Podcasts about ppaca

Can you believe the Affordable Care Act is turning 15 years old this weekend?! And oh boy, it's acting like a moody teenager.Join me as I sit down with super lawyer Marilyn Monahan, widely considered an expert on the ACA—whether you call it PPACA, Obamacare, or the Health Care Reform Bill. We're diving into the biggest mistakes that are still tripping up employers, including some sneaky ERISA and benefits law landmines.About the Show:The H.I.T. Podcast (Powered by Montage Insurance Solutions): A thought leader in the space, curating the top news and information to deliver a brief, high impact overview designed specifically for the Human Resources professional, business person, and company executive.Find out more here: www.hitpodcast.comSpecial thanks to our Platinum Sponsors: TruHu AND Excel Health PlansThank you to Rula. Visit: www.rula.com/HITpodcastThank you to our Gold Sponsors: Kingdom Legacy Benefits (KLB) AND CignaDon't forget to like, comment, and subscribe for more game-changing insights!

Tom's guest on Northeast Delta Dental Radio this week is Susan L. Combs, CEO, Combs & Company, PPACA, ChHC, REBC. She is also the founder of the nonprofit initiative, Pancakes for Roger. Inspired by Susan's father's last request for pancakes, the initiative benefits the veteran community. Additionally, Susan discusses her book, Pancakes for Roger which offers life lessons and mentorship, while emphasizing the importance of connecting veterans with necessary resources.

It's that time!! Year-end means lots of things but chiefly annoyingly amongst them is the PPACA reporting! In this episode we provide a brief overview of forms 1094/1095 B and C including a dive into the 1 & 2 series codes, the values to put into line 15 and all things needed for anyone tasked with this employer mandate!About the Show:The H.I.T. Podcast, Ep #1 (Powered by Montage Insurance Solutions): A thought leader in the space, curating the top news and information to deliver a brief, high impact overview designed specifically for the Human Resources professional, business person, and company executive.Find out more here: www.hitpodcast.comThank you to our Sponsors: Kingdom Legacy Benefits (KLB), Cigna and Equitable!

In this episode I discuss a brief history of the PPACA, pillars and key aspects of the health law, and a New England Journal of Medicine article that provided a 10-year review of the PPACA.

This week I'm honored to have Jen LaTour join me on The Broker's Voice. Jen is the Vice President, Client Engagement with MZQ Consulting, LLC. I wanted to have Jen to tell her story and talk about all things ACA. So many health insurance advisers are asleep at the wheel when it comes to compliance. The requirements are still alive and well and the fines can be lofty. If you're a health insurance adviser and you know you need a refresher on compliance reports so you're clients aren't left out in the dark, this is a great episode fore you! Connect with Jen on LinkedIn Learn more about MZQ Consulting HERE Let's connect: LinkedIn andyneary.com

At a Convention of the Medical Committee for Human Rights held in Chicago in March 1966, Martin Luther King Jr declared: “Of all the forms of inequality, injustice in health care is the most shocking and inhumane”,1 and in the Institute of Medicine report “Crossing the Quality Chasm: A New Health System for the 21st ...PPACA Looks Promising For Dementia Patients The PPACA will continue to improve the healthcare system for all American medical patients, especially the elderly with dementia. While educational programs, quality of care and the affordability of insurance coverage are all being improved, another, more forward-facing aspect of the PPACA is helping drive the possibility of fuller recovery. The PPACA-created Cures Acceleration Network, devoted to developing effective cures for conditions such as dementia, may one day yield a discovery making long-term treatment of dementia unnecessary.

There are lists upon lists of hospital rankings. But there's one list you'll certaintly want your hospital to avoid.A report from Johns Hopkins University has revealed that many of America's top 100 hospitals are using predatory tactics to pursue lawsuits against patients. Highlighting this list are government hospitals as well as nonprofit health systems called out for hounding patients to collect debt for services provided.The Patient Protection and Affordable Care Act (PPACA), which survived a third challenge in the U.S. Supreme Court recently, specifically bars hospitals from engaging in this type of behavior.“(This) may be a good time to relook at your financial assistance policy and ensure you are following appropriate guidelines according to the PPACA, particularly if your institution is a nonprofit,” says Tiffany Ferguson, who will report on the story during the next live edition of Monitor Mondays. “Remember that financial assistance is applied to all emergency and medically necessary care in the hospital facility.”Other segments to be featured during the live broadcast include the following:Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will return to make his Monday Rounds with another installment of his popular segment.RAC Report: Healthcare attorney Knicole Emanuel, a partner at the law firm of Practus, will file the Monitor Mondays RAC Report.Risky Business:  Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment, reporting on legal implications facing healthcare providers. Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, will report on the latest healthcare regulatory news coming out of Washington, D.C.Social Determinants of Health: Ellen Fink-Samnick, a nationally recognized expert on the social determinants of health (SDoH), will report on the latest news that's occurring at the intersection of healthcare and socioeconomics. Ellen will also conduct the Monitor Mondays Listeners Survey.

