Impact of Health Reform on Prescription Drugs
|
|
- August Flowers
- 8 years ago
- Views:
Transcription
1 Impact of Health Reform on Prescription Drugs 1
2 Indirect Effects Increased Rx Volume = More Prescriptions! Page 2
3 Retiree Drug Subsidy (RDS) Before HCR Tax-Free Subsidy RDS as taxdeductible income After HCR Tax-Free Subsidy RDS as taxdeductible income Page 3
4 Medicare Date Jan 1, 2010 Provision $250 rebate to beneficiaries who reach the coverage gap Reduction of coinsurance rate from 100% to 25% in the coverage gap Brand: 50% manufacturers; 25% Govt Generic: 75% Govt 100% of negotiated price will still count toward out-of-pocket threshold used to define coverage gap Payment cuts to Medicare Advantage Plans. July 1, 2013 Eliminates tax deduction for employers who receive Retiree Drug Subsidy (RDS) payments. 31% of large employers in the private sector offer benefits to Medicareeligible retirees in Costs: John Deere ($150 million), Caterpillar ($100), Verizon ($970 million), AT&T ( $1 billion) Page 4
5 Medicare (cont d) Prescription Drug Plans (PDP) and Medicare Advantage Prescription Drug Plans (MA-PD) are now required to consult with pharmacies to reduce wasteful dispensing in long-term care facilities (LTC). Eliminates 30-day fills for Part D enrollees residing in LTC facilities Opts for daily, weekly, or automated dosing Effective on January 1, 2012 Improvement in Part D MTM programs. Annual comprehensive medication review by a licensed pharmacist for targeted beneficiaries Automatic enrollment for beneficiaries with ability to opt out Effective March 23, 2012 Page 5
6 Medicaid Increase in Medicaid drug rebate percentage Brands: 23.1% Clotting factors and drugs approved exclusively for pediatric use: 17.1% All rebate increases will be extended to Medicaid managed care plans Federal Upper Limit (FUL) for generic reimbursement will be calculated using AMP No less than 175 percent of the weighted average of the most recently reported monthly AMP Improves generic drug reimbursement rates for retail pharmacies compared to Deficit Reduction Act of 2005 Page 6
7 Medicaid (cont d) New definition of AMP (Average Manufacturer Price) Only considers: Sales from manufacturers directly to retail pharmacies Sales from wholesalers distributed only to retail community pharmacies Includes all discounts and rebates extended to retail pharmacies Excludes discounts and rebates extended to wholesalers, PBMs, mail order pharmacies, etc. Pharmaceutically and therapeutically equivalent multiple source drug products that are available for purchase by retail community pharmacies on a nationwide basis Effective Date First day of the first calendar year quarter that begins at least 180 days after the date of enactment of this Act Page 7
8 Pharmacy Benefit Managers (PBMs) and Disclosure Disclosure of financial information to: Secretary of HHS if contracted with PDP and MA-PD plans. Health Plan if contracted with a plan in the new state exchanges Information will include: Percentage of Rx s dispensed by retail vs. mail order pharmacies Generic dispensing rate by pharmacy type Aggregate amount of rebates, discounts, and price concessions Amount of rebates/discounts passed to plan sponsor along with total # of Rx s dispensed Regarded as confidential information Page 8
9 PBMs Focus on preventative services and wellness programs Validates clinical programs already provided by PBMs All health entities to disclose financial information and relationships to Congress by April 1st, 2013 Hospitals, physicians, pharmacists, manufacturers, distributors Page 9
