Showing posts with label ACA. Show all posts
Showing posts with label ACA. Show all posts

Tuesday, September 17, 2013

ACA Information to be Reported by Businesses

Affordable Care Act Update

If your business is covered by the Fair Labor Standards Act (generally, those businesses that have at least one employee and at least $500,000 in annual sales), you must notify your full-time and part-time employees by October 1, 2013, of their options for complying with the new healthcare law.
All new employees hired after October 1, 2013, must be notified on the date of their hire.

The Department of Labor has created two sample notices. These may be used to communicate with your employees. 

Read more...

Friday, September 13, 2013

Will The Courts Derail Obamacare? - Forbes

Will The Courts Derail Obamacare? - Forbes

Three Obamacare Taxes (And The Paperwork) No One Is Talking About - Forbes

Three Obamacare Taxes (And The Paperwork) No One Is Talking About - Forbes

House Passes Bill to Restrict Affordable Care Act Subsidies

Shared via feedly // published on // visit site
House Passes Bill to Restrict Affordable Care Act Subsidies
House lawmakers on September 12 approved a measure to withhold distribution of subsidies created by the Patient Protection and Affordable Care Act (PPACA) (P.L. 111-148) until a Department of Health and Human Services (HHS) Inspector General verifies the eligibility of applicants. The measure, introduced by Rep. Diane Black, R-Tenn., was approved by a vote of 235 to 191. The No Subsidies Without Verification Bill (HR 2775) would withhold tax credits and cost-sharing subsidies under the PPACA until the inspector general certifies that an HHS program to verify household income is operational. GOP lawmakers said the measure is intended to prevent the federal government from losing billions of dollars to health care fraud by relying on a self-attestation system.
"We must protect taxpayer dollars to ensure that only those who are entitled to subsidies receive them, and this legislation corrects a serious error on the administration's part," said Ways and Means Committee Chairman Dave Camp, R-Mich. He urged the Senate to take up the legislation, but swift action appears unlikely, especially since the President Obama has promised to veto the measure.
House Democrats said the floor action was the 41st time that GOP lawmakers have voted to either repeal or defund the PPACA. House Minority Whip Steny H. Hoyer, D-Md., said HHS safeguards are already in place. "A system to verify the income of applicants for these credits and subsidies is already in place along with a system to verify that, at the end of each year, no American received more or less than the law allows," Hoyer said.
By Stephen K. Cooper, CCH News Staff
 

Texans in Dark on Obamacare as Enrollment Startup Looms - Bloomberg

Texans in Dark on Obamacare as Enrollment Startup Looms - Bloomberg

Thursday, September 12, 2013

IRS enforcement of Obamacare fines is limited - KCTV5

IRS enforcement of Obamacare fines is limited - KCTV5

Healthcare And Tax Reform - Forbes

Healthcare And Tax Reform - Forbes

Republicans Shift Fiscal Strategy to Health-Care Delay - Bloomberg

Republicans Shift Fiscal Strategy to Health-Care Delay - Bloomberg

Trader Joe's Sends Part-Timers to Obama Health Exchanges

Shared via feedly // published on Bloomberg // visit site
Trader Joe's Sends Part-Timers to Obama Health Exchanges
Trader Joe's Co., the closely held grocery store chain, will stop providing health benefits to part-time workers next year, directing them instead to new insurance marketplaces created by the U.S. Affordable Care Act.

Morning Bell: Why This Doctor Fears Obamacare

Shared via feedly // published on The Foundry: Conservative Policy News Blog from The Heritage Foundation // visit site
Morning Bell: Why This Doctor Fears Obamacare

