One of the tenets of the Affordable Care Act struck down by the Supreme Court was the States’ mandated expansion of Medicaid. This segment of the legislation was seen as an “over-reach” of states rights. The choice for expansion was returned to the individual states. A map showing the states’
Amidst the back and forth, the delays, and the political posturing surrounding the Affordable Care Act, DON’T FORGET THERE ARE SIGNIFICANT PENALTIES for employers for non-compliance. The penalties are only for employers of 50 or more FTEs, but if your firm suddenly hits the 50 FTE threshold, penalties can accrue
Amidst the uncertainty, delays, and administration of the Affordable Care Act (ACA), a valid question remains as to the reimbursement effects on hospitals nationwide. Given the outreach of the plan to assist in providing insurance to millions who currently can’t afford coverage, a quick assessment would assume an increase in reimbursements to
As discussed previously, gross margins are the fuel that drives the healthcare staffing industry. Cash flow, growth, and debt financing are all greatly impacted by the slightest change in basis points. Assuming you are in the ballpark of industry standards for pricing and pay rates, there are two items that
The state of California has been one of the earliest and most aggressive adopters of the Affordable Care Act. The desired outcome of the legislation is to reach into a population previously uninsured and provide health insurance for those individuals. On a macroeconomic basis, this translates into a larger pool
One of the major tenets of the Affordable Care Act was state-by-state expansion of the Medicaid program to cover the poorest residents on a state-by-state basis. The law was originally written to withhold Federal reimbursement for Medicaid payments if states did not comply with the expansion of coverage. The Supreme
As the Affordable Care Act continues through it’s implementation benchmarks, it would be naive to believe that the culture of healthcare will not be changed forever as we have known it in our generation. For better or worse, Adam Smith’s “invisible hand” metaphor for the marketplace will move the provider
Most start-ups in the staffing industry are organized under the umbrella of an S-corp or an LLC. The reasons most opt for these choices rather than a C-corp are the single pass-through taxation applied to the S-Corp and LLC. Income from a C-corp. passed through to an individual is taxable
Approximately 60% of the hospitals in the US were created within the legal context of not-for-profit status. This tax-exempt status has been enjoyed by healthcare facilities around the country as Government subsidies were awarded after World War II for mostly religious-affiliated entities providing care in local communities. One of the
