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Health Care Benefits

Dropping Health Care Coverage No Easy Decision for Employers

March 28, 2012
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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.
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Justices Ask Tough Questions on Individual Mandate

March 27, 2012
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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.
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Survey: Health Care Reform Splits Employers

March 26, 2012
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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.
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Change in Code Procedure Could Stretch Health Care IT Staffs

March 20, 2012
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With IT employment at an all-time high, finding skilled IT workers could present a challenge to health care organizations mandated to implement ICD-10 Codes.
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Health Care Providers Look to Educational Institutes for Next-Gen IT Workers

March 20, 2012
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Health care organizations are partnering with universities and other learning institutes to train the next generation of information technology employees. University of California, San Diego, Extension has partnered with the region's health care providers to train and grow their own coders.
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Will New Claims and Appeals Procedures Change Case Law?

March 20, 2012
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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.
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White House Suggestions on Funding Contraception Coverage Called 'Unworkable'

March 20, 2012
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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.
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Early Retiree Health Care Plan Sponsors Have to Dec. 31, 2014, to Use ERRP Funds

March 19, 2012
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Under the ERRP, early retiree health care sponsors are reimbursed for 80 percent of claims—up to $90,000—after a participant incurs $15,000 in expenses.
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