The Complicated Machinery of the ACA
Rube Goldberg was an American inventor and cartoonist who lived from 1883 to 1970. His cartoons are easily recognizable. They depict complicated contraptions, completely over-engineered to perform straightforward tasks in ridiculously convoluted ways. They often involve a chain reaction, so they are not only overly complicated, but they take longer, too. The term “Rube Goldberg machine” has expanded to mean any complicated and confusing system.
The Affordable Care Act (ACA) is one such system. It has lots of pieces and parts, each part has its own unique complexity, and it continues to unfold in its labyrinthine manner as the law gradually becomes fully implemented. PEOs and other interested parties watch as it does so.
Right now, here are the things to watch:
- Changes in store for healthcare consumers, providers, and PEOs;
- Transitional relief, as it expires and employers are subject to new requirements;
- A host of new affordability guidance on everything from employer flex contributions to counting hours of service;
- The potential for state innovation waivers to affect health policy;
- The affect the ACA’s changes to disability claims can have on administering employee benefits plans; and
- The ins and outs of 1094-C and 1095-C reporting.
Keep your eye on the ball, or the gear, or the coin as it moves through the ACA, and you will be able to make it to the other end.