10 Pharmaceutical Industry Annual fees totaling $16 billion from Includes pharmaceutical manufacturers and importers $2.8 billion/year after 2019 Fee per entity is dependent on annual sales Orphan drug sales excluded from analyses Excise tax of 2.9% on medical device manufacturers for the sale of any taxable medical device after December 12, 2012 Also includes medical device importers 50% rebate on brand name drugs dispensed to Medicare Part D patients in the coverage gap Possible source of revenue due to increased dispensing of costlier brand name drugs FDA authorized to approve generic versions of biologic drugs 12 years of exclusive use before development of generics Page 10
11 Over-The-Counter Products Annual contributions to flexible spending accounts (FSA) will be limited to $2500/yr 13.3 million taxfilers had FSA(s) in 2003 Non-Physician prescribed OTC products Excluded from HRA and health FSA reimbursements. No longer deemed as qualified medical products for tax-free reimbursements through HSA and Archer Medical Savings Account Increased tax from 10 to 20% for non-qualified medical expenses purchased through HSAs Bottom Line: Decreased $$ for a billion dollar industry Page 11
12 Over-The-Counter Products (cont d) Non- Eligible OTC products Antacids Cough, Cough & Flu medicines Anti-Diarrheals Laxatives Sleep Aids Anti-fungals Non-Steroidal Anti-inflammatory Agents Plus more!! Eligible OTC products Non-Eligible products prescribed by physicians. Insulin Page 12
13 Pharmaceutical Industry (cont d) Better reimbursement rates from new AMP definition Deficit Reduction Act of 2005 called for less reimbursement for Medicaid generic drugs Exempt from Medicare DME accreditation if medical equipment sales are < 5% of average Rx sales over 3yrs Otherwise, should meet accreditation standards by Jan 1st, 2011 Expansion of 340b program Covered entities now allowed to contract with multiple pharmacies to provide pharmacy services. Another source of revenue for pharmacies, particularly independents Decreased profits due to increased dispensing of brand name drugs to Part D enrollees, particularly in coverage gap Page 13
14 Pharmaceutical Industry (cont d) Collaboration with Part D plans in dispensing techniques to reduce waste in long term care facilities starting 2012 Daily or weekly dispensing for Part D members in LTC facilities Use of bingo card and cassette dispensing Negotiations between NCPA and CMS to ensure proper dispensing fees are appropriated according to the frequency of dispensing and costs of specialized packaging Opportunity for independent pharmacies to contract with Part D plans due to decreased competition with mail order and retail pharmacies that cannot supply daily or weekly dosing Page 14
15 Impact of HCR on Prescription Drugs Increased Rx volume Enhancements PBMs are the biggest winners New FDA authorized process for generic availability of biologics Grants for reimbursements for MTM services Federal Upper Limit (FUL) pricing calculated by new Average Manufacturer Price (AMP) Contracts with Long Term Care (LTC) facilities for waste reduction Closing of coverage gap from % Restrictions Retiree Drug Subsidy no longer tax deductible income Annual Fees for Pharma Health FSA cap and reimbursement restrictions on OTC products. Excise taxes on medical device manufacturers and importers Increase in Medicaid drug rebate percentage Payments cuts to Medicare Advantage Plans $250 rebate to Part D enrollees in coverage Decreased bargaining power for pharmacy benefit managers due to transparency requirements? Page 15
COMPARING PHARMACY REIMBURSEMENT: MEDICARE PART D TO MEDICAID
Department of Health and Human Services OFFICE OF INSPECTOR GENERAL COMPARING PHARMACY REIMBURSEMENT: MEDICARE PART D TO MEDICAID Daniel R. Levinson Inspector General February 2009 Office of Inspector
More informationRetiree prescription drug program: time to move to an Employer Group Waiver Plan (EGWP)?
