The 5W’s Of Employer Notices: Don’t Be Penalized

The 5W’s Of Employer Notices: Don’t Be Penalized

June 23, 2016 It’s notice season! As an employer, you may have received a letter regarding the health care coverage of one or more of your employees. Could this notice lead to penalties Read More
Valve is being sued. Will there be any Steam left after this lawsuit?

Valve is being sued. Will there be any Steam left after this lawsuit?

June 22, 2016 Last year, Uber became entangled in multiple employee misclassification lawsuits. These primarily involved individual incidents where contracted drivers exceeded the hourly threshold to be deemed “full-time” under the Affordable Care Read More
EEOC’s Final Rules On Wellness Programs Prove Workplace Wellness Is On The Rise

EEOC’s Final Rules On Wellness Programs Prove Workplace Wellness Is On The Rise

June 19, 2016 It’s an often-overlooked aspect of preventative health care. We’re told to eat right, exercise, and take doctor-prescribed medications on schedule and any vitamins or minerals. However, when it comes to Read More
Americans on the ACA this Election Season

Americans on the ACA this Election Season

June 16, 2016   As November looms overhead with the 2016 Presidential election, new issues continue to arise—namely, the afterthought of the importance of health care for Americans. While Americans rank health care Read More
Cutting Hours To Avoid Health Care Coverage Brings Dave & Busters Under Legal Scrutiny

Cutting Hours To Avoid Health Care Coverage Brings Dave & Busters Under Legal Scrutiny

May 22, 2016 A class-action lawsuit has been filed outside of federal courts in New York against restaurant and gaming chain Dave & Busters. The reason? Cutting employees’ hours to duck mandatory health Read More
The ACA: A Gift And A Curse For Uber

The ACA: A Gift And A Curse For Uber

May 11, 2016 In the often-oversimplified world of contractor-based employment, the Affordable Care Act is a blessing in disguise: “employees” can readily obtain health care with the financial burden falling off the “employer.” Read More
Is Individual Shared Responsibility Your Responsibility?

Is Individual Shared Responsibility Your Responsibility?

May 8, 2016 Since the implementation of the Affordable Care Act, the goal in mind is to ensure that every American has received or has been given access to adequate health coverage. While Read More
Do You Have Minimum Essential Coverage?

Do You Have Minimum Essential Coverage?

April 19, 2016 Under the Affordable Care Act, individuals and families are generally required to have minimum essential coverage in order to avoid year-end penalties or shared responsibility payments. This coverage can be Read More
Opposition Of Medicaid Expansion Produces Hurdles For States

Opposition Of Medicaid Expansion Produces Hurdles For States

March 16, 2016 In April of last year, the Center on Budget and Policy Properties (“CBPP”) released a report detailing which states have and have not expanded their Medicaid program to low-income adults Read More
Wyoming’s Governor Loses on Medicaid Expansion

Wyoming’s Governor Loses on Medicaid Expansion

February 22, 2016 Despite vocal support by Wyoming Gov. Matt Mead, a Republican, the State Senate rejected a proposal to expand Medicaid. The vote means Wyoming will not receive $268 million in federal Read More
Reminder and How-To on Shared Responsibility Payments

Reminder and How-To on Shared Responsibility Payments

February 18, 2016 The IRS issued a reminder that the Affordable Care Act requires individuals to have qualifying health care coverage, qualify for an exemption, or make a “shared responsibility payment” when filing their Read More
Understanding The Premium Tax Credit

Understanding The Premium Tax Credit

January 19, 2016 If you or anyone in your family enrolled in an Affordable Care Act health insurance plan through the federal Healthcare.gov health insurance marketplace or a state exchange, you may be Read More
74,000 Selected Plans in Week 10

74,000 Selected Plans in Week 10

January 14, 2016 More than 74,200 consumers selected Affordable Care Act health care plans through the Healthcare.gov online marketplace during the tenth week of open enrollment, according to the “weekly snapshot report” issued 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
17.6 Million Have Gained Health Coverage Under the ACA

17.6 Million Have Gained Health Coverage Under the ACA

October 1, 2015 As of September 12, an estimated 17.6 million Americans have gained health insurance coverage since enrollment under the Affordable Care Act began in October of 2013, according to the Department Read More
HHS Awards $685 Million to Improve Patient Care

HHS Awards $685 Million to Improve Patient Care

September 30, 2015 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 Read More
Number of Uninsured Women Sharply Lower

Number of Uninsured Women Sharply Lower

September 29, 2015 The 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 Read More
Coverage Offer Can Affect Shared Responsibility Payment

Coverage Offer Can Affect Shared Responsibility Payment

September 25, 2015 Under 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, Read More
S&P Says Nonprofit Providers Are Financially Stronger

S&P Says Nonprofit Providers Are Financially Stronger

September 17, 2015 The 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. 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
NLRB Decision Likely To Affect ACA Compliance

NLRB Decision Likely To Affect ACA Compliance

September 4, 2015 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 Read More
Tools to Estimate ACA Fees and Credits

Tools to Estimate ACA Fees and Credits

September 1, 2015 The 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 Read More
Are You Subject to the Individual Mandate?

