It seems the kickoff of a New Year fosters predictions, Top Ten’s, and various and sundry industry-related crystal ball lists. An article about consumer healthcare trends in this morning’s Fiscal Times (10 Healthcare Trends That Will Affect You in 2016) caught my eye. Some of these trends, which we’ve also been following and have highlighted here in the past, are more likely to impact or, perhaps more accurately, continue to impact us in 2016 than others. No break-through revelations; but, all interesting nonetheless.
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- Tom Barrett
- January 5, 2016
- ACA, affordable care act, costs, coverage, employees, employers, exchange, health plans, healthcare reform, insurance, medical, Narrow Networks, Obamacare, physicians, prescription, trends
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I doubt I’m going out on a limb by saying that the “kid in the candy store” perspective that insurance companies may have had about the Affordable Care Act has all but vanished. A new Standard & Poor’s report released this week supports that the “candy store” notion is now no more than illusion and provides further indications that ObamaCare is sputtering and may well be reaching a Tipping Point.
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- Tom Barrett
- December 18, 2015
- ACA, affordable care act, costs, coverage, employees, employers, exchange, health plans, healthcare reform, Narrow Networks, Obamacare, trends
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In last week’s Did You Know Series on Obamacare we pointed out a major glitch or loophole in the healthcare law that actually may allow large employers to avoid health-law penalties by offering stripped down plans that have no hospitalization coverage. Well, in the words of colorful former college football coach and current ESPN College Game Day host Lee Corso “Not so fast my friend!”
While there’s no official word yet, it sure sounds like this loophole was a screw up, is now on the administration’s radar screen and is likely to be fixed soon. We’ll continue to keep you posted on developments as they unfold. For more about this, here’s the link to a recent article on this topic from Kaiser health News that also appeared in The Washington Post.
I’m doing a series on things I think you should know about Obamacare. Here is installment #3…
There’s a major glitch or loophole in the healthcare law that actually allows large employers to avoid health-law penalties by offering stripped down plans that are devoid of any hospital benefits. That’s right. No hospital benefits at all. Obamacare regulators created an online calculator to certify whether plans offered by large self-insured employers that pay their own medical claims meet the Affordable Care Act’s toughest standard. The Obamacare calculator is used to test “minimum value” for adequate benefits. Many, including your 2-Minute Drill author, were surprised to read in a recent Kaiser Health News story that the calculator approves these plans lacking any hospital benefits.
Word is that numerous large, low-wage employers with high turnover that haven’t offered medical coverage in the past — retailers, hoteliers, restaurants and other businesses with high worker turnover and lower pay — are considering driving a truck through this loophole by offering plans without any hospitalization coverage. By doing so, they thus protect themselves from some of the employer mandate penalties that come into play next year. Some of the talking heads in the industry claim the calculator was purposely designed this way by the administration. However, I tend to agree with respected consultant Bob Laszewski. He’s quoted as saying “That’s baloney. Nobody said we’re going to have health plans out there that don’t cover hospitalization. That was never the intention…I think they just screwed up.” Stay tuned for more on this.
Obamacare…Did you know? #1
Obamacare…Did you know? #2