This document discusses how the Affordable Care Act affects employers. It outlines provisions such as the individual mandate requiring health insurance, insurance reforms prohibiting denying coverage for pre-existing conditions, and the creation of state health insurance exchanges for individuals and small businesses. It notes that most Americans currently receive insurance through an employer or public programs like Medicare and Medicaid, while about 15% of the population is uninsured. The document also discusses penalties for large employers not offering adequate coverage and subsidies available to small businesses to purchase insurance.
Obamacare - The Patient Protection and Affordable Care Act - ACAAndrew F. Bennett
This short presentation will help bring you up to speed on the Affordable Healthcare act, eligibility requirements to buy in the online marketplace, and coverage that will be available.
Obamacare in Pictures: Visualizing the Effects of the Patient Protection and ...The Heritage Foundation
“Obamacare in Pictures: Visualizing the Effects of the Patient Protection and Affordable Care Act” shows in detail the impact of the sweeping health care law for Americans.
Obamacare - The Patient Protection and Affordable Care Act - ACAAndrew F. Bennett
This short presentation will help bring you up to speed on the Affordable Healthcare act, eligibility requirements to buy in the online marketplace, and coverage that will be available.
Obamacare in Pictures: Visualizing the Effects of the Patient Protection and ...The Heritage Foundation
“Obamacare in Pictures: Visualizing the Effects of the Patient Protection and Affordable Care Act” shows in detail the impact of the sweeping health care law for Americans.
Did you have time to read the 1,990 page healthcare bill that was recently passed through Congress? Have you since wondered about the impact that massive bill will have on the average American, health insurance providers, business owners and YOU? If yes, then join the Young Professionals of Chicago as we host a panel of diverse health care professionals that will be discussing current healthcare reform and taking questions on the impact of the United States' new healthcare policy. The distinguished panelists will also provide some insight and clarity into what this massive bill means for individuals like you. There will also be an opportunity for open networking with other young professionals before and after the discussion.
Health Care Reform Goes Live: Day Three in the Current Climate of ReformCraig B. Garner
An October 3, 2013, presentation on the Affordable Care Act. This presentation includes: (1) Introduction and History; (2) Overview of the Affordable Care Act; (3) Reform from the Patient's Perspective; (4) Health Insurance Exchanges; (5) Delivering Medical Care; (6) Medicaid Expansion; (7) Performance Based Reimbursement; (8) Other Provisions; (9) Challenges; (10) Taxes and Reform
Modern American Health Care: Balancing Performance and Compliance in the Curr...Craig B. Garner
This presentation provides an overview of the Affordable Care Act three years after its passage. It explains how the landmark legislation evolved, what provisions are in place today, and what can we expect in the years to come. The implications for patients, providers and payers are massive, and this presentation is designed to provide a comprehensive overview for anyone interested to learn about health care reform.
This gives a good base knowledge of where the current insurance industry is, a timeline of when certain mandates go into effect and a simplified description of the mandats being launched on Sept 23, 2010.
Presentation: Implications of the Affordable Care Act to the Pharmaceutical Industry
Presented by: Kirsten Axelsen, Vice President, Worldwide Policy, Pfizer
Overview of what the coverage expansion and payment reforms in the Affordable Care Act mean for access to medicine and for new treatments and cures. Issues for patients and policy makers to consider as the healthcare system increasingly relies on medicine to manage conditions, avoid disease and save on healthcare system costs.
This presentation discusses the impact of health reform. It begins by defining the problem, then provides an overview of legislation and the impact on business. It provides a contrarian view of the subject and explains why health reform is really insurance reform. It also introduces the concept of consumer sovereignty,
Delegate Jeannie Haddaway-Riccio's Health Care Presentation 09/16/09Karena Dixon
Presentation on Health Care Reform as presented by Delegate Jeannie Haddaway-Riccio at the Talbot GOP Health Care Forum on Wednesday, September 16th, 2009.
