Period

Covered California Introduces New Special Enrollment Period

September 2, 2020 1 minute read: Covered California, the state health insurance marketplace established by the Affordable Care Act, has introduced a new special enrollment period to benefit victims of the 500+ wildfires Read More
New Jersey Adopts ACA Provision to Lower Healthcare Costs

New Jersey Adopts ACA Provision to Lower Healthcare Costs

August 26, 2020 3 minute read: Earlier this month, New Jersey signed into law a state version of an Affordable Care Act provision, the Health Insurance Assessment (HIA) program. New Jersey is the Read More
ACA Enhancement Bill Telling of the Times

ACA Enhancement Bill Telling of the Times

July 24, 2020 2 minute read: House of Representative Democrats have unveiled a bill that would enhance many of the ACA’s components while reversing much of the Trump administration’s onslaught to the healthcare Read More
Californians Beware, The Individual ACA Penalty Has Increased

Californians Beware, The Individual ACA Penalty Has Increased

July 13, 2020 2 minute read: California residents that fail to obtain qualified health coverage this year will receive a penalty from the state for an amount larger than first projected. Per California’s Read More
Why CMS’s 2021 Payment Notice May Lead to More PTC Allocations

Why CMS’s 2021 Payment Notice May Lead to More PTC Allocations

May 27, 2020 2 minute read: Back in March, the Centers for Medicare and Medicaid Services (CMS) issued the Notice of Benefit and Payment Parameters for 2021 (2021 Payment Notice). The rule includes Read More
Employers May See More ACA Penalties As a Result of COVID-19

Employers May See More ACA Penalties As a Result of COVID-19

May 25, 2020 2 minute read: A new data analysis report from the Kaiser Family Foundation (KFF) finds the vast majority of Americans who lost their job amid COVID-19will be eligible for government Read More
Workforce Changes Now Will Affect ACA Reporting Later

Workforce Changes Now Will Affect ACA Reporting Later

May 13, 2020 3 minute read: Several weeks into quarantine and social distancing, many are wondering when the country will reopen. As of April 20, 42 states had placed shelter in place orders. Read More
Supreme Court Rules in Favor of ACA Risk Corridors

Supreme Court Rules in Favor of ACA Risk Corridors

April 30, 2020 2 minute read: The Affordable Care Act chalked up a win in late April when the Supreme Court ordered the federal government to pay insurance companies funding it’s been entitled Read More
ACA COVID-19 Special Enrollment Periods Open in States Across the Country

ACA COVID-19 Special Enrollment Periods Open in States Across the Country

April 20, 2020 2 minute read: While Trump Administration shot down the idea of a special ACA enrollment period to help individuals who have lost their coverage due to the COVID-19 Pandemic, states Read More
Workforce Management, ACA Compliance and the COVID-19 Pandemic

Workforce Management, ACA Compliance and the COVID-19 Pandemic

April 10, 2020 13 minute read: Compliance with the various employer provisions of the Affordable Care Act (ACA) can be complicated under normal employment conditions. As employers face the incredibly difficult business climate Read More
Federal Special Enrollment Period on the Horizon

Federal Special Enrollment Period on the Horizon

March 25, 2020 2 minute read: The Trump Administration is doing the unexpected and considering a special ACA enrollment period in light of the COVID-19 Pandemic. The special enrollment period will provide uninsured Read More
California Extends Special Enrollment Period

California Extends Special Enrollment Period

March 23, 2020 2 minutes read: Due to the enormous challenges the coronavirus crisis is imposing on our healthcare system, the state of California has extended its Special Enrollment period. Effective immediately, the Read More
California Health Exchange Welcomes New Enrollees Thanks to Individual Mandate

California Health Exchange Welcomes New Enrollees Thanks to Individual Mandate

March 4, 2020 2 minute read: As California finalizes its initial open enrollment results, the data shows the state’s Individual Mandate played a part in the higher turnout. According to Covered California, the Read More
ACA Marketplace Continues to Stabilize in 2020

ACA Marketplace Continues to Stabilize in 2020

February 11, 2020 2 minute read: The 2020 open enrollment results for individuals enrolling through the Healthcare.gov platform are in, and the results indicate a strong and stabilizing health care system. A report Read More
What Employers Need to Know About the ACA (UPDATE)

What Employers Need to Know About the ACA (UPDATE)

November 12, 2018 7 minute read: It’s always interesting to look back and see how regulation develops. The Affordable Care Act (ACA) is no exception. I wrote a five-part series about the ACA Read More
Open Enrollment Missing ACA Individual Mandate

Open Enrollment Missing ACA Individual Mandate

October 24, 2018 3 minute read: The open enrollment period on HR.gov will run from November 1, 2018, to December 15, 2018, only 45 days, the same as the previous year’s open enrollment Read More
New CMS Rule Keeps ACA Employer Mandate Intact

New CMS Rule Keeps ACA Employer Mandate Intact

April 18, 2018 3 minute read: The Center for Medicare and Medicaid (CMS) has issued a final rule to expand short-term insurance options for Americans as part of the federal government’s continuing campaign Read More
Extended Deadlines for ACA Open Enrollment Updated

Extended Deadlines for ACA Open Enrollment Updated

January 23, 2018 The Centers for Medicare & Medicaid Services (CMS) has announced it is extending the deadline to enroll in health coverage through the Federal Health Insurance Exchange until March 31, 2018, Read More
Efforts to Undermine the Start of Open Enrollment for 2018 Healthcare Coverage on November 1

Efforts to Undermine the Start of Open Enrollment for 2018 Healthcare Coverage on November 1

