Archive by Month - July, 2010

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Healthcare Reform Complicates Tax Reporting

Thursday, July 8th, 2010

As most know, the healthcare reform law includes an affordable individual health insurance mandate, intended to bring more people into the pool and make health care less expensive for all.

According to the provision, the IRS is responsible for enforcement of the medical insurance mandate. Non-exempt individuals or employers who violate it will charged penalties on their tax returns. However, there are doubts that the Internal Revenue Service is up to the task.

The requirement also creates more complications for business and nonprofit accountants when filing tax returns. In an attempt to reduce underreporting of income (which would reduce federal funding for medical insurance reform), they will now be responsible with keeping records of the 1099 forms they will have to have for all transactions over $6,000, as of 2012.

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Medicare & Medicaid Head Named Via Recess Appointment

Wednesday, July 7th, 2010

Image: AlexJohnson under CC 3.0

One of the people most responsible for implementing the provisions of affordable health insurance reform is the administrator for the Center of Medicare and Medicaid Services. President Barack Obama nominated Dr. Donald Berwick for the role several weeks ago.

However, the Obama administration has had trouble getting Berwick approved by the Senate. Many senators fear that some statements Berwick has previously made indicate that he favors totally government-run socialized medicine, similar to that in the United Kingdom. As a result, Obama has used the controversial recess appointment to install Berwick.

A recess appointment is done through an executive order when Congress is on break. Despite its risks, effective healthcare reform that results in cheap health insurance rates requires that the post isn’t left open any longer than necessary.

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Germany Struggling With Health Insurance Costs, Too

Wednesday, July 7th, 2010

Image: Aenneken under CC 3.0

While the Germans are dominating the World Cup, the situation regarding their health insurance doesn’t look so bright. Just like the United States, their economy has been dealt several blows, and the nation is dealing with a major budget deficit.

Some believe that more direct government intervention will lower the cost of affordable health plans in the U.S., but Germany is proving that point wrong. Chancellor Angela Merkel (the German equivalent of our president) recently agreed to increase premiums for virtually all residents, from 14.9% to 15.5% of their gross pay–split between employers and employees. Insurers will also be allowed to ask for an extra premium to cover additional costs.

On the positive side, nearly 90% of the population is covered through their mandate. Unfortunately, they have failed to control severe jump in health care expenses.

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Florida Individual Health Insurance Controversy Rages On

Tuesday, July 6th, 2010

Image: perpetualplum under CC 3.0

Months after national healthcare reform passed, it is still a hot topic during state election primaries. Florida is a case in point. As expected, Democratic candidate Alex Sink supports it. Lawton “Bud” Chiles, an independent, is ambivalent; he thinks the law should stand with some modifications.

One of the Republican contenders for governor, Bill McCollum, is best known as the attorney general behind the class-action lawsuit against the law, which over 20 states have joined. He contends that the provision that serves as a Florida individual health insurance mandate is unconstitutional, because it forces residents to purchase the product. Obviously, he is highlighting his opposition as a campaign talking point.

The other man in the race, Rick Scott, is also against the law. In the 1990s, he ran a hospital chain that was accused of Medicare fraud. More recently, he spent $5 million of his own money to defeat the legislation. Scott also wants “Obamacare” repealed. We will see what happens during the 2010 election primaries next month.

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Facts About Health Insurance Rescission

Tuesday, July 6th, 2010

Image: bobster855 under CC 3.0

One of the worst things that can happen to a person affordable health insurance-wise is having their policy rescinded. In many cases, they are kicked off their plan through no fault of their own.

The good news is that reform will both prevent the practice of unfair rescission and make it easier to gain justice.

The facts about the new regulatory climate:

  • Insurance companies now have little legal justification for dropping people: they will only be allowed to do so due to nonpayment or fraud.
  • The definition of fraud is also clarified. It consists of actively lying about any pre-existing medical conditions or diagnoses you may know have. Having a condition you don’t know about (even if it’s in your medical records, but a doctor hasn’t informed you of it) doesn’t count.
  • For consumers, the appeals process is also strengthened. Health insurance companies must give them at least 30 days advanced notice before canceling a policy.
  • The new rules take effect in late September.

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Will Health Insurance Plans Be Required To Cover Contraception?

Monday, July 5th, 2010


Many believe that healthcare reform will result in health insurers providing full coverage of contraception. This is because the law requires plans to cover “essential preventative care services” at no cost to the patient. That means no co-payments or co-insurance percentages!

For several reasons, the idea of full coverage for birth control is controversial. Social conservatives are leery of appearing to endorse premarital sexual activity (although married couples use contraception as well). For their part, many employer-based health insurance plans are dreading yet another mandate that increases their costs. However, that cost is far less than what they will otherwise have to pay in maternity cost.

The Health Resources and Services Administration will make the decision.

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Health Insurance Company Harvard Pilgrim Agrees To Lower Rates

Monday, July 5th, 2010

Image: Guerilla Billboards

Regulators have been facing off with health insurance companies over proposed premium increases that the former consider excessive, and the latter think are necessary to continue doing business.

Apparently, compromise is possible. Harvard Pilgrim Health Care agreed to a settlement with the state of Massachusetts that limits their individual and small group health insurance rate increases. The decrease is insignificant: their initial requests ranged from 8% to 12%, while the new deal has increases of 7% to 11%.

Since earlier caps on premiums set by the state were rejected on appeal, the insurer could’ve kept fighting. However, they chose to move on instead–although they will still lose money under the agreement. Thankfully for consumers, Harvard Pilgrim (the second-largest insurance provider in the state) also agreed not to retroactively bill policyholders since April for the higher rates.

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ER Visits To Jump With More Health Coverage

Monday, July 5th, 2010

Image: aaron_anderer under CC 3.0

Most people would assume that an increase in the percentage of those with health coverage would result in fewer people going to the emergency room. After all, they would have primary care doctors and the means to get preventative treatment early. That was actually one of the arguments for health insurance reform.

Unfortunately, it may not turn out that way. ERs are actually likely to become even more crowded! There is a shortage of family physicians that won’t be remedied for years. Medicaid patients–not the uninsured–are the most likely to utilize emergency services.

A preview of what may be coming: emergency room visits increased by 4-7% in Massachusetts after that state passed universal healthcare reform.

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Support For Healthcare Reform Continues to Rise

Friday, July 2nd, 2010

Image: joeltelling under CC 3.0

Although healthcare reform is still extremely controversial, a recent poll showed that Americans’ outlook on the law became more positive in June.

The Kaiser Family Foundation’s polling showed that 48% of respondents were now in favor of the bill, an increase of 7% from the month before. Opposition decreased by three percentage points, to 41%.

Why the change of heart? There are several contributing factors. For one thing, the political heat has somewhat died down–other issues have taken the spotlight. Meanwhile, the Obama administration had launched a public relations campaign, which drew attention to the beneficial affordable health insurance-related provisions taking effect this year.

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