May also be viewed at:
www.votehaddaway.com
Did you have time to read the 1,990 page healthcare bill that was recently passed through Congress? Have you since wondered about the impact that massive bill will have on the average American, health insurance providers, business owners and YOU? If yes, then join the Young Professionals of Chicago as we host a panel of diverse health care professionals that will be discussing current healthcare reform and taking questions on the impact of the United States' new healthcare policy. The distinguished panelists will also provide some insight and clarity into what this massive bill means for individuals like you. There will also be an opportunity for open networking with other young professionals before and after the discussion.
Health Care Reform Goes Live: Day Three in the Current Climate of ReformCraig B. Garner
An October 3, 2013, presentation on the Affordable Care Act. This presentation includes: (1) Introduction and History; (2) Overview of the Affordable Care Act; (3) Reform from the Patient's Perspective; (4) Health Insurance Exchanges; (5) Delivering Medical Care; (6) Medicaid Expansion; (7) Performance Based Reimbursement; (8) Other Provisions; (9) Challenges; (10) Taxes and Reform
Modern American Health Care: Balancing Performance and Compliance in the Curr...Craig B. Garner
This presentation provides an overview of the Affordable Care Act three years after its passage. It explains how the landmark legislation evolved, what provisions are in place today, and what can we expect in the years to come. The implications for patients, providers and payers are massive, and this presentation is designed to provide a comprehensive overview for anyone interested to learn about health care reform.
This gives a good base knowledge of where the current insurance industry is, a timeline of when certain mandates go into effect and a simplified description of the mandats being launched on Sept 23, 2010.
Presentation: Implications of the Affordable Care Act to the Pharmaceutical Industry
Presented by: Kirsten Axelsen, Vice President, Worldwide Policy, Pfizer
Overview of what the coverage expansion and payment reforms in the Affordable Care Act mean for access to medicine and for new treatments and cures. Issues for patients and policy makers to consider as the healthcare system increasingly relies on medicine to manage conditions, avoid disease and save on healthcare system costs.
This presentation discusses the impact of health reform. It begins by defining the problem, then provides an overview of legislation and the impact on business. It provides a contrarian view of the subject and explains why health reform is really insurance reform. It also introduces the concept of consumer sovereignty,
Delegate Jeannie Haddaway-Riccio's Health Care Presentation 09/16/09Karena Dixon
Presentation on Health Care Reform as presented by Delegate Jeannie Haddaway-Riccio at the Talbot GOP Health Care Forum on Wednesday, September 16th, 2009.
May also be viewed at:
www.votehaddaway.com
Affordable Care Act Summary Provisions of the act are phased.docxnettletondevon
Affordable Care Act Summary
Provisions of the act are phased in over ten years.
2010
National temporary high risk pool for those denied coverage.
>82,000 previously uninsured persons gained coverage including more than 250 in Nebraska
Young adults up to 26 y.o. covered under parents’ plans.
>3 million previously uninsured young adults covered, including 18,000 in Nebraska
No lifetime or annual limits on coverage
105 million people benefit, including 700,000 in Nebraska
No denial by insurers of children for pre-existing conditions
No co-payments for preventive care
10-12 million have accessed preventive care, including approximately 360,000 in Nebraska
Tax credits for small employers (<25 employees) to provide health care coverage.
An estimated 360,000 small businesses with 2 million employees benefited in 2011
$250 rebate for Medicare beneficiaries in Part D coverage gap (doughnut hole)
4 million seniors benefited in 2010 including 26,072 in Nebraska
Scholarships and loan forgiveness programs for health professionals choosing primary care
Primary care & other health professions training grants
A number of grants have been made to Nebraska institutions
Comparative Effectiveness Research Grants
Prevention Research and Service Grants
A number of these grants have also been made to Nebraska institutions.
2011
Grants to employ and train primary care nurse practitioners
No co-pay for Medicare preventive services including comprehensive risk assessment and prevention plan
In 2011, an estimated 32.5 million people with traditional Medicare or Medicare Advantage received one
or more preventive benefits free of charge. In 2012 alone, >25 million people with traditional Medicare,
including nearly ~250,000 in Nebraska, have received at least one preventive service at no cost to
them.
