HHS Releases Rules on ACA Program Integrity: Exchange, SHOP, Premium Stabilization Programs, and Market Standards

By on June 17, 2013 in ACA, Affordable Care Act, Exchanges, HHS

From the Desk of Larry Grudzien On June 14, 2013, HHS released a Notice of Proposed Rulemaking(NPRM) that proposes a number of policies related to the implementation of the Affordable Care Act, including provisions regarding Affordable Insurance Exchanges, also known as Health Insurance Marketplaces. Much of the proposed rule focuses on program integrity regarding State [...]

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California’s Modest Rates: Behind the Numbers

By on June 6, 2013 in Exchanges, Health Insurance

California’s Modest Rates: Behind the Numbers by: Bruce Shutan A 40-year-old Californian reportedly would pay anywhere from about $40 to $300 per month for a mid-level health plan in the state’s HIX, depending on the individual’s income. But there’s more to the story than these modest numbers reveal. Anthony Wright, executive director of the advocacy [...]

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Updated IRS Form 720 available for Health Plans to Pay new ACA fee due July 31

By on June 5, 2013 in ACA

June 5, 2013 With health plans or policies facing a July 31 due date to pay the first patient-centered outcomes research fees, IRS has issued a revised Form 720 and instructions. Filers will enter covered lives subject to the $1 fee for the 2012 plan or policy year in Part II of Form 720 (line [...]

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HHS Data Show Exchanges Will Offer Uninsured More Coverage Options.

By on May 31, 2013 in ACA, Affordable Care Act, Exchanges, Health Insurance, HHS, HHS Data, obama

NAHU Newswire The Obama Administration’s release of HHS data Thursday, showing that exchanges set up under the ACA would offer many consumers more insurance options, saw wide coverage in the national media. In analyzing the White House memo , many of the outlets note that the increase in choice would likely spur competition, which could in [...]

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Final Wellness Regulations Released

By on May 29, 2013 in Health and Human Services, Wellness, Wellness Regulations

From the KT Health and Welfare Team: This morning Treasury, Labor and Health and Human Services issued final regulations concerning wellness programs.  The final regulations will be effective beginning January 1, 2014, and apply to wellness penalties / rewards that apply to the 2014 plan year. The final regulations completely re-design the proposed regulations that [...]

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States’ Implementation Of Exchanges May Decide Fate Of ACA.

By on May 28, 2013 in ACA, Affordable Care Act, Exchanges

From NAHU Newswire. Over the holiday weekend through today, a number of national outlets reported on exchange implementation occurring across the US. Notably, from a national perspective, Bloomberg News  (5/28, Nussbaum) reports that the fate of the Affordable Care Act is “being decided far from Capitol Hill,” as “states from New York to California” work [...]

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