Monthly Archives: July 2013

IRS Publishes Clarifying Information on PCORI Fee

The first Patient Centered Outcomes Research Institute (“PCORI”) fee is due on July 31, 2013. This new fee, which was established by the Patient Protection and Affordable Care Act, will be paid annually by insurers and the sponsors of self-funded … Continue reading

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Potential for Savings: Businesses and Government Entities Experimenting with ACOs

The Patient Protection and Affordable Care Act (“PPACA”) permits the federal government to utilize Accountable Care Organizations (“ACOs”) in certain circumstances. Beyond the PPACA’s approval of the use of ACOs, businesses are beginning to look into contracting with ACOs with … Continue reading

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U.S. Chamber of Commerce Study: Small Business Owners Are Concerned About the PPACA

On July 16, 2013, the U.S. Chamber of Commerce released the results of its “Q2 Small Business Outlook Study.” The Study found that small business executives (individuals employed in an executive position at a company with annual revenue less than $25 … Continue reading

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Projected PPACA Costs: 72% Increase in Indiana, 50% Decrease in New York

State officials have been weighing in regarding the impact of the Affordable Care Act on insurance premiums through the new health insurance exchanges.  Initial reports indicate that the impact on the individual market may be dramatic (either positive or negative) … Continue reading

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PPACA External Review Process for ERISA Plans

Under the Patient Protection and Affordable Care Act (“PPACA”), insurers and the sponsors of non-grandfathered self-insured health plans must allow for an external review process in the event of an adverse benefit determination.  An adverse benefit determination is essentially any … Continue reading

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U.S. Chamber of Commerce Voices Support for the “Forty Hours is Full Time Act”

On July 8, 2013, the U.S. Chamber of Commerce (“Chamber”) sent a letter to Senator Joe Donnelly (D, Indiana) that voices the Chamber’s support for the “Forty Hours is Full Time Act of 2013.”  The Act would redefine full-time employment … Continue reading

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IRS Releases Formal PPACA Delay Notice

On July 9, 2013, the Internal Revenue Service (“IRS”) released a formal notice indicating that the employer responsibility penalty provisions and some of the new reporting requirements imposed by the Patient Protection and Affordable Care Act (“PPACA”) would be delayed … Continue reading

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