Affordable Care Act and VMS/MSP Representations

The Affordable Care Act has some very specific implications to the world of managing multiple human capital vendors. (i.e. the VMS model and MSP). It should be a safe assumption that employees of staffing agencies are considered employees of that agency, and NOT the healthcare facility in which they provide services as a subcontracted agent. […]

Healthcare Staffing Agencies and Affordable Care Act: A Taxing Issue

Many healthcare staffing agencies that have over 50 FTEs are looking at the cost (or Tax) associated with NOT complying with the Affordable Care Act.  In 2015, employers with more than 100 FTEs will need to cover 70% of their full-time employees and by 2016 employers with more than 50 FTEs will have to cover substantially […]

ACA & SHOP – How it affects small healthcare staffing agencies

The Small Business Health Options Program, (SHOP) is a program with the affordable care act for employers with less that 50 FTEs. It is a plan that helps small businesses including healthcare staffing agencies provide health coverage to their employees. There are several feature of this plan that allow flexibility for the employer. Employers can control […]

The Future of the Affordable Care Act (Obamacare).

The recent turn of events during the mid-term elections have the two political parties at odds over the future of the Affordable Care Act.  As a business owner, it is certainly instructive to take a look at the possible outcomes as the Republican-controlled Senate joins a Republican majority in the House.

States’ Medicaid Expansion and the Confederacy

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’ expansion of Medicaid has an […]

Don’t Let the Affordable Care Act Penalties Sneak Up on You!

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 monthly. 

Will the Affordable Care Act Inject More Funding for Hospitals?

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 hospitals.

Two of The Leading Reasons for Gross Margin Erosion

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 can seriously erode the margins […]

Will your new doctor be a nurse?

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 of citizens with health insurance. […]