Healthcare plans

Most of the 13 state-run public health insurance have collectively spent $4.8 billion in federal funding during their first 17 months of operations and face serious cash-flow problems.

The House passed H.R. 160, the Protect Medical Innovation Act, by a vote of 280 to 140. The bill was introduced by Rep. Erik Paulsen (R-Minn.), a member of the tax-writing House Ways and Means Committee.

High deductible health plan sponsors, as well as employers considering making that switch, should review their employees’ health care purchasing patterns and their communication campaigns to encourage appropriate use of the plans.

Ending the Cadillac tax, simplifying the reporting process and eliminating the automatic enrollment requirement are a few of the legislative recommendations the American Benefits Council is urging Congress to act on.

Small-size employers with between 51 and 100 employees currently in large-business group health plans will have to transition to small-business group plans upon their renewal on or after Jan. 1, 2016.

Commentary: Preparing a new multiyear strategic benefits plan may require as much (or more) effort than the Affordable Care Act has consumed.

The new reality of health care is here: shopping for benefits online via simple mobile apps; virtual care anytime, anywhere; and games to make chronic care management appealing. Despite that, challenges remain in the move to true digital health and, with it, better outcomes, a top Cigna executive said Monday.

While many plan sponsors may choose the same firm to audit their benefit plan that audits their company’s financial statements, doing so may not always be the best choice, cautions the American Institute of Certified Public Accountants.

House Republicans yesterday introduced a plan to repeal the ACA and replace key pieces of it with high-risk health pools and tax credits that benefit industry experts oppose, saying it would undermine the employer-sponsored health care system in place today.

Chiropractors and other ancillary health care providers are breathing a sigh of relief following an about-face by federal regulators with respect to Affordable Care Act’s coverage of their services.

The health care system in the United States is on the threshold of changing the course of the nation and what happens now “can impact the life of every American more than any piece of policy or legislation we have seen in the recent past,” Sylvia Mathews Burwell, secretary of the Department of Health and Human Services, said Wednesday.

Employers facing benefit enrollment challenges or looking to streamline the enrollment process could benefit from the service of outsourcing the enrollment process. Choosing the appropriate benefit enrollment firm requires careful selection by the employer and its benefit adviser.

The proposals for Healthcare.gov plans are subject to a review process before the final rates are published by Nov. 1.

Benefits decision-makers continue to struggle with the notion of financially justifying their wellness dollars, as wellness ROI is still exceptionally elusive.

Too many employee benefit plan audits are deficient, finds a new report from the U.S. Department of Labor, putting up to $653 billion and 22.5 million plan participants and beneficiaries at risk.

Although the Equal Employment Opportunity Commission recently released some new proposed regulations on wellness programs, employers are still grappling with how to incorporate new health technologies into their programs.

The business benefits of private exchanges are starting to be realized by insurers and brokers alike, with an increased focus on voluntary products, savings for insurers and a reliance on brokers.

The federal government has erased any residual doubt about how out-of-pocket limits set by the Affordable Care Act will govern family members covered under a group plan.

Employers looking for good news on patient safety got a mixed bag of recent news – especially the discouraging report that nearly half of American hospitals fall short in nursing standards.

Data suggest a strong correlation between an employee’s overall sense of confidence in the future and the benefits they participate in at work – particularly non-medical benefits such as life insurance, accident insurance and critical illness insurance.