So… the Government Changed Everything About Health Insurance. Cool, Cool, Cool. By Anne Glorioso, CEO · Solidarity Health Network, Inc. · Cleveland, Ohio If you work in ACA (Affordable Care Act) compliance, you already know last summer was A Lot. And I mean A LOT. Two massive policy actions dropped within 40 days of […]
Tag: healthcare
Your Provider Roster Is Either Right or It’s a Problem
What ACA health plans — and the employers and brokers who work with them — need to know about provider directory rules, and why “close enough” stopped being good enough a long time ago. Let’s start with the uncomfortable truth: a lot of ACA health plans are out there right now with provider directories that […]
If Your TPA Never Pushes Back, They’re Not Protecting You
Compliance failures rarely announce themselves. They don’t show up with warning lights and sirens. They accumulate quietly — in a dependent verification that was skipped, a plan document that drifted from what’s actually being administered, an eligibility file that hasn’t been reconciled in months. By the time a plan sponsor discovers the problem, it’s usually […]
When ACA Subsidies Shrink: What Small Employers Can Do to Support Their Employees in 2026
Many small employers are hearing the same concern heading into 2026: “My ACA subsidy went down — my premiums are going up — what do I do?” With subsidy reductions and higher plan costs, more employees are facing difficult decisions during open enrollment. Even if you don’t currently offer a group plan, you still have […]