Articles

  • Court Rules ACA Individual Mandate Unconstitutional

    January 14, 2020
    The U.S. Fifth Circuit Court of Appeals has upheld a lower court’s decision that the individual mandate portion of the Affordable Care Act is unconstitutional because the penalty was set to zero in 2017. However, the fate of the entire law is still in play after the court remanded the question of whether that means the entire ACA should be declared void back down to the district court. Proponents of abolishing the ACA say that its lack of a “severability provision” means that if any element of the ACA is found unconstitutional, the entire law must go. However, that would likely create chaos for the health insurance marketplace. Two of the three judges on the court on December 18 upheld a lower court’s decision that the individual mandate is not ...
  • New Rules Allow Employers to Reimburse for Health Premiums

    January 9, 2020
    Starting Jan. 1, 2020, employers can establish accounts for their employees to help them pay for individual health insurance policies they purchase, as well as for other health care expenses. A new regulation expands on how health reimbursement accounts can be used. Currently, employers and their workers can contribute to these accounts, which can be used to reimburse workers for out-of-pocket medical expenses. With these new Individual Coverage HRAs, employers can fund the account workers would use to pay for health insurance premiums for coverage that they secure on their own. Up until this new regulation, such arrangements were prohibited by the Affordable Care Act under the threat of sizeable fines in excess of $36,000 per employee per ...
  • Study Attributes 25% of Health Spending to ‘Waste’

    January 3, 2020
    A new study published in the Journal of the American Medical Association estimates that about 25% of all health care spending in the U.S. is attributable to waste in the system. The study, conducted by health insurer Humana and the University of Pittsburgh School of Medicine, estimated that between $760 billion to $935 billion of health care spending in the country is wasteful. The study is eye-opening and reflects the need for new approaches in the health care system and how medical care and pharmaceuticals are paid for. It also reflects the tremendous waste caused by complex administrative procedures, which again cries out for changes in the health insurance and care delivery models. The researchers identified wasteful spending in the following ...
  • Happy New Year!

    December 31, 2019
    May this year bring new goals, new achievements, and a lot of new inspirations for life. Wishing you a year fully loaded with happiness. Happy New Year! ...
  • Happy Holidays!

    December 24, 2019
    Happy Holidays. Wishing you every happiness this holiday season and throughout the coming year! ...
  • Employers Rethink HDHPs as More People Struggle with Medical Bills

    December 17, 2019
    A new study has found that more and more large employers are ditching high-deductible health plans as the job market tightens and they need to boost improve their health insurance offerings to retain and attract talent, and saddle their employees with less of the cost burden. The change is also in response to the increasing burden that’s been placed on workers in employer-sponsored health plans after a seismic shift over the last decade to high-deductible health plans. HDHPs – also known as consumer-directed plans – were also expected to put more responsibility on employees to shop around for the most cost-effective medical services, but those expectations have not materialized. This year, 39% of large, corporate employers surveyed by the National Business Group on Health offer ...