Wednesday, June 5, 2013

Wellness Programs and the Affordable Care Act (ACA)

The “trinity” of ACA enforcement (i.e., Departments of Labor, Treasury, and Health and Human Services) issued final regulations relative to wellness programs and rewards, on May 29, 2013. There were no surprises to what we already knew from the law itself. But reviewing the briefing reminded me that there are two (2) profoundly different types of wellness programs:
1. “Participatory”; and 2. “Health-Contingent”. Program rewards for the later are regulated/limited by the ACA, beginning in 2014, to no more than 30% (an increase from the present amount of 20%). However, there are NO LIMITS placed/regulated for the former type – Participatory – wellness programs. It is also important to note that the ACA allows a penalty of up to 50% for programs related to tobacco use.

Wednesday, May 29, 2013

Insights on Affordable Care Act’s Health Ins. Exchanges or Marketplaces

There has been much speculation concerning the Affordable Care Acts so called “Health Insurance Marketplaces” (formerly referred to as Health Insurance Exchanges). Many questions have been hanging in the air such as:
1. will insurance cos. choose to participate in these exchanges?;
2. how many insurers will opt to participate?;
3. what will premiums look like inside the exchange?;
4. will the exchanges be operational in time to place coverage effective 1/1/14?
Today it was announced that the state of California’s exchange (which choose to operate its own exchange, rather than defaulting …

Wednesday, May 29, 2013

Insights on Affordable Care Act’s Health Ins. Exchanges or Marketplaces

There has been much speculation concerning the Affordable Care Act’s so called “Health Insurance Marketplaces” (formerly referred to as Health Insurance Exchanges).  Many questions have been hanging in the air such as: 1. will insurance cos. choose to participate in these exchanges?; 2. how many insurers will opt to participate?; 3. what will premiums lookLEARN MORE