Articles tagged 'Health Care Benefits'

Benefits, HR News & Trends

Costs Are Rising (Even If Premiums Aren’t) For 2015 Health Care

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Fall is enrollment season for many people who get insurance through their workplace.

Premium increases for 2015 plans are expected to be modest on average, but the shift toward higher out-of-pocket costs overall for consumers will continue as employers try to keep a lid on their costs and incorporate health law changes.

Experts anticipate that premiums will rise a modest 4 percent in 2015, on average, slightly higher than last year but lower than typical recent increases. Read more…

Benefits, HR News & Trends

Study: Minimal Savings For Employers Who Cap Medical Payments

healthcare-dollars

In an effort to slow health care spending, more employers are looking at capping what they pay for certain procedures — like joint replacements — and requiring insured workers who choose hospitals or medical facilities that exceed the cap to pay the difference themselves.

But a study released Thursday finds employers might be disappointed with the overall savings. While the idea, known as “reference pricing,” does highlight the huge variation in what hospitals and other medical providers charge for the same services, the report says, it does little to lower overall health care spending. Read more…

Benefits, HR News & Trends

Growing Debate Over Employer Health Plans With No Hospital Benefits

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Lance Shnider is confident Obamacare regulators knew exactly what they were doing when they created an online calculator that gives a green light to new employer coverage without hospital benefits.

“There’s not a glitch in this system,” said Shnider, president of Voluntary Benefits Agency, a Ohio firm working with some 100 employers to implement such plans. “This is the way the calculator was designed.”

Timothy Jost is pretty sure the whole thing was a mistake. Read more…

Benefits, HR News & Trends

Software Flaw Lets Employers Offer Health Plans Without Hospital Benefits

obamacare calculator 300

A flaw in the federal calculator for certifying that insurance meets the health law’s toughest standard is leading dozens of large employers to offer plans that lack basic benefits such as hospitalization coverage, according to brokers and consultants.

The calculator appears to allow companies enrolling workers for 2015 to offer inexpensive, substandard medical insurance while avoiding the Affordable Care Act’s penalties, consumer advocates say.

Insurance pros are also surprised such plans are permitted. Read more…

Benefits, HR News & Trends

Premiums For Job-Based Health Insurance Rose 3% This Year

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Premiums for job-based insurance rose modestly for the third consecutive year, reflecting slowed spending, even as key elements of the federal health care law went into effect.

Family premiums rose 3 percent in 2014, one of the lowest increases tracked since the Kaiser Family Foundation and the Health Research & Educational Trust began surveying employers in 1999. (Kaiser Health News is an editorially independent program of the foundation.)

Nonetheless, the cost of the average family plan rose to $16,834 annually, according to the survey of more than 2,000 employers nationwide. Read more…

Benefits, HR News & Trends, Legal Issues

California Repeals 60-Day Waiting Period on Health Insurance

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By Sara Richland

Under the Patient Protection and Affordable Care Act, a “waiting period” is defined as the period that must pass before coverage for an individual who is otherwise eligible to enroll under the terms of a group health plan can become effective.

The ACA prohibits group health plans and group health insurance issuers from imposing a waiting period that exceeds 90 days after an employee is otherwise eligible for health coverage.

Generally, an individual is “eligible” to enroll in a health plan if he or she has met the plan’s substantive eligibility conditions, such as being in an eligible job classification, earning a certain level of commission, or satisfying a reasonable and bona fide employment-based orientation period. Read more…

Benefits, HR News & Trends

Some 16% of Large Employers Plan to Still Offer “Skinny” Health Plans

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Nearly one company in six in a new survey from a major employer group plans to offer health coverage that doesn’t meet the Affordable Care Act’s requirements for value and affordability.

Many thought such low-benefit “skinny plans” would be history once the health law was fully implemented this year. Instead, 16 percent of large employers in a survey released Aug. 13 by the National Business Group on Health said they will offer in 2015 lower-benefit coverage along with at least one health plan that does qualify under ACA standards.

The results weren’t unexpected by benefits pros, who realized last year that ACA regulations would allow skinny plans and even make them attractive for some employers. But the new survey gives one of the first looks at how many companies will follow through and offer them. Read more…

Benefits, HR News & Trends

New Obamacare Wrinkle: Some Employees Get Automatically Enrolled

Health care reform has been a key initiative of President Obama's administration.

Newly hired employees who don’t sign up for health insurance on the job could have it done for them under an Affordable Care Act provision that may take effect as early as next year.

But the controversial provision is raising questions:

Does automatic enrollment help employees help themselves, or does it force them into coverage they don’t want and may not need? A group of employers, many of them retail and hospitality businesses, want the provisions repealed, but some experts say the practice has advantages and is consistent with the aims of the health law. Read more…

Benefits, HR Basics

Benefits Communication: Why It Matters Now More Than Ever

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It’s a wait-and-see year for employers, in part driven by the seemingly endless legal challenges to the Affordable Care Act.

But health care is big this year, like it’s been every other year in recent memory.

Whether or not you believe ACA successfully or unsuccessfully reformed the structure of health insurance in America, you’ll agree costs are still an issue. Cheryl DeMars of The Alliance succinctly said, “The work of bending the cost curve is largely the business of physicians and hospitals, employers and consumers — not regulators.” Read more…