#015 Learn how Hospital Price Transparency rule, as directed by Obamacare,  Trump administration rule and Biden administration execution,  will  help you take control and save on your health insurance  premiums and out of pocket costs.As of January 1, 2021, hospitals must publish and provide consumers the price of the services before providing their services.You, the consumer and patient, need to ask (demand...nicely) that the doctor inform you of the cost of the procedure before you agree to undergo the procedure or otherwise be treated by the doctor.  The CMS asks you to report complaints if you do not get what you expect.Visit CMS Hospital Price Transparency pageVisit healthcare.gov Patient Protection Affordable Care Act pagesNo different than anything else you buy, you should want to comparison shop.  And the information to comparison shop should now be readily available from the doctor.Why shouldn't you see a menu of prices for services provided by hospitals?  The answer is you should!  And you should demand it if you don't!  Or at least find another hospital that does, like Surgery Center of Oklahoma.....they publish their prices!  You may just find that a short plane ride to Oklahoma City for surgery is cheaper than staying home where they won't tell you what it will cost.....wonder why they won't tell you.......!  #makethemcompeteUnfortunately, the way that some hospitals are attempting to comply with the transparency law leaves much to be desired.  I am confident that market competition from yet-to-be-discovered sources will find great opportunity in the incumbent's complacency in much the same way that a guy selling books forever changed the way we purchase all kinds of items from lots of now defunct retail stores.In the next episode, we'll cover how insurance companies address transparency and what you need from them.As always, thanks for listening!  Tell your colleagues, friends and family about Doxcost!  Follow on Twitter @doxcost and at doxcost.com

Existing federal law, the federal Patient Protection and Affordable Care Act (PPACA), requires each state to establish an American Health Benefit Exchange to facilitate the purchase of qualified health benefit plans by qualified individuals and qualified small employers. PPACA defines a “qualified health plan” as a plan that, among other requirements, provides an essential health benefits package. Existing state law creates the California Health Benefit Exchange, also known as Covered California, to facilitate the enrollment of qualified individuals and qualified small employers in qualified health plans as required under PPACA. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthmatters.substack.com

Sam and Emma host HuffPost journalist Jonathan Cohn on his new book The Ten Year War: Obamacare and the Unfinished Crusade for Universal Coverage on the last decade of healthcare debate in America and what lies ahead. Sam, Emma, and Jonathan begin their conversation discussing the failures of the Clinton healthcare bill from the first Clinton administration and what was learned from its failures. Cohn traces how healthcare expansion and legislation moved through the Democratic leadership and through the 2008 primary and subsequent legislative committees before becoming the PPACA at the beginning of Obama's first term. The interview concludes with Cohn giving his assessment on And in the Fun Half: a game of chicken within the Democratic leadership, Jon from San Antonio challenges Sam on independent voters, holding Joe Biden accountable for not holding MBS accountable, CPAC conservatives are done with Fox News, conservatism is pure spectacle, everything is downstream from cancel culture, plus your calls and IMs! Become a member at JoinTheMajorityReport.com https://shop.majorityreportradio.com/ (Merch issues and concerns can be addressed here: majorityreportstore@mirrorimage.com) The AM Quickie is now on YouTube Subscribe to the AM Quickie at https://fans.fm/amquickie Make the AMQ part of your Alexa Flash Briefing too! You can now watch the livestream on Twitch Check out today's sponsors: Future Hindsight: Each week they’ll explore how the legacy of colonialism still permeates our country, and how we can rectify it. This week they explore the role of unconscious bias in early childhood education, and how it can set kids up for failure before school even starts. Listen to Future Hindsight wherever you get your podcasts. Magic Spoon is a new cereal company that’s discovered a way to recreate your favorite childhood cereals with 0 sugar, 12 grams of protein, and only 3 net grams of carbs in each serving. Go to magicspoon.com/majorityreport to grab a variety pack and try it today, and use promo code MAJORITYREPORT at checkout to get free shipping. Harry’s owns a German factory that’s been honing razor blades for 100 years – they source their steel from Sweden and own the entire manufacturing process, allowing them to keep prices low. New U.S. customers can redeem a Harry’s trial set at Harrys.com/MAJORITYREPORT. You’ll get: A 5-blaze razor -featuring their new, sharper blades, a weighted handle, foaming shave gel with aloe, and a travel cover to protect your blade when you’re on the go. Honey: add Honey to your computer for free and shop on lots of your favorite websites like normal. If Honey finds a coupon, it will automatically tell you, applying the correct codes and dropping the price in a flash. Try Honey today at JoinHoney.com/MAJORITY Check out Joshua Kahn Russell's friend, activist and organizer Casey Harrell who is raising money to treat his ALS diagnosis. Subscribe to Discourse Blog, a newsletter and website for progressive essays and related fun partly run by AM Quickie writer Jack Crosbie. https://discourseblog.com/ Subscribe to AM Quickie writer Corey Pein’s podcast News from Nowhere, at https://www.patreon.com/newsfromnowhere Check out Matt Binder's YouTube channel! Check out The Nomiki Show live at 3 pm ET on YouTube at patreon.com/thenomikishow Check out Matt’s podcast, Literary Hangover, at Patreon.com/LiteraryHangover, or on iTunes. Check out Jamie’s podcast, The Antifada, at patreon.com/theantifada, on iTunes, or at twitch.tv/theantifada (streaming every Monday, Wednesday and Friday at 7pm ET!) Follow the Majority Report crew on Twitter: @SamSeder @EmmaVigeland @Jamie_Elizabeth @MattBinder @MattLech @BF1nn

Scherz unpacks the past to see the future We are a mere two months from a presidential election. Dr. Hal Scherz will look into the past policies of candidate Biden to determine the impact of a Biden Presidency on American health care. With a long history of centralizing health care in Washington, DC, Biden has surrounded himself with voices pushing for greater control than the PPACA instituted.

