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are employers required by the Affordable Care Act to purchase group insurance for their employees?
Yes, the Affordable Care Act requires large employers to provide coverage to full-time employees or pay a penalty. This provision, called the “play or pay” rule, goes into effect Jan. 1, 2014. Small employers – those with...
Read Morewhat is a specialty drug?
Specialty drugs are high-cost prescription medications used to treat complex, chronic conditions like cancer, rheumatoid arthritis and multiple sclerosis. Specialty drugs often require special handling (like refrigeration during shipping) and administration (such as injection...
Read MoreLipitor Goes Generic – What That Means for You
Lipitor, one of the most frequently prescribed medications for lowering cholesterol and preventing heart disease, is now available in generic form. Access to atorvastatin – the generic name for the drug – is going...
Read MoreIndiana Level Funded Group Health Plan
Indiana has seen the introduction of several new group health products designed for companies with between 10 and 250 employees. What makes these plans intriguing is that they are self-funded health insurance vehicles. In...
Read MoreWhy The Health Care Reform Employee Tax Subsidies Could Cost You More
The Hill Under the new health care reform law, if an employer’s group health insurance is considered unaffordable — a cost to the employee of more than 9.5% of household income – the employee...
Read MoreIndependent Payment Advisory Board
One of the hot topics of the recent health care reform debate was the creation of the Independent Payment Advisory Board (IPAB). The board would have the power to implement changes to reduce the...
Read MoreHow Does the Loss of Five Insurance Carriers In Indiana Affect You?
IBJ The state of Indiana recently lost five individual health carriers from the market. For those working in the health insurance industry, this comes as no surprise. Below are the five companies that exited...
Read MoreBad News for Children on Medicaid and Health Care Reform.
Forbes reported on the Government Accountability Office study children on Medicaid have lower access to health care and quality. The study showed that Medicaid patients are 13% more likely to die than uninsured patients in a hospital....
Read MoreAccountable Care Organizations
Chicago Tribune Accountable Care Organizations are starting gain traction.. Chicago looks like they have cut a deal with Anthem Blue Cross of Illinois to the ACO model in place. The ACO model is going...
Read MoreMLR’s Negative Effect
The Medical Loss Ratio of the Health care Reform law is having a negative effect on carriers entering or staying in new markets. What has happen is a carrier will go into a new...
Read MorePreferred Carriers