Dr. Tim Shepherd talks about his patients like they're his own family.
He gets emotional when he thinks about a patient he's been treating for 20 years, and talks about a new patient who's making progress like it's his first grandchild.
He says his favorite part about being a doctor isn't having specialized knowledge or the power to "save lives." It's the opportunity to take care of people.
"It makes it difficult to take care of the whole person if you don't have the environment where you are free to do that," Shepherd told Heritage.
Unfortunately, everything Dr. Shepherd loves about his job is now at risk because of Obamacare.
The father of 11 children, including Heritage marketing associate Josh Shepherd, has run a family practice in Lewisville, Texas, for 35 years. He's concerned about the impact of the law on the care he is able to offer his patients.
"There's a lot of administrative work already, which is taking away from patient care," he said. Of the practice's 15 employees, five do only paperwork, and they are constantly fighting with insurance companies and Medicare.
So it's no wonder Dr. Shepherd is dreading the layers of bureaucracy Obamacare creates—layers he'll have to fight through to treat his patients. His practice will be faced with more government regulation and will be increasingly dependent on unreliable government reimbursement for medical services.
Shepherd said many family doctors just like him are either retiring or leaving their practices to join large medical corporations. He said doctors are being told their individual practices can't survive the pressure of Obamacare's administrative costs.
But Shepherd doesn't want to give up or change his practice because of Obamacare.
"People having choice is a very important part of medical care," Shepherd emphasized. People have a personal connection with their family doctors, but Obamacare will take away that freedom of choice.
While Shepherd is determined to look for innovative ways to keep his family practice independent, he knows the hazards of Obamacare are real. He doesn't want doctors to be forced to give up on their patients, and that's why he's advocating for a full defunding of Obamacare.
"I am a believer in defunding Obamacare because I think it's going to be a disaster for our country," he said.
General support for Obamacare has dropped to less than 40 percent, according to a poll released yesterday. The American people are not in favor of this threat to their health care and their relationships with their doctors. All the more reason Congress should listen and defund it now.
Read the Morning Bell and more en espaƱol every day at Heritage Libertad.
Quick Hits:
The post Morning Bell: Why This Doctor Fears Obamacare appeared first on The Foundry: Conservative Policy News Blog from The Heritage Foundation.

Tuesday, September 10, 2013

Obamacare tax guide for businesses

Shared via feedly // published on IRS help, tax breaks and loopholes - CNNMoney.com // visit site
Obamacare tax guide for businesses
Here's a look at some of the key Obamacare tax provisions that will affect employers, insurers, pharmaceutical manufacturers and others in the health industry.

Why your company health benefits may change - CNBC

Why your company health benefits may change - CNBC

HeraldNet.com : Many taxing issues surround Obamacare

HeraldNet.com : Many taxing issues surround Obamacare

Cancer Survivor Shows Obamacare Unleashing Startups: Economy - Bloomberg

Cancer Survivor Shows Obamacare Unleashing Startups: Economy - Bloomberg

Monday, September 9, 2013

Health insurance tax faces challenge - Brett Norman - POLITICO.com

Shared via feedly // published on POLITICO // visit site
Health insurance tax faces challenge - Brett Norman - POLITICO.com
The health insurance industry and business allies are stepping up their campaign to repeal another new Obamacare tax this fall — one that they argue will hit consumers smack in the health care part of their wallet.
As Congress returns from recess, expect to hear more about the health insurance tax, or HIT, as it's known, a levy in the health care law to raise $116 billion through 2023. That money, in turn, is supposed to help finance expanded coverage.
America's Health Insurance Plans, the U.S. Chamber of Commerce, an insurance brokers association and other groups launched a digital advertising and social media campaign last month to stir opposition to the tax, especially in states of the lawmakers who might do something about it.
(PHOTOS: 25 unforgettable Obamacare quotes)
The campaign will formally launch inside the Beltway later this month, after having attracted several additional trade groups to the initial coalition.
The ads focus on the tax but not the health care law itself. The message is that the tax counters the goals of health reform by making insurance more expensive, and therefore less affordable. The cost is expected to be passed on to consumers.
But the tax is also a large piece of the funding for the insurance expansion — which, in turn, will create millions of new customers for insurers, many with government subsidies.
The health insurance tax won't hit the premiums of people who work for many large employers — which cover a great majority of working Americans. Most big employers already offer coverage through something called self-insurance — meaning they actually use their own dollars to pay the medical bills and use the insurers to administer the health plans. The employer, not the insurer, carries the risk.
(Also on POLITICO: TOP 5 complaints about Obamacare)
The tax does apply to insurance companies that pick up the tab, including the private Medicare Advantage plans and those that will be sold to individuals on the new state-based Obamacare exchanges. It applies to most small-business plans, which are less likely to self-insure.
Nonpartisan federal experts estimate that the tax will be 2 percent to 2.5 percent of premiums to which it applies. That's about $360 for a family plan in 2016 — or $30 per month, according to the Joint Committee on Taxation. Bills in the House and Senate would repeal the tax, which would collect $8 billion next year. The House bill has enough support to pass.
However, there's a big barrier to actually repealing the tax, as opposed to just adding it to the list of more than 40 House repeal efforts that haven't gone anywhere. It's a key funding source for the central aim of the health care law — expanding insurance. Taking it off the books would add $116 billion to the deficit over a decade.