Yes we can fix healthcare! Dr. Jill Vecchio was one of the few individuals in America (Congress included) who actually read PPACA, the Patient Protection and Unaffordable Care Act aka Obamacare. Dr. Jill is an expert in healthcare policy. In this podcast she shares how healthcare became such a mess and her Ten-Point Plan to fix it. The post Episode 37: Dr. Jill Vecchio appeared first on The Kim Monson Show.

CMS Extends Small Group Transitional Relief Policies through 2020 On Mar 25, 2019, CMS issued a  new one year extension (https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/Limited-Non-Enforcement-Policy-Extension-Through-CY2020.pdf)  of its transitional policy for non-grandfathered small group plans that are not compliant with the ACA. Policyholders will be allowed to renew their transitional plan coverage (commonly referred to as ‘grandmothered plans’) through Oct 1, 2020 as long as the coverage does not extend beyond Dec 31, 2020. If CMS does not issue another extension next year, all non-compliant policies must become compliant by Jan 1, 2021. Any policy renewed during the 2020 calendar year after Jan 1 must have a short plan year in order to terminate by Dec 31. CMS believes that requiring transitional policies terminate immediately before Jan 1, 2021 will “facilitate changing from non-compliant coverage to Affordable Care Act-compliant coverage, which requires a calendar year policy year in the individual market.” As specified in prior extensions, carriers that renew coverage under the extended transitional relief policy must provide a notice to affected individuals and small businesses about the limitations of non-compliant coverage for each policy year. We have confirmed with most of the state DOL’s and Departments of Insurance that they will allow grand”mothered” plans to continue, provide policyholders the freedom to change their anniversary dates, and allow carriers to offer short plan renewal options within CMS guidelines. This is the fifth extension of the transitional relief policy and third under the Trump Administration. While the scope of this extension is again limited to one year, the context of the announcement indicates a longer term commitment to relief continuation. CMS Administrator Seema Verma explains: “Not extending the grandmothered plan policy would cancel plans that are meeting people’s needs today and, as a result, force people to decide between buying coverage they cannot afford on the individual market or going uninsured. By extending the grandmothered plan policy, we are following through on our commitment to protect those left behind by Obamacare.” The  CMS press release (https://www.cms.gov/newsroom/press-releases/cms-issues-2019-exchange-open-enrollment-period-final-report)  cites this transitional relief extension and recent actions to expand access to association health plans and short-term health plans as examples of the Trump Administration’s commitment to providing more affordable coverage options to Americans “left behind by the PPACA.” Background In response to public pressure, CMS first announced transitional relief for small groups and individuals allowing them renew the coverage they had in place on Oct 1, 2013 even though that coverage did not comply with various ACA market reforms including community rating, essential health benefits, and metallic benefit levels. Timeline of related guidance: Nov 14, 2013 (https://www.cms.gov/CCIIO/Resources/Letters/Downloads/commissioner-letter-11-14-2013.PDF)  – The original transitional policy. Available to policy years beginning Jan 1 – Oct 1, 2014. All non-compliant policies would terminate by Sep 30, 2015. Mar 5, 2014 (https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/transition-to-compliant-policies-03-06-2015.pdf)  – Extension 1. Available to policy years beginning Jan 1, 2014 – Oct 1, 2016. All non-compliant policies would terminate by Sep 30, 2017. Feb 29, 2016 (https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/final-transition-bulletin-2-29-16.pdf)  – Extension 2. Available to policy years beginning Jan 1, 2014 – Oct 1, 2017. All non-compliant policies must terminate by Dec 31, 2017. Feb 23, 2017 (https://www.cms.gov/CCIIO/Resources/Regulations-and-Guidance/Downloads/Extension-Transitional-Policy-CY2018.pdf)  –...

Pick up any healthcare news feed or relevant state or federal initiative, and no doubt you will see the "surprise billing" issue headlining. The issue of a patient not knowing that a provider is not in their network is important, but there is another major cause of surprise bills: insurance plans denying legitimate claims for emergency care as "non-emergent." Prudent acts among patients are ignored, common sense is discarded, and ethical conduct is cast aside in order to insist that patients pay astronomical bills for services that truly constitute emergency care. These battles can take years. One such case will be discussed during this edition of Monitor Mondays; reporting our lead story will be Holly Louie, herself once an emergency department nurse.Other segments to appear on the broadcast include:Monday Focus: Bogus Charity Write-offs: The Patient Protection and Affordable Care Act (PPACA) created a new provision in Section 501 of the Internal Revenue Code that applies to facilities licensed as hospitals under state law, with new requirements for uncompensated care. The law also imposed new reporting requirements on hospitals. Running afoul of this issue could be a significant compliance violation, as you’ll learn when Timothy Powell reports on what many experts believe could be a major compliance bust.United Behavioral Health Lawsuit: On Tuesday, a federal court in California found that United Behavioral Health (UBH) denied claims based on internally developed medical necessity criteria that were far more restrictive than generally accepted standards for behavioral healthcare. Famed whistleblower attorney Mary Inman, a partner in the London office of Constantine Cannon, will have the latest news on this major story.Extrapolation Changes: The Centers for Medicare & Medicaid Services (CMS) made significant changes in statistical sampling methodology for overpayment estimation. Healthcare attorney Knicole Emanuel, a partner in the Potomac Law Group, reports on the changes and what they mean to providersRisky Business: Healthcare attorney David Glaser returns to Monitor Mondays with his popular segment, in which he reports on problematic issues facing providers.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment.

