On a recent MSNBC segment, Steve Rattner shared the following slides that illustrate ways in which the health insurance market will be impacted as a result of the Affordable Care Act (ACA). The first reflects how various populations will be affected by the individual mandate to have insurance. The second indicates that most Americans who… Continue Reading
By Sylvia Brown and Former State Senate President Tom Niehaus Anticipation is building as the battle over Medicaid expansion moves to the unlikely arena of the state Controlling Board. On Monday, October 21 at 1:30 p.m., Governor John Kasich will try to make good on his promise to take whatever action within his power to… Continue Reading
Vorys Health Care Advisors’ Maureen Corcoran and Daphne Saneholtz and Vorys partner Suzanne Scrutton will be presenting at the Ohio Provider Resource Association Annual Fall Conference on October 8, 2013. The presentation is titled Health Care Reform Update: The Home Stretch and will discuss provider implementation issues associated with the Affordable Care Act, policy and… Continue Reading
The federal government recently released a report detailing premium information for qualified health plans to be sold in those 36 states (including Ohio) in which the U. S. Department of Health and Human Services (HHS) will support or fully run the Health Insurance Marketplace in 2014. Highlights of the report include the following: Individuals will have an… Continue Reading
A little-discussed provision of the Affordable Care Act is making physicians, hospitals and manufacturers in the health care industry reconsider how they do business. The Physician Payment Sunshine Act requires certain drug, medical device and biological manufacturers to disclose to the Centers for Medicare & Medicaid Services (CMS) any payments or other transfers of value… Continue Reading
This Washington Post blog post does a nice job of demystifying subsidy amounts that will be available to individuals who purchase health insurance in the Marketplace (formarly known as the Exchange), and also references actual premium amounts in the states where such information has been made public. Additionally, it links to a very helpful Kaiser… Continue Reading
As we have discussed in previous posts, beginning in 2014, under the Affordable Care Act (ACA), Medicaid plans and small group and individual plans sold inside and outside of the Health Insurance Marketplace must cover a package of 10 categories of items and services known as Essential Health Benefits (EHBs). These categories include: Ambulatory patient… Continue Reading
In a recent post, we discussed the insurance mandate itself. That is, the requirement that most people have health insurance beginning in 2014 or face a financial penalty. We also briefly mentioned the insurance options that will be available to you in order to fulfill this requirement. They are— Have employer-sponsored insurance Be covered by… Continue Reading
Beginning in 2014, the Affordable Care Act (ACA) will set maximum limits on how much consumers can be required to pay out-of-pocket annually for their health care. Under the law, the maximum amount a consumer with single coverage will pay out-of-pocket will generally be $6,350, while a family could pay up to $12,700. In 2015,… Continue Reading
In order to demystify the Affordable Care Act (ACA) so that consumers can get the most out of it, we should start with the provision most immediately impactful to many Americans – the individual mandate. The ACA requires that most individuals have health insurance beginning in 2014. Those who do not will be required to… Continue Reading
Despite the recent announcement that the requirement for employers to offer health insurance to their employees has been delayed, the federal and state governments are ramping up for the largest open enrollment period in history. Fueled by the mandate that almost every American have health insurance as of January 1, 2014, millions of previously uninsured… Continue Reading
Over the course of the next several weeks, we will explore a new reality – that we are now less than100 days from the largest and arguably most historic health insurance open enrollment period in history. A recent article in the Washington Post sets the stage and describes the intensity with which the Obama Administration… Continue Reading
Earlier this week, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that cuts federal payments to hospitals for uncompensated care. What still remains unclear, however, is how these cuts will impact states that do not expand their Medicaid programs. The Affordable Care Act (ACA) requires significant cuts to Disproportionate Share Hospital… Continue Reading
The Health Policy Institute of Ohio (HPIO) has recently added to its collection of Medicaid resources a brief focused on projected new employment and new local general sales tax revenues due to Medicaid expansion. Governor Kasich’s budget proposal includes language expanding Medicaid eligibility up to 138% of the federal poverty level, or $32,499 for a… Continue Reading
Despite states’ struggles to define coverage of services under the habilitative services category of Essential Health Benefits as required by the Affordable Care Act (ACA), Arkansas recently proposed a coverage definition of habilitative services. Under the ACA, health plans sold inside a state’s Health Insurance Exchange, as well as all individual and small group plans,… Continue Reading
In this Labor and Employment Alert, Vorys attorneys discuss proposed federal regulations regarding health care reform pay or play penalties that will impact applicable large employers. If you are an employer, read the alert to determine whether/how you will be impacted.
Last week, 11 governors – including those in Ohio, Arizona, Louisiana, Florida, Virginia, Iowa, Maine, Mississippi, South Dakota, Utah, and Wyoming - submitted a letter to Health and Human Services Secretary Kathleen Sebelius asking whether states that expand Medicaid eligibility to a level less than that included in the Affordable Care Act (ACA) are eligible to… Continue Reading
On Thursday, Health and Human Services Secretary Kathleen Sebelius extended the deadline to December 14 for states to submit letters of intent to build state-based health insurance exchanges. The original deadline had been today, Friday, November 16. Secretary Sebelius’ letter announcing the extension was in response to a request by the Republican Governors Association for… Continue Reading
In a letter to governors on Friday, Secretary Kathleen Sebelius of the U. S. Department of Health and Human Services (HHS) announced that HHS is extending the deadline for State-based Exchange Blueprint application submissions to Friday, December 14,2012. Read the letter or Kaiser Health News’ breaking news bulletin for full details.
Although not a “hard” deadline, states were encouraged to submit to the federal government by Monday, October 1, 2012, their lists of essential health benefits required by the Affordable Care Act (ACA). Essential health benefits are a set of health care service categories that must be covered by certain plans beginning in 2014. According to… Continue Reading
Vorys’ Labor and Employment Alert offers important information regarding shared responsibility penalties on large employers that fail to offer health coverage to all of their full-time employees (or offer health coverage to full-time employees that is deemed to be unaffordable or inadequate). This piece offers a wealth of information for employers contemplating the effects of the… Continue Reading
Now available: A recording of the July 2 teleseminar regarding the U. S. Supreme Court’s decision on the fate of the Affordable Care Act, provided by Vorys Health Care Advisors (VHCA) and Vorys, Sater, Seymour and Pease. You can also review VHCA’s PowerPoint presentation on which the Medicaid portion of the teleseminar was based.
VHCA recently published an article in the Ohio Assisted Living Association’s quarterly newsletter. The article is focused on the changing health care environment and potential future opportunities for assisted living providers. Topics include: Medicare quality and payment reform provisions that could impact assisted living providers- Medicare Shared Savings Program Reducing avoidable hospitalizations in Medicare National… Continue Reading
VHCA’s slides from Monday’s teleseminar discussing the U. S. Supreme Court’s opinion on the Affordable Care Act are now available. Please note that this content is specific to the Medicaid portion of the opinion and teleseminar discussion.