Retiree prescription drug program: time to move to an Employer Group Waiver Plan (EGWP)? Gail Levenson and Rich Stover Today s areas of focus Overview of Medicare Part D plan Impact of health care reform
More informationPrescription Drug Coverage for Medicare Beneficiaries: A Summary of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Prescription Drug Coverage for Medicare Beneficiaries: A Summary of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Prepared by Health Policy Alternatives, Inc. for The Henry
More informationE-ALERT Health Care HEALTH CARE REFORM: MEDICAID PRESCRIPTION DRUG REIMBURSEMENT. Executive Summary
E-ALERT Health Care April 2010 HEALTH CARE REFORM: MEDICAID PRESCRIPTION DRUG REIMBURSEMENT On March 23, 2010, President Obama signed into law Pub. L. No. 111-148, the Patient Protection and Affordable
More informationMedicare Part D Prescription Drugs
City of Boston Medicare Part D Prescription Drugs May 10, 2016 Copyright 2016 by The Segal Group, Inc. All rights reserved. Educational Sessions Schedule Medicare RFP and Prescription Drug Review PEC Meeting
More informationMedicare Part D Prescription Drug Coverage
Medicare Part D Prescription Drug Coverage Part 3 Version 7.1 August 1, 2013 Terms and Conditions This training program is protected under United States Copyright laws, 17 U.S.C.A. 101, et seq. and international
More informationMedicare Part D Prescription Drug Coverage
Medicare Part D Prescription Drug Coverage Part 3 Version 9.0 June 22, 2015 Terms and Conditions This training program is protected under United States Copyright laws, 17 U.S.C.A. 101, et seq. and international
More informationUpdate on Medicare Part D: 2009 and Beyond
Update on Medicare Part D: 2009 and Beyond 2009 NACDS Pharmacy & Technology Conference Christine C. Rinn Donald L. Bell, II Outline of Presentation» Introduction/Background on Part D» Trends in Part D»
More informationMedicare Coverage Gap Discount Program (Filling the Donut Hole)
Medicare Coverage Gap Discount Program (Filling the Donut Hole) Summary: Requires drug manufacturers to provide a 50 percent discount to Part D beneficiaries for brand name drugs and biologics purchased
More informationHealth Care Reform Legislation and You
(Customizable space for CPA Firm Logo to go here) Health Care Reform Legislation and You Timelines and Implications of the New Law for Individuals Updated as of January 2011 The Health Care Reform Legislation
More informationMedicare Part D Amounts Will Increase in 2016
April 9, 2015 Medicare Part D Amounts Will Increase in 2016 The Medicare Modernization Act (MMA) requires the Centers for Medicare & Medicaid Services (CMS) to announce each year the Medicare Part D standard
More informationHRA Healthcare FSA What s the difference and how can they work together to benefit you?
Non-Represented Employees Your Health. Take Charge. HRA Healthcare FSA What s the difference and how can they work together to benefit you? A key component and benefit of Sandia Total Health is the Health
More informationBasic Reimbursement - Medicare Part D Specifics
Basic Reimbursement - Medicare Part D Specifics 60889-R8-V1 (c) 2012 Amgen Inc. All rights reserved 2 This information is provided for your background education and is not intended to serve as guidance
More informationThe Impact of Medicare Part D on Pharmacy Benefit Managers
The Impact of Medicare Part D on Pharmacy Benefit Managers Actuaries Club of the Southwest and Southeastern Actuaries Conference Joint Annual Meeting November 17, 2006 Troy M. Filipek, FSA, MAAA Actuary
More informationThe Patient Protection and Affordable Care Act. Implementation Timeline
The Patient Protection and Affordable Care Act Implementation Timeline 2009 Credit to Encourage Investment in New Therapies: A two year temporary credit subject to an overall cap of $1 billion to encourage
More informationMedicare Part D Prescription Drug Coverage
Medicare Part D Prescription Drug Coverage Part 3 Version 6.0 September 25, 2012 Terms and Conditions This training program is protected under United States Copyright laws, 17 U.S.C.A. 101, et seq. and
More informationHealth Reform. Presented by USI Affinity
Health Reform Presented by USI Affinity USI Affinity Introduction USI Affinity has been working with Associations and their members for over 50 years. USI Affinity has offices in Philadelphia, Harrisburg,
More informationPrescription Drug Pricing
Prescription Drug Pricing Anna Cook Julie Somers Julia Christensen Congressional Budget Office January 30, 2009 Manufacturers Shipments of Drugs Through the Supply Chain Key Prices in the Pharmaceutical
More information2016 Group Retiree Medicare Plans
2016 Group Retiree Medicare Plans Blue Cross MedicareRx (PDP) Medicare Part D Prescription Drug Plans Anthem Blue Cross is a stand-alone prescription drug plan with a Medicare contract. Enrollment in Anthem
More informationClosing the Coverage Gap
MEDICARE PRESCRIPTION DRUG COVERAGE JANUARY 2012 Information Pharmacists Can Use on: Closing the Coverage Gap The Affordable Care Act includes provisions to close the Medicare Part D prescription drug
More informationThe Medicare Drug Benefit (Part D)
THE BASICS The Medicare Drug Benefit (Part D) The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) established a voluntary outpatient prescription drug benefit for Medicare
More informationDecreasing Costs. Employee Benefits Tax. Medical Device Excise Tax. What It Is
Decreasing Costs Employee Benefits Tax Starting in 2018, the ACA will impose a 40 percent excise tax on high-value plans, where the value of benefits exceeds thresholds of $10,200 for individuals and $27,500
More informationMedicare Part B vs. Part D
Medicare Part B vs. Part D 60889-R8-V1 (c) 2012 Amgen Inc. All rights reserved 2 This information is provided for your background education and is not intended to serve as guidance for specific coding,
More informationThe Tax Consequences of ObamaCare
BLOG» The IRS and its 46 new powers to enforce ObamaCare June 5, 2013 The power granted to the IRS to enforce ObamaCare s mandates, taxes, penalties, reporting, and other requirements is unprecedented.