Medicare and Medicaid costs are still out of control, no cost containment efforts have had any effect, and yet, we continue to expand the failing system. The ACA is passed. Government duplicity is fully exposed, Significant portions of the new ACA, can’t be implemented, and those which are cost much more than anticipated.   It's not just that we are extending coverage to those previously uncovered, a good idea with a bad implementation, we also continue to expand the scope of care beyond the what we need to stay alive and productive.   The false healthcare economic structure becomes a systemic problem! The system is in collapse.

The GOP Congress has self identified as the party opposed to Obamacare. Yet the PPACA still remains in tact with Republican control of the Senate, the House of Representatives and the White House. WHY? Is there an issue or principle to be learned that is much larger than the most terrible expansion of the federal government known as Obamacare?   Last Friday night of the month with guest host Rocco P. Call 619-638-8559 tonight at 8:00.

Trump is at war with House Republicans who refuse to replace Obamacare.  The conflict to "Repeal and Replace" the PPACA exposes the real power struggle in DC and the inherently corrupt nature of the 2 party system.

In this episode, I review the Trumpcare, or American Health Care Act, which is set to modify the PPACA established by Obama.  After outlining the proposed changes, I review what incentives remain for market players to act upon when the new system is enacted.

Dr. Walter Tsou, past president of the American Public Health Association and former health commissioner of Philadelphia, talks with host Steve Larchuk about the state of […]

In this episode, I recap briefly heresay around the pharmaceutical industry from the new POTUS and a Pharma CEO then move onto updates around the repeal of PPACA then onto the solutions around R&D productivity in Pharma.

This week,  Tom Policelli, CEO of Minuteman Health, joins us to discuss the unintended consequences of risk adjustment in the Affordable Care Act. Although it may not have crossed your radar yet, it's important to understand the market uncertainty triggered by the federal government's risk adjustment mechanisms and how that will impact advisors and the clients they serve. Tom walks us through the three Rs established by the ACA: Risk adjustment, Reinsurance, and Risk corridor. While these were developed to foster market stabilization, we discuss how each program is actually producing the reverse effect - sometimes with disastrous consequences. You can find show notes and more information by clicking here: http://bit.ly/2bPeC2b

In part three of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, discusses the effects of the PPACA and the path towards achieving the triple aim. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante. Welcome back to the Hospital Finance Podcast. I’m glad you Read More

As a small employer (definition applies) you do not have to comply with the ACA. However, you can still take advantage of the ACA to help your employees buy coverage.  The Patient Protection and Affordable Care Act, the PPACA, the ACA, Obamacare – however you recognize it, whatever you call it. It has been 6…

Health Insurance Mergers On this week’s episode I continued my monthly series with Medical Association of Georgia. MAG CEO, Donald Palmisano, Jr., and MAG delegate from Bibb County, Dr. John Rogers joined me in studio to talk about the challenges and concerns arising from recently-proposed mergers between large health insurance companies that will significantly reduce […] The post Health Insurance Mergers – Top Docs Radio appeared first on Business RadioX ®.

Join us to discover how the large groups have used voluntary benefits in the past and how new benefits are coming to market. We also explore how PPACA has accelerated the interest in voluntary products as a key part of an employer's overall benefit strategy. Frank and Brian discuss some of the innovative, non-traditional, solution-based offerings in the VB space that have come to the forefront in the recent years. We also explore the hurdles consultants have to overcome when having effective conversations with clients and prospects and the key role technology plays in the implementation process. Get full show notes and more information here: http://bit.ly/1W67ZZl

Matt and Gail discuss what the voluntary benefits marketplace looked like just a few years ago and how it has evolved in the recent years. We discuss the key role of technology and what benefits advisors need to know to be able to have that VB conversation with employers. We also explore some of the newer, more uncommon benefits being offered and discuss the impact PPACA has had this fast-growing area. Get full show notes and more information here: http://bit.ly/1VRwkSK

In this lecture, we discuss these issues in healthcare and the role of the PPACA in addressing these issues to demonstrate how a public policy tool can be used to address many of the economic problems discussed throughout the course.

The PPACA is being challenged in the Supreme Court. My comments. Subscribe to the Maximize Your Medicare Podcast click HERE.

This week Peter Suderman joins us to help suss out the Patient Protection and Affordable Care Act, a law he says is so complex and opaque that “no one person” understands every single part of it perfectly. We discuss the long history of the idea behind a government-backed and mandated health care system and its unlikely origins, the “three legged stool” necessary for implementing the PPACA, and the philosophical ideas behind the law.We also discuss challenges to the PPACA, including King v. Burwell, a case that will be heard in the U.S. Supreme Court this week.What is Obamacare, and what does it do? How does it work? Why did we have to “pass it to find out what’s in it,” as Nancy Pelosi so infamously put it? See acast.com/privacy for privacy and opt-out information.

