Benefit plan design

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.

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.

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.

A recent Federal Court decision turned back a potentially debilitating challenge to the Affordable Care Act’s rules governing premium subsidies. The decision, Halbig v. Sebelius, has consequences for large employers, i.e., those that are subject to the Act’s employer shared responsibility or “pay-or-play” rules.

Premiums for health plans on new state exchanges under the Affordable Care Act are comparable to – and in some cases lower than – those being offered by employers with similar levels of coverage, according to a study released Thursday by PricewaterhouseCooper’s Health Research Institute.

Google said Tuesday that it will work with VSP Global to offer its Google Glass prescription lenses and frames at a subsidized price.

Republican U.S. senators opposed to Obamacare said the best alternative would be a narrower system of tax credits for Americans to buy health insurance without any of the mandates for people or companies to participate.

The ACA has been roundly criticized for its lack of cost-containment provisions But one Princeton University academic maintains that cost-containment cannot be implemented simultaneously with universal-coverage measures.

Crediting uncertainty surrounding ACA’s implementation, Moody’s Investor Services slashed the outlook for U.S. health insurers to negative.

As a result of the continued uncertainty of Affordable Care Act’s impact, Moody’s changed the outlook for U.S. health insurers to negative from stable.

BeneTrac, a San Diego-based employee benefits administration software provider, says employers need to act now in order to comply with the ACA’s employer-shared responsibility clause.

Humana Inc. was sued by a Missouri man who claimed the insurer raised premiums for him and other customers and then failed to respond to requests to cancel policies, allegedly to increase revenue under the Affordable Care Act in what may be the first such lawsuit.

CMS accelerated $90 million deal, rather than go through normal one-year bidding process, as it did not believe current contractor could complete work on ‘urgently needed’ functionalities.

Health care exchanges and other issues related to the Affordable Care Act have garnered a great deal of attention. However, additional and less well-known ACA regulations went into effect on January 1. One of these impacts wellness programs, including the myriad initiatives employers have put in place to encourage employees to exercise, lose weight and otherwise improve their health to prevent illness, disability and its costs.

Target Corp. said it will end health insurance for part-time employees, joining Trader Joe’s Co., Home Depot Inc. and other retailers that have scaled back benefits in response to changes from Obamacare.

Employers and human resource professionals looking to get ahead of the benefits and health care reform game should take a note of a new free survey in the works by McGraw Wentworth.

The plaintiffs who lost a recent lawsuit trying to prevent the federal government from providing tax credits to purchase health insurance on federal exchanges have filed for an expedited appeal in the case.

With Obamacare bearing down on them, a doctors’ group said emergency rooms are less able to provide quality care, and more resources will be needed to handle an expected surge of patients from the new law.