The Patient Protection and Affordable Care Act
By Don Jergler
- PPACA Regulations
- State Implementation Specifics
- Implementing Health Insurance Exchanges
- CO-OP Plans
- Agent / Broker PPACA Resources
The PPACA is transforming the provision of small group and individual health nsurance. The PPACA's impact began immediately in 2010 with the elimination of pre-existing conditions for children and expansion of dependent coverage to age 26. Moving into 2011 there are changes related to flexible spending reimbursement, medical loss ratio implementation, and Medicare preventive coverage improvements. Keeping on top of these regulatory changes is essential to navigate the new health insurance landsacpe and properly advise customers and clients.
- Affordable Care Act Provisions Going Into Effect January 1st
- Health Insurers Rush to Comply with Health Reforms
- Small Business Tax Credits Under the ACA Examined
- Comparison of the PPACA and the Republican Common Sense Healthcare Reform Act
- Employer Coverage Requirements
- The Health Care Cost Problem
- CLASS Act Program and Regulatory Summary
- HSAs and the PPACA
- PPACA Benefit Schedule Rules Released
- Rate Hike Review Rules
- HHS Drafts PPACA CO-OP Rules
State Implementation Specifics
With the enactment of the PPACA numerous states are taking innovative and unique approaches to the health insurance exchanges, medical loss ratios and other issues. This section dives into those issues to provide state-specific resources for those who need to be in-the-know.
- State Status on Health Insurance Exchange Implementation
- New York Exchange Proposes to Keep Agent's Role
- States and the Medical Loss Ratio Rules
- What if Health Insurance Was Sold Across State Lines?
- Texas Health Law May Violate Anti-Trust Laws
- Kansas Considers Health Care Freedom Law
- How Hawaii is Benefitting from Health Care Reform
Implementing Health Insurance Exchanges
States are feverishly planning and developing their information technology infrastructures in building the state-based health insurance exchanges. While the HIE's will not be operational until 2014, planning and decision-making is occuring now. States must demonstrate to the federal government their readiness for HIE operation in January 2013 or the feds will do it for them. Learn how states are planning and implementing the HIE's now so that you can take full advantage when the time comes.
- State Status on HIX Development
- Health Insurance Exchange 101
- Next Battle: Health Insurance Exchange Rules
- Building a Prototype Health Insurance Exchange
- Health Insurance Exchange Development Models Emerge
- Alternative Health Exchanges Under Development
These articles detail the development and implementation of Consumer Oriented and Operated (CO-OP) Plans under the PAPCA which provide a consumer focused, less expensive health insurance alternative.
- HHS Drafts PPACA CO-OP Plan Rules
- CO-OP Plans: The PPACA Public Option Alternative
- How to Launch a CO-OP Health Plan
- CMS Announces Seven Funded CO-OP Plans
Agent / Broker PPACA Resources
Essential resource for insurance agents and brokers on the myriad of issues they face in the implementation of the Patient Protection and Affordable Care Act (PPACA). From changes regarding the medical loss ratio calculation's impact on commissions to their role in health insurance exchanges these are the details insurance agents and brokers need.