Requires insurers to maintain Medical loss ratios or 80 (small group) or 85% (large group). Provides for states
to review and approve premium rate increases
12.8 million subscribers received insurance rebates totaling >$1 billion, including $4.8 million for 22,500
Nebraska families. Insurance rate reviews have saved consumers another $1 billion in premium costs.
50% discount on brand name prescriptions filled during Part D coverage gap
Since inception 5.4 million seniors have saved $4.1 billion; in Nebraska seniors have saved $27.5
million since 2010 because of donut hole rebates or discounts.
10% Medicare & Medicaid bonus for primary care physicians and general surgeons in shortage areas
Increase Medicare payments to hospitals in low cost areas
Increased funding for Community Health Centers
Nebraska Community Health Centers have received >$19 million in additional funding
2012
Bonus payments to high quality Medicare Advantage plans
Incentive Medicare and Medicaid payments to Accountable Care Organizations that demonstrate quality and
efficiency. ACOs have been demonstrated to lower annual health c.
Health Reform in America: An Overview of the Patient Protection and Affordabl...Adam Dougherty
A lecture to the UC Davis School of Medicine community covering the basics of the health reform law passed in early 2010. Presented by Adam Dougherty, MPH, MS1
hCentive Health Insurance Exchange PlatformAlisha North
Take advantage of hCentive's deep expertise in the healthcare insurance industry. Browse through or download our white papers to get an in-depth understanding of the industry.
Presentation from INTEGRATED's Chuck Gooder, senior advisor, and Blake Sternard, the business analyst. The presentation focuses on the ways to identify the major changes of healthcare, with specific attention to the potential challenges posed to enrollees, physicians, hospitals, and healthcare organizations associated with the implementation of Obamacare.
While the health care reform bill is a step in the right direction, medicare for all or single payer is what is really needed to control costs and insure all.
In today’s modern workplace, where the primary resource is knowledge, collective knowledge building is a key strategic task. The Business Case for Transformative Training
The relationship between employer and employee is based on a free and voluntary exchange, which helps maintain the competitiveness of the economy. While the relationship can be terminated by either party, with or without cause with penalty, there are legal exceptions.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
A review of the growth of the Israel Genealogy Research Association Database Collection for the last 12 months. Our collection is now passed the 3 million mark and still growing. See which archives have contributed the most. See the different types of records we have, and which years have had records added. You can also see what we have for the future.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
4. U.S. Supreme court heard oral argument on the constitutionality
of the Affordable Care Act on March 26-28, 2012
4
5. Minimum Essential Coverage Requirement
(the Personal Mandate 2014)
A federal requirement that individuals
purchase health care insurance or pay
penalty up to 2.5% of income is
unprecedented.
5
6. All five congressional committees reported
out a bill containing the Individual Mandate
6
7. 6 lobbyists for every member of Congress
Insurance Industry - $100 million
Pharma - $110 million
Providers - $80 million
Hospitals - $90 million
Medical Device - $30 million
7
8. The pharmaceutical industry alone spent
over $600,000 per day in lobbying
(2.3 lobbyists per member of Congress)
8
9. The Health Insurance Exchange
Uninsured individuals not eligible for
Medicare or Medicaid will be permitted to
purchase insurance through state
Exchanges (purchasing pools).
Individuals will be eligible for subsidies.
Employers with fewer than 100 employees
will be permitted to enroll.
Employer eligibility may be expanded in
2017.
9
10. Insurance Reform
High-risk pool created (2010)
Dependent coverage to age 26 (2010)
Children with pre-existing conditions cannot be denied coverage (2010)
No denial for pre-existing conditions eliminated (2014)
No Charge for annual wellness visit (2014)
Guaranteed issue policy (2014)
Modified community ratio (2014)
80 – 85% medical loss ratio (2014)
Long-term insurance program (2014)
No pre-existing condition exclusions (2014)
