Blogs

HHS Issues New Regulations on Essential Health Benefits

On November 20th, the U.S. Department of Health and Human Services (HHS) issued a series of regulations that clarify how to implement various portions of the Patient Protection and Affordable Care Act (PPACA).  The 119-page rule addresses market reform, wellness programs, and essential health benefits (EHB) packages.  This blog focuses on the EHB requirements that are...

Author: Michael Gomes

Congress and White House Ponder PPACA Follow-Up as Supreme Court Ruling Nears

As both houses of Congress and the White House await the U.S. Supreme Court’s ruling on the Patient Protection and Affordable Care Act (PPACA), efforts on the part of the Republican House to amend various portions of the Act continue.  Although Congress is under a party split, some efforts to repeal portions of the Affordable Care Act have enjoyed bipartisan support. However, these efforts have proved unsuccessful.  This blog examines some of the ongoing efforts to chip away various provisions of PPACA. 

Both parties...

Author: Michael Gomes

The President's Health Insurance Reform Faces Additional Lawsuits

This past June, the United States Supreme Court issued the first decision addressing the legality of the Patient Protection and Affordable Care Act (PPACA).  While that decision largely upheld PPACA, several other legal actions were also filed challenging various provisions of the law.   These cases were put on hold pending the outcome of June’s decision; however they are now under active...

Author: Michael Gomes

Federal Government to Operate Health Insurance Programs Through State Exchanges

In the waning days of the March 2010 debate on the Patient Protection and Affordable Care Act (PPACA), the authors of the Act were forced to abandon a “single payor” clause (also called the “public option”) in order to assemble enough votes to pass the legislation.   Some of the more ardent supporters of the public option threatened to withhold their support for PPACA due to the exclusion of the public option from the bill.  In a compromise with the public option supporters, the authors of PPACA added...

Author: Michael Gomes

HHS Grants States an Extension to Decide on Health Benefits Exchange

The Patient Protection and Affordable Care Act (PPACA) mandates that every state shall establish a health insurance Exchange.  If a state is not able, or chooses not to establish an Exchange, the federal government is authorized to establish and run the state’s health insurance Exchange.  These health insurance Exchanges are a central part of PPACA and are designed to give individuals and small employer groups the ability to purchase health insurance with the same purchasing power of large employers.   Under PPACA, a state had until November 16, 2012 to notify the federal government of...

Author: Michael Gomes

Pricewaterhouse Coopers Report Examines Those Newly Covered by PPACA

No doubt, the Patient Protection and Affordable Care Act (PPACA) is dramatically transforming the health insurance industry.  One of the biggest changes will be the significant increase in the number of covered lives, as millions of individuals will be added to the insurance rolls.  This represents the largest increase in the insured population since the inception of the federal Medicare program. As a result, PPACA is facilitating the...

Author: Michael Gomes

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