New York SBDC Research Network

Now that Open Enrollment under the Affordable Care Act is actually over, the appeal process has started.  Appeals can occur for many reasons, including eligibility, enrollment post-open enrollment,  lowering costs and increasing savings, and more.  The articles below from government agencies can help answer any questions you may have about your right to appeal.  Also provided is detailed information and forms to help you go through the appeal process. Can I appeal a Marketplace decision?  (Healthcare.gov) Appealing Health Plan Decisions  (US Department of Health and Human Services) The Center for Consumer Information & Insurance Oversight - External Appeals  (Center for Medicare & Medicaid Services)

The Affordable Care Act continues to dominate the minds of many Americans as the deadline for registration approaches.  As it stands right now, Monday March 31st is the deadline for registration for the ACA, with unregistered individuals facing fines.  Yesterday, the Obama Administration announced that due to a surge in registrations, the deadline will be extended.  But they did not state exactly when the deadline will now be. Needless to say, people's emotions regarding the Affordable Care Act continue to run high.  Polls indicate that opinions of the ACA are at an all-time low.  With 6 million individuals already registered, and more registering everyday, the news and opinions will continue to pour in, and I will do my best to keep you informed.  While these articles are not specific to Small Business, they will help you know what is currently going on and what is coming next. Obamacare applicants to get more deadline flexibility  (CNN) Poll: O...

The end of this month brings the deadline for signing up for the Affordable Care ACT.  So how do you face this deadline and what are people doing to face the deadline?  Below are some articles from popular news sources on what the deadline means, whether it affects you, and what people are saying about the deadline. Disclaimer:  News from popular news sources are not always accurate or up-to-date, so it important to read  from multiple sources. Millions May Avoid Obamacare Penalty as Deadline Looms Deadline looming for Affordable Care Act enrollment Obamacare enrollment bests 4.2 million; more young adults signed up Facing Obamacare enrollment deadline, these states are pushing for more time

Different industries are having different reactions to the Affordable Care Act.  Below are some articles on different industries and how they say the ACA will effect them How latest change in health care bill impacts restaurants Manufacturers warn of ObamaCare fallout New Obamacare Regulations Spark Growth in Vending Industry Companies Say Obamacare Is Slamming The Health Care Industry I've tried to provide a mix of industries above.  If you are interested in finding information on an industry that I haven't touched on, please comment below, and I will try to find information for you.  If you would like to search on your own, I advise looking at an association website.  Associations are valuable sources of up-to-date information on specific industries.

Well, the Affordable Care Act has now been up and running for the last month.  So what are the news sources saying?  What are the people saying?  What advice is out there?  Here are a few examples, once again, with a disclaimer that popular news stories are not always accurate and up-to-date, and should always be taken with a grain of salt. In Obamacare, Go For Bronze Health Plans -- Buying Platinum Is Often A Waste Of Money Obamacare and your financial future Dear Young People: Please Sign Up for Health Insurance Obamacare: Uninsured Americans still staying away so far Obamacare deadbeats: Some don't pay up Obamacare open enrollment: Here's everything you need to know Obamacare 2.0: More regulation

There are many key dates to watch for in the Affordable Care Act rollout. To start, here is what happened on January 1st. -Coverage begins. Many low-income Americans who didn't qualify for Medicaid in the past can use it now. People who signed up for private insurance in a state or federal marketplace by Dec. 24 (or later in some states) and have paid their first premium are now covered, too. -Coverage begins for workers at companies that have signed up for new small business plans through the marketplaces, also called health care exchanges. -Coverage lapses for people whose existing plans were canceled, if they haven't signed up for a replacement or received an extension. At least 4.7 million people got cancellation notices, despite Obama's promise that Americans with insurance they like could keep their old plans. Obama recently gave insurance companies the option of extending old plans for existing customers for a year, but only where state insurance commissioners...

There is a lot of information and then there are even more questions about doctors who are accepting Affordable Care Act.  There is also plenty of discussion and questions involving how patients can find doctors that do accept Affordable Care Act coverage.  Here are links to article and information provided both by the federal government and the news agencies. I feel I must give a disclaimer regarding information provided from the news agencies.  These articles are to give you an idea of what people are saying and hearing, and there is no guarantee that what is being reported is accurate or current. Factsheet: What You Should Know About Provider Networks What’s a provider network?  A provider network is a list of the doctors, other health care providers, and hospitals that a plan has contracted with to provide medical care to the plan’s members. These providers are called “network providers” or “in-network providers.” A provider that hasn't contracted with t...

Many employers are still unsure as to their obligations under the Affordable Care Act.  The Small Business Health Options Program (SHOP) Marketplace is a new program that simplifies the process of buying health insurance for small businesses. In 2014, SHOP helps employers with 50 or fewer full-time equivalent employees shop for, choose, and offer their employees high quality private health plans that fit their needs and budget. Beginning no later than January 1, 2016, SHOP will be available to employers with 100 or fewer full-time equivalent employees. To start coverage on January 1, 2014, you must select a plan to offer your employees and your employees must enroll in the plan by December 15, 2013. We intend to extend this deadline to December 23, so check back here for an update. After this initial enrollment period, you may enroll in SHOP on a rolling monthly basis. The deadline to enroll is always the 15th of the month for coverage to be effective the 1st of the following m...

About 1.2 million people have now gotten coverage through “Obamacare” nationwide. As of December 9th, 314.146 New Yorkers have completed applications, with 100,881 enrolled. Coverage starts as soon as January 1, 2014 and can begin any month after that. There has been a lot of speculation as to what obligations small businesses will have when it comes to their their employees and the Affordable Care Act.  Media sources have spread inaccurate and unsubstantiated information regarding the law.  The best place to get non-opinionated information are the government websites at the following links. Federal Affordable Care Act for Small Business Website New York State Affordable Care Act for Small Business Website The Federal Small Business Health Options Program (SHOP) Marketplace makes it possible for small businesses to provide qualified health plans to their employees. For 2014, the SHOP Marketplace is open to employers with 50 or fewer full-time-equivalent emp...