Post Medical Job

Do you have a permanent (full-time or part-time) opening for a high-quality medical specialist? Click Here to post More »

Post Your Resume Here

Are you a healthcare professional working long 12 -14 hour days, too many weekends and holidays, or traveling too far from home? Are you not home for dinner usually or not able to spend enough quality time with your family More »

About US

NSI Healthcare Recruiters is one of the most trusted and reliable recruitment and placement services available to medical professionals in the USA. NSI has been in business for over 29 years and has assisted many healthcare providers in locating and hiring qualified medical professionals. More »

Contact Us

Candidates: Because our posted healthcare jobs are filled quickly we ask that you contact us for the latest updates. Employers: Please post your job here for affordable placement service. More »

Health-Care-Recruiter.com

We at Health-Care-Recruiter.com pride ourselves on the highest quality, personalized-service that medical facilities and medical job applicants alike have come to expect from us. pride ourselves on the highest quality, personalized-service that medical facilities and medical job applicants alike have come to expect from us. More »

 

Daily Archives: November 4, 2014

Impact of So-Called 'Cadillac' Tax

The tax on high-cost health plans, which are often referred to as Cadillac plans, is expected to impact a considerable share of the plans provided by healthcare organizations for their own employees, as much as ȇ% by 2020. The implications are significant because the excess-benefits tax requires the employer to payń0% on the value of the portion of the plan that exceeds thresholds set by the Patient Protection and Affordable Care Act. Employers also need to consider that the tax is measured as a direct function of plan cost, and not actuarial plan value, and that a number of factors can drive excise-tax exposure.

Share and Enjoy

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS

Impact of So-Called 'Cadillac' Tax

The tax on high-cost health plans, which are often referred to as Cadillac plans, is expected to impact a considerable share of the plans provided by healthcare organizations for their own employees, as much as ȇ% by 2020. The implications are significant because the excess-benefits tax requires the employer to payń0% on the value of the portion of the plan that exceeds thresholds set by the Patient Protection and Affordable Care Act. Employers also need to consider that the tax is measured as a direct function of plan cost, and not actuarial plan value, and that a number of factors can drive excise-tax exposure.

Share and Enjoy

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS

Impact of So-Called 'Cadillac' Tax

The tax on high-cost health plans, which are often referred to as Cadillac plans, is expected to impact a considerable share of the plans provided by healthcare organizations for their own employees, as much as ȇ% by 2020. The implications are significant because the excess-benefits tax requires the employer to payń0% on the value of the portion of the plan that exceeds thresholds set by the Patient Protection and Affordable Care Act. Employers also need to consider that the tax is measured as a direct function of plan cost, and not actuarial plan value, and that a number of factors can drive excise-tax exposure.

Share and Enjoy

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS

Impact of So-Called 'Cadillac' Tax

The tax on high-cost health plans, which are often referred to as Cadillac plans, is expected to impact a considerable share of the plans provided by healthcare organizations for their own employees, as much as ȇ% by 2020. The implications are significant because the excess-benefits tax requires the employer to payń0% on the value of the portion of the plan that exceeds thresholds set by the Patient Protection and Affordable Care Act. Employers also need to consider that the tax is measured as a direct function of plan cost, and not actuarial plan value, and that a number of factors can drive excise-tax exposure.

Share and Enjoy

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS

Obamacare Still Has “Back-End Issues”

When the Affordable Care Act marketplace opens on Nov. 15, consumers can expect healthcare.gov to have robust technology, amped-up functions, and a shorter application form for individual plans.

What they won’t see – and likely won’t know about – are the ongoing communication problems that many on the insurance industry say continue to plague the “back-end” transfer of consumer files between the website and insurance companies.

“Everyone reports that there are still back-end issues,” says Joel Ario, a managing director at Manatt Health Care Solutions and a former Pennsylvania insurance commissioner. “That means there will be some cleaning up to do in terms of reconciling accounts and making sure payments are correct and the coverage dates are correct.”

Judimarie Thomas, senior director of external affairs for Independence Blue Cross, agreed that “issues remain” with the back end of the marketplace. She said that the insurer worked through the technology problems of last year and that “we’ll continue to make sure that consumers can enroll successfully in the plans they want.”

Aetna spokesman Walt Cherniak wrote that while his company was encouraged by improvements, “much work remains to be done, including testing and implementing a permanent, fully automatic back-end financial system to reconcile payment, subsidy, and eligibility data.”

It may be the law’s second enrollment but it marks the first time healthcare.gov will manage 7 million people renewing their policies – some of whom will change plans, carriers, or both – while enrolling about the same number of new consumers.

