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health care reform

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Posted by Andy Adams on November 12, 2014 - 3:45pm
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Jonathan Gruber is an interesting case.  He is an MIT professor that was one of the chief architects for Romneycare in Massachusetts and Obamacare.

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Posted by Andy Adams on November 11, 2014 - 4:13pm
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You may recall the circuit panel ruling in Halbig v. Burwell this past Summer.  This is a little case with huge potential implications for the ACA.  I say potential because the panel holding was quickly vacated by the DC Circuit Court of Appeals.

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Posted by Andy Adams on November 11, 2014 - 3:07pm
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Last week, the IRS released Notice 2014-69.  The notice states that plans that do not provide in-patient hospitalization or physician services do not provide "minimum value" as that term is defined by the ACA.

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Posted by Andy Adams on October 2, 2014 - 11:30am
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From the Houston Chronicle:  “Our whole industry believes this is the next big change, and like any change, there will be winners and losers from an industry standpoint,” he told me. “But this is a net win for small-business owners — they’re not going to make this change because they are losing, they are going to do it because it’s an economic advantage.”
 
From Houston Small Business Owners: "You have GOT to be kidding me!"
 
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Posted by Andy Adams on September 4, 2014 - 2:58pm
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As we noted here, the DC Circuit has vacated its panel decision deciding the ACA shoud be enforced as it reads to NOT allow subsidies sold outside of state health exchanges (i.e., through the federal exchange).  This was a huge holding, but the odds were stacked against its survival within the more liberal DC Circuit.

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Posted by Andy Adams on June 12, 2014 - 3:06pm
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The Affordable Care Act (ACA) requires health insurance issuers and sponsors of self-insured health plans to pay Patient-Centered Outcomes Research Institute fees (PCORI fees). The fees are reported and paid annually using IRS Form 720 (Quarterly Federal Excise Tax Return).  If you have a fully-insured group health plan, you carrier will handle the PCORI fee payment.

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Posted by Andy Adams on April 9, 2014 - 4:50pm
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The crisis that was (is) the uninsured was a primary justification for the passage of the ACA.  "We have 40 million people without health insurance!  We have to do something."  And something they did.  A massive expansion of the public into the private sector.  The cancellation of more than 4 million existing health insurance policies.  Double-digit increases in premiums costs, etc.

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Posted by Andy Adams on April 3, 2014 - 11:08am
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On April 1st (yes, April Fool's Day even),  the Obama Administration declared that they had reached their "goal" (scare quotes used because they had refused to say it was their goal just a few weeks ago) of 7,000,000 million "sign ups" for ACA compliant policies through healthcare.gov, the state exchanges, and other enrollment methods.  This was heralded as a victory by media outlets and administration officials and a "in your face" moment for opponents and critics of the ACA. So, everything is awesome now!  We are all good.  Everybody is loving it right?  This is now a huge success.  So, at any moment, congressional Democrats will be picking up the Obamacare banner and waving it proudly whereas only days before they were in full retreat.  Right?

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Posted by Andy Adams on March 25, 2014 - 1:36pm
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Hobby Lobby will stand before the Supreme Court today to plead its case on why it should not be forced to offer abortion pills in the health insurance plan it provides for its employees.  You may recall that the Obama Administration has tried to "accommodate" religious institutions, but its "accommodation" is illusory at best.  That is another lawsuit.  In Hobby Lobby's case, no accommodation or reprieve has been offered.  

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Posted by Andy Adams on March 24, 2014 - 4:47pm
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As we near the end of the first open enrollment period for the state and federal exchanges, we are getting some data about just who is signing up and/or enrolling for health insurance coverage.  First, there is a difference between "sign ups" and "enrollments."  Sign ups have not yet paid.   Enrollments have paid.

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