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What Does the CVS/Aetna Merger Mean for Your Health Care?

We’ve been hearing rumblings about this merger for quite some time and it has finally happened. CVS Health announced that it plans to acquire Aetna, one of the nation’s leading diversified health care benefits companies that serves about 44 million people. Assuming this is approved by shareholders and gets the green

Senate Postpones Health Vote; Is ACA Here to Stay?

The healthcare vote in the Senate has been delayed because they do not have enough votes to get it through the Budget Reconciliation process, which requires 51 votes to pass. In addition, if something isn’t passed by August 1 of this year, I think they will move on to tax reform and

New Senate Health Bill Includes Waiver Wild Card

Here in California, it’s safe to say we as a State would not be asking the federal government for a waiver. The State of California has been a big proponent of the ACA and the Covered California Exchange. If more control is left up to the States it’s the “ Status

Why Employers Should Consider Self-Funding

Reason #4:  Management Involvement Self-funding allows the employer to always be aware of plan utilization, claim activity and payment activity versus the passive approach on the fully-insured side. Employers are in a much better position to evaluate plan performance on a overall basis and adjust to any issues faster when self-funding. If you would

Why Employers Should Consider Self-Funding

Reason #3:  Customized Plan Design Self-insuring allows employers to specifically customize and build the plan design for their specific needs rather than a “Cookie Cutter” one-size fits all benefit plan design offered on the fully-insured side. This means the unique needs of  employers can be addressed without the task of searching for (cookie

Why Employers Should Consider Self-Funding

Reason #2:  Immediate reward for favorable claims experience Self-funding allows the employer to immediately benefit from low plan utilization. Claims are paid only when they have been received and processed, allowing cash to be retained by the employer for inclusion in operating cash flow. Compare this to fully insured plans. The insurance

Why Employers Should Consider Self-Funding

Why Employers Should Consider Self-Funding Reason #1: Transparency As health care costs continue to rise its causing employers to consider major changes to their health insurance plans. With the new ACA law the term “transparency” is getting a lot of attention in the healthcare industry as it creates a new savings opportunity

Health Care Reform and Employer Compliance

Now that the Supreme Court has upheld Health Care Reform, what is left for employers to do? A.) Uniform Explanation of Coverage to Employees. Failure to comply is $1,000 fine per employee B.) Modification Notices to Employees. Failure to comply is $1,000 fine per employee C.) W-2 reporting D.) Certification of Employers health plan annually to

IRS Releases New Notice on W-2 Reporting

The IRS just released some changes to the W-2 reporting for employers. Employers that are required to file fewer than 250 W-2 forms in 2011 WILL NOT be required to report the cost of health coverage under Health Care Reform. This change will continue until further guidance is issued. However, employers that