“This year is a different approach than what we had last year given the fact that there is re-enrollment and a new reconciliation process,” says Clare Krusing, spokeswoman for America’s Health Insurance Plans, a trade group.

Consumers will have from Nov. 15 to Dec. 15 to buy or renew their individual coverage beginning Jan. 1, 2015. Returning consumers will have three options: auto-renew in the same plan; pick another plan with the same insurer; or buy a new plan with another company.

Those choosing to auto-renew in a plan that has been discontinued will be placed in a policy with similar benefits and monthly premiums.

Whatever choice is made, it is important for consumers to revisit their application and update their income information. Slight changes in the federal poverty level may affect their subsidies. People who are renewing will have to continue using the old, longer application.

This copyrighted story comes from the Philadelphia Inquirer, produced in partnership with KHN. All rights reserved.

But with an estimated 25 percent increase in the number of insurers joining this year’s marketplace, renewing consumers should take the time to shop for a plan with similar benefits and lower premiums. The government’s Centers for Medicare & Medicaid Services will contact renewing consumers seven times by e-mail and telephone before Dec. 15 to remind them about buying insurance.

“If people would shop, they could find a better deal, particularly if pricing moves around as much as it is with the different carriers this year,” Ario says. “The big question is how many people will actually read the material that comes to them.”

While people are being urged to shop, switching plans is exactly what has insurers worried. Because of back-end communication issues, insurers won’t be able to tell the difference between a customer who has auto-renewed and one who has left for another company.

A termination file will not be sent from the marketplace to an insurer when someone switches companies until after the exchange closes on Dec. 15. So an insurer will not know that it has lost a customer until the reconciliation process takes place.

For consumers who switch, that can mean getting billed for two plans, or worse, getting lost in the system.

If a lot of people switch, it will be a “big workload for the exchange to process,” Ario says.

But it will be an even bigger headache for insurers who will have the tedious task of cross-checking names on each other’s lists.

To minimize the potential for losing data lost in transition, consumers should read all the information that comes in the mail, update their exchange application, and call their insurer or the exchange with any questions.

“There is still work that needs to be done on the back-end system,” Krusing says. “It’s an issue we have on the radar and working toward finding the right solution that works for consumers.”

Share and Enjoy

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS

Obama Administration Closing Health Law Loophole For Plans Without Hospitalization

Moving to close what many see as a major loophole in Affordable Care Act rules, the Obama administration will ban large-employer medical plans from qualifying under the law if they don’t offer hospitalization coverage.

The administration intends to disallow plans that “fail to provide substantial coverage for in-patient hospitalization services or for physician services,” the Treasury Department said in a notice Tuesday morning. It will issue final regulations banning such insurance next year, it said.

Hundreds of lower-wage employers such as retailers and temporary-staffing companies have been preparing to offer such plans for 2015, the first year large companies are liable for fines if they don’t provide minimum coverage. Some have enrolled workers for insurance beginning Oct. 1.

For employers that have committed as of Nov.4 to such coverage, the administration will temporarily allow it under the health law, the notice said.

This KHN story can be republished for free (details).

As reported by Kaiser Health News in September, an online calculator published by the Department of Health and Human Services allows large-employer coverage to pass the law’s “minimum-value” standard even if it doesn’t include inpatient benefits. Many see the calculator as flawed.

For employees enrolled in such plans, the disadvantage is double, say consumer advocates. Not only do they lack hospital coverage; but if employees are offered insurance passing the minimum-value standard at work, they are barred from receiving federal subsidies to buy better coverage through online marketplaces.

The administration said in Tuesday’s bulletin that it intends to fix that problem, too. Final regulations will say that “in no event” will workers offered such coverage be disqualified from subsidies, the notice said.

The administration had signaled last month it would move to disallow plans without hospital benefits from passing the minimum-value test. Large employers that fail to offer minimum-value coverage next year could be fined up to $3,120 per worker.

Share and Enjoy

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS

Viewpoints: GOP Could Soon Face A Dilemma On Health Law; Midterm Effect On Medicaid

Share and Enjoy

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS

State Highlights: Colo. Saves $31M On Medicaid Coordinated Care; Kan. Medicaid Growth Is Low

Share and Enjoy

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS

What You Need To Know On Election Day

Share and Enjoy

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS

Hospitals Boost Patient Care To Improve Their Bottom Lines

Share and Enjoy

  • Facebook
  • Twitter
  • Delicious
  • LinkedIn
  • StumbleUpon
  • Add to favorites
  • Email
  • RSS