HHS Delays Basic Health Plan
Kaiser has reported that HHS will delay the “Basic” Health plan until 2015. The “basic” health plan was to help people that are making 2 times federal poverty level. This plan is to be designed with very little cost to insured both from a claims and premium standpoint. The other advantage to this plan is if […]
UnitedHealthCare Pharmacy Migration
UnitedHealthCare will be consolidating and managing its pharmacy benefit program in house through OptiumRX. Currently the pharmacy benefit manager has be Medco. UHC will begin migrating members starting in early 2013. They have invested more than $200 million in developing OptumRX. UHC starting using OptumRX back in 2009, when it moved Medicare Part D member […]
Qualified Health Plan (QHP)
Next year all health insurance plans must meet the essential health benefits to be considered a Qualified Health Plan (QHP) These requirements are base on: If the plan is offered inside or outside the exchange IF the plan is fully insured or a self funded plan Premiums for Individual and small groups will no longer […]
5 Things A Small Business Needs to Know about Health Insurance Reform
Insurance companies are held accountable. The insurance company must spend at least 80% of the premium collected on medical care. If they don’t, then a rebate check will be issued to the group. Insurance companies are health accountable for large rate increase. Insurance companies must publicly justify any rate increase over 10%. Tax Credits for […]
$63 Fee Hidden in PPACA Regulations
It turns out that everyone that has a health insurance policy will have to pay an additional $63 a year. This $63 is to help fund the health insurance industries risk for in 2014. If you have an individual, small group, large group or self funded plan you have to pay. In 2014, the individual […]
Community Ratings For Small Group Health Insurance
In 2014, we are going to see a major transformation of the small group health insurance market. One of the biggest changes is the community ratings. No longer will a small group premium be based on medical conditions. This means most will groups will have similar pricing. Right now small groups in the area are medical […]
H.S.A’s Under Health Care Reform
H.S.A Health Savings Accounts look to be qualified health plans under the health care reform act. This is huge news! Initially when the health care laws were passed, Health Saving Account we not considered qualified. This meant that if you had an H.S.A plan you would be subject to the tax penalty. From this report, the Actuarial Value calculator […]
Low Income Workers and Health Benefits
NY Times This is a article about the fear of the Affordable Care Act in low income industries. Restaurant and Hospitality owners could be impacted negatively by the tax penalty of not offering a group health plan. In these industries it is difficult for employees to pay their portion of the premium on a group health plan. These industries have been […]
Health Care Reform Predictions
In 2014, the health insurance landscape is going to change a great deal in Indianapolis. There is going to be new taxes on group health insurance plans. For fully insured group plans, there will be a 2.68% tax on those plans. On self funded plans, there will be $6.35 per member per month tax. These […]
Indiana Delays the Essential Health Benefits
Indianapolis Delays Essential Health Benefits The Essential health benefits must include items and services within the following 10 categories: Ambulance, Emergency Services, Hospitalization, Maternity, New Born Car, Mental health and substance abuse, behavioral health, Prescriptions, Rehabilitative, Laboratory, Preventive, Disease management, Pediatric with oral and vision. This is a very big part to the Affordable […]