Tag Archives: employer coverage

Can Employers Take A Bigger Role In Controlling Drug Costs?

Employees and employers alike continue to suffer from ‘sticker shock’ for prices for new drugs. While considerable attention has been paid to potential actions by Medicare or the FDA, there has been less focus on the role of private payers to solve the issue.

February 17, 2017

Examining The HHS Projections For 2017 Marketplace Enrollment (Updated)

During the first half of 2016 (January 1 to June 30, 2016), 10.4 million individuals had effectuated marketplace enrollment—they had paid their premiums and had an active policy. ASPE projects that by the end of 2017 open enrollment, 13.8 million individuals will have selected a marketplace plan.

October 19, 2016

Government Requests Input On Possible Contraceptive Coverage Compromises (Updated)

On July 21, the federal government requested input from interested parties on possible alternatives to the current accommodation for employers that object to providing contraceptive coverage under the ACA’s preventive services mandate.

July 21, 2016

Parity ‘Warning Signs’ And An Employer Shared Responsibilty Estimator

On June 1, 2016, the departments of HHS and Labor issued a list of plan provisions identified as “warning signs” that should “trigger careful analysis” to determine if the Mental Health Parity and Addiction Equity Act of 2008 has been violated.

June 8, 2016

About That Cadillac Tax

Congress delayed implementation of the Cadillac tax until 2020. There are two key practical issues with the tax that warrant continued caution: the indexing problem and the adaptation question.

April 25, 2016

CMS Provides FAQ About New Law Allowing States To Keep Original ACA Small-Employer Definition

CMS has released a series of frequently asked questions explaining how it will implement the PACE Act, allowing states to continue to define small employers under the ACA as having from one to 100 employees.

October 20, 2015

Six Problems With The ACA That Aren’t Going Away

There is an urgent need to make major changes in the Affordable Care Act regardless of how the Supreme Court rules in King v. Burwell. There are at least six major problems with the ACA that aren’t going away.

June 25, 2015