More informationHealth care reform at-a-glance. August 2014
Health care reform at-a-glance August 2014 Employer mandate Shared responsibility payment for failing to offer coverage to at least 95%* of all fulltime employees (FTE) and children if any FTE gets subsidy
More informationChristy Tinnes, Brigen Winters and Christine Keller, Groom Law Group, Chartered
Preparing for Health Care Reform A Chronological Guide for Employers This Article provides an overview of the major provisions of health care reform legislation affecting employers and explains the requirements
More information2014 Prescription Drug Schedule Humana Medicare Employer Plan
2014 Prescription Drug Schedule Humana Medicare Employer Plan Option 98 City of Newport News Y0040_GHHHEF3HH14 SECTION I - INTRODUCTION TO SUMMARY OF BENEFITS Thank you for your interest in the Humana
More informationHealth Care Reform Legislation and You
Health Care Reform Legislation and You Timelines and Implications of the New Law for Individuals Updated as of May 2011 Health Care Reform Legislation and You The Patient Protection and Affordable Care
More informationSelected Employer Provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010
Selected Employer Provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 This chart outlines, in depth, selected provisions in the Patient
More informationOverview of Drug Pricing for Public Programs
Overview of Drug Pricing for Public Programs 1 J U L I E C R O S S, I N D E P E N D E N T C O N S U L T A N T A N N E D O N N E L L Y, P R O J E C T I N F O R M A N D F A I R P R I C I N G C O A L I T
More informationBasics of Health Care Reform. What You Should Know
Basics of Health Care Reform What You Should Know The Affordable Care Act (ACA) has resulted in major across the U.S. health care system. This brochure provides an overview and timeline of the that have
More informationAnswers about. Health Care REFORM. for your business
Answers about Health Care REFORM for your business Since the time of its enactment in 2010, the health care reform law has remained controversial at least in part due to a constitutional challenge to the
More informationHealth care reform at-a-glance. December 2013
December 2013 Employer mandate Play or pay penalty for failing to offer coverage to at least 95% of all full-time employees (FTE) and children if any FTE gets subsidy in exchange $2,000 (indexed) times
More informationCUPA-HR New York Metro Chapter Fall Event
CUPA-HR New York Metro Chapter Fall Event Introduction to Panel Discussion on Health Care Reform and Compliance Strategies October 18, 2012 The Compliance Timeline 2011 Plan Year 2011 2012 2013 2014 2018
More informationMEDICARE PART D PRESCRIPTION DRUG COVERAGE 2016
PO Box 350 Willimantic, Connecticut 06226 (860)456-7790 (800)262-4414 1025 Connecticut Ave, NW Suite 709 Washington, DC 20036 (202)293-5760 MEDICARE PART D PRESCRIPTION DRUG COVERAGE 2016 Se habla español
More informationWill the ASP data submitted to CMS be releasable to the public?
FAQ Results Please be advised that these FAQs were generated from a database that is updated frequently. For the most up-to-date information, please visit http://questions.cms.hhs.gov. Date: 2/24/2010
More informationAffordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion
Affordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion Table of Contents Expanded Coverage... 2 Health Insurance Exchanges... 3 Medicaid Expansion... 8 Novartis Pharmaceuticals Corporation
More informationHealth Care Reform Frequently Asked Questions
Health Care Reform Frequently Asked Questions On March 23, 2010, President Obama signed federal health care reform into law, also known as the Patient Protection and Affordability Act. A second, or reconciliation
More informationHealth Reimbursement Arrangement (HRA).
