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Contributor Jessica Waltman joins us for her quarterly visit to discuss the legislative and regulatory changes going on in Washington. Beyond the jockeying for the 2020 Presidential race, there is a great deal going on that you may not have been able to hear about over that din. Listen in to learn what you should be paying attention to and how it might affect your prospects and clients.

What You’ll Learn From this Episode:

  • The Creates Act.
  • Medicare and Medicaid changes.
  • An update on EMRs (again).
  • A new HIPAA RFI and what it asks.
  • Cost containment issues.

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The midterms will undoubtedly create conversations and different directions for what we can expect around healthcare legislation and regulation. In part two of our two-part episode, Jessica outlines some of the thinking on both sides of the aisle, the key players to watch, and much more.

What You’ll Learn From this Episode:

  • What can we expect to see if the Democrats win both houses of Congress?
  • What the result of divided government might be.
  • Is “Medicare For All” anything more than a political posturing position?
  • Is the Employer Exclusion still in the crosshairs?
  • What can advisors do to remain relevant and help effect market changes?

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Legislative and regulatory changes that affect your practice and your clients continue to happen despite the other noise from the Hill. In part one of this two-part interview with regular contributor Jessica Waltman, we will explore those initiatives and what you need to know to advise your clients appropriately. In part two we discuss . . . politics! Which parties are taking what positions, how they might impact the midterm elections and beyond.

What You’ll Learn From this Episode:

  • Reporting changes.
  • HIT Tax possibilities.
  • EEOC Wellness rules may expire in January and create chaos.
  • AHPs and Short Term Plans and their implication.
  • New 1094/1095 forms and the IRS showing no mercy.

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Jessica Waltman is principal at Forward Health Consulting and one of the most in-demand healthcare political and regulatory analysts in the country. She is also a ShiftShapers regular contributor. As we approach the mid-term elections, you may not be hearing much healthcare discussion on the legislative front, but the regulatory environment has been chock full of initiatives, advices and changes.

Jessica joins us to sort it all out and to let us know what we should expect in the coming months.

What You’ll Learn From this Episode:

  • New CMS Guidance on Medicare Advantage Plans.
  • Short-term and AHP rules.
  • What’s happening in Idaho and Iowa and what does it mean for the nation?
  • Will Congress do anything before the end of the year?
  • Should advisors “shelter in place” until next year?

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Talking politics and benefits is like walking a tightrope in heavy winds, but our guests say it can be done without falling off. Hear more of their advice in the second part of this two-part interview.

With healthcare so tied to politics these days, many advisors feel they have no way to avoid the subject when speaking with prospects and clients. Can you maximize your impact as an advisor and remain politically neutral? Jess Waltman and Dave Mordo say, “yes”.

In fact, they believe that if you do it the right way, that conversation helps to position you as an expert. They provide some real-life examples that show how having those discussions can provide a real business advantage. Jess and Dave caution that you have to know your audience and offer techniques (such as turning the conversation to compliance) to offer a safety net for those “other” parts of the conversation.

What You’ll Learn From this Episode:

  • What it means to know your audience—and why it’s so important.
  • Which modes of communication are the most effective.
  • Tips for calming a client who may be nervous about compliance.
  • How to stay on top of the information you need to remain a subject-matter expert for your clients.
  • Why the need for employee benefits specialists is stronger than ever.

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Talking politics and benefits is like walking a tightrope in heavy winds, but our guests say it can be done without falling off.

With healthcare so tied to politics these days, many advisors feel they have no way to avoid the subject when speaking with prospects and clients. Can you maximize your impact as an advisor and remain politically neutral? Jess Waltman and Dave Mordo say, “yes”.

In fact, they believe that if you do it the right way, that conversation helps to position you as an expert. They provide some real-life examples that show how having those discussions can provide a real business advantage. Jess and Dave caution that you have to know your audience and offer techniques (such as turning the conversation to compliance) to offer a safety net for those “other” parts of the conversation.

What You’ll Learn From this Episode:

  • Can you actually talk politics with your clients?
  • The importance of differentiating between politics and policy.
  • Why talking politics in the right way can demonstrate your expertise on the subject matter.
  • How to talk about political topics in the right way.
  • Different strategies to use when politics are involved.

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On this episode of ShiftShapers, Jessica Waltman continues her quarterly visit from episode #156. She is an expert on legislative politics and a Principal at Forward Health Consulting. Jessica is here to help you make sense of recent political events and how they affect you.

President Trump and the Republican-led Congress decided to pull their legislation designed to reform, not repeal, the Affordable Care Act. This has left the future of cost-sharing subsidies for low-income earners in doubt moving forward and led to a potential lawsuit. Insurers and carriers are desperately seeking resolution of this issue so that they know how to proceed and plan for the future.

In the second of a two-part series, Jessica explains what can be done to guarantee coverage across markets. She will also talk about selling coverage across state lines. Is it possible, and will it save people money? Georgia and Maine already allow this and have not seen any substantial positive or negative results. Jessica still sees potential for positive impacts on the long-term care and life insurance spaces. 

