Missouri Residents Vote Against Mandate In Health Care Law

Missouri voters on Tuesday overwhelmingly rejected a key provision of health care reform law. About 71 percent of Missouri voters backed a ballot measure, Proposition C, that would prohibit the government from requiring people to have health insurance or from penalizing them for not having it. Missouri is the first state to challenge aspects of the […]

Affordable Care Act & Medicare Reforms

With the Affordable Care Act comes medicare Reforms. Historically, Medicare has often led the entire health care system in the adoption of quality and payment innovation. The reforms that go into place will not only affect Medicare but could change the way the health care system is paid. Meidcare reform means Reform our health care […]

US Judge Lets Virginia Healthcare Challenge Proceed

The new health care reform forces everyone to buy health insurance or pay a tax penalty. This has become a major debate with many who oppose the health care reform. This requirement is the corner stone of the white house health plan.  The argument was that if everyone is on a health plan that will help […]

Health Insurance Exchange

On Thursday, the US Department of Health and Human Services announced that there would be federal grants of $1 million to help for each state to set up the health insurance exchange. Each state is then going to be able to set up the exchange how they see fit. The idea is that the Gov […]

Repealing Tax-Filing Requirement In Healthcare Law

Section 9006 of the health care bill — just a few lines buried in the 2,409-page document — mandates that beginning in 2012 all companies will have to issue 1099 tax forms not just to contract workers but to any individual or corporation from which they buy more than $600 in goods or services in […]

Open Enrollment for Kids Only Policies

Under the health care reform all children under 19 can not be declined or pre x on a health plan. Everyone in the industry had major concerns over this issue.  One of the big concerns was parents would wait until the child had a health care crisis and then enroll them on the plan.  It […]

Mandated Appeals and External Review

Effective first of the plan year or after September 23, 2010 , health plans will have in effect internal claims appeal procedures. Each plan must allow the insured to review his or her plan to present evidence and testimony as part of the appeal process. So what this means is if carrier declines a claim […]

Preventive Care Services Required By Law For Indiana

With the health care reform we are now going to see plans required to cover preventive care. It should be very interesting to see what kind of impact these coverages have on premium. There is no doubt that these additional coverage will increase premium. The problem right now is no one knows what kind of […]

Explanation of Health Care Tax Credit for Indiana

This is the clearest explanation that I could find on the health care tax credit. This information was put together by 15 attorneys that specialize in interpreting these types of laws. This is very complicated. What was spun as a simple tax credit is very difficult to qualify and understand.  A small business might end up spending […]

Update on the NAIC’s Role in PPACA Implementation

The medical loss ratio (MLR) is the most important aspect of healthcare reform. This interpretation of this law is going to determine if the private industry stays in business. The one positive thing is the NAIC is in charge of interpreting the MLR. The National Association of Insurance Commissioners was charged by Congress with considerable […]