Retiree benefits 1 Retiree benefits Health Reimbursement Arrangement (HRA). Benefits for Union Pacific s Medicare-eligible retirees and their Medicare- eligible spouses and/or dependents. 2 Union pacific
More informationHealth-Related Revenue Provisions in the Patient Protection and Affordable Care Act (P.L. 111-148)
Health-Related Revenue Provisions in the Patient Protection and Affordable Care Act (P.L. 111-148) Janemarie Mulvey Specialist in Aging Policy April 8, 2010 Congressional Research Service CRS Report for
More informationPublic comments on these options will be due May 26, 2009 to the following address: Health_Reform@finance-dem.senate.gov
Summary of Policy Options Financing Comprehensive Health Care Reform: Proposed Health System Savings and Revenue Options Senate Finance Committee May 20, 2009 Public comments on these options will be due
More informationHealth Care Reform and You
Health Care Reform and You Timelines and Implications of the Law for Individuals Updated as of December 2013 Health Care Reform and You The Patient Protection and Affordable Care Act and the Health Care
More informationAdvisory. The Health Care Reform Bill: How Will Its Tax Provisions Impact You and Your Business? April 2010. Impact on Employers
certified public accountants business consultants Advisory April 2010 The Health Care Reform Bill: How Will Its Tax Provisions Impact You and Your Business? The recently passed Patient Protection and Affordable
More informationTHE A,B,C,D S OF MEDICARE
THE A,B,C,D S OF MEDICARE An important resource for understanding your healthcare in retirement What you need to know for 2014 How Medicare works What Medicare covers How much Medicare costs INTRODUCTION
More informationEstimated Impact of Medicare Part D On Retiree Prescription Drug Costs
Estimated Impact of Medicare Part D On Retiree Prescription Drug Costs By Richard Marchel, FSA, MAAA Kevin Dolsky, FSA, MAAA Table of Contents Sections I. Description and Purpose... 1 II. Data and Methodology...
More informationHealth Care Reform and You
Health Care Reform and You Timelines and Implications of the Law for Individuals Updated as of February 2016 Health Care Reform and You The Patient Protection and Affordable Care Act and the Health Care
More informationPatient Protection and Affordable Care Act (H.R. 3590)
on Health Reform Passing comprehensive health care reform has been a priority of the President and Congress. The U.S. House of Representatives passed the Affordable Health Care for America Act on November
More informationPresented by Scott Day State Treasurer of the Kansas Association of Health Underwriters
Reform Provisions and their effective dates Outline of Health Insurance Reforms that Will Impact Private Health Insurance Coverage under H.R. 3590, the Patient Protection and Affordable Care Act and H.R.
More informationMedicare Part D Retiree Drug Subsidy (RDS): Impact of Health Care Reform Legislation
RDS vs. EGWP White Paper Medicare Part D Retiree Drug Subsidy (RDS): Impact of Health Care Reform Legislation Is now the right time to switch to an Employer Group Waiver Plan (EGWP)? EGWPWP13R Affinity
More informationRetiree Health Care Strategy
Retiree Health Care Strategy Medicare Part D Prescription Drug Coverage for Montgomery County Government Retirees June 4, 2014 Prepared by Consulting Health & Benefits Retirement Medicare Retirees Prescription
More informationTimeline of New Health Care Law and Its Impact on American Businesses
Timeline of New Health Care Law and Its Impact on American Businesses Summaries of the Patient Protection and Affordable Health Care Act (Public Law 111-148) Health Care and Education Reconciliation Act
More informationAn Update on Acquisition Cost Based Reimbursement Models. Jerry Brehany, PharmD, PA-C, JD AVP Pharmacy Services
An Update on Acquisition Cost Based Reimbursement Models Jerry Brehany, PharmD, PA-C, JD AVP Pharmacy Services Agenda Review current prescription drug pricing benchmarks Discuss new Acquisition Cost based
More informationHealth Care Reform and You
Health Care Reform and You Timelines and Implications of the Law for Individuals Updated as of January 2015 Health Care Reform and You The Patient Protection and Affordable Care Act and the Health Care
More informationPart D payment system
Part D payment system paymentbasics Revised: October 204 This document does not reflect proposed legislation or regulatory actions. 425 I Street, NW Suite 70 Washington, DC 2000 ph: 202-220-3700 fax: 202-220-3759
