Healthcare Reform – It’s Not as Easy as It Looks (and It Didn’t Really Look That Easy Anyway)

Healthcare Reform – It s Not as Easy as It Looks

The IRS now says that they are not equipped to test the accuracy of ACA health information to validate the premium and cost sharing subsidies that were given out over the past years. Unbelievably, for 2015 the IRS expected 77 million Form 1095-Cs and actually got 104 million forms. And of these forms, 5.4% (or 5.6… [Read More]

PEOs – Key Factors You Need to Consider

PEOs – Key Factors You Need to Consider

Professional Employer Organizations (PEOs) have continued surfacing as a solution for many small employers, but where do you begin when trying to understand if a PEO is right for your business? Decide if a PEO makes sense for your business BEFORE evaluating the savings. A PEO can seem tempting when quotes come back 10% to 20%… [Read More]

The Battle for Repeal and Replace Has Begun

The Battle for Repeal and Replace Has Begun

Like it or not President Trump continues to follow through on the policies and provisions he espoused during his campaign. On Thursday, the Republican blueprint for healthcare was released and in the coming weeks this document will be organized into a plan to repeal and replace Obamacare. Central to the document is the elimination of… [Read More]

Insurers, Not Government, Will Lead the Way to Lower Healthcare Costs

Insurers, Not Government, Will Lead the Way to Lower Healthcare Costs

Sitting in a regional meeting for Aetna gives me time to reflect on bigger thoughts about how to tackle healthcare in the United States… In seeking solutions to the healthcare crisis, politicians have a different focus than insurers. Access is the politician’s biggest concern – how to address the needs of the greatest number of… [Read More]

The Advantages of an HDHP/HSA – Truly Understood or Not?

The Advantages of an HDHPHSA – Truly Understood or Not

In an effort to drive down the cost of health plan offerings, employers are pairing High Deductible Health Plans (HDHP) with Health Savings Accounts (HSA). It makes financial sense for employers since premiums are generally much lower than that of an HMO/EPO plan or a POS/PPO plan. This is partly due to the reduced financial… [Read More]

Fighting Pharmacy Inflation

Fighting Pharmacy Inflation

There is an inherent battle between employers and their pharmacy benefit managers. Simply put, PBMs get paid on the volume of drugs dispensed and have little incentive to control utilization of expensive medication. Even worse, drug rebate allocations skew incentives even more when PBMs or health plans use rebate sharing to enhance profits. Consider this:… [Read More]

Insights From Inside Washington

Reshaping Healthcare in the United States

As the word game semantics continue regarding repeal, replace, repair and rebrand, our clients who have businesses to run and don’t really care if you call it Obamacare, Trumpcare or Putincare, are really just focused on one thing: what, in practice, will actually happen so we can adjust our strategic planning and investment decisions accordingly?… [Read More]

Healthcare – the Pressure is Mounting

Healthcare – the Pressure is Mounting

Well, I told you it wasn’t going to be easy. As President Trump delivers on what many had viewed as unrealistic campaign promises the repeal of Obamacare is right on track. In finalizing the budget the GOP can line out any ACA items with a fiscal impact. By lining out the individual and employer penalty… [Read More]

Healthcare – President Trump’s Opening Salvo

Healthcare – President Trump s Opening Salvo

With a sweep of the pen President Trump started the process of dismantling the Affordable Care Act – former President Obama’s signature legislation. The first executive action was to slow down enforcement and regulations related to the Act, signaling that repeal would not be far off. Proponents of ACA are now busy enrolling as many as… [Read More]