Companies 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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RegulationsUncategorized
Balance Billing Undermines Insurance Coverage
by Robert Sheenby Robert SheenA key goal the Affordable Care Act is to make sure that the medical is covered by insurance plus the agreed-upon deductibles and copays. But for many families an illness…
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LegislationRegulationsUncategorized
IRS on Employer Shared Responsibility Provisions
by Robert Sheenby Robert SheenThe Internal Revenue Service has issued a reminder to employers about specific “shared responsibility” provisions of the Affordable Care Act that may affect them. The size and structure of a…
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RegulationsUncategorized
College’s Objection to Contraception Coverage Is Denied
by Robert Sheenby Robert SheenThe US Court of Appeals has denied a religious college’s request to bar the government from enforcing the Affordable Care Act’s requirement that insurance plans cover the cost of all…
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A repeal of the Affordable Care Act would increase the federal deficit by $353 billion over the next 10 years, according to a report by the Congressional Budget Office and…
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The decision by 22 states not to expand Medicaid under the will ACA will result in 5,200 avoidable deaths each year, according to a White House Report, along with hundreds…
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Unpaid bills, better known as “bad debt,” declined at non-profit hospitals in states that expanded during 2014, according to a study by Moody’s Investors . Hospitals in the 29 states…
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The CVS Health pharmacy chain will carry information about healthcare and preventative services, by the U.S. Department and Human Services (HHS), the company’s MinuteClinic.com and CVS.com websites. CVS is using…
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Companies seem to have enjoyed excellent financial during the Act’s first year implementation, despite being forbidden by the law to turn down individuals with pre-existing medical conditions or charge them…
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HHS Awards $112 Million To Improve Local Cardiac Health Care
by Robert Sheenby Robert SheenThe 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…
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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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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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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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Researchers at UCLA found that about 59% primary care and specialty physicians in California support the Affordable Care Act, and 61% believe the law will either help their practice or…
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California Insurance Commissioner Dave Jones said Anthem Blue Cross failed to justify premium increases averaging 8.7% on individual health insurance policies grandfathered under Affordable Care Act rules. According to the…
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The The US Court of Appeals for the Eighth Circuit has barred Missouri from enforcing a law that would have required anyone giving advice about the Affordable Care Act to…
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Americans’ views about the Affordable Care Act are more positive now than. A poll was taken last November, just after the midterm elections, found only 37% approved of the law,…
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Physicians have been accepting a smaller percentage of new Medicaid patients than patients on Medicare or with private insurance, according to a study by the National Center for Health Statistics…
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Low-income Americans will have greater access to mental health and substance abuse treatments under a new rule proposed by the Centers for Medicare & Medicaid Services (CMS). The proposal applies…
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The Affordable Care Act has substantially increased the percentage of Latinos who have healthcare coverage, although more than half of Latinos surveyed said they had heard little or nothing about…
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A new report shows that a year after the Affordable Care Act’s coverage expansion provisions took effect, physicians have not experienced a sharp increase in visits by new or sick…
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About one out five U.S. employers are reducing for part-time workers as a result of the Affordable Care Act (ACA), a new survey by Society for Human Resource Management (SHRM)…
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The cost to hospitals uncompensated care was reduced by an estimated $7.4 billion in 2014, according to the Department of Health and Human Services. The agency also found that expansion…
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As the Act marks its fifth anniversary, a poll by the Kaiser Family Foundationfinds the gap between favorable and unfavorable opinions about the law has narrowed to the closest margin…
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The Affordable Care Act has resulted in a 16.4 million increase in the number of Americans having insurance coverage, according to the White House. The administration released the figure in…
