Healthcare

Portion of Small Business Health Options Program Delayed to 2015

The Obama administration has announced via new rules that they will delay a portion of the implementation of the Small Business Health Options Program (SHOP) to 2015.

Author: Michael Gomes

Research Unveils 2012 Health Care Trends, Makes 2013 Predictions

Results of a new study reveal the struggle employers face as they try to balance implementation of the Patient Protection and Affordable Care Act (PPACA) while controlling costs.  The 17th Annual Towers Watson/National Business Group on Health Employer Survey on Purchasing Value in Health Care polled mid-sized and large employers about their 2013 health benefits, yielding responses from 512 participants with a total of $87 billion in 2011 health care expenditures.  The employer responses reflect a broad range of businesses, covering over 6.6 million employees. 

Author: Michael Gomes

Fourth Circuit Appellate Court Dismisses Two Lower Court Cases Challenging PPACA’s Constitutionality: But Rulings Do Not Address the Merits of the Legal Challenges Including the Individual Mandate

On September 8th, a three-judge panel of the 4th Circuit Court of Appeals dismissed two lower court cases challenging the new federal health care reform law. 

In the matter of The State of Virginia v Kathleen Sebelius, the three judge panel unanimously dismissed the challenge on the part of the State of Virginia which sought to have the provision in the Patient Protection and Affordable Care Act (PPACA) mandating the purchase of health insurance declared unconstitutional, and as PPACA lacks a severability clause, to have the entire federal law struck down. 

Author: Michael Gomes

Health Care Bill Still Alive?

Depending on which Sunday talk show you watched, the health care bill may still be alive.  As expected the bill started to stall after Senator Scott Brown won the Senate seat in Massachusetts just two weeks ago. However, since the President’s State of the Union Address, Congress somehow has gotten renewed energy and is hopeful of passing a bill in 2010.

Author: Michael Gomes

State of the Union Address

On Wednesday night, President Barack Obama spoke to Congress and the country in a 71-minute State of the Union speech. It looks like he’s been paying attention to the latest populist polls, and attempting to refocus his attention on the immediate problems that are affecting America.

His main focus was the economy and creating new jobs. President Obama acknowledged the high unemployment rate (10%) and wants to work on fixing that. 
He is making job creation his number one priority. His resolution? Focus on helping community banks so they can issue credit to small businesses, eliminate capital gains taxes on small businesses and provide an incentive to all businesses to invest in new plants and equipment.

Author: Bernard DiFiore

A Shift in Power

Just a few days ago, it looked like the biggest obstacle to clear the health care reform bill would be getting the House and Senate to come to an agreement on the terms within the bill.  Oh how a single Senate seat can change that around. On Tuesday, in a surprise victory, Republican Scott Brown defeated Democrat Martha Coakley to gain the open seat in the Senate, in the mostly Democratic state of Massachusetts. The open seat, once belonging to the late Senator Edward Kennedy, was crucial in determining the balance of power in the Senate. The irony in all this is that Edward Kennedy dedicated over 4 decades of his Senate career in fighting for health care changes in our country. And in the seat that he once held, all that came crashing down this past week. 

Author: Michael Gomes

Get Married, Pay More for Coverage

Under the new health care plan, couples that are married would be punished financially. The health care plan that Congress proposes would force married couples to pay thousands more than their unmarried counterparts who choose to live together without saying “I do.”

The extra costs evolve from language placed in both the House and Senate bills regarding subsidies and the federal poverty level. The subsidies are closely tied to the federal poverty level, and this limits the funding a married couple with a combined income can receive versus the monetary breaks an individual can receive.

This level changes every year and is adjusted slightly for each additional person, but if a couple makes similar incomes, this new bill could end up hurting them financially.

Author: Scott Kirksey

IRS’ New Role May Have Them Monitor Health Care Coverage

Both the Senate and House versions of the proposed health care bill include provisions that would require a majority of Americans to have health insurance or face a financial penalty. It would be the IRS’ job to enforce this legislation. They would require Americans to provide proof of their coverage on their federal tax returns. Those who don’t would face a monetary penalty. It would be the IRS’ job to go after those who decline health care coverage.

Author: Bernard DiFiore

Does the Senate Bill Help the Public or Certain Senators?

It hasn’t been easy to get all the votes necessary to pass the Senate health bill. 60 votes were needed to ensure it’s passing and getting those votes proved difficult.
To get the legislation passed, last minute deals had to be cut to get all 60 Senators to agree on the bill.

The last holdout, Democrat Senator Ben Nelson of Nebraska, negotiated federal aid that will help fund Medicare expansion in his state, and it would provide permanent coverage of the bill’s proposed Medicaid expansion for his constituents indefinitely. To combat backlash, he will start running a 30-second ad during the Nebraska Holiday Bowl that will continue for several days, aiming to defend his decision on siding with the health care legislation.

Author: Michael Gomes

Does Anyone Really Know?

Like many of you, I watch the news each night and go online daily for the latest news on reform.  Just last week we heard about a major “breakthrough”, albeit not a popular one for many people who follow this blog, as worked on by five liberal and five moderate Democratic Senators (the so-called Gang of 10) was going to ensure passage of the bill.  There was going to be an early “buy-in” for 55 to 64 olds to purchase Medicare, a requirement for insurance companies to maintain a 90% medical loss ratio and asking the Office of Personnel Management to administer a program offering coverage through non-profit, private health plans.  Well, two out of three already seemed destined for elimination.
 
These “compromises” had won the support of both liberal and moderate Democrats as well as being applauded by President Obama. 

Author: Michael Gomes
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