Pharmacy Benefit Management News

UnitedHealthcare PBM Optum is launching a new program that should have a positive impact on UHC’s fully insured membership. One of the biggest frustrations to insured individuals on health saving accounts (H.S.A) or high deductible plans, has been filling prescription drugs. On an H.S.A. plan, prescriptions will apply towards the deductible and members have seen …

Indiana Challenging the Affordable Care Act

Indiana has joined 19 other states in a coalition to challenge the constitutionality of the Affordable Care Act (ACA).   The suit was filed in federal court in Texas and is led by Texas and Wisconsin. December 2017 the tax bill was signed into law which eliminated the individual mandates financial penalties staring in 2019. …

Employer Shared Responsibility Payment (ESRP) notification

If you are researching this topic, then you may have received a letter from the Department of Treasury Internal Revenue Service with regards to Employer Shared Responsibility Payment (ESRP). Under the Affordable Care Act’s employer shared responsibility provisions, large companies are required to offer affordable health insurance coverage that meets the requirements of the ACA. This rule is …

Amazon, Berkshire Hathaway & JPMorgan Healthcare Transformation

There have been huge shockwaves caused in the health care industry with news that Amazon, Berkshire Hathaway & JPMorgan would form an independent health care company for their employees in the United States. Upon the release of this news, publicly traded health care companies saw their stocks prices drop as the news of new competition …

As We Approach 2018, How is Health Insurance of Indiana Looking?

Group Health Insurance Indiana We quickly approach Jan 1st, 2018, the state of health insurance in Indiana is nowhere near close to being stable. Individual Health Insurance The Affordable Care Act has failed every Hoosier that pays for or towards a health insurance policy. One segment of the population has benefited from the ACA, and …

Did the ACA Effect Group Health Insurance?

Group Health Insurance Indiana When the Affordable Care Act (ACA) went active, a large a majority of Indiana small business dropped their group health plans and moved to the individual market. At first, this was an excellent option for reducing costs for both the company and the employee. Businesses that had little employee turnover, no …

Group Health Insurance Participation

Group Health Insurance Insurance companies in both Indiana and the rest of country have always enforced participation requirements. Small groups (under 50 employees) and “Large” groups (50+ employees) have had to have at least 50% of the full time employees elect coverage. Insurance companies do vary on employee participation. Group Health Insurance for Small Groups …

Federated Leaves the Group Health Market

Indiana Health Insurance Company Updates Recently, it was announced that Federated is leaving the group health market. They are exiting the state of Indiana and the rest of the country. They will end providing group health, life & disability on Dec. 31st of 2017. “Federated does not see an end to the uncertainty surrounding the …

IU Health Plans Exit Individual Market

Group Health Insurance Indianapolis – IU Health Updates At the end of June, IU announced that they were leaving the individual market. There announcement was very quiet and received almost no media attention. IU Health Plan is owned/an extension of Indiana University Health. The medical group has had insurance products available in Indiana. They offer …