Tag Archives: Under

ObamaCare 2015: The Best Strategies for Saving Your Money and Protecting Your Health Under the Affordable Care Act Reviews

[wpramazon asin=”0944708528″]

[wprebay kw=”obamacare+2015+the+best+strategies+for+saving+your+money+and+protecting+your+health+under+the+affordable+care+act” num=”0″ ebcat=”-1″]

To Permit Medicare Beneficiaries to Enroll with Qualified Provider- Sponsored Organizations Under Title XVIII of the Social Security ACT, and for Other Purposes. (Paperback) – Common

[wpramazon asin=”B00FDVRPYK”]

More Medicare Enroll Products

To permit medicare beneficiaries to enroll with qualified provider- sponsored organizations under title XVIII of the Social Security Act, and for other purposes.

[wpramazon asin=”1240243227″]

RISARC CEO Richard Stephenson predicts rapid improvements in collaboration and healthcare as U.S. providers and payers adopt advanced IT systems under Obamacare.


Burbank, California (PRWEB) April 30, 2014

Richard Stephenson, Founder and CEO of RISARC, a leading national high-technology and revenue recovery consulting firm to the health care industry, predicts that the advanced IT improvements mandated by federal health care laws will dramatically improve collaboration between payers and providers.

Seamless connectivity

Said Stephenson: “The dream has always been for seamless connectivity between those who deliver healthcare services and those systems and plans that pay providers and payers alike.” Stephenson noted that federal legislative and regulatory incentives now make the adoption of electronic health records (EHR) accessible for virtually all healthcare stakeholders participating in federally-subsidized insurance plans – and that the fluid integration of these systems is “advancing at encouraging rates.”

Better rates, better access

Said Stephenson: “The promise of EHR is ultimately to reduce the cost of healthcare and give patients better rates while also giving them easier access to quality and value. Projects and field reports from those in the healthcare industry, which include some of the largest and most innovative providers and payers in the country, confirm that this goal is achievable. The enrollment success of Obamacare which included a healthy segment of 30 and under individuals, known as the ‘invincible Millennial’ generation will be helpful in that transition.”

Stephenson reports that the transformation of physician attitudes has been remarkable. Said Stephenson: “Doctors in America are moving to systems that seamlessly link them with providers and payers and offer more uniformity in electronically recording and reporting patient activity. The result is they are able to reduce costly administrative and staffing burdens.”

Meaningful analysis

According to Stephenson, uniform reporting also means that meaningful treatment analysis can be instantly made across hundreds, even thousands of cases, whether the results are kept in a HIPAA-protected external “cloud” or inside the centralized computers that record outcomes and costs.

Said Stephenson: “Reliable analytics that truly understand how the health of the community as a whole can be improved – and where the costs for protecting community health can be reduced are essential. Through improved payer/ provider engagement and optimized communications the goal for achieving better patient care and population management is within reach.”

About RISARC

RISARC is a leading national high-technology and revenue recovery consulting firm to the health care industry. RISARC, founded in 1990, has recovered over $ 1 billion for its clients. The company offers the RMSe-bubble™ for secure electronic document exchange and the signature RISARC 360° single-source solution that combines health care revenue cycle expertise with innovative cloud-based, cost-saving technology to help clients optimize existing resources, meet business objectives and reach financial goals. RISARC is a pioneer in health care technology solutions and is a certified Health Information Handler for the Centers for Medicare and Medicaid Services, esMD project. The RMSe-bubble provides the industry’s best secure, HIPAA-compliant environment for electronic record and document exchange and has been endorsed and accepted by providers, commercial insurance carriers and government agencies across the United States.

Please visit us at http://www.risarc.com for additional information.







Open Wide and Say Moo!: The Good Citizen’s Guide to Right Thoughts and Right Actions under Obamacare

[wpramazon asin=”0988197618″]

[wprebay kw=”open+wide+and+say+moo+the+good+citizens+guide+to+right+thoughts+and+right+actions+under+obamacare” num=”0″ ebcat=”-1″]

Obamacare Cobra – The Fate of COBRA Under Affordable Care Act

obamacare cobraOne of the big questions many employees have about the new Affordable Care Act is what will happen to the COBRA program once the new law takes effect in January 2014. COBRA, which is short for the Consolidated Omnibus Budget Reconciliation Act, allows workers and their families to continue their group benefits for limited periods of time after leaving their employer or getting their hours cut.

In general, COBRA benefits are required by employer-sponsored health plans that are offered to employees in companies with 20 or more full-time workers. However, once an employee leaves the company and elects COBRA benefits, he or she is responsible for paying the entire premium, including the amount that was paid by the employer. In addition, the employee may also have to pay up to two percent in administration fees to continue the policy.

