Tag Archives: CDC

Regulatory roundup

More healthcare-related regulatory news for plan sponsors, including links to detailed information.

New report on the ACA’s transitional reinsurance program
The Congressional Research Service has published the report “The Patient Protection and Affordable Care Act’s (ACA’s) Transitional Reinsurance Program.” The report provides an overview of the risk mitigation program. The first section of the report provides background information on reinsurance and the ACA risk-mitigation programs. The second section describes the components of the transitional reinsurance program, as well as implementation of and experience with the program. The third section discusses questions regarding the scope of the authority of the U.S. Department of Health and Human Services (HHS) to administer the transitional reinsurance program, including those raised by a 2016 Government Accountability Office report.

To download the entire report, click here.

CDC report on health insurance coverage
The Centers for Disease Control and Prevention (CDC) published a report providing health insurance estimates from the first quarter of the 2017 National Health Interview Survey. Highlights from the report include:

• In the first three months of 2017, 28.1 million (8.8%) persons of all ages were uninsured at the time of interview—0.5 million fewer persons than in 2016 (a nonsignificant difference) and 20.5 million fewer persons than in 2010.
• Among adults aged 18 to 64, 70.5% (138.8 million) were covered by private health insurance plans at the time of interview in the first three months of 2017. This includes 4.8% (9.4 million) covered by private health insurance plans obtained through the Health Insurance Marketplace or state-based exchanges.
• The percentage of persons under age 65 with private health insurance enrolled in a high-deductible health plan (HDHP) increased, from 39.4% in 2016 to 42.3% in the first three months of 2017.

To download the entire CDC report, click here.

Regulatory roundup

More healthcare-related regulatory news for plan sponsors, including links to detailed information.

Early release of estimates from the National Health Interview Survey
A new report from the National Center for Health Statistics (NCHS) presents selected estimates of health insurance coverage for the civilian noninstitutionalized U.S. population based on data from the January–March 2016 National Health Interview Survey (NHIS), along with comparable estimates from previous calendar years.

Estimates for 2016 are based on data for 24,317 persons. Estimates of public and private coverage, coverage through exchanges, and enrollment in high-deductible health plans (HDHPs) and consumer-directed health plans (CDHPs) are also presented. Detailed appendix tables at the end of this report show estimates by selected demographics.

To read the entire report, click here.

IRS schedules two ACA webinars
The Internal Revenue Service (IRS) scheduled two free webinars on issues related to the Patient Protection and Affordable Care Act (ACA): Determining full-time status; and overview of requirements for charitable hospitals.

I. Overview of Requirements for Charitable Hospitals Under ACA (September 19 at 2 p.m. ET)

The ACA added additional requirements that affect tax-exempt hospitals. Learn about:

• Community benefit standard for 501(c)(3) hospitals
• Community health needs assessment and implementation strategy
• Financial assistance and emergency medical care policy
• Limitation on charge requirements
• Billing and collection requirements

To register for this webinar, click here.

II. Determining full-time employees for purposes of the Employer Shared Responsibility Provisions (September 22 at 2 p.m. ET)

• Determining full-time employees for purposes of the Employer Shared Responsibility Provisions
• How to determine full-time status for employees who are seasonal, part-time, or who work nontraditional schedules
• Using the look-back method and the monthly measurement method
• Initial measurement, stability, standard measurement, and administrative periods

To register for this webinar, click here.

Regulatory roundup

More healthcare-related regulatory news for plan sponsors, including links to detailed information.

Supreme Court upholds ACA subsidies
The U.S. Supreme Court ruled that individuals who get their health insurance through an exchange established by the federal government are eligible for the federal subsidies available under the Patient Protection and Affordable Care Act (ACA). The court’s ruling preserves the benefits for an estimated 6.4 million Americans.

To read the court’s opinion paper, click here.

Supreme Court rules state bans on same-sex marriage are unconstitutional
The U.S. Supreme Court held that the 14th Amendment requires a state to license a marriage between two people of the same sex and to recognize a marriage between two people of the same sex when a marriage was lawfully licensed and performed out of state.

To read the court’s opinion paper, click here.

CDC publishes survey on health insurance coverage
The National Center for Health Statistics (NCHS) of the Centers for Disease Control and Prevention (CDC) released selected estimates of health insurance coverage for the civilian noninstitutionalized U.S. population based on data from the 2014 National Health Interview Survey (NHIS), along with comparable estimates from the 2009–2013 NHIS. Estimates for 2014 are based on data for 111,682 persons.

To read the entire survey, click here.

CMS to remove authorized representative verification requirement from retiree drug subsidy payment requests
Currently, as a condition of requesting Retiree Drug Subsidy (RDS) payments, plan sponsors are required to submit an Authorized Representative Verification form to the RDS Center of the Centers for Medicare and Medicaid Services (CMS) acknowledging that the authorized representative listed on the application has the legal authority to bind the plan sponsor to the terms of the plan sponsor agreement. In the coming months, CMS will be removing this requirement. The RDS Center will provide additional information closer to the time of the change.

For more information, click here.