More informationABC Company 123 Main Street Anywhere, USA 12345 www.sampleabccompany.com 800.123.4567
WHAT HEALTH CARE REFORM MEANS FOR YOUR BUSINESS Your promotional imprint here and/or back cover. ABC Company 123 Main Street Anywhere, USA 12345 www.sampleabccompany.com 800.123.4567 The Patient Protection
More informationMedicare Part D Creditable Coverage
Medicare Part D Creditable Coverage What employers need to do If you are an employer (Plan Sponsor) who will be offering prescription drug coverage to any Medicare Eligible individuals in 2012, you are
More informationHEALTH CARE REFORM AND STOP LOSS INSURANCE APRIL, 2013
HEALTH CARE REFORM AND STOP LOSS INSURANCE APRIL, 2013 Bruce A. Richards, FSA, MAAA, FCA Partner, Chief Healthcare Actuary & Quality Leader Mercer Health and Benefits, LLC Richmond Key Elements of Health
More informationClosing the Coverage Gap
MEDICARE PRESCRIPTION DRUG COVERAGE REVISED MAY 2013 Information Pharmacists Can Use on: Closing the Coverage Gap The Affordable Care Act includes provisions to close the Medicare Part D prescription drug
More informationImportant Effective Dates for Employers and Health Plans
Brought to you by Sullivan Benefits Important Effective Dates for Employers and Health Plans On March 23, 2010, President Obama signed the health care reform bill, or Affordable Care Act (ACA), into law.
More informationInSight. A Littler Mendelson Report. Health Care Reform: Are You Prepared? A Timeline for Employers to Follow
A Littler Mendelson Report InSight An Analysis of Recent Developments & Trends In This Issue: April 2010 The Patient Protection and Affordable Care Act was signed into law on March 23, 2010. Amendments
More informationIntroduction. Plan sponsors include employers, unions, trust funds, associations and government agencies, and are also referred to as payors.
Maintaining the Affordability of the Prescription Drug Benefit: How Managed Care Organizations Secure Price Concessions from Pharmaceutical Manufacturers Introduction The purpose of this paper is to explain
More informationHealth Care Reform Checklist: Provisions, Obstacles and Solutions
Health Care Reform Checklist: Provisions, Obstacles and Solutions HEALTH CARE REFORM PROVISION: COVERAGE FOR CHILDREN UNTIL AGE 26 Summary of Benefit: Benefits are the same as those for other dependent
More informationMedicare: Humana s Strategic Actuarial Positioning John M. Bertko, F.S.A., M.A.A.A.
Medicare: Humana s Strategic Actuarial Positioning John M. Bertko, F.S.A., M.A.A.A. Vice President and Chief Actuary Humana Inc. 1 Cautionary Statement This presentation is intended for instructional purposes
More informationHealth care reform is once again
Marjorie M. Glover and Rachel M. Kurth Employee Benefit Plan Review Reprinted from April 2010 Health Care Reform: How It May Impact Employers, Employees, and Benefit Plans Health care reform is once again
More informationHealth Savings Accounts & High Deductible Health Plans
Health Savings Accounts & High Deductible Health Plans Definitions Consumer Driven Health Plan ( CDHP ) A health insurance plan designed to give you more control over your health care spending. CDHPs incorporate
More information340B Drug Pricing Program
340B Drug Pricing Program Chad E. Gay Director of Contract Compliance Agenda Discuss the 340B drug pricing program How the program is defined Who is eligible Enrollment Dates to be aware of Source Documentation
More information2013 SUMMARY OF BENEFITS
22222 2013 SUMMARY OF BENEFITS Plus Prescription Drug Plans S5670 S5768 Y0022_PDP_2013_S5670_036_S5768_009_S5768_129SBa Accepted FH13SB06VP2 22 SECTION I INTRODUCTION TO SUMMARY OF BENEFITS Thank you for
More informationOffice of Inspector General (OIG) Compliance Recommendations for Medicare Part D
Office of Inspector General (OIG) Compliance Recommendations for Medicare Part D Presented by Rachael A. Ream 216.513.1314 rream@hallrender.com Conflict of Interest Statement My hsuband received a $100
More informationHealth Reform and Health Accounts
Health Reform and Health Accounts April 2011 Summary of Legislation Key elements of the health reform laws, the Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation
More informationHealth Reimbursement Arrangements
Health Reimbursement Arrangements Health Reimbursement Arrangements (HRAs) are plans designed to help employers and employees lower health care costs. Allowed under sections 105 and 106 of the Internal
More informationRETIREE BENEFITS Health Reimbursement Arrangement (HRA).