Reasons For Cobra’s Existence

One of the reasons COBRA was put into place was to protect employees from falling into a pre-existing condition clause that would prevent them from getting other insurance, either with a new company or as an individual. Since insurance companies could deny coverage to consumers who had pre-existing conditions if their coverage lapsed for a significant amount of time, the law was put in place to give consumers the option of keeping their benefits, but they would have to pay the entire premium to get the extension.

Now that insurance companies can no longer deny coverage to people who have pre-existing conditions under the Obamacare, COBRA may seem obsolete. While the possibility exists that COBRA could eventually be phased out, it will remain in effect at least for 2014. So the question then becomes whether or not taking COBRA is a better choice than purchasing a new policy through the insurance exchanges after federal subsidies are applied.

Under Obamacare COBRA Will Still Cost More

In most cases, under the Obamacare COBRA coverage will be more expensive than a new individual policy through the health insurance exchanges. This is because if a COBRA policy is continued, the employee has to pay both his share of the premium and the employer’s contribution. If the policy is rich with benefits and the employer has been paying a significant portion of the premium, chances are the full premium will be beyond the financial means of many people.

Rather than take COBRA, Affordable Care Act provisions allow low-income individuals to get coverage at a lower cost because of their potential eligibility for federal subsidies. These subsidies are designed for people who earn between 133 percent and 400 percent of the Federal Poverty Line, or about $ 94,200 for a family of four or $ 45,960 for an individual. If an employee’s income for 2014 is under these limits, it will probably be more cost effective to purchase a new policy and receive the subsidies to help pay the premium.

However, it is possible the coverage received through an exchange plan may not be as rich as one received through an employer. In this case, the employer will need to compare the benefits available in both plans to determine which plan is better for his or her situation. The nice part about choosing a plan on the exchange is the ability to choose from many different benefit levels to make sure the applicant gets the right amount of coverage for his or her needs.

Insurers Worried Ex-COBRA Members Will Skew Enrollment Numbers

Although ex-employees might discover they can pay less for insurance through exchanges than through COBRA, Affordable Care Act regulations requiring insurance companies to accept all applicants regardless of health status have insurers worried. They fear that ex-COBRA members will be sicker than average, causing enrollment numbers to skew toward members with increased medical costs. If there aren’t enough healthy enrollees to balance these members out, premiums could rise in 2015.

People who choose to retire early, though, may also be rejoicing about the new Affordable Care Act rules because they will no longer be required to choose COBRA if they have pre-existing conditions to get them through to the age at which they are eligible for Medicare. They can now research their options on the state and federal exchanges to find coverage that meets their needs the best.

The post Obamacare Cobra – The Fate of COBRA Under Affordable Care Act appeared first on ObamaCare Insurance.

ObamaCare Insurance

Under Obamacare, Young People Could Pay $50 or Less for Health Insurance

Obamacare, young peopleAccording to a recent report released by the Department of Health and Human Services, half of the young adults eligible to purchase health insurance through the Affordable Care Act’s healthcare marketplaces could pay $ 50 or less per month for coverage. HHS Secretary Kathleen Sebelius says the new Obamacare law is making health insurance affordable for young adults.

Young Adults More Likely to be Uninsured

Of all the age populations in the United States, young people are the most likely to go without health insurance. This is mainly due to the fact that young adults are usually healthy and do not visit doctors very often. They would rather pay out of pocket for their care than pay the normally high costs of health insurance. However, if they do experience a major injury or illness, the bills could ruin them financially.

This is why the Affordable Care Act has focused on making health insurance more affordable for young adults. Through Obamacare, young people can access federal subsidies that can help them pay for their premiums each month. In addition, many of them may be eligible for Medicaid, which will allow them to gain access to low- or no-cost health insurance.

The HHS report examined data from the 34 states that are using the federal health insurance exchange to enroll residents in Obamacare plans. Out of the 2.9 million young adults who qualify for coverage through an exchange, 1.3 million are able to buy a Bronze plan for $ 50 or less per month after tax subsidies have been applied. Nearly 70 percent will pay less than $ 100 per month for a plan in 2014.

A young adult for this report was defined as a person between the ages of 18 and 34. Under Obamacare, young people under the age of 30 can choose to purchase an inexpensive catastrophic plan that would protect them in the event of a major health event such as an injury or illness. These plans are even cheaper than Bronze plans, but federal subsidies cannot be applied to catastrophic plans, so it may be better for young adults if they use the federal subsidies to purchase a Bronze plan instead.

Under Obamacare, Young People Can Apply For Medicaid Expansion Program

In the states that have elected to expand the Medicaid program, many young adults will pay nothing at all for health insurance because childless adults are now eligible for coverage under Medicaid. People whose incomes are up to 133 percent of the federal poverty level may be eligible for Medicaid in the states that have expanded the program. That equates to approximately $ 15,800 per year for a family of four.

If all states were to expand their Medicaid programs, almost 90 percent of all uninsured, single young adults would be able to find health insurance coverage for less than $ 100 per month. However, at this point, only 26 states have elected to expand their program. This means that right now, that percentage is hovering around 70 percent.