Are You Subject to the Individual Mandate?

August 17, 2015 The IRS has issued an explanation of which U.S. citizens and foreign nationals are subject to the individual shared responsibility provision of the Affordable Care Act, or the “individual mandate.” Read More
IRS Asks For Comments on New “Cadillac Tax” Rules

IRS Asks For Comments on New “Cadillac Tax” Rules

August 12, 2015 The Internal Revenue Service has identified additional issues under Code Section 4980I, commonly known as the “Cadillac Plan” excise tax, and is proposing new regulations to deal with them. The Read More
Non-Physicians Do More, Cost Less

Non-Physicians Do More, Cost Less

July 28, 2015 An increasing amount of medical care is being delivered by nurse practitioners, physician assistants and other non-physician providers, making care more widely available and helping hold down costs, according to Read More
ACA Offers Help For Informal Caregivers

ACA Offers Help For Informal Caregivers

July 21, 2015 Millions of Americans who provide unpaid care for ill, disabled or aged family members or friends can now get help through the Affordable Care Act for their own physical and Read More
IRS Offers ACA Webinars for Employers and Insurers

IRS Offers ACA Webinars for Employers and Insurers

July 20, 2015 The Internal Revenue Service is offering a series of three webinars designed to help employers and insurance providers understand provisions of the Affordable Care Act. The webinars will be held 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
Penalties Increased for Filing Errors

Penalties Increased for Filing Errors

July 7, 2015 Penalties in sections of the Internal Revenue Code relating to the failure to timely file correct and complete information in a return as well as the failure to timely distribute Read More

College’s Objection to Contraception Coverage Is Denied

July 3, 2015 The 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 Read More
Supreme Court Rules ACA Subsidies Are Legal

Supreme Court Rules ACA Subsidies Are Legal

June 25, 2015 In a 6-3 decision, the Supreme Court ruled on June 25th that it is legal for government subsidies under the Affordable Care Act to be available to all Americans, as Read More
IRS Explains Definition of ‘Large Employer’

IRS Explains Definition of ‘Large Employer’

May 21, 2015 The 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 Read More
Rules on Contraception Coverage Tightened

Rules on Contraception Coverage Tightened

May 13, 2015 The 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 Read More
Appeals Court Bars Challenge to ACA Mandates

Appeals Court Bars Challenge to ACA Mandates

May 7, 2015 The 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 Read More
Opinion on ACA Remains Closely Divided

Opinion on ACA Remains Closely Divided

April 20, 2015 A poll tracking Americans’ views the Affordable Care Act shows public opinion holding steady and closely divided, with 43% expressing a favorable view and 42% with an unfavorable view. The Read More
“Doc Fix” Made Permanent

“Doc Fix” Made Permanent

April 15, 2015 The Senate and House approved a permanent repeal to a widely disliked formula used to pay doctors for services, and President Obama has indicated he will sign the bill. This Read More
Minorities More Affected By Medicaid Gap

Minorities More Affected By Medicaid Gap

April 14, 2015 Low-income Black and Hispanic Americans are much more likely than Whites to be affected by a “ gap” in the 22 states that have not expanded Medicaid, declining funds for Read More

HHS Week 9 Snapshot: 400,000 Enroll

January 21, 2015 Just over 400,000 consumers selected Affordable Care Act plans on the federal health insurance exchange during the eighth week of open enrollment, the Department of Health and Human Services (HHS) Read More

HHS Awards $36 Million To Health Centers

December 11, 2014 Health and Human Services Secretary Sylvia M. Burwell announced $36.3 million in quality improvement awards to 1,113 centers nationwide. The money, provided through the Affordable Care Act, recognizes quality improvement Read More

IRS Eases Rules on Hardship Exemptions

November 22, 2014 The IRS announced yesterday (Nov. 21, 2014) that it has made it easier for those subject to the Act to qualify for an exemption from the rule requiring that an Read More

Administration Predicts Lower ACA Enrollment

November 11, 2014 Obama administration officials say the number of Americans who will gain health coverage during 2015 through Affordable Care Act marketplaces will be about 30% lower than earlier estimates. Health and Read More