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Health Care Reform for Employers in Mississippi: Now What?

Health care reform is impacting all employers. Don't wait ... get the guidance you need now. The Patient Protection and Affordable Care Act of 2010, which was signed by the President and upheld by the Supreme Court, is impacting employers and employees alike. These dramatic changes to the health care law call for action by all employers. These reference materials are an opportunity for employers to sort through all the information to get the facts on what is required, how to make the most cost-advantageous decisions and what you need to do to avoid costly penalties. Benefits for You •Learn how health care reform affects your plans •Stay up-to-date with the latest legal and legislative developments •Gain understanding of complex guidelines for grandfathered plans •Receive guidelines for plan design modifications ... what you can and cannot do Learning Objectives •You will be able to review PPACA's employer mandate. •You will be able to discuss GF plans. •You will be able to explain fraud and abuse under health care reform. •You will be able to identify the Anti-Kickback Act and Stark claims.
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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

Managing Workforce and Talent Under PPACA's Employer Mandate
— Clay McDonough
  • Making Sense of Qualifications of Employer Mandate
  • Employer Requirements
  • Staffing, Hiring and Termination Implications
  • Making the Most of PPACA
  • Refresher - the Do's and Don'ts of Hiring and Firing
  • General Suggestions for Managing Employees in Light of PPACA
  • Recent Developments Concerning Employer Mandate
GF Plans and Refresher on Existing Requirements
— Andy Impastato
  • GF Plans
  • Existing Requirements
    • Dependent Coverage
    • Lifetime Limits
    • Annual Limits
    • Pre-X
    • Patient Protections
    • Internal and External Claim Review
    • Medical Loss Ratio
    • Preventive Care
    • Summary of Benefits and Coverage
    • PCORI Fee
    • W-2 Reporting
    • FSA Cap
    • Medicare Withholding
    • Exchange Notice
Employer Mandate and Other Future Requirements
— Andy Impastato
  • Employer Mandate
    • Applicable Large Employer Status
    • Identifying and Tracking Full-Time Status
    • Offer of Coverage
    • Minimum Essential Coverage
    • Treatment of Dependents
    • Affordability
    • Minimum Value
    • Penalty Assessment and Calculation Examples
  • Reinsurance Program Fee
  • Insurance Industry Fee
  • Community Rating
  • Plan Design Changes
Fraud and Abuse Issues Under Health Care Reform and Their Impact on Employer Compliance
(Break 2:40 pm – 2:50 pm)
— Jonell B. Beeler
  • Current Status and Recent Developments in Fraud and Abuse Enforcement: Current Efforts and Directions
  • Statutory Developments in Health Care Fraud and Abuse
  • Anti-Kickback Act and Stark Claims
  • CMP Penalties
  • Compliance Programs in Dealing With Fraud and Abuse
  • Other Issues and Problems for Management Personnel: HIPAA
Questions and Answers
— Jonell B. Beeler, Andy Impastato and Clay McDonough
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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

Online Manual

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Jonell Beeler

Jonell Beeler

Baker Donelson

Jonell B. Beeler

  • Shareholder with the law firm of Baker, Donelson, Bearman, Caldwell & Berkowitz, PC
  • Concentrates practice in health care and serves as co-leader of the Firm’s Health Care Government Investigations Group and Health Care Regulatory Task Force
  • Frequent speaker and has written numerous publications
  • J.D. degree, cum laude, University of Mississippi School of Law; M.A. and B.A. degrees, University of Mississippi
  • Can be contacted at 601-351-2427 or [email protected]
No photo available

Andy Impastato

BancorpSouth Insurance Services, Inc.

  • Corporate counsel and vice president of Client Compliance of BancorpSouth Insurance Services, Inc.
  • Responsible for providing regulatory guidance on new legislation, HR management and benefits administration
  • Former manager of legal operations for Blue Cross & Blue Shield of Mississippi
  • More than nine years of providing legal and compliance advice on employee benefits matters, including all aspects of health and welfare plan administration
  • Extremely knowledgeable in all areas of human resource management and administration with special emphasis on compliance
  • Frequent speaker and has written numerous publications
  • Consults with clients on all facets of human resource administration, laws and regulations and explains often complex concepts in simple and accurate terms and offers insight and advice on current human resource trends
  • Member of the American Bar Association, its section on labor and employment law and its joint committee on employee benefits, and member of the Mississippi Bar Association and Mississippi Corporate Counsel Association
  • J.D. degree, Mississippi College School of Law, B.A. degree, Mississippi State University
  • Can be contacted at 601-983-4009 or [email protected]
No photo available

Clay McDonough

Mitchell Day Law Firm, PLLC

  • Attorney with Mitchell Day Law Firm, PLLC
  • Practices in litigation, employment law, insurance defense and health care law
  • Adjunct professor at Mississippi College
  • J.D. degree, Mississippi College School of Law; B.A. degree, University of Mississippi
  • Can be contacted at 601-707-4036 or [email protected]
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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

All of your training, right here at Lorman.

Pay once and get a full year of unlimited training in any format, any time!

  • Live Webinars
  • OnDemand Webinars
  • MP3 Downloads
  • Course Manuals
  • Audio Recordings*
  • Executive Reports
  • White Papers and Articles
  • Sponsored Live Webinars

Additional benefits include:

  • State Specific Credit Tracker
  • Members Only Newsletter
  • All-Access Pass Course Concierge

* For audio recordings you only pay shipping

Questions? Call 877-296-2169 to speak with a real person.

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Product ID: 387868
Published 2013
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