RETIREE BENEFITS 1 RETIREE BENEFITS Health Reimbursement Arrangement (HRA). Benefits for Union Pacific s Medicare-eligible retirees and their Medicare- eligible spouses and/or dependents. 2 UNION PACIFIC
More informationChart: Key employer health care reform elements
Chart: Key employer health care reform elements Health care reform with major implications for employers has now become law, with a package of revisions heading for Senate action. The approved measure
More informationHSA 101: A Basic Introduction to Health Savings Accounts
HSA 101: A Basic Introduction to Health Savings Accounts Consumer-Driven Healthcare Thinking about, or already enrolled in an HSA-qualified health plan? Learn everything you need to know starting with
More informationNovember 4, 2010. Honorable Paul Ryan Ranking Member Committee on the Budget U.S. House of Representatives Washington, DC 20515.
CONGRESSIONAL BUDGET OFFICE U.S. Congress Washington, DC 20515 Douglas W. Elmendorf, Director November 4, 2010 Honorable Paul Ryan Ranking Member Committee on the Budget U.S. House of Representatives Washington,
More informationSummary of Benefits. (PDP), Blue MedicareRx Plus SM. (PDP) and Blue MedicareRx Premier SM
Summary of Benefits for SM, Plus SM and Premier SM Available in Maine and New Hampshire A -approved Part D sponsor. Anthem Insurance Companies, Inc. (AICI) is the legal entity who has contracted with the
More informationFAQs: Health Savings Accounts
What is a Health Savings Account? A Health Savings Account (HSA) is a savings product that allows individuals to pay for current qualified medical expenses and save toward future medical expenses on a
More informationExtend Health. New Health Coverage with More Choices
Extend Health New Health Coverage with More Choices Get ready for a new approach to health coverage with more flexibility to choose a plan that fits your needs. Effective January 1, 2013, health care benefits
More informationTHE NELSON TRUST WWW.NELSON.AIBPA.COM
December 28, 2012 Please read this notice carefully. This Notice contains important information regarding your coverage under The Nelson Trust Medicare Retiree Plan, effective April 1, 2013. You need to
More informationImportant Effective Dates for Employers and Health Plans
Brought to you by Krempa Associates, Inc. Important Effective Dates for Employers and Health Plans On March 23, 2010, President Obama signed the health care reform bill, or Affordable Care Act (ACA), into
More informationPR SPERITY, INC Smart Data Confident Decisions Better Results
PR SPERITY, INC Smart Data Confident Decisions Better Results Health Care Reform and You Timelines and Implications of the Law for Individuals Updated as of August 2012 Health Care Reform and You The
More informationACA Implementation Timeline
ACA Implementation Timeline Published: March 5, 2013 Updated: July 5, 2013 Producer: Sophie Novack Director: Jessica Guzik National Journal Presentation Credits Most ACA Reforms Implemented 2013-2014 Jan.