State-Based Exchange Data Not Known

There is limited data available in the states that chose to develop their own health insurance exchanges because the HHS does not have all the premium information at their disposal. This is why only the states participating in the federal exchange have been included in the report. In those states, there are 7.2 million uninsured young people who are eligible to buy insurance through the federal exchange.

The results of this report indicate that reports of higher insurance rates under Obamacare may be greatly exaggerated. Under Obamacare, young people across the country will be able to get insurance at a very affordable rate. The success of the Affordable Care Act depends on this segment of the population signing up for policies to offset the costs of older, sicker Americans.

The post Under Obamacare, Young People Could Pay $ 50 or Less for Health Insurance appeared first on ObamaCare Insurance.

ObamaCare Insurance

Under Obamacare, Young People Could Pay $50 or Less for Health Insurance

Obamacare, young peopleAccording to a recent report released by the Department of Health and Human Services, half of the young adults eligible to purchase health insurance through the Affordable Care Act’s healthcare marketplaces could pay $ 50 or less per month for coverage. HHS Secretary Kathleen Sebelius says the new Obamacare law is making health insurance affordable for young adults.

Young Adults More Likely to be Uninsured

Of all the age populations in the United States, young people are the most likely to go without health insurance. This is mainly due to the fact that young adults are usually healthy and do not visit doctors very often. They would rather pay out of pocket for their care than pay the normally high costs of health insurance. However, if they do experience a major injury or illness, the bills could ruin them financially.

This is why the Affordable Care Act has focused on making health insurance more affordable for young adults. Through Obamacare, young people can access federal subsidies that can help them pay for their premiums each month. In addition, many of them may be eligible for Medicaid, which will allow them to gain access to low- or no-cost health insurance.

The HHS report examined data from the 34 states that are using the federal health insurance exchange to enroll residents in Obamacare plans. Out of the 2.9 million young adults who qualify for coverage through an exchange, 1.3 million are able to buy a Bronze plan for $ 50 or less per month after tax subsidies have been applied. Nearly 70 percent will pay less than $ 100 per month for a plan in 2014.

A young adult for this report was defined as a person between the ages of 18 and 34. Under Obamacare, young people under the age of 30 can choose to purchase an inexpensive catastrophic plan that would protect them in the event of a major health event such as an injury or illness. These plans are even cheaper than Bronze plans, but federal subsidies cannot be applied to catastrophic plans, so it may be better for young adults if they use the federal subsidies to purchase a Bronze plan instead.

Under Obamacare, Young People Can Apply For Medicaid Expansion Program

In the states that have elected to expand the Medicaid program, many young adults will pay nothing at all for health insurance because childless adults are now eligible for coverage under Medicaid. People whose incomes are up to 133 percent of the federal poverty level may be eligible for Medicaid in the states that have expanded the program. That equates to approximately $ 15,800 per year for a family of four.

If all states were to expand their Medicaid programs, almost 90 percent of all uninsured, single young adults would be able to find health insurance coverage for less than $ 100 per month. However, at this point, only 26 states have elected to expand their program. This means that right now, that percentage is hovering around 70 percent.

State-Based Exchange Data Not Known

There is limited data available in the states that chose to develop their own health insurance exchanges because the HHS does not have all the premium information at their disposal. This is why only the states participating in the federal exchange have been included in the report. In those states, there are 7.2 million uninsured young people who are eligible to buy insurance through the federal exchange.

The results of this report indicate that reports of higher insurance rates under Obamacare may be greatly exaggerated. Under Obamacare, young people across the country will be able to get insurance at a very affordable rate. The success of the Affordable Care Act depends on this segment of the population signing up for policies to offset the costs of older, sicker Americans.

The post Under Obamacare, Young People Could Pay $ 50 or Less for Health Insurance appeared first on ObamaCare Insurance.

ObamaCare Insurance

Q&A: Under Obamacare would it be cheaper for young people to cancel their insurance and pay the penalty?

Question by Hob: Under Obamacare would it be cheaper for young people to cancel their insurance and pay the penalty?
Obamacare guarantees that insurance companies cannot turn you down for pre-existing conditions. For that reason, young and healthy people should cancel their insurance. Paying the Obamacare penalty would probably be cheaper than paying for health insurance. Then when you get sick or get a serious injury you can get insurance after the fact. The insurance companies wont be able to refuse you.
@Carl: The insurance would cost more but what would cost even more than that would be to go without the insurance. Young people more than likely will never need the insurance anyway. Obamacare guarantees that they can go without insurance and still have it when they need it.
@Jared: Insurance doesn’t take a week to buy.
@Jared: Also, it’s not just “a little more” to get real insurance. It’s a LOT more.

Best answer:

Answer by Carl
In your scenario it would cost a lot more after the fact. Young people get insurance in case something happens. But yes, initially the penalty would be much cheaper than being insured.

Give your answer to this question below!