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Paul Ryan: Obamacare phaseout will leave 'no one worse off'

Paul Ryan: Obamacare phaseout will leave 'no one worse off' | Self-funded health benefits plans | Scoop.it
House Speaker Paul Ryan said Monday he envisions an extended transition from Obamacare that ensures “no one is worse off” after Congress votes to repeal the program.
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GOP leadership stating that the transition will leave "no one worse off".  Translation, it will take time so business as usual.  

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Republicans are planning to play a dangerous game of chicken with Obamacare

Republicans are planning to play a dangerous game of chicken with Obamacare | Self-funded health benefits plans | Scoop.it
Republicans want to delay the repeal of Obamacare by three years to finish a replacement bill.
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Who knows how the politics of "repeal and replace" will play out, but a likely scenario for the immediate future is: business as usual for group health benefit plans...

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It could take 3 years for Republicans to replace Obamacare

It could take 3 years for Republicans to replace Obamacare | Self-funded health benefits plans | Scoop.it
The gravity of dismantling the Affordable Care Act is finally beginning to set in with GOP leaders.
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While nearly impossible to predict the results of a repeal and replace Obamacare strategy, it will take time, ensuring that the final features of any "replace" legislation will be highly negotiated. As such, replacement legislation will take time before being implemented.  

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8 Big Changes Under Tom Price’s Obamacare Replacement Plan

8 Big Changes Under Tom Price’s Obamacare Replacement Plan | Self-funded health benefits plans | Scoop.it
242 pages
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While Price's proposed repeal and replace legislation is already lengthy (242 pages), summary of eight changes that would be made under his plan.  

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Checklist for employers considering self-funding | BenefitsPro

Checklist for employers considering self-funding | BenefitsPro | Self-funded health benefits plans | Scoop.it
 Here’s a checklist of factors to consider before you make the leap to a self-funded plan.
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Excellent summary for companies considering the switch from fully-insured to self-insured health benefit plans.  The article highlights some issues to consider, which "include whether prescription drugs are included, guaranteed renewals, renewal rate caps and the evaluation of “aggregating spec” options." With the exception of prescription drugs (which should always be included in the stop-loss insurance premium), these are usually issues for larger employers to consider as they are generally cost prohibitive on a per employee per month (PEPM) basis for smaller employers.  

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IRS rules on health reform excise tax may lead to rethink of group plan design | Business Insurance

IRS rules on health reform excise tax may lead to rethink of group plan design | Business Insurance | Self-funded health benefits plans | Scoop.it
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How will the IRS ruling on the "Cadillac Tax" treatment of employee's pre-tax contributions to HSAs impact high-deductible plan design?

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Brokers helping clients navigate PPACA tax compliance | BenefitsPro

Brokers helping clients navigate PPACA tax compliance | BenefitsPro | Self-funded health benefits plans | Scoop.it
Brokers are expanding their role, yet again, to help clients navigate the uncharted waters of PPACA tax compliance.
Michael Pastor's insight:

Compliance and reporting requirements are two of the major administrative challenges facing companies in the age of the ACA.  Companies need to select the appropriate counsel and systems to ensure compliance.  Cook Group Solutions can assist clients in understanding and complying with these requirements.  

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Reinsurance Program Requires Self-Insured Health Plans to File Enrollment Data by November 15 and Pay Fee Later | JD Supra

The Transitional Reinsurance Program - The Health Care Reform Act established a transitional reinsurance program in an attempt to stabilize premium prices for health insurance plans in...
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ACA spurring interest in self-insurance and captive insurance programs

ACA spurring interest in self-insurance and captive insurance programs | Self-funded health benefits plans | Scoop.it
This year, employers have gotten their first taste of the Affordable Care Act’s (ACA’s) community rating rules. As a result of the rules, many organiz...
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Suscint primer on the benefits of self- versus fully-insured benefits based on ACA versus ERISA.  

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The Three Major Benefits of a Self-Funded Health Insurance Plan — Health Insider

The Three Major Benefits of a Self-Funded Health Insurance Plan — Health Insider | Self-funded health benefits plans | Scoop.it
With its numerous taxes and requirements – the Affordable Care Act, or Obamacare, is expected to hamper small businesses when it comes to offering health
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Fees Due from Employers of Self-Funded Health Insurance Plans - Greater Phoenix In Business Magazine

Fees Due from Employers of Self-Funded Health Insurance Plans - Greater Phoenix In Business Magazine | Self-funded health benefits plans | Scoop.it
July 31 is the upcoming deadline for insurers and sponsors of self-insurance health plans to pay the annual Patient-Centered Outcomes Research Trust Fund fees (usually referred to as PCORI fees for the Patient-Centered Outcomes Research Institute...
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Should You Be Afraid of Self-Funding Employee Benefits? | CBG Benefits

Should You Be Afraid of Self-Funding Employee Benefits? | CBG Benefits | Self-funded health benefits plans | Scoop.it
Ignore the hype and the fear --- this presentation from CBG Benefits provides a clear look at what's involved with self-funding employee benefits. (RT @CBGBenefits Should Your Company Be Afraid of Self-Funding Employee Benefits?
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A.M. Best Special Report: Employer Migration to Self-Insured Health Plans Bodes Well for Stop-Loss Market

A.M. Best Special Report: Employer Migration to Self-Insured Health Plans Bodes Well for Stop-Loss Market | Self-funded health benefits plans | Scoop.it
A.M. Best expects the renewed interest in the stop-loss market to continue as the product grows more attractive to employers with an appetite for risk on employee health care costs, according to a new A.M. Best special report.
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The number of people signing up for Obamacare is soaring

The number of people signing up for Obamacare is soaring | Self-funded health benefits plans | Scoop.it
More than 2.1 million people have signed up for plans through the Affordable Care Act's marketplaces in the first two weeks of open enrollment.
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hmmm

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Republican voters' support for repealing Obamacare is declining

Republican voters' support for repealing Obamacare is declining | Self-funded health benefits plans | Scoop.it
Before the election, 69 percent of Republicans said they wanted to repeal Obamacare. After Trump won, only 52 percent feel the same way.
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To repeal or not repeal, what do the voters think?