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Many families – especially those with low to moderate incomes – don’t have sufficient savings to cover a mid- or larger deductible in a private plan, according to an analysis…
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Physicians, hospitals and other medical can participate in a new system that lets them – and their patients – keep a larger portion any savings they achieve. The , called…
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The Administration has no backup plan if the Supreme Court rules against it in the King v. Burwell case that challenges a key part of the Affordable Care Act, the…
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A total of 4.17 million consumers re-enrolled for health insurance during the open enrollment periods from Nov. 15, 2014 to Feb. 15, 2015, the Department of Health and Human Services…
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Although the open enrolment period ended Feb. 15, the Department of Health and Human Services (HHS) continued to accept applications between Feb. 16 and Feb. 22 from consumers who had…
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Nationwide, the rate of those without health insurance dropped 3.5 percentage points during 2014, from 17.3% to 13.8%, according to the Gallup Poll. That is the lowest annualized rate Gallup…
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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…
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About 800,000 taxpayers who obtained Affordable Care Act health insurance policies through the Healthcare.gov marketplace were sent incorrect tax information by the government, and have been urged to delay filing…
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When the Affordable Care Act open enrolment ended Feb. 15, about 11.4 million consumers had selected health insurance plans or were automatically re-enrolled through HealthCare.gov or state-based marketplaces, the Department…
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RegulationsUncategorized
New ACA Program Rewards Value of Care, not Volume
by Robert Sheenby Robert SheenDoctors treating cancer patients will be paid based on the value of the care they deliver rather than the volume of services they provide, under a new Affordable Care Act…
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Uncategorized
Week 12 ACA Snapshot: 275,000 Sign Up, 7.7 Million Enrolled
by Robert Sheenby Robert SheenWith just four days until Affordable Care Act enrolment closes, the Department of Health and Human Services (HHS) reported on Feb. 11 that 275,676 consumers selected plans on the federal…
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Almost 6.5 million individuals in the 37 states using the HealthCare.gov platform will qualify for an average of $268 per person per month in advanced premium tax credits, according to…
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Uncategorized
Week 11 Snapshot: Almost 180,000 Select Plans, 7.47 Million Enrolled
by Robert Sheenby Robert SheenWith the Act deadline nearing, 179,710 consumers selected the federal exchange during the 11th open , the Department and Human Services (HHS) reported Feb. 4. Total signups since began Nov.…
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Lamar Smith (R-Texas) has written to three senior Administration officials, asking them to explain how Act data gathered by the federal website is with private companies such as Google, Twitter,…
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To help cover Affordable Care Act costs, the 2016 budget proposal submitted by the Department of Health and Human Services for the fiscal year 2016 would reduce Medicare spending by…
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Medicaid and Children’s Health Insurance Program (CHIP) data shows enrollment gains in all states, according to the Department of Health and Human Services, with more than 10.1 million additional Americans…
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Americans are not paying much attention to the King v. Burwell case now before the Supreme Court, which will decide if residents 37 states qualify for Act subsidies to buy,…
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Uncategorized
Week 10 Snapshot: 137,300 Select Plans, 7.3 Million Enrolled
by Robert Sheenby Robert SheenAlmost 137,300 consumers selected Affordable Care Act plans on the federal health insurance exchange during the 10th week of open enrollment,the Department of Health and Human Services (HHS) announced Jan.…
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The U.S. Supreme Court declined to include Oklahoma in the King v. Burwell case that will decide whether residents of 37 states can receive federal subsidies to buy Affordable Care…
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More than 163,000 consumers selected plans on the federal health exchange during the eighth week of Affordable Care Act open enrollment, the Department of Health and Human Services (HHS)/span> announced…
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The Supreme Court Monday declined to hear a legal challenge to the mandate provision the Act, filed by the Association American Physicians and Surgeons. The ’s objection to the requirement…
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Nearly 103,000 consumers selected Affordable Care Act plans on the federal health insurance exchange during the seventh week of open enrollment, the Department of Health and Human Services (HHS) announced…
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About 87% people who selected Act through during the first open were eligible for financial assistance to lower their premiums for beginning Jan. 1, 2015, according to the Department and…