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Health Care Reform Resource Page 

Health Care Timeline 

HHS Reaffirms Contraceptive Mandate
On Jan. 20, the Department of Health and Human Services reaffirmed its health care reform rule requiring employer-sponsored health plans to cover birth control and related counseling, provoking opposition from the U.S. Conference of Catholic Bishops.

More articles on coverage requirements...

Viewpoint: Reconsidering Group Health Insurance Benefits
There are options that can help ease the cost burden of providing health benefits. But for those that decide to eliminate group health plan coverage, it’s best to give employees as much notice as possible and provide them with guidance along the way.

More articles on employer responses...

Essential Benefits ‘Bulletin’ Sidesteps Disclosure Requirements, Republicans Charge
The Obama administration is preventing Congress and the public from being able to assess the true costs associated with the health care reform law's essential health benefits mandate, according to a letter from Republican House chairmen and Senate ranking members.

HHS to Give States More Flexibility to Set 'Essential Health Benefits'
The Department of Health and Human Services (HHS) outlined policies to let states select from among four plan benchmarks to implement essential health benefits coverage requirements. Some expressed concern that the approach would allow states to mandate a rich benefit package that many employers won’t be able to afford.

More articles on miscellaneous provisions, coverage… 

Big Changes Expected in Hospital Reimbursement
HR executives at U.S. hospitals expect health care reform to hasten the transformation of the industry’s traditional business model, including cuts in reimbursement levels and a shift in the percentage of revenue received from government vs. private insurers.

More articles on plan costs…

Reporting Health Coverage Cost on Forms W-2
On Jan. 3, the Internal Revenue Service issued new guidance on meeting the health care reform law's requirement to report on employees' W-2 forms the cost of their group health insurance coverage. The cost is to be determined under rules similar to those for determining the premium for COBRA continuation coverage. 

Agencies Delay Deadline for Health Benefit Summaries
The federal agencies overseeing health care reform announced they will not require group health plan sponsors to create and distribute to employees a standardized Summary of Benefits and Coverage and Uniform Glossary until a final rule is issued, delaying the original March 23, 2012, deadline.

More articles on reporting and notification requirements… 

Early Retiree Subsidy Ends Early
The health care reform law’s Early Retiree Reinsurance Program (ERRP), which accepted no new applications after April 30, 2011, stopped distributing new funds to approved applicants at the end of 2011. The program, intended to last until January 2014, exhausted its $5 billion funding.

More articles on retiree coverage…

Finance, HR Execs See Roles Changing in Health Care Reform's Wake
A tighter partnership between corporate finance and HR executives may be on the horizon as large companies begin to address the implications of health care reform for their reward programs and talent management strategy.

States Receive More Flexibility, Resources to Create Insurance Exchanges
The federal government awarded nearly $220 million in new grants to 13 states to help them create health insurance exchanges under the health care reform law. But seven of the 13 are among the states suing the administration over the constitutionality of the law.

More articles on state-run exchanges and subsidies…

Employers: Higher Wellness Incentive Is Reform's 'Most Beneficial' Element
The eventual increase in allowable employee wellness incentives was viewed as the most beneficial element of the Patient Protection and Affordable Care Act (PPACA), according to a 2011 survey of U.S. employers.

More articles on preventive care and wellness… 

Employers Can Switch Carriers, Stay 'Grandfathered'
Federal departments issued an amendment to earlier regulations. The amendment allows group health plans to switch insurance companies and maintain their grandfathered status, so long as the structure of the coverage doesn’t violate one of the other rules for maintaining grandfathered status.

More articles on "grandfathered" plans…    

Videos

 

Drop Health Care?
Does it make sense for employers to eliminate health care benefits? That will depend on a company’s business model and strategies for rewards and retention, argues Gary Kushner, CEO of Kushner & Co.

Doing the Math
Eliminating health care is not a simple decision, says Gary Kushner, CEO of Kushner & Co. To prove his point, he walks viewers through a scenario that presents potentially unanticipated costs for employers.

New Law, New Health Care Costs
Dr. Jeffrey Kang, chief medical officer at Cigna Healthcare, analyzes how health care reform ultimately may affect employers’ short- and mid-term costs.

Working with Insurers
Health care reform requires employers to partner closely with their insurers on plan design issues, says Dr. Jeffrey Kang, chief medical officer at Cigna Healthcare.

Medical Payment Reform
Employers and insurers should pay health care providers for the quality of outcomes, not the quantity of services, says Andy Webber, CEO of the National Business Coalition on Health.

Future of Health Care
Dr. Joseph Heyman, who served as chairman of the board of trustees for the American Medical Association, discusses key health care issues for employers and issuers. 

 Perspectives

Viewpoint: Group Policies vs. Subsidized Individual Coverage—The Impact of Exchanges
The health care reform law will enable small businesses, the self-employed and the uninsured to choose health insurance plans offered through state-run exchanges, beginning in 2014. Existing private exchanges, such as those for retiree 'Medigap' policies, provide some lessons.