IRS will be watching for health care cheats | The Argus Leader | argusleader.com

Shared via feedly // published on The Argus Leader // visit site
IRS will be watching for health care cheats | The Argus Leader | argusleader.com
A federal official at a Sioux Falls seminar warned people not to cheat in applying for subsidies on the new health insurance exchanges that will open Oct. 1 in South Dakota and other states.
"This is all adjudicated at tax time. If folks try to play the system, it'll all come out in the end," said Jeff Hinson, regional administrator from the Denver office of the Centers for Medicare and Medicaid Services.
Consumers who misstate their income to qualify for greater subsidies as they buy insurance "will settle up with the IRS," Hinson said.
He spoke to 40 people at a seminar Thursday the federal government sponsored at the AARP South Dakota office in Sioux Falls. The audience included representatives of several South Dakota agencies who will be assisting consumers seeking to buy insurance this fall in order to comply with the federal Affordable Care Act. Each state will be opening an Internet marketplace, called an insurance exchange, to help consumers enroll during a six-month period running from Oct. 1 through March 31 to comply with the federal Affordable Care Act.
Most South Dakotans will not need to concern themselves with the new exchange, because they already carry insurance either through an employer plan, a private policy, Medicare or Medicaid.

Uninsured eligible for exchanges

For many of the uninsured, though, about 71,000 people in South Dakota, the exchange will be one avenue toward acquiring coverage as now mandated under the Affordable Care Act.
For them, enrolling will require them to declare their income for the coming year as a step toward calculating if they are eligible for a government subsidy and, if so, how much of a subsidy. In most cases, a lower income will lead to a higher subsidy, as long as the person enrolling earns one to four times the federal poverty level.
That process would require people enrolling this fall to declare their expected income for 2014 and then in April 2015 to complete their annual income tax return vouching for their 2014 earnings. Any discrepancies would turn up then. In a Q&A session at the seminar, Hinson said he did not know specifically how the IRS would rectify those situations, but it might be a matter of mathematical calculations in completing form 1040.
(Page 2 of 2)

Updates allowed if income changes

Hinson acknowledged that is a long gap from enrollment to tax time, about 18 months, during which a lot can change for individual earners. Many of the uninsured are service industry workers or people who have part-time jobs or unpredictable hours and don't know what they'll be making. The online marketplace will have a provision for people to report updates on their personal situations as a way to recompute their subsidies, he said.
The format will work on something like an honors system at the front end as people enroll and make updates, but with precision at the back end when they file their tax returns.
"Be as honest as you can," he said.
The audience included several navigators and enrollment counselors who are certified under government programs to help people sign up for insurance starting Oct. 1.
John Mengenhausen, CEO of the Horizon Health Care Center in Howard, asked about residents who do not file tax returns because they do not earn enough money. He said his office often works with clients who haven't completed a tax return in 10 years.
Hinson said they will have to file a return in order to be eligible for a subsidy at the insurance exchange.

'I think it'll work'

Kim Jones, navigator coordinator for the South Dakota Community Action Association in Brookings, said the system is complex but an opportunity to help many of the uninsured secure coverage for the first time.
"I think it'll work. That'll be our role, to unblock that road and explain what is not understandable," she said.
Someone buying insurance on the exchange will need to supply personal details, including a Social Security number.
Some in the audience wondered if that presented a red flag because of the risk of fraud.
"You have to give Social Security information, which we say don't ever do," said Sarah Jennings, state director for AARP.
Hinson noted a distinction. He said enrollment online will result from a consumer initiating the transaction, not the other way around. Legitimate enrollment never will involve someone calling a consumer to start the process.
Someone signing up for coverage at the exchange could pay for the coverage either online with a credit card or by sending a check through the U.S. mail, depending on arrangements the insurance carrier works out with the consumer, Hinson said.

Morning Bell: 10 Ways Obamacare Isn’t Working

Shared via feedly // published on The Foundry: Conservative Policy News Blog from The Heritage Foundation // visit site
Morning Bell: 10 Ways Obamacare Isn't Working