10
11. All Plans Must Provide Essential Health Benefits
“Essential Health Benefits” requires minimum set of
benefits, with no lifetime of annual coverage limits
Ambulatory patient services
Emergency services
Hospitalization
Maternity and newborn care
Mental health and substance abuse coverage
Prescription drugs
Rehab services and medical devices
Preventative and wellness/chronic disease management
11
13. Hospitals, physicians, insurance
companies and others agree that without
the Individual Mandate the consumer
protection and benefits reforms would ruin
the health care market
13
16. Who is Insured?
Most people are insured through an employer-sponsored
plan (177 million Americans, 62% of people are under
age 65)
99% of employers with 200 or more employees offer
health insurance
78% - 10 to 24 employees
49% - 3 to 9 employees
16
17. Who is Insured
(continued)
About 70 million Americans are insured
under a “public plan”
Medicare
Medicaid
Government spends about 42% of every
dollar spent on health care
17
18. The Uninsured
Estimated 46 million Americans lack health
care insurance (15% of U.S. population)
18
19. Who Are The Uninsured?
27 million have personal income over $50,000
66% of uninsured have family incomes of $45 $85,000
14 million are eligible for Medicaid on the
Children‟s Health Insurance Program
10 million „illegal‟ aliens
1/3 are between 18 to 29 years of age
19
20. About 500,000 New Jerseyans are eligible to
purchase a healthcare plan on the Health
Insurance Marketplace
Most work full-or part-time for a small
employer
About 80% will be eligible for a subsidy
525,000 undocumented workers in N.J. not
eligible
20
21. Employer-Plan Crisis
Premiums have grown 4-times faster than
wages since 1999.
Average employee contribution has gone up
200% since 2000.
Out-of-pocket and co-payments have gone
up 115% since 2000.
21
22. Affordability
Full-time employee cannot pay more than 9.5% of
household income for his/her share of premium for
single coverage. Lowest cost plan.
Safeharbor: Employer may use W-2 income for
employee. (Box 1)
Rate of Pay Safeharbor – Hourly rate multiplied by 130
hrs/month. Determine affordability using monthly
premium based on monthly wage. For salaried
employee, monthly wage can be used. Does not apply
where wages were reduced during the year.
22
23. The Marketplace, Prices and Subsidies- N.J.
29 plans within 4 categories
Platinum
Gold
Silver – benchmark plan (70% of healthcare costs)
Bronze
October – December, 2013
4 of 5 enrollments eligible for subsidy
54% - women
46% - men
23
25. “Large” Employer Penalty
Employers with 50 or more “full-time” employees will be penalized for not
offering coverage or coverage that does not meet standards.
All employees counted in a calendar month (parttime, temporary, seasonal).
“Full-time” employee is someone who is employed to perform services on
average of 30-hrs per week or 120 hrs/month.
Part-time employees are grouped together to create “full-time” equivalents.
Aggregate number of hours worked by part-time workers in any month and
divide by 120 to determine number of full-time equivalents.
25
26. Penalty for not offering insurance or to less
than 95% of full-time employees and at least
one FTE receives a subsidy to pay for
insurance on the Exchange
Penalty for not offering insurance or to less
than 95% of full-time employees and at least
one FTE receives a subsidy to pay for
insurance on the Exchange
26
27. Auditing and Enforcement
U.S. Department of Treasury (IRS)
U.S. Department of HHS
U.S. Department of Labor
Combined databases – Form W-2, Form
5500, Social Security Administration database.
27
28. New Jersey Health Reform (1992)
Individual and Small Group Pools
Guaranteed – Issue
No-Preexisting Condition Exclusion
Modified Community Rating
Medical Loss Ratio (80%)
Standardized Plans/Coverages
75% Coverage (25 or more hours)
28
30. A Looming Challenge Health Care Inflation
1. Premiums have grown 4-times faster than wages since 1999. In NJ, 5
times faster.
2. Average employee contribution has gone up 200% since 2000.
3. Out-of-pocket and co-payments have gone up 115% since 2000.
4. NJ Public Interest Group estimates premiums for New Jersey employers
will double to $24,000 per year by 2016.
5. Premiums in N.J. are third highest in U.S.
30
31. Tax Credits for Small Business
Sliding scale tax credit to employers with fewer than 25
employees.
10 or fewer workers with average annual wages of less than $25,000,
up to 35% through 2013
Eligibility based on employer contributing at least 50% of total
premium.
2014 tax credit, up to 50% if insurance is purchased through
the Exchange.
31