Cost Containment and the Patient Protection and Affordable Care Act

Cost Containment and the Patient Protection and Affordable Care Act

Gainsharing and the Patient Protection and Affordable Care Act.

“Gainsharing” is a business practice that can reduce costs and increase efficiency while engaging and rewarding front-line workers, those who work most directly with customers or with the product a company manufactures. Although the practice reportedly began as early as the nineteenth century, it became popular in the 1930s in the steel manufacturing industry. While several different forms of p...

The Era of Patient Protection and the Affordable Care Act

On June 28, 2012 the United States Supreme Court upheld the Patient Rights and Affordable Care Act (ACA), which was signed into law by President Barack Obama in 2010. The individual mandate and the extension of Medicaid eligibility are the primary components of ACA and have drawn a great deal of attention from the media and public. However, little attention has focused on how ACA will affect ve...

Patient Protection and Affordable Care Act; Actuarial Value Calculator Methodology

In the Essential Health Benefits, Actuarial Value, and Accreditation final rule, published in the Federal Register, HHS requires use of an AV Calculator by non-grandfathered health insurance plans offered in the individual and small group markets, both inside and outside of the Affordable Insurance Exchanges (Exchanges) for the purposes of determining levels of coverage. Section 1302(d)(2)(A) o...

Patient Protection and Affordable Care Act; Minimum Value Calculator Methodology

This document is accompanying the Minimum Value Calculator, which is being released in conjunction with the final rule for determining minimum value, finalized as 45 CFR 156.145. The options for calculating minimum value are outlined in the final rule, Patient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation, published in the...