Healthcare reform

As many as 8 million people will lose health care plans now offered through their employers, the Congressional Budget Office now estimates, up from a previous estimate of 5 million.

Lawmakers from Michigan and Wisconsin were among those who called PPACA a good “first step” toward health care coverage for all Americans at a Families USA conference in Washington.

The number of Americans projected to gain insurance from the U.S. health care law is eroding, by at least 5 million people, as the Obama administration struggles to implement the $1.3 trillion overhaul amid Republican opposition.

The government said the rules announced last week would broaden the types of organizations eligible for an exemption from the birth-control mandate and make it easier for them to escape it.

Payments from drugmakers and medical device companies to doctors must be disclosed to the U.S. government beginning next March, regulators said.

With PPACA implementation in full swing, the top four broker organizations set their sights on making inroads on Capitol Hill to secure regulatory fixes.

Mercer health benefit consultants have come up with a short list of what employer health plan sponsors need to keep top-of-mind in the New Year:

Mercer has launched a private benefit exchange. Called Mercer Marketplace and developed by Benefitfocus, the exchange is available to employers with at least 100 employees. It will provide access to a broad array of benefits - both traditional and voluntary - from multiple insurance providers. Additional education tools and support will help employees customize their choices to better fit their needs, according to the company.

What employers and brokers need to know and do to success under the new health care reform model.

Nelson Griswold on how under health reform a carrier will not determine how much a broker is worth.

John Lamb on helping employees that have reached the tipping point on health care spending.

Third biggest U.S. health insurer says the share of health care premiums it spends on patient care rose to 84.1% from 80.7% a year earlier. The insurer finished 2012 with 18.2 million members in its medical plans, an increase of 64,000 over the third quarter.

The IRS and HHS released new regulations Wednesday for the individual mandate portion of PPACA. The proposed regulations shed new light on the process the agencies will take in determining which individuals are subject to the mandate or whether they’re exempt, and whether their insurance coverage is sufficient.

Employees can receive government tax credits to buy insurance for their families if the coverage their employers offer would cost more than 9.5% of their income, the IRS said Wednesday in final regulations. However, that calculation will be based on the cost of single coverage, not family coverage, which is more expensive and would give more people access to the credits.

Oklahoma opposed a request by the U.S. that a judge dismiss the state’s lawsuit challenging President Obama’s 2010 health-care reform legislation.

State exchanges top Americans’ wish list for what they would like the government to set as 2013 health care priorities.

Howard County, Md., will become the first municipality to establish a nonprofit, member-run health co-op to sell individual and small group plans through the insurance exchanges — a move some say could undercut competitors by 30%.

UnitedHealth Group Inc. and other U.S. health insurers will soon have company in Maryland: a nonprofit started by a county government that plans to sell coverage at rates as much as 30% lower than competitors.

With the 113th Congress up and running and the president’s policy schedule filling up by the day, the Kaiser Family Foundation and Harvard School of Public Health polled Americans last week on what they would like the government to set as top health care priorities for the year.

As the health insurance exchange marketplace continues to expand, industry trailblazers and benefits experts are weighing in on what it takes for employers to succeed within this relatively new health care model.