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Dueling Districts on Major Challenge to Federal Health Reform

Are Employers in States Without Exchanges Subject to Penalties? In two highly technical and comprehensive rulings out July 22, 2014, two federal districts came to opposite conclusions on a key remaining challenge to...more

ACA’s Deductible Limits for Small Groups Repealed

On April 1, 2014, President Obama signed into law the Protecting Access to Medicare Act of 2014. The primary purpose of the law is to provide a one-year delay of a 24% reduction in payment rates for physicians who participate...more

Health Care Reform Implementation Update - March 13, 2014

This week President Obama released his Fiscal Year 2015 Budget Proposal, which provides useful information on his priorities for the year but, as is normally the case, is not likely to gain much traction; the administration...more

FY 2015 Budget Tax Proposals Target Insurance Companies

On March 4, the Obama Administration released its fiscal year 2015 budget (FY 2015 Budget). In keeping with the Administration’s past budgets, the FY 2015 Budget includes a number of tax proposals that target insurance...more

Massachusetts Governor Proposes Insurance Industry Pass-Through Tax

Massachusetts Governor Deval Patrick released his proposed FY 2015 budget on January 22, 2014. The proposed budget includes a tax provision that is targeted directly at the licensed insurance industry. Currently, income...more

Health Care Reform Implementation Update - January 24, 2014

In a high-stake but relatively uneventful series of negotiations, the House and Senate passed a continuing resolution to fund the government through September, averting another government shutdown. Also over the past week,...more

Il Pay-as-You-Go pubblico e privato: davvero diversi? Un confronto Europa - Us [settimo capitolo del progetto di libro "Presente e...

Settimo capitolo del progetto di libro "Presente e Futuro del PayGo in Italia, Europa, Us", di Nicola C. Salerno [nicola.salerno@tin.it - 0039 347 9023927 - twitter nicolacsalerno]...more

Il Pay-as-You-Go attraverso i Programmi di Stabilità [sesto capitolo del progetto di libro "Presente e Futuro del PayGo in Italia,...

Sesto capitolo del progetto di libro "Presente e Futuro del PayGo in Italia, Euriopa, Us", di Nicola C. Salerno [nicola.salerno@tin.it - 0039 347 90.23.927 - twitter nicolacsalerno]...more

Appendice 1.2 al primo capitolo del progetto di libro "Presente e Futuro del PayGo in Italia, Europa, Us"

Appendice 1.2 al primo capitolo del progetto di libro "Presente e Futuro del PayGo in Italia, Europa, Us", di Nicola C. Salerno [nicola.salerno@tin.it]...more

Appendice 1.1 al primo capitolo del progetto di libro "Presente e Futuro del PayGo in Italia, Europa, Us"

Appendice 1.1 al primo capitolo del progetto di libro "Presente e Futuro del PayGo in Italia, Europa, Us", di Nicola C. Salerno [nicola.salerno@tin.it]...more

La demografia dell’Italia e delle Regioni italiane. Uno sguardo alle proiezioni a medio-lungo [primo capitolo del progetto di...

Primo capitolo del progetto di libro "Presente e Futuro del PayGo in Italia, Europa, Us", di Nicola C. Salerno [nicola.salerno@tin.it]...more

Demografia, Occupazione e Produttività in Europa e Us [quarto capitolo del progetto di libro "Presente e Futuro del PayGo in...

Quarto capitolo del progetto di libro "Presente e Futuro del PayGo in Italia, Europa, Us", di Nicola C. Salerno [nicola.salerno@tin.it]...more

Demografia, Occupazione e Produttività in Italia e nelle Regioni Italiane [terzo capitolo del progetto di libro "Presente e Futuro...

Terzo capitolo del progetto di libro "Presente e Futuro del PayGo in Italia, Europa, Us", di Nicola C. Salerno [nicola.salerno@tin.it]...more

La demografia in Europa e in Us. Uno sguardo alle proiezioni a medio-lungo [secondo capitolo del progetto di libro "Presente e...

Secondo capitolo del progetto di libro "Presente e Futuro del PayGo in Italia, Europa, Us", di Nicola C. Salerno [nicola.salerno@tin.it]...more

Paul & Patty’s Potluck: Budget Conference Could Have Big Implications for Tax Reform

After weeks of tense negotiations, Congress passed legislation on October 16, 2013 to end the government shutdown and raise the debt ceiling. As part of the deal, congressional leaders agreed to establish a conference to...more

Health Care Reform Implementation Update - October 22, 2013

After 16 days of government shutdown, Congress voted to reopen the government and avert default without defundingthe Affordable Care Act, delaying the individual mandate, stripping the medical device tax from the law or...more

Events moving fast in Congress: the shape of things to come?

The next two days in Congress will be characterized by fast-moving developments on the government shutdown/debt ceiling issues. As of this morning the situation is as follows...more

As shutdown week 2 approaches, 4 subtle signs of a possible deal

Congressional sources indicate, however, that a deal might not come together politically until very close to the October 17 - 18 deadline at which Treasury Secretary Jack Lew has warned Congress that, absent additional...more

Don't Cry for Me Argentina! Beating the High Cost of Obamacare - Finding a Solution Path for Small Business Owners

Overview - The combination of the federal government shutdown along with the roll out of Obamacare is a once in a lifetime event - sort of like a Lunar Eclipse or Haley's Comet. Or is it is more like the time that you...more

Health Care Reform Implementation Update - September 17, 2013

Congress has been back for a week, and already the president and Democrats are engaged in a contest with Republicans to see who will blink first. Additional spending legislation needs to be passed to keep the government...more

Health Care Reform Update -- September 16th, 2013

In This Issue: Leading the News; Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Health Care News; Hearings and Mark-Ups Scheduled. Excerpt from Leading the...more

Health Care Reform Implementation Update - September 11, 2013

After spending the past month in their home districts listening to constituents, this week House and Senate members are back in Washington and Congress is back in session. Though the attention of many has turned to...more

Capital Thinking: Health Care

LEGISLATIVE ACTIVITY - PREMIUM SUBSIDY BILL - House Majority Leader Eric Cantor (R-VA) will continue to drive legislation to undermine elements of the Affordable Care Act (ACA) and advance “patient-centered systems”...more

Health Care Reform Implementation Update - July 16, 2013

Capitol Hill and the agencies went back and forth last week on the impact and consideration involved in delaying the Affordable Care Act’s (ACA) employer mandate; votes in the House are expected this week on it, as well as a...more

Health Care Reform Update -- July 8, 2013

In This Issue: Leading the News; Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; and Hearings and Mark-Ups Scheduled. Excerpt...more

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