Healthcare benefits

Commentary: Personal care in times of great distress not only delivers more effective care, but it also does it more efficiently, says Sam Fleet.

The ACA added new employer reporting requirements under Internal Revenue Code Sections 6055 and 6056, applying to employers that sponsor self-insured plans that provide minimum essential coverage regardless of size, and applicable larger employers.

As the Supreme Court’s recent ruling in favor of gay marriage in Obergefell v. Hodges changed the landscape of employee benefits across the country, the question of how the court’s decision would affect domestic partner coverage moved center stage.

About 6.6 million U.S. taxpayers paid a penalty imposed for the first time this year for not having health insurance, about 10% more than the Obama administration had estimated – though a portion didn’t need to.

The $34.1 billion blockbuster deal between Aetna Inc. and Humana Inc. is seen as complementary to both health insurers in terms of helping grow their involvement in private and public health insurance exchanges.

Despite the looming Cadillac tax, few employers are planning big changes to their health plans this year.

As employers search for ways to trim health care costs, advisers are increasingly exploring the use of data to steer plan design.

Commentary: Waiting for the results of the 2016 presidential election before doing any Cadillac tax planning is not a good benefits strategy.

Employers are becoming more proactive in asking hospitals to participate in The Leapfrog Group’s surveys.

Commentary: Insurance is complex and relying on technology alone for employee education isn’t realistic.

It’s no surprise that health care costs are continuing to rise and while employers remain committed to providing benefits, many are re-evaluating their benefit strategies.

Advisers who excel in the vision field do the best job of making the connection between vision and medical plans, some experts say. Shannon Enders, a founding partner at Lakeshore Employee Benefits in Norton Shores, Mich., says when he brings the idea of connecting vision and health data to clients’ attention, “they quickly become very interested.”

Commentary: Columnist Nelson Griswold discusses why sophisticated employee benefit advisers are increasingly discussing self-funding of the health plan with mid-size employers.

Narrow-network restrictions help health insurance carriers participating in public exchanges limit their exposure to adverse selection and better manage the cost of patient care, but they’re also an annoyance for health care exchange enrollees who want unencumbered access to doctors and hospitals.

Commentary: Disruption is the word of the day in the evolving health insurance industry.

A group of lawmakers has introduced legislation to roll back guidance from the Treasury Department that prohibits employers from using stand-alone health reimbursement arrangements to reimburse employees for health care-related expenses.

Commentary: The ACA’s Cadillac tax is like a patient, powerful hurricane moving across the Atlantic. If it makes landfall, the impact will be dramatic.

Commentary: It’s natural to fear that fewer insurance companies will mean less choice in health plans and less differentiation and innovation. But there is good news.

Consolidation in the health insurance industry holds both positives and negatives for employer-sponsored health plans, but employers shouldn’t expect to see any major savings resulting from the Aetna-Humana merger until at least 2017, say industry experts.

Aetna’s purchase of Humana confirms analyst predictions of continued consolidation as carriers vie for market share, a trend industry experts fear will limit choice and force brokers to reinvent their business approach.