Benefit plan design

About 2.1 million people have medical coverage as of yesterday through Obamacare after a late surge in enrollment helped regain ground lost to the botched debut of insurance exchanges created by the U.S. health-care overhaul.

From emergency rooms to pharmacies to company human-resources departments, changes will unfold within the U.S. health-care system on Jan. 1 as the nation guarantees insurance coverage to all Americans for the first time, a goal that has eluded presidents and lawmakers since the end of World War Two.

The deadline to enroll in health plans that begin Jan. 1 was extended to midnight today from yesterday for most of the U.S., the Centers for Medicare & Medicaid Services said. The extension was announced as healthcare.gov yesterday experienced a single-day record number of visits and consumers were moved into a queuing system deployed when the website approaches 50,000 simultaneous users.

The success of the health care overhaul relies on a diverse pool of customers where younger, healthier participants balance the costs of covering older, sicker people. Insurers say they can’t make more concessions without putting themselves at risk that patients will wait and sign up only when they need care.

President Barack Obama said the thousands of people now signing up for coverage under the Affordable Care Act overshadow the hit he’s been taking in the polls for the defect-riddled roll-out of the Affordable Care Act.

The most recent LIMRA survey reveals that approximately 60% of Americans who have used health exchanges so far to try to shop for health coverage say they sought out assistance when actually buying their health insurance plan.

Much concern had been voiced about the ability for consumers and insurers alike to execute billing and payment between Dec. 23 and Dec. 31 for coverage effective Jan. 1. AHIP offered to extend that deadline to Jan. 10 on Wednesday.

Why small employers haven’t bought into private exchanges — yet

It’s no surprise that the year ahead is going to mean skyrocketing voluntary sales. But experts say it’s no easy feat for health brokers trying to break into the business.

The government failed to send data to health insurers for about 15,000 people who enrolled in Obamacare through early December, an error corrected last week before it could jeopardize their coverage, the U.S. said.

Health insurers are being asked by the U.S. government to be lenient with Obamacare customers who miss the Dec. 23 deadline for enrolling in the program or are late with their initial payment. Meanwhile, Aetna says it will not renew canceled plans.

Lou Faiola takes relationships to a new level. From carriers to brokers to beneficiaries, his commitment to benefits is apparent to all whose lives he touches.

After speaking with the leader of Towers Watson's Exchange Solutions segment and Liazon’s CEO to understand how small and larger employers should strategically approach the private exchanges, here are the key thoughts employers of any size should consider when deciding whether to shift to a defined contribution approach to health care benefits.

The health care website’s improved performance has both U.S. political parties shifting strategies, with President Barack Obama’s team preparing a January advertising blitz and a wave of celebrity promotions to boost enrollment, allies said.

The federal agency in charge of exchanges is communicating with brokers about technology improvements, but brokers say they haven’t heard much of anything, yet.

Employers, on the whole, report seeing their health care costs continuing to rise – most suggest that costs will jump 19% between 2013 and 2014 alone.

The 2013 Deloitte Employer Survey finds that many employers see the entire health care system as being expensive and wasteful, and indicate that they don’t believe the ACA will do much to help to change the situation.

The move comes in response to Republican lawmakers’ criticism of the Patient Protection and Affordable Care Act over the healthcare.gov website troubles and the cancellation notices sent to hundreds of thousands of current policy holders as a result of the law.

The promise of 50,000 people being able to simultaneously use the site by Saturday – twice the capacity of last week – will be tested by congressional Republicans.

Towers Watson acquired Liazon Corporation, a leader in developing and delivering private benefit exchanges for active employees, last week. Representatives of the consultancy believe that this acquisition, which follows the purchase of Extend Health in June 2012, has solidified their position as the leading player in the private exchange market through its OneExchange solution.