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Health Care Reform Resource Page 


To avoid penalties and put in place effective health benefit strategies under the Patient Protection and Affordable Care Act (PPACA or ACA), employers must comply with the law's numerous and complex requirements.  

 Latest Articles

Patients Often Win If They Appeal a Denied Health Claim
The Affordable Care Act creates national standards allowing appeals to the insurer and, if necessary, to a third-party reviewer.

40-Hour Workweek Passes House; Senate Prospects Slim
The U.S. House passed the Save American Workers Act on April 3, which would raise the definition of a full-time work week under the Affordable Care Act from at least 30 hours to 40 hours per week. While a vote in the Senate is seen as unlikely, the workweek issue could be a factor in November's congressional elections.

Law Removes Deductible Limits for Small-Group Plans
Tucked inside newly enacted legislation is a provision that eliminates deductible limits imposed under the Affordable Care Act for small-group market employer health plans. But minimum value and out-of-pocket maximum requirements remain in place.

Do HSAs Lead to a Shift in Prescription Drug Use?
A new study points to common misperceptions about prescription drug coverage options under high-deductible plans with health savings accounts.

Study Finds High ACA Costs for Large Employers
Compliance is estimated to increase the health care costs for large employers by 4.3 percent in 2016, rising to 8.4 percent in 2023, with the increase primarily due to the high-cost excise tax that begins in 2018.

How Compensation Impacts ‘Play or Pay’ Decisions
Under the Affordable Care Act, seemingly small pay changes can have significant ramifications for employers and employees alike.

Think Strategically About Benefits Post-Reform
Health care reform presents an opportunity to think about benefits as part of a larger HR strategy linked to the organization's goals and objectives.

Contraceptive-Coverage Case Heard by Supreme Court
Business owners argued an Affordable Care Act mandate to cover the “morning after pill” and similar post-fertilization contraceptives violates their religious beliefs. 

Part-Time Hours: ACA 'Head Count' Strategies
How an organization schedules hours this year will determine if an employee is considered full time and entitled to health care coverage next year. Do you have a policy in place, with line supervisors on board?

Final Rules on Employer Reporting Requirements
The Treasury Department's final rules on the Affordable Care Act's employer information reporting provisions seek to streamline reporting requirements, but critics say these remain unduly burdensome.

 Compliance Updates

 SHRM Webcasts

Archived: 

 

What You Need to Know Now About the ACA

Presenter: Sheldon Blumling, Fisher & Phillips LLP

 EDUCATION

Upcoming SHRM Education

SHRM 2014 Annual Conference & Exposition
June 22 - 25 | Orlando, Fla.

 SHRM Q&As

All Health Care Reform Compliance Q&As

For additional information on implementing the Patient Protection and Affordable Care Act, please contact the SHRM Knowledge Center.

 SHRM VIDEOS

SHRM Videos

Focus on Health Care
Gary Kushner gives HR professionals five health care strategies that will not work. Also, three HR practitioners share insights on how their companies are adapting to reform.
 

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.

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.

 TIMELINES

Health Reform Implementation Timeline. Via Kaiser Family Foundation.

Key ACA Features by Year. Via Dept. of Health & Human Services

 Cost & Coverage

 Topic Index

 TOOLS

Penalty Checklists:

Employer Shared Responsibility Penalties: A Checklist for Employers. Via Snell & Winter LLP.

Consequences of ACA Noncompliance for Group Health Plans. Via Buck Consultants.

Potential Employer Penalties Under the ACA. Via Congressional Research Service.

Fee Overview:

New PPACA Fees Will Strike Employers. Via United Benefit Advisors.

Compliance Guides:

Complying with and Leveraging the Affordable Care Act. A SHRM toolkit (members only).

Compliance Checklist for Plan Sponsors.  Via Snell & Wilmer LLP.

Applying PPACA Market Reforms to HRAs, FSAs and Other Health Accounts. Via Towers Watson.

DOL Plan Audits: Are You Prepared?  Via McKenna Long & Aldridge LLP.

DOL's Self-Compliance Tool. Via the Department of Labor.

ACA Notice Requirements. Via Segal Consulting.

State-Specific Employer Guidance. Via Business.USA.gov.

State Decisions on Health Exchanges. Via Kaiser Family Foundation.

Triggering Loss of 'Grandfathered' Status. Via Sibson Consulting

DOL Health Care Reform Webpage. Via U.S Department of Labor.

Healthcare.gov Website. Via U.S. Department of Health & Human Services.

Online Calculators:

Estimated-penalty calculator. Via Littler.

Full-time employee worksheet. Via BenefitMall.

Health mandate cost calculator. Via. National Retail Federation.

Subsidy calculator. Via Kaiser Family Foundation.

Actuarial value calculator / Minimum value calculator. Via Centers for Medicare and Medicaid Services.

SHRM Member-Only Excel Spreadsheets