Here's what we're talking about this week on Nurse Talk Radio. Check us out every Saturday noon pst & Sunday 3p/pst on Progressive Voices. Visit www.nursetalksite.com homepage click the PV Player!

I invited Jimmy to the show to share how he was able to build a successful employee benefits business stay on top of his game for 15 years without ever selling an insured product. In a post-PPACA world, where brokers are diversifying their practices, some are considering adding these plans to their portfolio. Learn how Jimmy approaches the market and how his experience and strategy can help you as well. Get full show notes and more information here : http://bit.ly/TBNmIs

"I Don't Know Where to Start" If you are turning 65 years old, If you have a Medicare-eligible parent that you want to help, If you face healthcare costs you don't understand under Medicare, If you need information that you can use, in language that you can understand, "I'm All Set": Probably Wrong a. Employers change (or eliminate) retiree benefits b. Medicare Advantage and Medicare Part D (Rx) change every year c. PPACA means that pre-Medicare family members can get private insurance This is just for starters... Monday, June 16, 5PM EDT I have conducted this program everywhere (libraries, senior centers, conferences, senior programming at colleges), with all types of audiences. You can see a short list on other pages of this blog. I will leave my phone number on during the broadcast, and you can bring me your questions. $2.99 PPV Webcast Just click here to register. I need to charge because the host charges me, and I want to keep the spammers out. Listen to me speak about the webcast: Subscribe to the Maximize Your Medicare Podcast here: Click here to Subscribe Further information can be found on the official website: http://www.maximizeyourmedicare.com

Stuart Zechman discusses the policy framework that underlies the US health care system with Joseph White, Luxenberg Family Professor of Public Policy at Case Western Reserve University. Professor White is also the author of Competing Solutions: American Health Care Proposals and International Experience.    

Obamacare facts explained by Stefan Molyneux. A comprehensive look at the Patient Protection and Affordable Care Act (PPACA) and it's implementation. Freedomain Radio is the largest and most popular philosophy show on the web - http://www.freedomainradio.com

In Halbig v. Sebelius, four individual taxpayers and three employers are challenging a seemingly obscure IRS decree. The IRS claims the authority to issue hundreds of billions of dollars in subsidies to health-insurance companies, and to impose penalties on individual taxpayers and employers, in the 33 states that have refused to establish a health insurance "exchange" under the Patient Protection and Affordable Care Act (PPACA). The Halbig plaintiffs assert this decree would penalize them in violation of the clear, consistent, and unambiguous language of the PPACA, as well as congressional intent. The Congressional Research Service writes that Halbig "could be a major obstacle to the implementation of the Act." Law professor Michael Greve writes, "all of ObamaCare hangs on the outcome." The lead attorney in Halbig, Michael Carvin, and three other panelists will discuss the legality of the IRS's decree and the implications for the PPACA. See acast.com/privacy for privacy and opt-out information.

HR Happy Hour 154 - 'HR and Health Care Reform' Thursday January 17, 2013 - 8:00PM EST Call in 646-378-1086 Follow the backchannel conversation on Twitter - hashtag #HRHappyHour One of the biggest and most important issues facing Human Resources and Talent pros in 2013 is Health Care Reform. Call it what you like - Obamacare, the Affordable Care Act, or simply HCR - the changes that are starting in 2013 will impact all size organizations and their employees. This week on the show we will be joined by John Barkett from Extend Health, and Jennifer Benz of Benz Communications to dig into the issues facing HR pros in 2013 and beyond. John, prior to joining Extend Health, spent more than 2 years in Washington contributing to the writing, passage, and implementation of the PPACA; and Jennifer is CEO of the leading Benefits Communication Consultancies in the USA. Just some of the topics we will cover on the show: What are the most important aspects of HCR that you as an HR pro need to know?   How does HCR and its implications and demands differ across company size? What key communications messages and strategies do you need to consider when keeping your employees informed? What does the medium and longer term look like in the world of employer-sponsored benefits? Where can the HR and Talent pro go to learn more? I hope you can join hosts Steve Boese, Trish McFarlane and our guests this week for what will be an interesting and important topic.

Oklahoma Attorney General Scott Pruitt has filed a lawsuit alleging the Obama administration is violating the Patient Protection and Affordable Care Act and imposing illegal taxes in states such as Oklahoma. As Jonathan H. Adler and Michael F. Cannon detail in their forthcoming Health Matrix article, "Taxation Without Representation: The Illegal IRS Rule to Expand Tax Credits under the PPACA," the PPACA cannot function without state buy-in. The Obama administration's response to state push-back has been to rewrite the statute by imposing, on both employers and individuals, taxes that Congress never authorized. Pruitt is challenging the IRS rule that imposes those illegal taxes. Supporters and opponents agree the PPACA's "entire structure" depends on the IRS's interpretation of the statute, and that this dispute "could be a fatal blow to Obamacare." See acast.com/privacy for privacy and opt-out information.

See acast.com/privacy for privacy and opt-out information.