What You’ll Learn From this Episode:

  • How subsidies work for low income citizens seeking coverage.
  • What the Trump administration can do to stave off a lawsuit.
  • Whether coverage across state lines will happen and if it will reduce costs.
  • How coverage across state lines would work.
  • Whether tax reform is on the horizon.

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On part two of this special, post-election edition of the ShiftShapers podcast, we discuss policy ideas that may be seeing a resurgence based on the election outcome and whether these ideas can really bring down costs in the healthcare marketplace.

Jessica Waltman, Principal at Forward Health Consulting and our resident expert on all things legislative and regulatory joins us for part 2 of our look at healthcare in this post-election period.

We discuss the theory being floated that an individual healthcare marketplace will control costs better than the employer-based system currently in place.  We are also hearing a great deal about selling across state lines. Jessica walks us through a practical example of how that theory actually performed in the Georgia market. And finally, we touch on the third rail in healthcare: dealing with hyperinflated and runaway costs on the supply side.

We also explore whether to expect any initiatives that address one of the largest cost drivers – prescription drugs. We wrap up with a serious discussion of the timing – and the time – it will take to unravel PPACA and make meaningful serious reforms, as well as the possible perils of acting too quickly.

What You’ll Learn From this Episode:

  • Policy ideas being proposed from conservative economists on how best to structure the health care system.
  • A practical example of whether purchasing healthcare across state lines encourages competition and brings down the price.
  • Why rural markets are inherently difficult to serve by healthcare providers.
  • What President-elect Trump has hinted about controlling drug prices.
  • The strategies in place to address the main cost drivers on the supply side.
  • Whether value-based pricing is the first step in reigning in runaway facilities costs.
  • What advisors should do in preparation for the upcoming enrollment period.

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On part one of this special, post-election 2-part edition of the Shift Shapers podcast, we look at the reality of the “Repeal and replace” strategies and tactics being discussed by the new administration and other health care constituencies.

Jessica Waltman, Principal at Forward Health Consulting and our resident expert on all things legislative and regulatory joins us for a two-part wrap-up on how November’s election results will affect the health care and employee benefits universe.  In part 1,  we focus on whether full-scale repeal and replace will happen or if other realities will make large-scale change a more complex and messier process.

For six years, the Republican party has put forward the idea of replacing the ACA and replacing it with a suitable option. With control of the Executive and both houses of Congress, the Republican majority will have an opportunity to make their move. How will HHS Chairman-designate Dr. Tom Price change the debate? Will the House Republican’s plan gain wide acceptance? And how can these changes be effected without disinsuring millions?

There are various schools of thought in play when it comes to making changes to the ACA. Jessica walks us through the opposing viewpoints and discusses the pros and cons of the various proposals. She provides context on just how they will impact consumers, businesses, and advisors alike.

Changing the law will not be a simple process. The ACA is an extensive and complex piece of legislation. Abrupt changes can have unintended consequences that impact health care access, the economy, and potentially the mid-term elections.

Listen in to find out what Jessica suggests the Trump administration can do right away that would positively impact businesses.

What You’ll Learn From this Episode:

  • The strategies and tactics that are being considered for “repeal and replace”.
  • How the appointment of Dr. Price as new Secretary of HHS will impact the “repeal and replace” discussion.
  • How Dr. Price’s “Empowering Patients First Act” will meld into any new plans.
  • Whether selling across state lines is a practical idea in today’s environment.
  • The strategies in place to address the main cost drivers on the supply side.
  • How regulatory changes can be made without eliminating effective provisions that are working well.

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In part 2 of our quarterly visit with Jessica Waltman, we explore the upcoming regulatory changes during this election season that will directly affect benefit advisors.

Jessica is a Principal at Forward Health Consulting and is a regular contributor to ShiftShapers.  As one of the preeminent experts on how legislative and regulatory changes will impact your practice, she is the perfect guest to help advisors sort through the flurry of new rules and focus in on what’s most important.

Regulatory changes are emerging at a fast and furious pace as we near the end of President Obama’s second term, and not all of those changes are directly related to the Affordable Care Act. Jessica describes in detail how these new changes will impact health plans, retirement plans, and health reform requirements. Anyone who sells group insurance will be impacted by these proposed changes.

Additionally, advisors need to be able to communicate quickly and clearly to their employer clients who can face fines and additional documentation requirements once the expansion is finalized. Advisors who understand this new environment will be better positioned to help their clients navigate the changes successfully.

Jessica shares the latest information on everything from the increase in fines and penalties or changes to wellness program requirements.

What You’ll Learn From this Episode:

  • How the proposed expansion of Form 5500 will impact health care plans.
  • What the confounding compliance complexities are.
  • How implementing the EEOC Wellness Rules will impact plans.
  • What the potential snags and pitfalls are in Employer Mandate implementation.

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