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State challenges health care reform law's reinsurance fee

By: Jerry Geisel

Published January 26, 2015 - 3:24pm CST

The state of Ohio and several Ohio public entities, including universities, filed suit Monday in federal court challenging as unconstitutional a health care reform law-authorized program that requires employers to pay billions of dollars to the federal government.

U.S. Supreme Court rules for employer in retiree benefits fight

Published January 26, 2015 - 11:46am CST

(Reuters) — The U.S. Supreme Court on Monday sided with a company that amended a collective bargaining agreement to force retirees to pay toward health care costs.

Mental illness disability claims require specialized input

By: Matt Dunning

Published January 23, 2015 - 4:40pm CST

PHILADELPHIA — More often than not, effective management of disability insurance claims related to mental illness requires a specialized understanding of the comorbid relationships they share with physical medical conditions.

Injured worker's disability benefits stopped after treatment plateaus

By: Stephanie Goldberg

Published January 22, 2015 - 2:23pm CST

A woman who reached maximum medical improvement after treatment for a work-related injury is no longer entitled to temporary total disability benefits despite ongoing treatment authorized by the Ohio Bureau of Workers’ Compensation, the state Supreme Court has ruled.

Dead worker's estate can't collect on liability policy

By: Sheena Harrison

Published January 22, 2015 - 2:04pm CST

The 11th U.S. Circuit Court of Appeals on Thursday found that Florida's workers comp exclusive remedy provision prevents a $9.5 million liability judgment from being paid by an insurer to the estate of a Florida worker killed on the job.

Republicans move to kill health reform law's individual mandate

By: Paul Demko, Modern Healthcare

Published January 22, 2015 - 9:13am CST

Legislation that would eliminate the health reform law's mandate for most Americans to buy insurance was introduced Wednesday by a pair of senators running the committees with the most influence over health care issues.

Federal health exchange enrollment hits 7.1 million

By: Jerry Geisel

Published January 21, 2015 - 3:12pm CST

More than 7.1 million individuals signed up for health insurance plans through the federal exchange during the first nine weeks of the 2015 open enrollment season, the U.S. Department of Health and Human Services reported Wednesday.

Huge price gaps for hip, knee replacements 'seemingly random'

Published January 21, 2015 - 2:23pm CST

(Reuters) — Hip and knee replacements, two of the fastest-growing U.S. medical procedures, are subject to huge — and apparently random — price variations within the same geographical areas.

Obama says Affordable Care Act is key to economic recovery

By: Paul Demko, Modern Healthcare

Published January 21, 2015 - 8:52am CST

President Barack Obama described the Affordable Care Act as part of the fabric of middle-class economic recovery as he delivered a State of the Union address to a Republican-controlled Congress intent on dismantling the law.

UnitedHealth ends 2014 with sizable profit

By: Bob Herman, Modern Healthcare

Published January 21, 2015 - 8:37am CST

UnitedHealth Group Inc. beat the predictions of Wall Street analysts in the fourth quarter of 2014 in what turned out to be a better-than-expected year for the health insurer.

Medical marijuana deemed 'reasonable and necessary' in N.M. workers comp case

By: Sheena Harrison

Published January 20, 2015 - 2:48pm CST

Medical marijuana should be classified as “reasonable and necessary medical care” and paid for under a New Mexico man's workers compensation claim, the New Mexico Court of Appeals ruled last week.

Employers working hard on healthcare reform, employee benefits

Published January 19, 2015 - 6:00am CST

In our latest In Focus video, we take a look at how the Affordable Care Act is affecting the health care coverage employers are offering to employees and retirees.

More employers use workplace wellness programs to reward healthy behavior

By: Matt Dunning

Published January 18, 2015 - 6:00am CST

As employers pursue effective workplace wellness programs, their embrace of results-based financial incentives and other emerging health management strategies is likely to broaden this year.

Republicans take aim at health care reform law with proposed revisions

By: Jerry Geisel

Published January 18, 2015 - 6:00am CST

Republican-backed proposals to amend the health care reform law will not share the same fate as those in prior congressional sessions, as the GOP regained control of the U.S. Senate after the November elections while adding to their majority in the House.

Employers strive to control health costs in anticipation of 2018 excise tax

By: Karen Pallarito

Published January 18, 2015 - 6:00am CST

Most large and midsize employers that offer health insurance to their employees are maintaining it this year, but they're still looking to limit their costs.

Guidance on 'Cadillac tax' and other health reform rules still needed

By: Jerry Geisel

Published January 18, 2015 - 6:00am CST

Employers still are waiting for regulatory guidance to help them comply with several key provisions of the health care reform law.

Supreme Court ruling on subsidies will impact health reform implementation

By: Matt Dunning

Published January 18, 2015 - 6:00am CST

For a third consecutive year, the U.S. Supreme Court in 2015 finds itself positioned to determine the fate of the federal health care reform law. On March 4, the high court will hear oral arguments in David King et al. v. Sylvia Mathews Burwell et al.

Supreme Court to rule on same-sex marriage this term

By: Matt Dunning

Published January 16, 2015 - 4:54pm CST

The U.S. Supreme Court will weigh the question of whether state-level bans on same-sex marriage violate the U.S. Constitution before the end of its current term.

Health care executives say health care reform is not going anywhere

Published January 16, 2015 - 10:56am CST

(Reuters) — U.S. health care executives say the Patient Protection and Affordable Care Act is likely here to stay, despite repeated calls from Republican lawmakers for its repeal.

Dallas Salisbury to step down as head of Employee Benefit Research Institute

By: Jerry Geisel

Published January 15, 2015 - 10:42am CST

Dallas Salisbury, the first and only head of the Employee Benefit Research Institute since the organization was launched in 1978, will relinquish that position at the end of 2015 and become EBRI's president emeritus.

FDA approves EnteroMedics' medical device to treat obesity

Published January 14, 2015 - 1:02pm CST

(Reuters) — The Food and Drug Administration said on Wednesday it has approved a new device to treat obesity, the first since 2007, sending shares of its maker, EnteroMedics Inc., up as much as 74%.

Federal health exchange enrollment nearly 6.8 million: HHS

By: Jerry Geisel

Published January 14, 2015 - 1:00pm CST

Nearly 6.8 million individuals signed up for health insurance plans through the federal exchange during the first eight weeks of the 2015 open enrollment season, HHS reported Wednesday.

Number of new California health exchange enrollees continues to grow

By: Jerry Geisel

Published January 14, 2015 - 9:35am CST

California, which has the biggest public health insurance exchange, says enrollment for 2015 continues to surge.

Senate support grows for bill redefining ACA full-time work week to 40 hours

By: Jerry Geisel

Published January 13, 2015 - 4:26pm CST

Following approval last week by the House of Representatives, legislation that would ease the health care reform law's definition of a full-time employee is quickly picking up support in the Senate.

Sarah Pacini named CEO of Cooperative of American Physicians

By: Shelby Livingston

Published January 13, 2015 - 11:43am CST

The Cooperative of American Physicians Inc. has named Sarah E. Pacini as CEO, effective Feb. 1.

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