Managed Health Care Assessment Team
On This Team
Regardless of whether or not you like the new government managed health care plan, and regardless of whether or not you think the Courts or a future Congress should, or will, repeal it, If you are a business owner, you would be grossly mismanaging your business to ignore the major financial impact this new law will have on your company’s bottom line. As most companies spend between 7-15 % of their annual revenues on health care related expenses, putting off planning for this change would be like knowing that one of your largest customers would be leaving you in a year and not planning now on how to recapture those lost revenues. Rose Law Group pc has formed the Managed Health Care Assessment Team, a group that not only includes employment and tax attorneys, but also MBA’s serving as RLG Project Managers, experienced in financial assessments and formulating complex pro-forma’s to evaluate both the legal and economic impact on your business. The Team was borne out of the frustration our Firm felt in not being able to call anyone, anywhere, to help give us an in depth assessment of the economic impact this massive restructuring would cause and to suggest various options for our business evaluation. Because some of the new rules have already taken effect, and the remainder will come into play in 2014, we knew, in order to plan for our future, make hiring decisions, and expansion plans with some sort of reliable cost estimates, we needed to figure this out now. Our theory on business has always been that if humanly possible, you need to plan for major economic alterations in the market, prior to them having an impact on your business. If there is one service every employer, no matter how big or small, needs, it is this evaluation. Our Managed Health Care Team will take a comprehensive look at a business, the employees, the management, the expectations of everyone employed there and provide the implications, both positive and negative, of all options. See below for a story in the Phoenix Business Journal on our Managed Health Care Team. For more information call Jordan Rose directly at 480-505-3939 or email jrose@roselawgroup.com
Rose Law Group prepares for changes to health care law
Phoenix Business Journal
Jordan Rose, founder of the Rose Law Group in Scottsdale, said 2014 is around the corner, complete with a new national health care system that could create more than a few headaches for employers. Employers need to start planning now, she said, ...
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Rose Law Group prepares for changes to health care law
By Angela Gonzales
Jordan Rose, founder of the Rose Law Group in Scottsdale, said 2014 is around the corner, complete with a new national health care system that could create more than a few headaches for employers.
Employers need to start planning now, she said, to avoid the financial penalties they may incur if they terminate the company’s existing health coverage improperly under the new laws.
“Businesses need to carefully evaluate all options now in order to be legally compliant and not suffer any penalties for altering their health care plans without the proper steps,” Rose said.
Rose has created within her practice the Health Care Employment Group to help employers prepare for the sweeping health care changes under the Affordable Care Act. She hired David Weissman to lead the new group.
Before taking on his new role, Weissman was a partner in the Phoenix office of Ford & Harrison LLP, a national labor and employment law firm. He also had served as general counsel for Sleep America and SelectShops, where he was responsible for all legal matters, and has advised various employers on the design and implementation of cost effective and efficient health care programs.
He also has worked with benefits consultants to design health insurance plans for companies.
“Given that experience and my experience as an employment lawyer, it gives me that very forward-thinking entrepreneurial background to deal with upcoming health care reform issues,” Weissman said.
Rose said it’s not too early for employers to start thinking about how they will structure their health insurance policies.
“You can’t wait until 2013 to try to figure out how this is going to work for you,” she said. “You need to start thinking about it now.”
Households that earn less than $89,000 a year will be eligible for a federal subsidy to purchase insurance.
“You are going to have to look at every single person in your company, what they make, what their health care needs are, and create a highly individualized plan so that in 2014 you’re not left with penalties,” she said.
Various studies have shown that many employers will drop their health coverage altogether and willingly pay a penalty fee, she said.
“So if you make $89,000, then the government will pay for all of your health care, except 9.5 percent of your salary,” she said. “But if you’re making $50,000, the government will pay for much more. You can’t spend more than 9.5 percent of your household income on your health care if you make $89,000 or less.”
If the government offers these subsidies for individuals, it might be a better deal to purchase coverage from the State Insurance Exchange rather than from one’s employer, she said.
State exchanges will offer individuals and small businesses the ability to compare the costs and benefits of competing private health plans online.
The U.S. Department of Health and Human Services proposed new rules last week under the Affordable Care Act that will help consumers understand their health coverage and determine the best health insurance options for their families.
All health plans will provide a summary of benefits and coverage, along with a uniform glossary of terms that can help consumers decide which plan to purchase.
But Arizona is one of several states challenging the constitutionality of health care reform, alleging that the measure’s individual mandate exceeds congressional authority.
John Balitis, an attorney and director of Phoenix law firm Fennemore Craig PC, said it’s a little too early to begin panicking, especially because the lawsuit could change the Affordable Care Act.
If the law is repealed, Rose Law Group could be left focusing on an area that will not see the light of day.
“If you want to ramp up your practice to become an expert in a law that could be repealed or won’t be fully effective for a couple of years, you could invest a lot of time you’ll never ultimately utilize,” Balitis said.
However, Henry GrosJean, a health insurance broker and founder of GrosJean & Associates , said he doesn’t expect health care reform to be repealed. He said the only thing in question is the mandate to buy health insurance.
His big concern is that people only will buy health insurance when they need it. The tax credits also will be an administrative nightmare, GrosJean said.
“That’s because they let the government in the health care system,” he said.
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For more information contact Jordan Rose 480-505-3939 directly.
