Tag : health-care-reform

Sean Sheffer Easier to Understand Health Insurance Benefits Coming Sep. 23


Good news, starting September 23, health insurers and group health plans will be required to provide you with an easy-to-understand plan summary about a health plan’s benefits and coverage. This new regulation is designed to help you better understand and evaluate your health insurance choices; the forms will consist the Summary of Benefits and Coverage (SBC) and a Uniform Glossary.

Here’s what to expect:

  • Easy reading: A short, plain language Summary of Benefits and Coverage, or SBC
  • Definitions: A uniform glossary of terms commonly used in health insurance coverage, such as, “premium”, "deductible" and "copayment"
  • Standardization: All insurance ...

Sean Sheffer Understanding Healthcare Claims from the Left and Right

Are all those health insurance and health reform claims on the campaign trail making your head spin? Here's a clip that can clear things up!

The clip is an investigation by PBS Newshour that takes a look into someone who lost insurance and how the Affordable Care Act affected them. The video also highlights the Republican plan to counteract the rise in healthcare spending that with alternate solutions, bringing a focus on how competition can lead to healthcare innovation, and reforming Medicare with the inclusion of vouchers for seniors.

Some Highlights

The Democrats resonate with the fact that the ...

Sean Sheffer Romney's Plan for Health Insurance


The Republican National Convention has just concluded – and many proposals on the future of America’s healthcare were outlined. Here we take a look at several key points on Governor Romney’s plans for middle-class health insurance policies.

There’s been a lot of talk about the middle class, and according to a 2009 study by the Kaiser Family Foundation, 11 million uninsured Americans came from the middle class, about a quarter of the nation's total uninsured. Most middle-class Americans, approximately 3 out of 4, are insured through their employers, according to the report. For those without health insurance ...

Sean Sheffer Aetna to Buy Coventry Health Care


Today, Aetna announced that it would buy Coventry Health Care for $5.7billion, about $42.08 a share.

Aetna’s CEO Mark T. Bertolini said, “Integrating Coventry into Aetna will complement our strategy to expand our core insurance business, increase our presence in the fast-growing government sector and expand our relationships with providers in local geographies.”

The move is expected to align core competencies, mainly for the health insurance provider to expand government-backed healthcare programs Medicaid and Medicare.

A growing trend?

Health reform has brought a slew of changes for all health insurance providers. Most notably, with the increase in ...

Sean Sheffer Nevada Health Insurance Exchange 72M Contract Approved

Nevada has taken measures to setup an online marketplace to buy and compare health insurance policies, with the state board approval of the contract this Tuesday, under the Affordable Care Act.

The contract was worth $72 million, and was approved by the Board of examiners with Xerox State Healthcare. By October 2013, the company will set up the necessary operations and computer systems that will be needed to enroll citizens of Nevada.

Governor Brian Sandoval, Attorney General Catherine Cortez Masto and Secretary of State Ross Miller, all members of the board, worked together to approve the contract.


To fund ...

Sean Sheffer No-Cost Birth Control and Women's Preventive Care Starts Today


Today’s a big day for women’s health, because as of August 1st, all new major health insurance plans must cover women’s preventive health services at no upfront cost.

Have you ever foregone a visit to your doctor because of price? According to Health and Human Services Secretary Kathleen Sebelius “…surveys showed that more than half the women in this country delayed or avoided preventive care because of its cost,” and with the implementation starting today, women should feel even more confident about their healthcare.

This means that along with the many overall preventive health services, in ...

Sean Sheffer Fact Checking Health Care Law Claims


What do you think about the law? If you’ve been hearing claims left and right about the law from both sides of the political spectrum, it’s time to get the facts straight.  Here’s the no-spin zone of health reform claims, according the Associated Press.

Here are some highlights:

Those under health insurance plans will keep their current plans.

President Obama says those with health insurance "will keep" their current plans. In fact, the law doesn't guarantee that; your boss can still change or eliminate your coverage.

Under the new law, 20 million Americans could lose their ...

Sean Sheffer What's next for the health reform and health insurance exchanges?

Now that the Supreme Court has upheld the majority of the Affordable Care Act, including the individual health insurance mandate – the question on everybody’s plate is: "Now what?"

"We will be ready to ensure that every American has access to affordable, high quality coverage on Jan. 1, 2014," Mike Hash, an official overseeing the exchanges effort at the U.S. Department of Health and Human Services (HHS), said on Friday.

So far, 34 states have received over $850 million in grants, which will help build and operate state health insurance exchanges.

According to the Kaiser Family Foundation, 17 states ...

Sean Sheffer Supreme Court Upholds Individual Health Insurance Mandate

View remarks from Obama, Romney, government officials and reporters from ABC News.

The fate of the Affordable Care Act has been decided, and this is a victory for Obama’s health care reform and a rallying cry for republicans.

The Supreme Court has upheld the majority of the Affordable Care Act, most notably the individual health insurance mandate – targeted as the key centerpiece to the entire debate.


View live Coverage here:

Supreme Court Lets Health Law Largely Stand” – New York Times

Supreme Court Upholds Individual Mandate” – Kaiser Health News

Supreme Court upholds key Obama Healthcare Centerpiece” – Reuters

Official Supreme Court ...

Sean Sheffer Supreme Court Healthcare Reform Decision This Thursday

It’s been a big week for the US Supreme Court, where earlier today in a 5-4 vote they struck down a Montana campaign finance law - which would have allowed states to curb the impact of the court's earlier Citizens United ruling - threw out much of Arizona’s immigration law, and protected juveniles from a lifetime sentence ruling without parole.

As the court wraps up session this Thursday, here are some momentous decisions to look out for and to recap:

Healthcare Reform “ObamaCare”

The Supreme Court will issue its last opinions on Thursday, with its decision on President Barack ...