On June 22, 2017, Republicans in the U.S. Senate released a draft of their proposal to repeal and replace the ACA, called the Better Care Reconciliation Act (BCRA). The Senate bill closely mirrors the proposal passed in the House of Representatives—the American Health Care Act (AHCA)—with some differences. For example, unlike the AHCA, the BCRA:

Cornerstone Group brings you a complimentary seminar to learn about...

• Health Care Reform Update
  • New provisions of the proposed "American Health Care Act"
  • Impacts of the changes in subsidies & rating requirements
  • What's next for AHCA legislation?

• Pharmacy
  • Are biosimilars safe and effective?
  • The outlook of specialty drugs
  • Approaches to combat the opioid epidemic

• DOL Audit
  • ERISA regulations & requirements
  • Increasing DOL audits & procedures
  • Compliance Solutions

When: Thursday, July 13, 2017 - 8:30 a.m. Registration, 9:00 a.m. Session Begins and Ends at 11:00 a.m.

An auditor may come knocking at your door if you have errors in your payroll that result in a violation of the Fair Labor Standards Act (FLSA). It is estimated that more than one-half of all employer groups have misclassified their employees under the FLSA, though many do not realize it.

The ACA requires applicable large employers (ALEs) to offer affordable, minimum value health coverage to their full-time employees in order to avoid possible penalties. Because this employer mandate has been criticized as burdensome for employers and an impediment to business growth, it seems likely that its repeal will be part of any Republican plan to repeal and replace the ACA.

On May 5, 2017, the Internal Revenue Service (IRS) issued Revenue Procedure 2017-36 to index the contribution percentages in 2018 for purposes of determining affordability of an employer’s plan under the Affordable Care Act (ACA). For plan years beginning in 2018, employer-sponsored coverage will be considered affordable if the employee’s required contribution for self-only coverage exceeds:

The Blue Cross^® Blue Shield^® of Michigan (BCBSM) mobile app puts the ability to price prescriptions and locate pharmacies in the palm of members’ hands.

On April 7, 2017, the Treasury Inspector General for Tax Administration (TIGTA) released the results of its audit to assess the IRS's preparations for ensuring compliance with the employer shared responsibility rules and related reporting requirements under the Affordable Care Act.

The TIGTA audit revealed a number of major system and operational problems that have hindered or delayed the IRS’ enforcement of these provisions. As a result, the IRS has been unable to identify the employers potentially subject to an employer shared responsibility penalty or to assess any penalties.

On May 4, 2017, members of the U.S. House of Representatives voted 217-213 to pass the American Health Care Act (AHCA), after it had been amended several times. The AHCA is the proposed legislation to repeal and replace the Affordable Care Act (ACA).

The AHCA needed 216 votes to pass in the House. Ultimately, it passed on a party-line vote, with 217 Republicans and no Democrats voting in favor of the legislation. The AHCA will only need a simple majority vote in the Senate to pass.

On April 14, 2017, the Department of Health and Human Services issued a market stabilization final rule under the Affordable Care Act. The final rule includes new reforms intended to help lower premiums, stabilize the individual and small group health insurance markets and increase choices for the 2018 plan year.

Specifically, the rule includes a variety of policy and operational changes to existing standards to stabilize the Exchanges, including changes to the annual open enrollment period and special enrollment periods.

This scorecard is designed to gauge an organization's preparedness for a Department of Labor (DOL) audit. Responses from an employer are used to calculate the risk of being unprepared for an audit.

Answer the questions to determine if your organization is at risk for penalties. Click here to view the questions.