According to one expert, if PPACA is allowed to stand without the individual mandate 'the whole thing goes south very quickly.'Read More
At issue in the final day of oral arguments on health care reform was whether the individual mandate, which requires most U.S. residents to enroll in a qualified plan or pay a financial penalty, is so intertwined with the broader law that the entire law would fall if the court rules the mandate is unconstitutional.
Because employer and employee health care benefit contributions are made on a pretax basis, it wil cost employers considerably more than the $2,000-per-employee fee for dropping coverage, if the law survives legal challenges being heard by the Supreme Court.
The Obama administration, which is defending the Patient Protection and Affordable Care Act, said Congress had such authority due to its constitutional power to regulate interstate commerce.Read More
Forty percent of employers want the high court, which is hearing oral arguments this week on the constitutionality of the Patient Protection and Affordable Care Act, to strike down the 2010 law. Still, employers are far from being united in favor of repealing it.Read More
Health care reform regulations that took effect for the 2011 plan year require non-grandfathered self-insured and insured group health plans to make changes to their internal appeal procedures and offer external reviews of denied claims. As a result, all plans, whether subject to or exempt from ERISA, will have to follow the same general claim-handling rules.
Under one administration suggestion, TPAs could fund the coverage through rebates they receive from drug manufacturers that the TPA is not contractually liable to forward to the affiliates.Read More
Large employers at the annual National Business Group on Health conference held last week grappled with uncertainty around health care, but one thing was clear: Employees will be asked to do more to keep costs down by staying healthy and becoming savvier consumers. Read More