TelePay Insurance

Health Coverage at Work? Lawsuit Against ACA Could Affect You, Too

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Millions of people who get health insurance through their job could face waiting periods for coverage or find that specific medical conditions aren't immediately covered if the courts back a request by the Trump administration to toss key provisions of the ACA ( The provisions targeted by the Justice Department include the bans on insurers denying ...
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TelePay Insurance

What Latest Health-Law Case Means for Insurance Markets

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Uncertainty of Plans, Prices for 2019 - Longer Term - New Winners & Losers Consumers and insurers face new uncertainty with the Justice Department's assertion this week that key provisions of the Affordable Care Act are invalid. In a brief ( see Justice Department below ) filed on 6-7-18, the Justice Department asked a federal court to unwind t...
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TelePayroll

Drug Makers Announcing Big Voluntary Price Cuts

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Drug makers will announce "voluntary massive" price cuts in by the end of June. The administration and Health and the Human Services Secretary unveiled a blueprint to lower drug prices in early June.The Administration said Wednesday drugmakers will soon be announcing "voluntary massive" price cuts in two weeks. While signing "right-to-try" legislat...
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TelePayroll

States May Be Required to Safeguard ACA Markets Without Federal Leadership

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Regulation of healthcare remains a complicated issue. States want things their way; insurers demand changes be made to help them provide affordable coverage; and the insured want something to happen that makes sense as soon as possible. While some claim proposed solutions would be a boon for small business, small business advocates and health-care ...
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TelePayroll

Three ACA-Compliance Struggles Midsize Employers Face

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While some ACA rules have changed, the IRS forms relating to them may not yet reflect those changes. Many large employers learned from what they had done wrong in the past, but others still struggle. And many of the 51-employee companies that the federal government classifies as "large" are still having some trouble complying with ACA coverage and ...
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TelePay Insurance

Reimbursement, Quality Scores & Risk Adjustment Improve HCC Practices

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Hierarchical condition categories (HCCs) reveal the severity, complexity and interaction of member conditions. They are used by the Centers for Medicare and Medicaid Services (CMS) to adjust risk scores that determine payment for Medicare Advantage (MA) beneficiaries. With CMS leading the way, additional government and commercial payers leverage HCCs to drive quality ratings, shared savings, risk scores and payment adjustments for a broad range of value-based contracts and activities. As HCCs ri...
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TelePay Insurance

Can Healthcare Be Fixed?

Even though the U.S. economy appears to be doing well, Americans are concerned about what Congress will be doing in the next six months about the ACA. The Current State The ACA has single handedly tripled the overall cost of health care since it was signed into law. Insurance premiums and deductibles have skyrocketed. Even though the number of insured individuals is higher, the total percentage of insured cost is down by about half since 2010. Insurance failures are rampant, and very few insurer...
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TelePay Insurance

Healthcare Dilemma

Some in Washington feel that today we are closer than ever of sending ACA to the ash heap of history and opening the door for much-needed market-based solutions to health insurance. With the Tax Cuts and Jobs Act, Republicans banded together to eliminate the unpopular ACA program individual mandate. Now the administration is determined to find a better way to address our nation’s health-care needs. But despite these positive developments, both parties in Washington are considering policies...
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TelePay Insurance

ICE Promises Employers More I-9 Audits

Important I-9 Audit Information Employer’s Must Know The administration proposed budget for FY19 includes $47.5 billion for DHS for "strengthening border security, ensuring enforcement of immigration laws, and reforming the legal immigration system." The administration’s proposed $571 million to hire 2,000 additional Immigration and Customs Enforcement (ICE) officers and $132 million for E-Verify; The administration called on Congress to require all employers to use E-Verify to check...
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TelePay Insurance

What Employers Need To Know About New Parent LOA In - 2018

New Parent Leave Of Absence Act: Effective January 1, 2018, employers with 20 to 49 employees are now required to allow qualified employees to take unpaid leave as much as 12 weeks to bond with a new child.   To be eligible for qualification, employee must have completed 1,250 hours of work for the company within the past year, and work at a location where there are at least 20 employees within 75 miles of the worksite. New Parent Leave Act What:   Employers employing 20 to 49 employees must all...
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