Blogs

Summary of Plan Benefits and Coverage Will Be Arriving Soon

August 21, 2012 - 10:04 AM

Beginning on September 23, 2012, all health insurance companies and group health benefit plans must issue a standardized Summary of Benefits and Coverage (SBC).  The new SBCs must comply with specific requirements provided in a federal rule issued jointly by the U.S. Department of Health and Human Services (HHS) and the U.S. Department of Labor (DOL) titled “Summary of Benefits and Coverage and Uniform Glossary.”   The...

Author: Michael Gomes

Major Health Affairs Conference Discusses What's next for PPACA Implementation

August 16, 2012 - 12:03 PM

A few weeks ago, many of the country’s leading health experts gathered in Washington D.C. at a Health Affairs sponsored conference entitled “What’s Next for the Affordable Care Act (PPACA) Implementation.”

Experts focused on how the recent Supreme Court decision on the constitutionality of PPACA will impact various facets of the health care industry.  Among the attendees were co-...

Author: Michael Gomes

Self-Funding Options for Small Group Employers under Regulatory Review

July 27, 2012 - 9:58 AM

Both the National Association of Insurance Commissioners (NAIC) and the federal government have initiated reviews of the practice of small group employers self-funding their employees’ health insurance benefits.  The catalyst for much of this activity is fueled by concerns that some employers will prefer to self-fund rather than participate in the new insurance reforms being implemented through the Patient Protection and Affordable Care Act (...

Author: Michael Gomes

House Votes to Repeal Patient Protection and Affordable Care Act

July 26, 2012 - 10:18 AM

On July 11th, the U.S. House of Representatives voted to repeal President Obama’s Patient Protection and Affordable Care Act (PPACA).  The vote, which will undoubtedly fail in the U.S. Senate, is seen as
a symbolic effort on the part of the Republican Party to say, “The Supreme Court may have upheld it, but it’s still a bad law.”

The vote largely followed party lines, with 244 members voting for the repeal...

Author: Michael Gomes

Rebate Check Options for Your Employer Clients

July 18, 2012 - 3:20 PM

Some of your clients will be receiving rebate checks from their health insurance companies as a byproduct of the Patient Protection and Affordable Care Act (PPACA).  They may have questions about why they are receiving these checks and what they can do with the proceeds. This blog will provide you with answers to those questions.

Why are these checks being mailed now?

PPACA contains provisions that require health insurance companies to...

Author: Michael Gomes

CMS Adds an Additional 89 Accountable Care Organizations

July 12, 2012 - 3:11 PM

On Monday, July 9th, the Centers for Medicare & Medicaid Services (CMS) announced an additional 89 accountable care organizations (ACOs) have officially entered into agreements with CMS to provide coordinated care for Medicare beneficiaries.

In a...

Author: Michael Gomes

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