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'Big Four' Perspectives on New Health Care Legislation


Product Code - TMAU52
Speaker(s): Richard Speizman, Corina Trainer, G. Kenneth Robinson III, Edward M. Pudlowski 
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The 2010 Patient Protection and Affordable Care Act, along with the 2010 Health Care and Education Reconciliation Act is poised to dramatically alter the health care delivery landscape. Along with these changes are certain tax benefits and burdens necessary to implement and support this systemic overhaul. Tax-exempt entities, employers and individuals need to understand the requirements placed on them by the two acts, as well as the tax provisions that mitigate their compliance costs. At the same time, the acts impose significant penalties on taxpayers in certain tax-motivated transactions that lack the requisite meaningful change in the taxpayer’s economic position. This webinar will deal in depth with these major initiatives, detailing those that apply immediately, and highlight ways that tax practitioners can prepare for those provisions scheduled to take effect several years out.

OVERVIEW OF HEALTH-RELATED TAXES AND FEES
• Excise tax on high-cost employer health plans 
    o Timing, application and how it’s likely to affect benefit plans provided by employers
• Industry fees and excise taxes 
    o Industries affected, application, and how they could create uncertainty for affected businesses as they plan their future cash flow and operations
• Elimination of deduction for Medicare Part D subsidy 
    o Timing, and how denial of deduction will likely be another factor that employers take in account as they design or modify their plans associated with retiree prescription drug benefits
• Deduction limits for compensation paid by health insurance providers 
    o Timing and compensation covered by new $500,000
• Limitation on health flexible spending arrangements 
    o Timing of new cap placed on these arrangements

Educational Objective:
• To become familiar with how health care reform levies new health-related taxes and fees on certain industries and benefit arrangements, and how these changes may affect the provision of employer-provided benefits.

TAX EXEMPT HOSPITALS AND CLINICS
• Tax exemption requirements for hospitals and other healthcare providers 
    o Community health needs assessment 
    o Financial assistance policy 
    o Limitation on charges 
    o Collection processes
• Related provisions affecting Form 990 reporting; IRS data gathering

Educational Objective:
• To be able to articulate how the Health Care Reform legislation changed the tax-exemptions standards that apply to hospitals and other health care providers.

EMPLOYER-PROVIDED HEALTH PLANS: WHAT LARGE EMPLOYERS NEED TO KNOW
• How the legislation affects employer-provided health care plans
• New costs, compliance obligations, and risks that employers face
• Navigating through these changes

Educational Objective:
• To understand how the legislation affects employer-provided health care plans, so they can begin preparing an implementation strategy and plan.

ECONOMIC SUBSTANCE
• Overview of the economic substance doctrine
• How the legislation change this doctrine
• Impact on Transactions 
    o Timing, Application, and Exceptions 
    o Issues needing clarification 
    o Penalties and Related Issues

Educational Objective:
• To be able to articulate how the Health Care Reform legislation changed the economic substance doctrine and how these changes impact decisions regarding business transactions.

Richard Speizman, Corina Trainer, G. Kenneth Robinson III, Edward M. Pudlowski 

G. Kenneth Robinson, III, National Tax Director – Health Plans, is the U.S. Tax Health Plans Industry Leader for Deloitte’s Health Sciences & Government Industry and brings over twelve years of practical and technical experience in tax, treasury, statutory and financial planning to Deloitte’s health plan clients. Mr. Robinson serves clients such as UnitedHealth Group, Health Net, WellCare Health Plans, WellPoint, and other national and BlueCross and BlueShield health plans. He is a frequent presenter at BCBS industry tax conferences.

Mr. Robinson served as Vice President – Tax, and as a member of the senior management team, for Coventry Health Care, Inc. from May 2005 – August 2008. Prior to that, he served as Director of Tax from October 1999 to May 2005 and Tax Manager from July 1998 through October 1999 for the company. Furthermore, he served as Assistant Treasurer for all Coventry Health Care subsidiaries as well as on the Board of Directors of several Coventry entities.

Corina M. Trainer, a Managing Director in PricewaterhouseCoopers LLP, is a member of the IRS Service Team in the Washington National Tax Services office. Ms. Trainer is responsible for a broad range of issues dealing with the IRS and its Office of Chief Counsel, with principal concentration on procedures and programs of the IRS National Office. She also is a core member of the WNTS-based practice that is dedicated to helping clients understand the meaning and impact of the tax shelter disclosure regulations and develop compliance process to comply with their obligations under these regulations.

Prior to joining the firm in 1999, Ms. Trainer served as Assistant General Counsel to a family of multi-employer and single employer pension and welfare plans. In that position, Ms. Trainer provided comprehensive advice and litigation support on qualified pension and welfare compliance and tax issues.