Header graphic for print
Vorys Health Care Advisors

Category Archives: Affordable Care Act

Subscribe to Affordable Care Act RSS Feed

Resources Help Illustrate Actual Marketplace Subsidy and Premium Amounts

Posted in Affordable Care Act, Health Care Reform

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

Essential Health Benefits: What are they and who decides?

Posted in Affordable Care Act, Health Care Reform

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

Health Insurance Options in 2014

Posted in Affordable Care Act, Health Care, Health Care Reform, Medicaid

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

Out of Pocket Maximums and the 2014 Transition Year

Posted in Affordable Care Act, Health Care Reform

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

Overcoming A Hurdle: Consumer Understanding Of What The Affordable Care Act Has To Offer

Posted in Affordable Care Act, Health Care Reform

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

Employer Requirement to Offer Health Insurance Delayed

Posted in Affordable Care Act

The Obama administration announced yesterday that it will delay by one year the Affordable Care Act requirement that employers with 50 or more employees offer health insurance to their employees or face a penalty.  The administration notes that its action will meet two goals.  First, it will allow the government to consider ways to simplify new… Continue Reading

CMS Addresses DSH Cuts; Impact on States That Do Not Expand Medicaid Remains Unclear

Posted in Affordable Care Act, Health Care, Health Care Reform, Medicaid

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

HPIO Resources on Medicaid Expansion in Ohio

Posted in Affordable Care Act, Health Care Reform, Medicaid

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

Arkansas Proposes Coverage Definition of Habilitative Services

Posted in Affordable Care Act, Health Care Reform

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

No Enhanced Federal Funds For Partial Medicaid Expansion

Posted in Affordable Care Act, Health Care Reform, Medicaid

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

Feds Extend Deadline for State Exchanges Again

Posted in Affordable Care Act, Health Care Reform

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