Benefit plan design

PPACA’s influence on technology

In the two years since the Patient Protection and Affordable Care Act's passage the health care industry has seen a flurry of activity. And much of this activity has been around technology innovation related to health insurance exchanges, but there are other technologies in the works as well. Here is a retrospective on the last two years of technology innovation, which also serves as a good indicator of where technology will likely be going in HIT as it may relate to PPACA.

John Lamb
By John Lamb
VP and Group Head
EBIX

Supreme Court may wait until 2014 to rule on individual mandate

This summer, the Supreme Court is set to rule on the constitutionality of a provision in the Patient Protection and Affordable Care Act that requires individuals to buy health insurance or pay a tax penalty. Tuesday, the Supreme Court increased the time for next month’s oral arguments from 5.5 hours to six hours, allowing an extra half hour to discuss the Tax Anti-Injunction Act, a law that says courts may not halt a tax that isn’t yet being collected.

Lisa V. Gillespie
By Lisa V. Gillespie
Writer

Lawmakers push for employer engagement with health IT and payment reform

Tuesday morning, the 2012 Employer Health and Human Capitol Congress kicked off in Washington, D.C., with Sen. Amy Klobuchar (D-Minn.) and Rep. Ron Kind (D-Wis.) emphasizing the role of employers in pushing for payment reform in the health care system and advancing health information technology, which could drastically change health care spending and costs to both employees and employees.

Lisa V. Gillespie
By Lisa V. Gillespie
Writer

HR hospital execs see health reform changes throttling toward them, unsure how to prepare

A majority of human resource executives at U.S. hospitals and health care systems expect health care reform to hasten the transformation of the industry’s traditional business model, according to a new survey by Towers Watson. The survey also found that workforce issues, including shortages of primary care physicians, the need for a wider array of staff skills and new leadership models, will rise in importance as the industry grapples with this transformation.

Small business health care stuck on hold

When it comes to health care, small business owners aren't making any fast moves. Faced with higher premiums again in the year ahead, many business owners have found themselves in a holding pattern. They're concerned about the rising costs and the possible impact of health reform, but unsure about making any changes until they have more clarity or options.

Biggest financial surprises of 2011

In every year, there are a host of surprises that come along like earthquakes: They are nearly impossible to predict. We can be thankful that more didn't go wrong with the global economy, although things could certainly go haywire next year. Check out four issues, including health care reform, that made the list.

Agencies extend benefits summary deadline & provide guidance on mental health coverage

The trio of federal agencies charged with interpreting and enforcing the Affordable Care Act and the Mental Health Parity and Addiction Equity Act have addressed some of the most significant questions arising from these laws. In a set of Answers to Frequently Asked Questions, the U.S. Departments of Treasury, Labor, and Health and Human Services have intimated that the looming ACA deadline for the production and distribution of summaries of benefits and coverage will be extended.…

Edward I. Leeds
By Edward I. Leeds
Counsel
Ballard Spahr LLC

Going for the interception

Anticipating the increase in age of covered dependents to 26 starting in 2011, as required by the Patient Protection and Affordable Care Act, the benefits team at Dick's Sporting Goods decided to clean the company's benefit rolls data with a dependent eligibility audit before this provision went into effect and before annual enrollment in the fall of 2010.

By Kathleen Koster
Freelance Writer

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