Obamacare is an unworkable law.
It's obvious because the Administration keeps trying to "fix" it—to no avail. It has delayed parts of the law, ignored others, and carved out exemptions for its political allies.
1. WAIVERS: The Administration established a legally questionable program of temporary waivers when firms announced they were considering dropping coverage rather than comply with the law's costly requirements. Even though more than half of the recipients of these waivers were members of union plans, many union leaders are still not satisfied—they want another waiver, to receive taxpayer-funded subsidies for their employer-provided coverage.
2. ILLEGAL TAXPAYER SUBSIDIES FOR CONGRESS: Last month, following heavy lobbying from leaders in both parties—and an intervention from President Obama himself—the Administration issued a rule regarding coverage for Members of Congress and their staffs, who will retain their taxpayer-funded insurance subsidies in the exchanges. Unfortunately, as previous research has documented, the Administration had no legal basis on which to make this ruling.
3. EMPLOYER MANDATE: In July, the Administration announced it would not enforce Obamacare's employer mandate until 2015, effectively granting big business a one-year delay. This action came despite language in Section 1514(d) of the law requiring employers to act "beginning after December 31, 2013," and despite the fact that hard-working Americans are not getting a delay from the other harmful effects of Obamacare.
4. PRE-EXISTING CONDITIONS: Immediately after Obamacare was signed, Democratic staffers admitted that under the law as written, insurers "still would be able to refuse new coverage to children because of a pre-existing medical problem." The Department of Health and Human Services (HHS) took it upon itself to issue regulations prohibiting plans from turning down such applicants three years earlier than the law required. As a result, insurers stopped offering child-only plans in 17 states, fearing that only parents of sick children would apply for insurance coverage.
5. OUT-OF-POCKET CAPS: Section 1302(c)(1) of the law includes caps on out-of-pocket expenses and explicitly states they are to take effect "beginning in 2014." But earlier this year, the Administration delayed these new caps from taking effect as scheduled. What's more, as The New York Times reported, the Administration made this unilateral change not by issuing rules subject to public comment, but by posting a series of questions and answers on an obscure website.
6. BASIC HEALTH PLAN: This government-run health plan for people above the Medicaid income level was created in Section 1331 of Obamacare as a way to promote "state flexibility," but the Administration unilaterally delayed it for one year. One Democratic Senator criticized the Administration for this move, saying it does not "live up" to the law as written.
7. TAX DISCLOSURES: Section 9002 of Obamacare requires employers to report the value of workers' health insurance on W-2 filings, effective for all "taxable years after December 31, 2010." But the Administration unilaterally delayed this requirement, and employers did not have to report these data until after the 2012 presidential election.
8. HONOR SYSTEM: In July, the Administration announced it was placing most Americans on the "honor system" when it came to verifying their income and access to employer-provided health coverage. As prior research has documented, this move, coupled with loopholes written into the law, gives many Americans a strong incentive to "game the system" and obtain more in taxpayer-funded insurance subsidies than they should actually receive.
9. PRIVACY: Former HHS General Counsel Michael Astrue, when serving as Commissioner of Social Security earlier this year, complained strongly within the Administration about the security risks posed by Obamacare's new data hub. However, the Administration overrode his objections, using what Astrue called "an absurdly broad interpretation of the Privacy Act's 'routine use' exemption."
10. TOBACCO PENALTIES: Section 1201 of the law allows insurance companies to charge smokers up to 50 percent more in premiums. But due to a "computer glitch," those penalties will be limited for "at least a year"—meaning non-smokers may have to pay more as a result.
In the end, Nancy Pelosi was wrong. Congress passed the bill, but we still don't know what's in it—because the Obama Administration keeps changing rules and ignoring the law. That's why Congress should use its power of the purse and stop a single dime from being spent on this unworkable, unfair, and unpopular measure.
Read the Morning Bell and more en espaƱol every day at Heritage Libertad.
Quick Hits:
The post Morning Bell: 10 Ways Obamacare Isn't Working appeared first on The Foundry: Conservative Policy News Blog from The Heritage Foundation.

Health Insurance Marketplace, Affordable Care Act | HealthCare.gov

https://www.healthcare.gov/

An Early Look at Premiums and Insurer Participation in Health Insurance Marketplaces, 2014

http://kaiserfamilyfoundation.files.wordpress.com/2013/09/early-look-at-premiums-and-participation-in-marketplaces.pdf

Understanding Obamacare: 4 Things You Need to Know

Shared via feedly // published on Money Talks News // visit site
Understanding Obamacare: 4 Things You Need to Know
Oct. 1 will be a very important day for the Affordable Care Act, known as Obamacare. That's when people will be able to buy health insurance on their state's new online marketplace.
What does this mean to you? Money Talks News founder Stacy Johnson provides answers to four of the most common questions about the Affordable Care Act in the following video. Check it out, then read on for more detailed answers to those questions.
http://youtu.be/benKaPCkSek