Close-Up Look at PPACA's Ground Rules for Health Plan Offerings Inside and Outside of Exchanges

By January 1, 2014, nearly all health plans need to be in full compliance with the provisions and associated guidance and rules of the Patient Protection and Affordable Care Act (PPACA).   This blog addresses some basic questions for health plans that want to offer individual and small group coverage both inside and outside of the state health benefit exchanges.

Do all health plans have to be compliant with PPACA provisions in 2014?  

President Barack Obama Wins Re-Election for Second Term

PPACA Implementation will continue but with some challenges from the Republicans and States

With razor thin margins in key swing states, President Barack Obama has been elected to a second term, beating out his Republican challenger, former governor Mitt Romney.

Pundits and political insiders waited to call the election until poll results came in from Ohio.  After it was clear President Obama had won that state, and another key swing state of Virginia, many media outlets announced that he had won this re-election bid to stay in the White House.  Mr. Romney conceded the race early Wednesday morning.

Election 2012 A Comparison of Romney and Obamas Health Care Platforms

With the Presidential election approaching in the next twenty-four hours, health care reform has taken center stage in debates and in the minds of voters.  The U.S. Supreme Court’s decision to uphold the majority of the Patient Protection and Affordable Care Act (PPACA) provided a boost for President Obama heading into the fall campaign season.  At the same time, a significant number of American voters are not in favor of PPACA and therefore support Mitt Romney’s call for the repeal of major elements of the health care reform plan. 

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. 

Republican Governors and Their State Exchanges- Difficult Choices

The state health benefits exchange is one of the central concepts embedded in the Patient Protection and Affordable Care Act (PPACA).  The new federal reform law mandates that each state have a state health benefits exchange for individuals, and a SHOP exchange for small group employers, or offer one merged public exchange, to help consumers access, compare and purchase health insurance programs.   PPACA requires each state-based exchange to be certified by the U.S. Department of Health and Human Services (HHS).   BenefitMall has covered this issue at length.  Click here for additional information on the exchange concept. 

HHS Issues Interim Final Exchange Rules Con’t. – States to Retain Primary Regulatory Authority to Oversee Brokers and Navigators

To conclude our examination of the new exchange rule recently issued by the Department of Health and Human Services (HHS), this blog summarizes the rule’s treatment of states as the primary regulatory authority for both Brokers and navigators.  In two previous blogs analyzing the rule’s requirements, we wrote about the new opportunities available to Brokers under the rule, and the rule’s acknowledgment of the important role Brokers can assume in the establishment of new Exchanges.
States Continue to Oversee Brokers

HHS Issues Interim Final Exchange Rules Con’t. New Regulations Anticipate Working with Broker Websites

This posting is the second in a series that more fully explores the new rule issued by the U.S. Department of Health and Human Services (HHS) concerning organization and operation of state health benefit Exchanges.  The rule expands on the provisions of Section 1312(e) of the Patient Protection and Affordable Care Act (PPACA), which addresses consumer choice in selecting a qualified health plan, and provides for the enrollment of qualified individuals through agents or brokers. 

Obama Administration Defends Affordable Care Act in Opening Brief Filed with U.S. Supreme Court

On January 6, 2012, the U.S. Department of Justice (DOJ) filed a brief with the U.S. Supreme Court in support of the Patient Protection and Affordable Care Act (PPACA), one of the most talked about pieces of legislation passed in recent memory. In addition, over a half dozen amicus curiae briefs have been filed since then by interested parties wanting to weigh in on the case.  Oral arguments on the merits of the new health care reform law are scheduled for late March. 

HHS Launches New PPACA Initiative to Strengthen Primary Care

The U.S. Department of Health and Human Services (HHS) announced a new initiative under the Patient Protection and Affordable Care Act (PPACA) aimed at helping primary care providers deliver higher quality and patient-centered care. Primary care practices that support this initiative will receive bonuses for coordinating improved care and spending health care dollars more prudently.

Obama Pulls PPACA's Long-Term Care Insurance Program

Last week, the U.S. Department of Health and Human Services (HHS) announced that the Obama Administration would not be implementing the long-term care insurance plan included in the Patient Protection and Affordable Care Act (PPACA).