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.