Apr. 20: UnitedHealth To Exit Most ACA Exchange Markets In 2017

NAHU Newswire On Tuesday, UnitedHealth Group’s announcement that it will limit its participation in Affordable Care Act exchanges to just “a handful of states” starting in 2017 received extensive media coverage, including television and print. The company cited growing losses in this
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Size Doesn’t Matter But the Regulators Do

By Adam V. Russo, Esq. (As published in Thompson Information Services’ Employer’s Guide to Self-Insuring Health Benefits)  What is the perfect size for a self-funded plan?  This is one of my favorite questions and I love to ask it at any conference at which I happen to hav
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The Road to Recovery: Subrogation Gets Its Day In Court … Again

By Christopher M. Aguiar, Esq. (As published within The Self-Insurer)  In a country with a seemingly infinite amount of regulation and concerns regarding benefit plan compliance following the passage of the Affordable Care Act in 2010, one would expect much attention from courts in th
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Be Smart When Self-Funding

By Adam V. Russo, Esq. (As published in Thompson Information Services’ Employer’s Guide to Self-Insuring Health Benefits)   Introduction While we are seeing record growth across the country, self-funding is a topic that few are familiar with, even though many participate i
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Ready or Not, Here it Comes! The Employer Mandate is Finally Applicable

By Kelly E. Dempsey, Esq. (As published within The Self-Insurer)  The Employer Shared Responsibility provision of the Patient Protection and Affordable Care Act (“ACA”) went into effect for certain applicable large employers on January 1, 2015.[1]  The Employer Shared Responsibility p
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Beating Medical Trend – Managed Care vs Reference Based Pricing

MyHealthGuide Source: Bill Rusteberg, 7/2015, RiskManagers.us White Paper<https://t.e2ma.net/click/hcsgk/l7ixcb/5m824f>   The Problem   Medical inflation continues to rise. Facing rate increases year after year, plan sponsors, with their financial backs to the wall, ha
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Roberts’ opinion means Obama successor can’t easily revoke subsidies

By Lisa Schencker  | June 25, 2015 Insurance premium subsidies will continue to flow to Americans in all states under the Affordable Care Act, the U.S. Supreme Court decided 6-3 in King v. Burwell on Thursday. The justices sided with the Obama administration in the historic decision,
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Meet the Americans Who Prefer to Go Uninsured

The Affordable Care Act has a perplexing problem: Many uninsured Americans prefer their old ways of getting health care. For millions, arranging treatment through cash, barter and charity is still better than paying for insurance. They include Lisa Khechoom of Glendale, Calif., who re
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SIIA Requests Delay in ACA Contraceptive Coverage Mandate Rule

Rule Will Disrupt Self-Insured Plans Sponsored by Religious Organizations       November 26, 2013 – In a formal letter submitted today to the U.S. Departments of Health & Human Services, Labor and Treasury (“Tri-Agencies”), the Self-Insurance Institute of America
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Healthcare.Gov’s Flaws Found, Fixes Eyed

By Christopher Weaver & Louise Radnofsky Government officials are considering rebuilding some parts of the federally run health-insurance marketplace that have been identified as the key flaws that blocked many consumers from getting coverage. Read more…
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