Washington, DC (PRWEB) July 19, 2013
Employers adapting to what may be a significant, long-term movement to self-funding alerts health insurers that new challenges and opportunities exist heading into 2014 and beyond. Learn all the details of the risks and rewards of self-funding for employers, the likely impact on insurers, and the legal, actuarial and financial pros and cons of making the switch in “Self-Funding: The Risks and Rewards for Employers and Impact on Insurers,” the upcoming July 30 webinar from Atlantic Information Services, Inc. (AIS).
With the clock ticking on implementation of major Affordable Care Act reforms, more and more employers are moving from fully insured health plans to self-funded arrangements — and the group size of these plan sponsors is shrinking to below 50 employees. For health insurers, a significant migration of small employers to self-funded coverage could reduce premiums and profits, and lead to adverse selection for the full-risk pool, if self-insuring employers have healthy worker populations. And state and federal lawmakers are weighing bills to curb self-funding by limiting reinsurance protections available to employers or setting a minimum group size for self-funded plans.
In a fast-paced discussion on July 30, two top employee benefits consultants — Chantel Sheaks, health care consultant for American Fidelity Administrative Services and adjunct professor of law at Georgetown Law, and Lawrence (Mac) McCarthy, president of McCarthy Actuarial Consulting — will provide practical advice on these and other big-dollar issues:
- How the self-funding trend will reshape employer-sponsored health insurance. Is this a trend built to endure or a passing fad?
- What risks, benefits and costs employers face associated with self-funding.
- What types of businesses should consider self-funding and which ones are not good targets.
- The legal, actuarial and financial impact on employers of shifting from fully insured to self-funded status.
- Why certain parts of the reform law, like new rating bands and essential benefits, make self-funding attractive for some employers.
- How the elimination of annual and lifetime maximums, as required under the reform law, will increase claim variability and could result in higher premiums for stop-loss coverage.
- How premium taxes work for self-funded plans in comparison to fully insured.
- How health plans can determine an employer’s ability to pay its own medical bills.
- An update on the latest state and federal initiatives aimed at regulating self-funding practices.
Visit http://aishealth.com/marketplace/c3m31_073013 for more details and registration information.
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://AISHealth.com.