Intalere welcomes Attorney William H. Maruca, Partner from the prestigious Fox Rothschild firm here in Pittsburgh. Mr. Maruca will discuss the 2012 U.S. Supreme Court Ruling on the Patient Protection and Affordable Care Act. On June 28th, 2012, by a narrow 5-4 decision, the United States Supreme Court ruled largely in favor of upholding nearly all provisions of the Affordable Care Act. Mr. Maruca will provide an overview of what was at issue and why the court’s ruling was so consequential. He will explain the court’s ruling on the constitutionality of the "individual mandate" provision of the ACA and why Chief Justice Roberts' opinion was so significant to the outcome. Attorney Maruca will address the implications and penalties for those who choose not to purchase health insurance, the intent of the "Medicaid expansion", financial implications for those states giving consideration to a refusal to expand their Medicaid programs under PPACA, and some of the open questions in the wake of the decision.

As CGH welcomes a new Board of Editors in the July 2012 issue, Dr. Kuemmerle speaks to Dr. John I. Allen, new section editor of Practice Management: The Road Ahead, in a special, wide-ranging interview about the future of GI practice.

Summary of today's show: Scot, Susan, Fr. Roger, and Gregory catch up on this week's headlines, including updates on the religious freedom fight with 7 lessons we've learned so far and a great ministry threatened by the new rules; pastor appointments and parish mergers; and how priests are using new media to enrich their faith lives, including something half of priests under 40 are doing; encouraging statistics about the Church; plus much more. Listen to the show: Today's host(s): Scot Landry and Susan Abbott Today's guest(s): Fr. Roger Landry, executive editor of The Anchor, the newspaper of the Fall River diocese; and Gregory Tracy, managing editor of The Pilot, the newspaper of the Boston archdiocese Links from today's show: Some of the stories discussed on this show will be available on The Pilot's and The Anchor's websites on Friday morning. Please check those sites for the latest links. Today's topics: HHS mandate, appointments and mergers, priests using new media, encouraging stats on the Church 1st segment: Scot welcomed Susan Abbott, Fr. Roger Landry, and Gregory Tracy back to the show. Scot said Fr. Roger on Saturday received Scot's daughter Ali for her First Communion. They discussed how beautiful and wonderful it is to celebrate the Sacraments for everyone, especially for those he knows are taking their sacrament seriously. Susan talked about how First Communions are a wonderful moment in the life of the Church. She said it may be their First Communion, it should only be the first of thousands of Communions. Greg Tracy then talked about his experience as the father of 10 to celebrate the First Communions of his first six children. 2nd segment: Scot said the editorial in the Anchor is the second of two parts dealing with the battle for religious liberty in the US, especially what we've been learning in the interplay between the Obama administration and the US bishops. The first thing Fr. Roger wrote is that we learned about this process is that the administration and many of its friends in the media are trying to make this about contraception, instead of religious freedom. Scot said they hope to make this a wedge issue to bring support from women who would be made to believe that their “right” to birth control is threatened. Fr. Roger discussed the real issue of Sandra Fluke, the 30-year-old political operative attending Georgetown Law, aside from Rush Limbaugh's ill-considered insults, is that someone spending tens of thousands of dollars to attend school can compel religious believers to act against their conscience to provide her with birth control. Greg said the Obama administration claims to want to resolve this in a way that respects religious freedom, but in reality they show no evidence of wanting to have a real discussion with the US bishops. There is no compromise possible that continues to abrogate religious freedom. Greg said it's like the administration is promising to say “please” but we're not allowed to say No in any case. The third point in the editorial is that there doesn't seem to be the will in Congress to protect religious freedom, so it will be up to the Courts to protect our rights. The Senate failed to pass the Blunt Amendment. The voting on that amendment also show us that Democrats voted against conscience rights 48-3 and Republicans favored it 45-1, so Republicans on Capitol Hill seem to be supportive of religious freedom. Fr. Roger said we have to confront the Democratic Party straight on. There's something in the party trumping their respect for religious conscience. Scot said the claim can be made that the Democrat Party is being a shill for the special interest of Planned Parenthood. He noted that Planned Parenthood was a big part of the Dept. of Health and Human Services consultation on the services that would be covered under universal health care. The fate of the Susan G. Komen Foundation about a month ago shows that people have a right o be fearful of the political backlash from Planned Parenthood. Fr. Roger noted that 13 Catholic Senators voted against the Rights of Conscience Act, including Massachusetts Senator John Kerry. Scot noted that Democrats often supported the Church's service to the poor, but they aren't even on board with the Church when this issue threatens the services that the Church provides. When faced with a situation in which every single U.S. bishop wrote a letter decrying the consequences of the HHS mandate on Catholic and other religious institutions, these CatholiC senators - many of whom who have routinely cited their “conscience” to vote for bills in favor of abortion -still voted against the Church's being compelled, as the legislation stipulated, to “provide, participate in, or refer for a specific item or service contrary to the provider's religious beliefs or moral convictions.” Such a betrayal would probably even make Judas blush. Scot said another point is that it's amazing how much power the Secretary of Health and human Services has been given over religious groups. Those who have examined the text of the PPACA have noted that it contains 700 references to the secretary “shall,” another 200 to the secretary “may” and 139 to the secretary “determines.” The HHS secretary has not only been given unprecedented power over what amounts to be one-sixth of the U.S. economy, but the authority to determine all sorts of things that no unelected official should have. Susan said she found this paragraph frightening. Greg said there are just so many problems we've encountered already, what will happen when it's in full effect? How much more damage will it do? Fr. Roger's last point is that people need to ask themselves and their legislators whether we want to elect the sort of people who do not respect religious freedom and who believe that free contraception trumps religious freedom. Fr. Roger said in a free country we get the leaders