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Health Care Reform Preparedness: Where Do We Go From Here?


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As we close out our last Health Care Reform Preparedness event in the series, hear the latest
legislative updates and discuss strategies in preparing for the changes with your fellow business
leaders. This interactive session will leave you with actionable, easy-to-implement approaches for
setting your business up for success as we head into the changing landscape of health care.

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Health Care Reform Preparedness: Where Do We Go From Here?

  1. 1. HEALTH CARE REFORM PREPAREDNESS 106: Where Do We Go From Here? Brought to you by:
  2. 2. What Have We Learned? Recap of Previous Sessions 2 Health Care Reform Preparednes s 102: An Employer’s Pocket Guide • Health Care Cost Trends • Small Employer Tax Credits • Grandfathered Plans • No Pre-ex for Children • Kids covered up to age 26 • Preventative care provided with no cost sharing including free contraceptives • Must report value of health coverage on W2 • New SBC format for easier plan comparisons • Health FSA now limited to $2,500
  3. 3. What Have We Learned? Recap of Previous Sessions 3 Health Care Reform Preparednes s 103: Post Election Direction • Health insurance mandate • Medicaid expansion • Release of preventive care guidelines (FAQ’s) • 90 day waiting period clarified • Aggregation rules apply • Safe harbor definition for seasonal / variable workers • $2000 deductible limit will be imposed
  4. 4. What Have We Learned? Recap of Previous Sessions 4 Health Care Reform Preparednes s 104: State of the Exchange • 18 states with state based exchanges, 26 with federal exchanges, 7 with partnership exchanges • Colorado exchange marketplace- Connect for Health Colorado- Open enrollment starts 10/1 for 1/1/14 • For individuals and small businesses with 2-50 employees • Can use the assistance of a licensed/ certified broker or a certified navigator • Subsidies, cost sharing assistance, tax credits • Multiple carrier choice • Consolidated administration for small businesses • Comprehensive coverage- Metal Tiers • Penalties
  5. 5. What Have We Learned? Recap of Previous Sessions 5 Health Care Reform Preparednes s 105: Reducing Health Care Costs in a post-reform world • Health care spending and cost trends • Getting strategic about your plan designs • Alternate funding arrangements and consumer directed health plans (self-funding, HSA, HRA) • Wellness strategy • Proactive planning
  6. 6. • Wellness Incentive Regs – Effective 1/1/2014 • Two Types – Participatory – Health Contingent • Activity Only • Outcome-based • Require some minimum design qualifications so as to not violate HIPAA • Need proactive plan designs before 2014 Regulatory Updates
  7. 7. • Annual Reporting • Impact of sequestration on tax credits • Are you large or not? – Control Group Rules – Variable and PT Employees • Affordability and Minimum Value – Whose job is it? Reminders
  8. 8. Group Break Out Sessions 1. Introduce yourself 2. Share best practices 3. Take notes 4. Share out
  9. 9. QUESTION 1 What is the largest impact of health care reform on your business?
  10. 10. QUESTION 2 What is your health care strategy?
  11. 11. • Health benefits are going to change, but YOU are an expert! • You have been armed with the knowledge to take control of your health care costs and be successful in this new world of employee benefits! • You have trusted advisors and resources at your fingertips – Your broker, your carrier partners, the SBDC Wrap Up
  12. 12. Brought to you by: QUESTIONS? Eden Ripingill Kaiser Permanente Colorado (303) 306-2561 Tonya Kimrey Fall River Employee Benefits (303) 369-3200 Dean Heizer Heizer | Paul | Grueskin LLP (303) 376-3705