Archive For The “Health Care Reform” Category

Supreme Court Mulls Affordable Care Act

By | April 4, 2012

Here are some consumer benefits that would disappear if the whole law were to be ruled unconstitutional: Increased coverage of preventive services Many health insurance plans are now subject to new rules that require them to cover recommended preventive services without charging a co-payment. As a result, consumers pay nothing for services like routine screenings, [...]

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What’s Coming Up for the Affordable Care Act (ACA)

By | March 29, 2012

Two of the most pressing ACA changes on the horizon for the marketplace are the implementation of the Summary of Benefits and Coverage and preparation for participating on the public exchanges. Upcoming changes to the Affordable Care Act that are looming include: Summary of Benefits and Coverage Beginning Sept. 23, 2012, all insurers and group [...]

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Looking Back at The Affordable Care Act

By | March 29, 2012

The Affordable Care Act, also known as ACA, has made an impact on healthcare for many consumers. This week the Supreme Court will hear arguments on challenges to the Affordable Care Act (ACA). Several of ACA’s provisions are already making an impact on the business of health care and individual consumers. Some of the provisions [...]

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Affordable Care Act Update: Patient-Centered Outcomes Research Fee

By | February 29, 2012

An update on Patient-Centered Outcomes Research Institute Fee has just been released. As part of the Affordable Care Act, health insurance issuers and sponsors of self-insured group health plans will be assessed an annual fee to fund patient-centered outcomes research. The federal government is expected to release proposed regulations in June 2012. We will update [...]

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Congressional Update: Afordable Care Act Final Regulations Update 2-10-2012

By | February 10, 2012

The Affordable Care Act: Final Regulations Issued for Summary of Benefits and Coverage Yesterday, the Departments of Health and Human Services, Labor and Treasury released the final rule and related documents for the uniform Summary of Benefits and Coverage (SBC) provision of the Affordable Care Act. This provision requires all insurers and group health plans [...]

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Congressional Update: House Repeals CLASS

By | February 9, 2012

Recent news from Congress: House votes to repeal CLASS Act The House voted last week to repeal the Community Living Assistance Service and Supports (CLASS) Act, a part of the Affordable Care Act. Republicans have been working to repeal the health reform law since December, a few months after the U.S. Department of Health & [...]

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Congressional Update: Summary of Benefits and Coverage Compliance On Hold

By | February 8, 2012

In recent news from Congress: The Affordable Care Act requires all insurers and group health plans to provide consumers with a Summary of Benefits and Coverage (SBC) at certain times, including upon request for information, at the time of application, at enrollment and annually upon re-enrollment. As the March 2012 implementation date for this provision [...]

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Update 2-2-2012

By | February 1, 2012

As part of the Affordable Care Act, states had until Jan. 1, 2012, to strictly or similarly meet National Association of Insurance Commissions (NAIC) standards. Otherwise, health insurance issuers offering non-grandfathered plans and policies in the state would be required to choose a federally administered process or contract with an accredited independent review organization. The [...]

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Some Thoughts on Planning For the Long Term

By | May 6, 2010

A growing concern for many Americans, especially Boomers, but also Americans in other generational groups, as well, is long term care. Long Term Care is vital because as a society we are living a lot longer than in the past. Recent advances in medical care and the treatment of disease and illness have advanced much [...]

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Fraud in the Health Care System

By | April 30, 2010

One good benefit coming from all of the attention being paid to health care reform is the attention being paid to fraud in the medical health care community, much of it perpetrated by health care providers. Many people oppose the reforms fearing a turn to socialist policies by the government. Where there is controversy, however, [...]

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