Cutting Growth of Health Care Costs Won't Be Easy
Employers are keeping their fingers crossed that estimates of single-digit health care cost increases for 2010 will hold true. But one regional manufacturer's association is projecting an average cost increase of more than 15 percent for its members.

Is Reform a Threat to Employer Health Plans?
The overall impact of the House bill, the author fears, would be to diminish the role of the employment-based system.

HR's Health Care Hurdles—A First Person Account
A retired HR professional shares some of her experiences confronting the challenges of providing employees with appropriate health care—indicating why small businesses, in particular, are stakeholders in the current health care reform debate.

 Topic Index

 External News Links

 At a Glance

Health Care Reform: Now It's Employers' Turn
This HR Magzine cover story provides a broad overview on the basics of health care reform, and a discussion of what employer's need to do

Health Care Reform Now: First Things First
A follow-up article in HR Magzine looks into how employers are adjusting to health care reform’s realities in coverage and costs. One issue: keep grandfathered status or let it go.

A Small Business Guide to Health Care Reform
The Small Business Council of America website posted this brochure and timeline that details what smaller business need to know. 

Regulations and Guidance
The U.S. Department of Labor website posted regulations, fact sheets and model notices relating to several health care reform provisions, including coverage of preventive services, pre-existing conditions exclusions, lifetime and annual limits, grandfathered plans, coverage for adult children, retiree coverage and more. 

Health Care Reform Reporting and Disclosure Requirements
A chart summarizing the top reporting and disclosure obligations for employers

Summary of Potential Employer Penalties Under the Patient Protection and Affordable Care Act
This Congressional Research Service report describes the penalties, when applicable beginning in 2014, to employers under the new health insurance reform law. 

Regulations Pursuant to the Patient Protection and Affordable Care Act
This Congressional Research Service report identifies more than 40 health care reform provisions that require, permit, or contemplate rulemaking by federal agencies to implement the legislation.

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 Health Care Reform Webcasts


Now available

Health Care Reform: Where Do We Go From Here … And Lessons Learned So Far
(90 minutes, SHRM member discount)
Presenters: Anne Crumlish, principal, Aon Hewitt; and Mike Aitken, director, SHRM Government Affairs
In this timely webcast, Anne Crumlish of Aon Hewitt and Mike Aitken of SHRM will lead a multifaceted discussion of the PPACA's impact this year. The program provides:
An update of regulatory and judicial developments, and how employers should respond as they plan their health care benefits strategies.
An implementation roadmap for employers whose plan years did not begin on Jan. 1 and who face implementation during 2011.
A look at "lessons learned" from those employers who did begin compliance on Jan. 1, including how they addressed problems associated with covering adult dependents and other statutes.
A glimpse at what lies ahead for employers, in 2012 and beyond.
View now

Health Care Reform: Design, Administer, Communicate
(90 minutes, SHRM member discount)
Presenters:
Anne E. Crumlish, FSA, MAAA,
Hewitt Associates; and Nancy Hammer, Esq., SHRM Government Affairs
You've begun to absorb the basics of the recently enacted health care reform legislation. Now it's time to grapple with what this landmark law really means for your organization, particularly with regard to changes that go into effect soon. This program will take a more detailed look at specific actions HR professionals need to take in the areas of plan design and administration; the financial aspects of complying with the new law; and clear, correct and timely communication with your workforce.
View now

Discuss Health Care

Advocacy

SHRM Health Care Public Policy Statement
HR professionals have a significant opportunity to impact the health care cost crisis and drive patient safety and quality improvement, according to a SHRM public policy statement.
Read More

To learn more about SHRM's advocacy work, view the SHRM Government Affairs Health Care Reform Page.

Health Care Reform Poll: Where Are Organizations in the Decision-Process? An Update
HR knowledge about new health care reform laws are steadily increasing. In 2011, 62 percent of HR professionals believe they are comfortable with their level of familiarity with the health care reform law, up from 48 percent in 2010. Read More
 

From the SHRM HR Knowledge Center:
 Sample memo/e-mail to employees regarding health care reform legislation.

SHRM HR Knowledge Center Responses to Frequently Asked Questions:
How does reform impact part-time employees?
What is the impact on nondiscrimination rules for group health plans?
How do we determine average hours worked for benefits plan eligibility?
 What are the benefits an employer’s health plan must provide?
 What is the definition of the term “small employer” under this legislation?
How does the retiree reinsurance subsidy work?
• What is the maximum small business tax credit for a tax-exempt qualified employer?
More Q&As
 

Benchmarking Study: Cost of Health Care
SHRM's Cost of Health Care Benchmarking study contains key metrics on health care-related costs and premiums, cost-sharing, deductibles, co-pays, self-insurance and stop-loss funding from more than 3,000 organizations. Read More 

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