Understanding the Open Enrollment Period of the ACA

Posted on: Thursday, January 9, 2014  Comments (0)

The Affordable Care Act is officially in effect, and the clock is now ticking down to the end of its first Open Enrollment period. If you do not have health insurance coverage, or wish to change your existing coverage, then you have until March 31st to sign up through the Health Insurance Marketplace. The next Open Enrollment period is scheduled for October 15th to December 7th. 

What’s the Status of

Posted on: Tuesday, December 3, 2013  Comments (0)

The Obama administration imposed a November 30 deadline to fully improve the federally run website that most uninsured consumers will use to sign up for healthcare coverage, . On Monday, December 2, 2013, the consensus seems to be that, while far from 100% of the problems have been corrected; the website is far more robust than many had feared. 

Why Some Health Insurance Plans Were Dropped

Posted on: Wednesday, November 20, 2013  Comments (0)

 With just over a month to go before the Affordable Care Act is fully implemented, many people are finding that their plans have been dropped.  Even those whose plans were "grandfathered" in are being affected.  How did this happen and what does the government plan to do to rectify this situation?  

What is the Minimum Medical Loss Ratio?

Posted on: Wednesday, October 30, 2013  Comments (0)

Since 2011, insurance providers have been required to spend a minimum percentage of their adjusted premium revenues on patient care claims and quality improvement expenses. For large group insurers, this amount is 85%, and lowers to 80% for individual providers. Failure to meet these requirements will result in these providers issuing rebates to their enrollees. This is known as the Minimum Medical Loss Ratio, or MLR, provision of the Affordable Care Act.

Will the ACA change Emergency Medical Treatment?

Posted on: Wednesday, October 9, 2013  Comments (3)

Visits to trauma centers, ambulance calls, and all other emergency medical services are fully covered and protected by the Affordable Care Act, but that is only part of the story. What emergency services are covered in the Affordable Care Act? Read on to learn about the coverage. 

The Affordable Care Act and Clinical Trials

Posted on: Wednesday, September 25, 2013  Comments (0)

Clinical trials provide participants with the opportunity to test a drug or devide at little to no cost during the trial.  In January 2014, participants will no longer be denied, or have limitations placed, on regular benefits while conducting the trial.  Here are a few tips to ensure that you maintain health coverage while participating in a clinical trial. 

What are Narrow Provider Networks?

Posted on: Wednesday, September 18, 2013  Comments (0)

Regardless of your feelings about the Affordable Care Act, the reforms have begun, and they are steamrolling toward January 1, when full implementation and compliance takes place. As it does, and participation in state marketplaces becomes more common, evidence is growing that the most affected institutions will be hospitals. This is largely due to the fact that many providers to the marketplaces (also known as exchanges) are shifting to narrow provider networks. 

The Affordable Care Act and the Future of Medicare

Posted on: Wednesday, September 11, 2013  Comments (0)

One of the hoped for consequences of implementing the Affordable Care Act was the protection of Medicare for years to come. Currently, the Medicare trustees estimated that the life of the Medicare Trust Fund will be extended to at least 2024 - an 8 year extension over their previous estimate due to mandated reductions in waste, fraud and abuse. They concluded that, in the three years since the Affordable Care Act became law, slower growth of health care costs is reducing Medicare costs, helping to curb previously skyrocketing premiums and making Medicare stronger.

What are Transitional Reinsurance Programs?

Posted on: Thursday, August 29, 2013  Comments (1)

Beginning in 2014, insurance companies can no longer base rates or eligibility on medical history. Under the Affordable Care Act, each state must establish a transitional reinsurance program in an effort to help insurance companies that insure more high risk individuals offset some of their claims, and to help stabilize premiums for coverage of pre-existing conditions.

How Does the Affordable Care Act Affect Families with Dependents?

Posted on: Wednesday, August 21, 2013  Comments (0)

 Here are three basic facts about the Affordable Care Act, which every family with dependents should know.