Employer Strategies

As the dust settles over the Affordable Care Act and employees get used to operating in the post-ACA world, plan sponsors find themselves in somewhat of a holding pattern with regards to their pharmacy benefits. But strategic decisions are still in play about whether or not employers are going to provide traditional benefit plans once the employer mandate goes into effect in 2015 or send workers to public or private exchanges.

Health plans allowed to continue in 2014 though they don’t comply with new Obamacare rules may be extended for as long as three years, Aetna Inc. Chief Executive Officer Mark Bertolini told investors.

As Cigna this week became one of the first insurers to announce its own online marketplace — amid countless others created by brokers, consultants and tech firms — some say the definition of this concept has become muddied.

By ending the sale of tobacco products in its 7,600 pharmacies, CVS Caremark Corp. is redefining itself as a health-care provider in an environment in which millions of newly insured Americans will be looking for quick and convenient medical care.

Health insurers under pressure to keep premiums low are eliminating some hospitals from coverage in a cost-cutting strategy that threatens to freeze out centers that provide specialized care, limiting patient options.

A handful of recent guidance items that the Departments of Labor, Health and Human Services, and Treasury have issued make some important changes related to the regulation of “excepted benefits.” These changes are driven in large part by the insurance market reforms and other provisions of the Affordable Care Act (ACA). For the most part, these changes should be welcomed by both employers and employees as they endeavor to comply with the ACA.

Health care plan sponsors planning to get in the front of costly services this year may want to consider increasing employee communication, particularly if they have high deductible health plans. New data from Change Healthcare shows wide price variability among some common medical procedures.

Some 403(b) plan sponsors believe that if they are exempt from ERISA, they cannot be held accountable as an acting-fiduciary. This is a misconception.

Long a provider of backend technology solutions to other private exchanges and employers, bswift announced today the launch of its own private health insurance exchange, Springboard Marketplace.

Insurers participating in Obamacare may have to expand their plans to include more federally funded health clinics, safety-net hospitals and other medical providers used by low-income people, under a U.S. proposal.