Affordable Care Act Review

Affordable Care Act Review

Category Archives: Providers – Not-for-Profit

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What’s Your Share of the $8B Insurance Market Tax?

Posted in Affordable Care Act, Insurers and Brokers, Private Employers, Providers - For Profit, Providers - Not-for-Profit, Taxes
According to final rules released Friday, November 29, organizations that provided health insurance in 2013 will get an IRS excise tax assessment notice in August 2014, requiring them to pay by September 30 their proportionate share of $8,000,000,000.  Yes, that’s with a “B.”  The payment will not be deductible. The insurer’s share will be based… Continue Reading

If You Have Self Insurance That You Like, Can You Keep It?

Posted in Affordable Care Act, Coverage Mandates, Insurers and Brokers, Private Employers, Providers - For Profit, Providers - Not-for-Profit
This is not a political blog; we don’t do the legal equivalent of talk show satire.  Though we’re forecasting future events, subject to all the errors that inhere, our title is entirely serious.  The recent ruckus over cancelled policies in the individual market, and the coming storm over cancellations in the small group market, will… Continue Reading

Calculating ACA Exchange Subsidies: How and Why

Posted in Affordable Care Act, Exchanges, Government Employers, Private Employers, Providers - For Profit, Providers - Not-for-Profit
Having a degree in mechanical engineering has come in handy in my law practice more often than I thought it would.  For example, it came in very handy over the last few weeks, as I translated the language of sections 1401 and 1402 of the Affordable Care Act (and the associated Federal Register publications) into… Continue Reading

Reduce Uncompensated Care by Helping Uninsured Patients Obtain Subsidized Coverage Through The ACA Exchange

Posted in Community Health Needs Assessments, Exchanges, Providers - For Profit, Providers - Not-for-Profit
What Is the Opportunity? Medicaid DHS payments to hospitals, reflecting their uncompensated care burdens, exceeded $300,000,000 in 2011 in Alabama.  They topped $200,000,000 in Florida, $250,000,000 in Georgia and $150,000,000 in Mississippi. Much uncompensated care is attributable to patients with household incomes just a bit too high for Medicaid eligibility.  Many of those households had… Continue Reading

Medicare’s New Tactic—No Admission

Posted in Affordable Care Act, Business Organizations, Providers - For Profit, Providers - Not-for-Profit
Medicare’s New Tactic—No Admission  In one of the most unique approaches to addressing Medicare payment issues, CMS issued a notice on July 26, 2013 that, in certain American counties, it was unilaterally suspending, effective July 30, 2013,  the creation of new Medicare providers in ambulance services and home health agencies.  The suspension is for a… Continue Reading