Healthcare reform

How to use scenario planning

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.

John Lamb
By John Lamb
VP and Group Head
EBIX

No delay for SBC requirement

On March 19, the Departments of Labor, Treasury, and Health and Human Services jointly issued FAQs addressing the new summary of benefits and coverage requirement under the Patient Protection and Affordable Care Act. Although the agencies released final regulations only a few weeks prior, the FAQs provide additional guidance and clarification.

More than half individual health plans fall short of PPACA standards

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.

Lisa V. Gillespie
By Lisa V. Gillespie
Writer

NAIFA survey: MLR provision harms consumers, agents

In a presidential election cycle where job creation is a key issue, 15% of National Association of Insurance and Financial Advisors members surveyed recently say President Barack Obama’s health care reform law’s medical loss ratio provision has decreased their commissions enough to cause them to need to lay-off or reduce the hours of support staff in their offices — affecting an average of two employees per agency.

Health insurers to pay $1.3 billion in rebates

Health insurers are on the hook for an estimated $1.3 billion in rebates by August of this year, if they were not in compliance with the Medical Loss Ratio provision of the Patient Protection and Affordable Care Act for 2011, according to analysis by the Henry J. Kaiser Family Foundation.

By Chris McMahon
Senior Editor
Insurance Networking News

Changing the game

The last week of March was a busy one here at EBA HQ. With the Supreme Court hearing oral arguments on the constitutionality of health care reform's individual mandate in our own backyard, EBA couldn't miss the opportunity to head down to Capitol Hill to check out the scene for ourselves – and bring you the latest news on the proceedings in the process.

Elizabeth Galentine
By Elizabeth Galentine
Former editor-in-chief
Employee Benefit Adviser

5 things to know about state-run health insurance exchanges

Next month, the Supreme Court is expected to hand down its opinion regarding the individual mandate contained in the Patient Protection and Affordable Care Act. Their ruling on the constitutionality of requiring every American to purchase health insurance may affect how health reform moves forward. But, one thing the ruling will not significantly alter, in all likelihood, is the development of state-run health insurance exchanges. That's because regardless of the individual mandate, employers and individuals will still be looking for a vehicle that provides affordable health insurance that meets their needs – and exchanges may indeed be the answer.

Ron Goldstein
By Ron Goldstein
President & CEO
Choice Administrators

No such thing as ‘wait and see’

Aon Hewitt isn't letting health care reform dictate its business model. If anything, it's the other way around. In addition to publishing an influential report on the implications of health reform for large employers, CEO Kristi Savacool has been to the White House several times in recent months to discuss the company's retiree health care exchange and upcoming active employee exchange model. "We have been on the front line," says Savacool, "really influencing the development of health care reform, influencing our clients with respect to how they put their own health care strategies together."

Elizabeth Galentine
By Elizabeth Galentine
Former editor-in-chief
Employee Benefit Adviser

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