Sometimes I hate being right

The Patient Protection Affordable Care Act (ACA or Obamacare) was passed in a rush in March 2010. I will not comment on the main aspects that are currently a subject of much discussion and a factor in the political log jam in DC.

Two aspects that I thought then were stupid have been getting more notice recently.

1. The ACA established the Independent Payment Advisory Board (IPAB). The IPAB is to be a committee of 15 that would make health care payment decisions that previously were made by the 535 people elected to do so as part of their job duties. Now some of the members of both parties have awakened to the fact that they had given some of their power away. Power to the IPAB is not something that any of them believe in. The funny part is given the log jam any fix to this may not happen.

Send your resume to The White House if you wish to be appointed to the IPAB. The IPAB starts meeting soon. The job pays about $165,300 a year not including benefits.

2. Beginning in 2018 companies will be taxed on paying more than $10,200 in a year for an employee’s health insurance. Congress called these plans Cadillac health plans. Among the factors for group insurance is the size of the group and the age of the members. At Boyd & Nicholas, Inc., the size of our group and the age of our employees already has us paying more than that per person for an HMO group. Did Congress not think that If we, and others in similar circumstances, have to pay additional taxes for providing employee health insurance that the coverage may be eliminated? The choices are to have a health plan with large deductibles or no plan. The tax to the business is 40% of the amount over $10,200 paid by the employer and the employee in total.

The employer requiring the employee to pay more of the expense will not eliminate the tax. The small employer dropping the health insurance will stop the tax. The large employer will retreat to poorer and cheaper health plans to avoid the tax as will many of the small businesses.

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Boyd & Nicholas — THE COST REPORT PEOPLE® The nation’s leading cost report preparation firm, Tom Boyd and Tom Nicholas are THE COST REPORT PEOPLE®. Specializing in home health and hospice, Boyd & Nicholas have earned an impeccable reputation for service, expertise and integrity delivered with professionalism and personality. At a time when cost reports are defining the very future of home health Medicare reimbursement, trust THE COST REPORT PEOPLE® with your submission and experience the difference! (877) 424-6527. www.boydandnicholas.com

4 Responses to Sometimes I hate being right

  1. bguisti@citlink.net says:

    Tom, I think that what shocked me more was the elimination of the maximum out of pocket. I am not sure who benefit from Afforable Care, but certainly it is not the one’s who it supposedly was to help.. Keep after them… the rats… Bill

    ________________________________

  2. Larry leahy says:

    If i remember we had to pass the bill in order to know what is in it. Also wasnt the person who said that from your state. Ain’t it great

  3. Cody Sorenson says:

    But where do I send the resume. To Mr. President C/O the white house?

    • YES, he has yet to make any appointments. Meetings are to start soon and they have a budget of $14 million. I suspect the political logjam has delayed this along with congressional hopes to repeal the IPAB.

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