we deserve. We should never elect people who would use their office to take our rights away and get us to fund other's newly-invented secularist pseudo-rights. As citizens, we have the power to correct these abuses, but we need to rise up and use that power. These are all lessons that, unfortunately, we've been learning the hard way. We need to ask candidates completely and substantively about these specific problems with specific answers, not vague assurances. Our votes have become enormously consequential. Scot said the bishops came out a wonderful new statement on this issue that he will discuss on the show with Fr. Mark O'Connell tomorrow. There's an article in this week's Anchor about the Little Sisters of the Poor, an order that cares for people at the end of their lives who have no one else to care for them. Now they are having to reconsider whether they will still be able to serve people of all faiths and employ people of all faiths because of the onerous restrictions of HHS mandate. Greg said the Little Sisters of the Poor have a sense of vocation and service and it is a concrete example of the game of chicken that the administration is playing to see whether we're really going to end our ministry. Greg said what we need to do is march a group of the Little Sisters down to Washington and have them confront some Senators to ask them why they won't be allowed to continue their ministry. “Because the Little Sisters of the Poor cannot in conscience directly provide or collaborate in the provision of services that conflict with Church reaching, we find ourselves in the irreconcilable situation of being forced to either stop serving and employing people of all faiths in our ministry - so that we will fall under the narrow exemption - or to stop providing health care coverage to our employees,” the order said. “Either path threatens to end our service to the elderly in America. The Little Sisters are fervently praying that this issue will be resolved before we are forced to take concrete action in response to this unjust mandate.” … “If the federal government succeeds in enforcing this rule, what is to stop it from rationing health care to seniors or including euthanizing procedures on the list of required ‘preventive services' as a way of eliminating the costs associated with caring for our aging population?” they asked. “Would health care providers like the Little Sisters of the Poor then be forced to cooperate in such practices?” “We wish to affirm that the HHS mandate is an unjust and dangerous infringement upon the natural and constitutional rights of Americans and that the only just solution is to rescind it. The Little Sisters of the Poor call upon Congress and the Executive Branch to reverse this decision as soon as possible and we pledge our prayers and sacrifices for the true good of our beloved country,” the order said. Susan said this statement comes from a group not prone to speaking out on politics or public policy. Scot said columnist George Weigel also wrote this week titled “Religious freedom: It's not just Pakistan and China.” The need to defend religious freedom comes to the US. Scot turned to local news. Father Brian J. McHugh has been appointed as Pastor at St. Joseph Parish in Somerville. This appointment is in addition to his present assignments as Pastor at St. Ann Parish in Somerville and Pastor at St. Catherine of Genoa Parish in Somerville. He becomes the third pastor overseeing three parishes in the Archdiocese. He takes over for Fr. Henry Jennings who is retiring. Fr. Roger said a decision has been made in the Diocese of Fall River to close the oldest Portuguese parish in the country, St. John's in New Bedford, and merge it with another parish. They had been slated to close in 2009, but the bishop gave them a chance to raise money to keep themselves open. Unfortunately they fell short in their efforts with support only from 17% of parishioners. Fr. Roger said it helps that the pastor of the welcoming parish has been pastor of the closing parish. It's sad to see the church close. Scot said the Pilot also has a nice story on the one-year anniversary of The Good Catholic Life. Greg said they wanted to make the story a little more personal rather than a straight just-the-facts story. They wanted to give a little bit of insight for those who may not have heard it before. In the Anchor this week is a story about priests using new media tools to enrich their faith, including smartphone apps, Facebook, Twitter, and Skype. There was a quote from a priest who noted how many young priests at a diocesan priests' retreat praying on their smart phones. Fr. Roger said he thinks at least half of priests under 40 now pray the Liturgy of the Hours using apps on their phones rather than in a book. It makes it simpler because it's always with them, they no longer have to worry about the ribbons and flipping back and forth, or switching books between seasons. They can concentrate on their prayer. Fr. Roger said he has his entire priestly library on his iPhone or iPad, including books in his Kindle app. He no longer has to break his back carrying a suitcase of books. He hopes the article helps to inspire laypeople to start taking advantage of the high tech means to keep the presence of the Lord throughout the day. Scot said the iMissal app reads the readings to you, which he likes to do on his way to work. The Anchor also profiles the Pro-Life Office of the Fall River diocese, including stories of how they have helped women considering abortion, not just telling them of the Church's teaching, but treating them with compassion and giving them alternatives. He told one particularly touching story of lives changed by their work. Scot said another column by Msgr. James Moroney on the Collects of Lent is in the Pilot. He is writing each week on the opening prayers for Mass on the Sundays of Lent. Susan said he writes that we are halfway on the journey through Lent. He quotes Pope Gregory: Pope Gregory begins by talking about Lent itself, noting that no matter how much we are fasting, we should hunger more for the Word of God than for food! He then says later in his column: When Christ kneels to wash the feet of his Apostles and tells them to love others as he has loved them, we will remember those whom we have fed and clothed and loved in their poverty. Susan said Cardinal Sean often preaches on Holy Thursday on how we need to remember to love as God loves us, which is a high bar. His columns give us some good insight into the Sunday Mass. Scot said there is a column in the Pilot today giving the status of all the divisions in the Archdiocesan CYO March Madness basketball tournaments. He also noted a story giving a statistics on the worldwide Church. The Church's total population has grown by 1.3%, which outpaces overall population growth. The number of bishops and priests and seminarians grew in the past year as well. There were 412,236 priests as of December 31, 2010 and 118,990 seminarians. The major increases were in Africa, Asia, and Oceania, while Europe saw the greatest decrease. Other headlines this week include:

A CMS Conference Call on ACO's was held May 17th, 2011 to discuss the press release issues this morning. To review complete details, click here. [PROGRAM NOTE: CMS conference call is marginal audio & our recording ends prematurely; we'll record and upload complete call shortly!]. Drs. Berwick & Gilfilan detailed three updates to the NPRM, including the issuance of a 'request for information' (RFA) on the 'Pioneer Model', designed to fast-track mature IDN's entry into ACO certification, a request for comment on the 'idea of an Advance Payment ACO Model' and the Innovation Center will offer new, free Accelerated Development Learning Sessions to teach providers interested in becoming ACOs what steps they can take to improve care delivery and how to develop an action plan for moving toward providing better coordinated care. Four Accelerated Development Learning Sessions will be held in 2011, with the first session scheduled for June 20-22, 2011 in Minneapolis, MN.'

On the Wednesday, March 2rd 2011 program at 11AM Pacific and 1PM Central Time, my special guest commentator is noted author, speaker and consultant William DeMarco, see: http://www.pendulumhealth.com/. DeMarco is the President & CEO of DeMarco & Associates, Inc., a national, independent healthcare consulting firm specializing in healthcare delivery system redesign and transformation. Mr DeMarco is recognized as a leader in the research , design and implementation of community based healthplans. Since his involvement in several startup health plans in Minnesota in the early 1970s Bill and his team of management consultants clinical specialists and reimbursement analysts have assisted employers and physicians in developing better relationships with insurers up to and including developing local solutions to deliver and finance care. Using Health Services Research from its affiliate Pendulum HealthCare Development Corporation, DeMarco and Associates assists both provider and employer clients in addressing prospective payment approaches in order to build Pay for Performance models to develop direct employer/provider contracting entities, benchmarking collaboratives under the new value purchasing legislation as well as single specialty centers of excellence. Mr. DeMarco is a well-known author having written or contributed to over a dozen books on managed care topics. He holds a master’s degree in organizational development from DePaul University. He a past faculty member of Loyola Law School’s graduate program and was recently awarded the Follomer Bronze award from the Healthcare Financial Management Association for his outstanding service and contributions to HFMA chapters and members. He is a regular presenter for such audiences as Medical Group Management Association, HFMA, VHA, AHA, Quorum, NMHCC and AHIP. Please join us for an informative exchange!

On the Wednesday, February 16th 2011 program at 11AM Pacific and 2PM Eastern, my special guest commentator is Jeffrey L. Cohen, Esq. Jeffrey has over 20 years of healthcare law experience. He is board certified by The Florida Bar as a specialist in healthcare law and is a self decribed 'frustrated comedian'. As Founder of The Florida Healthcare Law Firm, he can be reached via jcohen(at)floridahealthcarelawfirm(dot)com. In this broadcast, we'll discuss the ACO industry in general and more particularly his recent blog post: 'ACO’s: Now We’re Just Being Silly' See: http://bit.ly/i9tWss, for context. Please join us for an entertaining and informative exchange!

On the Wednesday, January 5th 2011 program at 11AM Pacific and 2PM Eastern, my guest commentator and co-host is Mark Browne, MD, of PYA (Pershing Yoakley & Associates). Dr. Browne is a consultant, health innovation thought leader, and blogger, and healthtweep in good standing via @consultdoc. While in the pre-release period of the Centers for Medicare and Medicaid rule process, we'll focus on the known fundamentals of Accountable Care Organizations (ACO’s) of interest to physicians. Specifically we’ll address: (1) What are ACO's? Absent regulatory guidance, we have primarily a 30 thousand foot view with some pilot and demonstration exceptions. (2) What are the known or proximal models in operation to date? How are they structured? (3) How will ACO’s impact medicine and my practice in particular? Is this Medicare and Medicaid only? Or will its influence extend to the private or commercial (employer sponsored) market? (4) Why are ACO’s seen as a centerpiece in the Patient Protection and Affordable Care Act? Why the optimism? (5) What ‘go to’ resources are available, including related industry experience garnered from HMO’s, PPO’s and prior integrated delivery systems, to facilitate my education? (6) Why do ACO’s hold promise for taming the thirst of a seemingly insatiable health care financing and delivery ‘non’ system? (7) What does ‘physician leadership’ look like during the ACO consideration process? Your advanced comments and questions are invited and welcome, and can be posted on ACOwatch.com. In a post on ACOwatch.com, we supplied links to 3 timely and informative reports well worth your review. Please join us.

Summary of this issue's articles, plus a sampling of reader responses to "The Affordable Care Act and the Future of Clinical Medicine: The Opportunities and Challenges," by Kocher, Emanuel, and DeParle.