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The Four Legs of a New Health-Care System

The Four Legs of a New Health-Care System | Self-funded health benefits plans | Scoop.it
AEI’s James C. Capretta and Scott Gottlieb write that the Great Recession enabled ObamaCare. Now the law’s failure makes reform possible.
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What Trump's Cabinet Pick Means for Obamacare

What Trump's Cabinet Pick Means for Obamacare | Self-funded health benefits plans | Scoop.it
e
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Notwithstanding Trump's early comments indicating that he likes certain Obamacare features (e.g. non-discrimination against pre-existing conditions), his pick for HHS Director would indicate that he expects to fully repeal and replace the current law. 

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Implementing Health Reform: Minimum Essential Coverage And The Multi-State ... - Health Affairs (blog)

Implementing Health Reform: Minimum Essential Coverage And The Multi-State ... - Health Affairs (blog) | Self-funded health benefits plans | Scoop.it
Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy.
Michael Pastor's insight:

Confusing enough for you?  For certain types of employers (e.g. Restaurant, Retail, Hospitality, etc.), a combination of "metal"-type plans and a MEC can be the solution to meet affordability and value requirements (and avoiding penalties), but as this article/post highlights, the solution can be complex and complicated.  Finding a qualified advisor(s) is a must.  

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What's Next for the Affordable Care Act…Information Reporting - The National Law Review

What's Next for the Affordable Care Act…Information Reporting - The National Law Review | Self-funded health benefits plans | Scoop.it
Employers with a calendar year health plan who have completed open enrollment and tackled many of the significant compliance hurdles toward Affordable Care Act (ACA) compliance may feel they are entit...
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HHS blocks ACA health plans that don't meet minimum value requirements

HHS blocks ACA health plans that don't meet minimum value requirements | Self-funded health benefits plans | Scoop.it

Not surprisingly, HHS rules that health plans that do not provide hospital benefits will not meet "minimum value" under the ACA.  This ruling will be particularly acute in the retail, restaurant and hospitality industries, among others.  There are solutions to meet the ACA requirements (and HHS ruling) that can be optimized for the aforementioned industries.  VisitCook Group Solutions to explore alternatives.  A health plan without hospital benefits is "is not a health plan in any meaningful sense," the Department of Health and Human Services announced in a final rule last week.

Michael Pastor's insight:

This ruling will be particularly acute in the retail, restaurant and hospitality industries, among others.  There are solutions to meet the ACA requirements (and HHS ruling) that can be optimized for the aforementioned industries.  Visit Cook Group Solutions to explore alternatives.  

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100-plus-employee companies struggle with Obamacare regs - North Bay Business Journal

100-plus-employee companies struggle with Obamacare regs - North Bay Business Journal | Self-funded health benefits plans | Scoop.it
North Bay Business Journal 100-plus-employee companies struggle with Obamacare regs North Bay Business Journal One of the quirks of the ACA is that the definition of “minimum essential coverage,” which large and self-insured companies have to...
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Offering a self-insured comprehensive benefits plan in conjunction with a minimum essential coverage (MEC) plan can enable tighter margin businesses with both full and part-time employees (e.g. restaurants, retail, etc.) to offer a health benefits package that meets the applicable ACA requirements (and avoids penalties), while controlling costs. 

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Jasper County approves self-funded insurance plan - Joplin Globe

Jasper County approves self-funded insurance plan - Joplin Globe | Self-funded health benefits plans | Scoop.it
CARTHAGE, Mo. — Starting Nov. 1, the 300-plus workers on the Jasper County full-time payroll will have a new health insurance plan.
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People enrolled in new plans under the health law are showing higher rates of serious health conditions

People enrolled in new plans under the health law are showing higher rates of serious health conditions | Self-funded health benefits plans | Scoop.it
People enrolled in new plans under the health law are showing higher rates of serious health conditions than other insurance customers, according to an early analysis of medical claims, putting pressure on insurers around the country as they prepare to propose rates for next year.
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How to judge Obamacare - Indianapolis Business Journal

How to judge Obamacare Indianapolis Business Journal Self-funded companies then buy a different kind of insurance—called stop-loss or reinsurance—which says that if your medical bills run higher than a large amount, say, $50,000, then we'll pick up...
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Why Obamacare Is Pushing Up Health Insurance Premiums | Zero ...

Why Obamacare Is Pushing Up Health Insurance Premiums | Zero ... | Self-funded health benefits plans | Scoop.it
Now that Obamacare has been enacted, Americans across the nation are seeing their health insurance bills spiking, leading to what has been a documented slide in full-time hiring, a drop in consumer discretionary ...
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