More information2012 Summary of Benefits
2012 Summary of Benefits 1 / Value Orange Drug Plan North Carolina Benefits effective January 1, 2012 S5678 Health Net Life Insurance Company Material ID# S5678_2012_0058 CMS Approved 08152011 SECTION
More informationIowa Medicaid Enterprise Average Actual Acquisition Cost Reimbursement Frequently Asked Questions
Iowa Medicaid Enterprise Average Actual Acquisition Cost Reimbursement Frequently Asked Questions What are Average Actual Acquisition Cost (AAC) rates? Average Actual Acquisition Cost (AAC) rates are based
More informationBankers Insurance, LLC Your Health Care Reform Partner
Bankers Insurance, LLC Your Health Care Reform Partner Are you in compliance with health care reform regulations? We can help you stay on top of health care reform to avoid penalties from legislative briefs
More information2013 SUMMARY OF BENEFITS
2013 SUMMARY OF BENEFITS Plus Prescription Drug Plans S5670 S5768 Y0022_PDP_2013_S5670_138_S5768_119_S5768_150_SBb Accepted FH13SB935 SECTION I INTRODUCTION TO SUMMARY OF BENEFITS Thank you for your interest
More informationImportant Effective Dates for Employers and Health Plans
Brought to you by Hipskind Seyfarth Risk Solutions Important Effective Dates for Employers and Health Plans On March 23, 2010, President Obama signed the health care reform bill, or Affordable Care Act
More informationwww.booneinsuranceassociates.com Copyright by BIA 1 MEDICARE MADE SIMPLE BIA 1/14/2016 Boone Insurance Associates Education Guide: New
www.booneinsuranceassociates.com Copyright by 1 MEDICARE MADE SIMPLE Boone Insurance Associates Education Guide: New Today s Agenda 2 About Introduction & History of Medicare Medicare Parts A, B, C, D
More informationHealth Reform. Health Reform
FOCUS on on HEALTH REFORM IMPLEMENTATION TIMELINE On March 23, 2010, President Obama signed comprehensive health reform, the Patient Protection and Affordable Care Act, into law. The following timeline
More informationIssue Brief: Medicare Drug Discount Card. May 2004
Issue Brief: Medicare Drug Discount Card May 2004 Oregon Health Policy and Research If you would like additional copies of this report, or if you need this material in an alternate format, please call
More informationHealth Savings Accounts
Raymond James & Associates, Inc. Anne Bedinger, WMS Vice President, Investments 2255 Glades Road, Suite 120-A Boca Raton, FL 33431 561-981-3661 800-327-1055 Anne.Bedinger@RaymondJames.com www.annebedinger.com
More informationHealth Care Reform. Employer Action Overview
Health Care Reform Page 1 of 6 Health Care Reform Immediatemmediate Employer Action Required Notes Employers must provide a reasonable break time for employees who are nursing mothers to express breast
More informationHealth Savings Account HSA Summary
Health Savings Account HSA Summary Effective January 1, 2016 TABLE OF CONTENTS INTRODUCTION... 3 WHO IS ELIGIBLE... 3 IRS REQUIREMENTS... 3 WHEN IS ELIGIBILITY DETERMINED?... 3 DO MY SPOUSE & I ESTABLISH
More informationYour guide to health care reform provisions
Your guide to health care reform provisions February 2014 edition Since the Patient Protection and Affordable Care Act (PPACA) was enacted in March 2010, businesses have been impacted by federal health
More informationHealth Care Reform Management Alert Series Roadmap of Plan Changes Needed For Upcoming Plan Years
Health Care Reform Management Alert Series Roadmap of Plan Changes Needed For Upcoming Plan Years Seyfarth Shaw has generously given permission to Lawyers Alliance for New York to circulate this chart
More informationHow Emeriti's Medical Plans Work With Medicare
POST65NATPCC 2015 Post-65 Medical and Rx Comparison Chart National Group Insurance Options Underwritten by Aetna Emeriti offers two types of medical plans aligning in different ways with Medicare Parts
More informationGENERIC DRUG UTILIZATION IN
Department of Health and Human Services OFFICE OF INSPECTOR GENERAL GENERIC DRUG UTILIZATION IN THE MEDICARE PART D PROGRAM Daniel R. Levinson Inspector General November 2007 OEI-05-07-00130 Office of
More informationWhen Reform Will Affect You
When Reform Will Affect You N AV I G AT I N G T H R O U G H T H E N E W F E D E R A L H E A LT H C A R E L A W Dear Colleague, In March, the Patient Protection and Affordable Care Act (PPACA) was signed
More informationPrescription Drug Coverage. Presented by: Medigap Part D & Prescription Drug Helpline Board on Aging & Long Term Care A Wisconsin SHIP
Prescription Drug Coverage Presented by: Medigap Part D & Prescription Drug Helpline Board on Aging & Long Term Care A Wisconsin SHIP Medicare Part A Prescription Drug Coverage Part A generally pays for
More informationOhio Health Benefits LLC. Your health insurance partner!!
December 16, 2014 Presented by Steve Clark & Scott Prior Patient Protection and Affordable Care Act of 2010 Obamacare or ACA or PPACA or Health Care Reform (HCR) Signed in to law on March 23, 2010 The
More informationMedicare Part D & Ryan White HIV/AIDS Program As of November 2008
Medicare Part D & Ryan White HIV/AIDS Program As of November 2008 The below discussion can guide Ryan White HIV/AIDS programs in understanding implications of the Medicare Part D prescription drug benefit
More information