Benefit plan design

Now that the high court has upheld all Patient Protection and Affordable Care Act provisions pertaining to employers, the focus shifts to numerous compliance obligations and possible economic implications of fully implementing the health care reform law.

The wait is over as the Supreme Court today upheld the Patient Protection and Affordable Care Act, paving the way for employers to continue meeting the health care reform provisions that come into effect this year and beyond.

The U.S. Supreme Court has upheld the Patient Protection and Affordable Care Act with the individual mandate being upheld under the Congressional power of taxation.

A sharply divided Supreme Court on Thursday upheld the centerpiece of President Barack Obama's signature health care overhaul law that requires that most Americans get insurance by 2014 or pay a financial penalty.

At 2 p.m. EST tomorrow experts will provide insight on the fate of the mandate for individuals to purchase health coverage, and the finding on the constitutionality of PPACA as a whole. Sign up for the web seminar which will be held hours after the decision is released.

There is no shortage of opinions when it comes to the future of health insurance in the United States. And, opinions were readily shared this week at America’s Health Insurance Plans Institute 2012 in Salt Lake City. Connecture Inc., a sales automation technology provider in the health insurance space, conducted a survey of the health insurance executives at the conference, and made a number of conclusions, including:

Private and public health care exchanges can bring tremendous value to the marketplace if they follow certain examples, said a speaker at the NAHU annual convention in Las Vegas Monday.

There is a lot riding on the Supreme Court’s health reform decision for all stakeholders. Brokers and consultants need to be prepared to advise their clients, says EBA Advisory Board member Mark Gaunya, who highlights what you should be thinking about while we wait for the decision.

As if the Patient Protection and Affordable Care Act didn’t give employers enough to worry about, a PPACA-related regulatory headache may be taking hold for small firms.

Investors could be excused for avoiding health insurance and hospital stocks as a U.S. Supreme Court decision nears on President Barack Obama's health care overhaul law — an outcome that could send the companies' shares down 10% or more.

Republican Mitt Romney last week laid out his vision for a "consumer market" health care approach to replace President Barack Obama's sweeping reform law, whether or not the U.S. Supreme Court overturns the legislation this month.

Later this month, employers will know - based on the Supreme Court ruling whether to uphold the Patient Protection and Affordable Care Act - if their employees must have health insurance. Should the law and all of its provisions be ruled constitutional, the cost of offering health benefits may prove too much for some employers, allowing employees to seek coverage from state-run insurance exchanges.

A full 42% of employee benefit managers hope the Supreme Court will this month rule that the Patient Protection and Affordable Care Act is unconstitutional, according to research conducted by Employee Benefit News.

Three major U.S. health insurers that provide coverage to millions of Americans said they would keep some protections included in President Barack Obama's health care overhaul regardless of how the Supreme Court rules on the law.

U.S. Health and Human Services Secretary Kathleen Sebelius said on Thursday the administration will be ready to respond if the Supreme Court strikes down all or part of the health care reform law in a landmark ruling expected this month.

Health care reform likely enabled about 6.6 million young adults to join their parents' health insurance plans last year, a report found on Friday, though problems with medical bills and debt remained an issue.

Health care reform enabled an estimated 6.6 million young adults to join their parents' health insurance plans last year, according to a Commonwealth Fund report, though problems with medical bills and debt remain an issue.

Health reform is in such a chaotic state and will continue to be so even after the Supreme Court ruling on the constitutionality of PPACA - and the November election. This is where scenario planning can help. At the April conference for the Institute for HealthCare Consumerism, I listened to a panel on alternative planning scenarios in regard to health reform using scenario planning. Let's see how it works.

With health care reform's medical loss ratio rebate reporting starting this month, there is still much uncertainty among employers about how the rebates will work, leading to an opportunity for brokers to fill that all-important trusted adviser role.

More than half of Americans with individual market health insurance coverage in 2010 were enrolled in so-called "tin" plans, which provide less coverage than the lowest "bronze"-level plans in the Affordable Care Act, and therefore would not be able to be offered in the health insurance exchanges that are being created under the law, according to a Commonwealth Fund. The analysis suggests that once the state-based exchanges — set up to make it easier for individuals and small businesses to shop for health insurance — go into effect in 2014, many of these Americans will be able to purchase plans that offer better coverage. In addition, many will be eligible for premium subsidies that will help offset the cost of the plans.