October 31, 2017 Open enrollment for individuals to purchase healthcare coverage through government exchanges begins tomorrow and runs through December 15. Both advocates and opponents of the Affordable Care Act (ACA) are anxious Read More
Temporary Shutdowns of Healthcare.gov Termed ACA Sabotage

Temporary Shutdowns of Healthcare.gov Termed ACA Sabotage

October 9, 2017 It’s become a bit of a sport. Websites and media outlets are tracking ways that the Trump administration has been working to undermine the Affordable Care Act. Organizations such as Read More
U.S. Senate Health Committee Works to Reach Consensus With Healthcare Hearings Over

U.S. Senate Health Committee Works to Reach Consensus With Healthcare Hearings Over

September 18, 2017 Can they reach a bipartisan consensus on fixing healthcare? That’s the question now that the U.S. Senate Committee on Health, Education, Labor and Pensions has completed its hearings on stabilizing Read More
State Insurance Commissioners Ask Senators to Continue Subsidy Payments to Insurers

State Insurance Commissioners Ask Senators to Continue Subsidy Payments to Insurers

September 7, 2017 It was a positive start to what the U.S. Senate Committee on Health, Education, Labor and Pensions hopes will be the start of a successful bipartisan effort to draft legislation Read More
Paralyzed Veterans of America Reject the AHCA

Paralyzed Veterans of America Reject the AHCA

May 24, 2017 Donald Trump’s entire “Make America Great Again” campaign slogan was footnoted with a promise to help both the working class and United States Veterans. However, a specific group of veterans Read More
2018 Brings New Changes To ACA Exchange

2018 Brings New Changes To ACA Exchange

May 8, 2017 While the country still awaits the final cues for the U.S. Senate’s take on healthcare reform, more updates arrive for the coming year. The Centers for Medicare & Medicaid Services (CMS) Read More
President Trump Proposes New Rule To Stabilize ACA Marketplace

President Trump Proposes New Rule To Stabilize ACA Marketplace

March 1, 2017 Details on President Trump’s plans for an ACA repeal and replacement are finally coming to light. In a new proposed rule, the stabilization of the exchange is placed at the Read More
That Spike In Premium Rates Probably Won’t Affect Your Marketplace Plan

That Spike In Premium Rates Probably Won’t Affect Your Marketplace Plan

November 29, 2016 Fear of premium hikes comes with good reason. As those looking to renew their health plans from the Federal Healthcare Insurance Marketplace Exchange (Federal Exchange) under the Affordable Care Act Read More
Hey Cigna, Welcome To Chicago!

Hey Cigna, Welcome To Chicago!

August 22, 2016 2016 has been a confusing one for many Americans who question the security of their health insurance providers. As major companies like UnitedHealthcare are swiftly withdrawing from certain exchanges nationwide Read More
Assisters Prove Helpful In ACA Open Enrollment

Assisters Prove Helpful In ACA Open Enrollment

July 13, 2016 In a recent Kaiser Family Foundation survey, the results proved the Affordable Care Act’s 2016 open enrollment had a much-needed push from assisters and brokers. The open enrollment period lasted Read More

4 – What Employees Need to Know

December 2, 2015 What Employees Should Know about the ACA By Robert S. Sheen Robert Sheen is Founder and President of Trusaic, Inc., which advises employers nationwide on issues related to the Affordable 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
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
IRS Proposes Changes To Ease ACA Reporting

IRS Proposes Changes To Ease ACA Reporting

September 17, 2015 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 Read More
Key Dates for ACA Open Enrollment

Key Dates for ACA Open Enrollment

September 8, 2015 November 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 Read More

ACA Reporting Update: New Forms, Higher Penalties & Other Guidance

August 5, 2015 Damian A. Myers Damian Myers is an Associate in the Employee Benefits, Executive Compensation and ERISA Litigation Practice Center in the Washington, D.C., office of Proskauer Rose LLP. Founded in Read More
Alaska’s Governor Acts to Expand Medicaid

Alaska’s Governor Acts to Expand Medicaid

July 17, 2015 Alaska’s Gov. Bill Walker moved to expand Medicaid, saying he will ask the administration to offer Medicaid coverage to all qualifying residents of the state. Noting that Alaska’s legislature had Read More
Enrollments Alone Don’t Lead to Better Health

Enrollments Alone Don’t Lead to Better Health

July 9, 2015 Despite the Affordable Care Act’s success in getting 16 million more Americans enrolled in health insurance programs, major hurdles still keep consumers from understanding their coverage, finding a doctor and Read More

Accenture Predicts Private Health Insurance Exchange “Hypergrowth”

April 10, 2015 Private health insurance exchanges enrolled 6 million individuals for the 2015 plan year, and Accenture projects hypergrowth through 2018. By Richard Birhanzel, Scott Brown and Joshua Tauber Richard Birhanzel leads Read More

CMS Opens Extra ACA Enrollment Period

February 24, 2015 Many consumers who have not signed up for health insurance the Affordable Care Act will have another chance to do so, thanks to a special March 15-April 30 enrollment period Read More

Affordable Care Act Becomes an Issue in M&A Deals

January 6, 2015 By Robert L. Jensen Mr. Jensen is an associate in the Employee Benefits & Executive Compensation Practice Group of the Philadelphia office of Drinker Biddle & Reath LLP, an AmLaw Read More

California Requires Insurers To Have Sufficient Providers

January 6, 2015 California’s Insurance Commissioner Dave Jones issued an emergency regulation to establish stronger requirements for health insurers to maintain sufficient medical provider networks to provide timely access to medical care. CommissionerJones Read More