
December 2009
Americans with Disabilities Act (ADA) With the ever-changing statutes to the ADA we recommend taking a few minutes from time to time in order to refresh your memory. Disability.gov provides a synopsis of the ADA’s major titles, and includes content regarding the ADA Amendments Act (ADAAA), where any/all edits can be found.
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COBRA Subsidy: Updated Frequently Asked Questions from the ESBA.
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Common morbidities that lead to Disability.
These resources can prove to be invaluable, and in some cases, may even help prevent a disability from occurring:
American Heart Association - Heart disease prevention and healthy lifestyle tips.
The Arthritis Foundation - The prevention and treatment of arthritis.
American Cancer Society - Cancer prevention information and programs for patients, their family friends and caregivers.
American Diabetes Association - Diabetes research, information and advocacy.
MedlinePlus - Federal government website with information on 700+ diseases and conditions, a medical encyclopedia and dictionary.
Depression: A Lot Bigger Than You Think
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Integrated Benefits Solution 2009 Depression Research
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Govt: Medicare paid $47 billion in suspect claims
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National Association of Health Underwriters
Comparison of the Comprehensive Health Reform Measures Under Consideration in the Senate and U.S. House of Representatives
Download Document
193KB, PDF
November 2009
ADA Resource Line:
With the recent changes to the ADA Regulations, the US Dept. of Justice re-announces their toll-free ADA Assistance line, which allows businesses, State and local governments, or others to call and ask questions about general or specific ADA requirements including questions about the ADA Standards for Accessible Design. To access the contact information, please click on the link:
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Disability claims higher than expected
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Many jobless workers may soon lose COBRA subsidy
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Medicare Part D: Creditable Coverage Disclosure Notices Due by November 14th
Download Document 57KB, PDF
Military Family Leave Expanded:
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Sample Notice - Cobra Premium Reduction Ending
Download Document 26KB, MS Word doc
Shedding the subsidy's skin? Extending COBRA subsidy likely rests on reform
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The Genetic Information Nondiscrimination Act of 2008 Interim Final Regulations
Download Document 62KB, PDF
August 2009
Benefits Buzz: Healthy Families Act & E-Verify
Download Document 1.8MB, PDF
Cobra enrollment soars
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Employers may soon see more requests for Worksite Accommodations due to Amended ADA laws:
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The Americans with Disabilities Act
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Lean Budgets put the spotlight on RX drug plans
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Proposed technical changes to the Fair Share Contribution regulation effective October 1, 2009
Download Document 65KB, PDF
Weathering the current financial storm, some companies have been able to enhance benefit offerings to Employees:
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June 2009
COBRA Premium Subsidy Answers for Employers
Download Document 756KB, PDF
DOL launches new interactive Web tools
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Group-Term Insurance; Uniform Premiums
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Legal Alert: Did the new COBRA rules change taxation of domestic partners?
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Overheard @: Mandating paid sick leaves offers way out of 'Catch 22'
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Massachusetts health reform eyes premium contribution audits
Download Document 124KB, PDF
Preparing for the Worst
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The Importance of a high-quality Benefits Communication Program to Employees
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May 2009
COBRA Sample Tracking Log
Download Log 30KB, Excel
DIAM - Disability Insurance Awareness Month
http://www.lifehappens.org/diam
Disability 101
http://www.lifehappens.org/insurance-101-videos/disability
Legal Alert: Deadline approaches for mental health and substance abuse mandates
http://ebn.benefitnews.com/news/deadline-approaches-for-mental-health-and-substance-abuse-mandates-2672368-1.html
LTC suggested as parent gifts
http://ebn.benefitnews.com/news/ltc-suggested-as-parent-gifts-2672330-1.html?ET=ebnbenefitnews:e120:2046146a:&st=email
The I-9 Form and your Employees
Download Document 276KB, PDF
March 2009
COBRA Model Notice (Full Version)
Download Full Article [503 kb PDF]
COBRA Alternative Model Notice
Download Full Article [259 kb PDF]
COBRA Notice in Connection with Extended Election Periods
Download Full Article [503 kb PDF]
Children’s Health Insurance Program Reauthorization Act of 2009
Download Full Article [735 kb PDF]
COBRA & ARRA Answers for Employers
Download Full Article [776 kb PDF]
Frequently Asked COBRA Subsidy Questions and Answers
Download Full Article [229 kb PDF]
American Recovery and Reinvestment Act of 2009 COBRA Communication for Employers
Read Full Article (DOC, 56 KB)
IRS Q & A
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Sample COBRA Election / Waiver form
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Sample Communication for Active COBRA
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Sample Communication for AEI's Eligible February 17, 2009
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February 2009
Bicycle Commuter Act signed into law effective January 1, 2009
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A recent (5/08) UNUM study finds Cancer to be most prevalent cause of LTD claims. Fortunately, they are also seeing a trend of increased survival rates, and return to work following cancer-related disability leaves.
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Critical Care
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Employee Benefits Advisory: Massachusetts "Fair Share Contribution" Filing Requirements Modified-Again
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Medicare reimbursement shakes things up
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Some fear window is narrow for healthcare overhaul
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Voluntary Insurance products now available in the Supermarket!
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December 2008
Amendment to ADA may increase disability claims
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Code blue on healthcare costs
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Fewer young uninsured, more poor
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Guidance Regarding Minimum Creditable Coverage Certification On and After January 1, 2009
Administrative Bulletin 01-08: Guidance Regarding Minimum Creditable Coverage (MCC) Certification On and After January 1, 2009
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Health insurance law requires 'minimum credible coverage'
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Managing Workforce and Benefit Program Risks during an
Economic Downturn
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Supporting workers with cancer
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Will the new mental health parity law be a costly benefit
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November 2008
Back Pain and The Integrated Health and Disability Program
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Breaking the cycle of waste in healthcare
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Helping Employers Understand What Disability Benefits Can Offer
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Medicare Part D Requirements
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Minimum Creditable Coverage Requirements for Individuals Start Jan. 1, 2009
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Losing sight of wellness program goals
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Your Human Life Value May Be More Than You Think
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October 2008
Division of Health Care Finance and Policy Regulations for the Employer Fair Share Contribution
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Mass. Asking companies to pay more insurance costs, By Steve LeBlance
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Many newly insured still flock to ERs
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September 2008
Connector board debates changes to minimum coverage standards
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Life Insurance Consumer Information
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Life Insurance Awareness
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Pharmacy opens state's first in-store clinic
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Primary care into isolation
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State could be sued, healthcare giant warns
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August 2008
Governor Patrick's 2008 Supplemental Budget Bill
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Consider impact on safety net hospitals
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Coalition looks to boost ranks of primary care doctors
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Health insurers to cover in-store clinic visits
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Errors Leave Some Without Insurance
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Employers look internally to manage rising drug costs
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Legislative ALERT... Proposed Changes to "Fair Share Contribution" Under Healthcare Law Will Be Costly to Employers
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Mass. Sees Jump in Coverage Under New Health Law
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Small Businesses Pay for Plan's Shortcomings
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June 2008
Summit hears need for laggards to pay
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A bug in healthcare law
After healthcare reform was made law in Massachusetts in 2006, the number of newly insured patients in the state started to grow, and so did the demand for care
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"Employers Are Doing Their Fair Share in Health Reform" by Richard C.
One of the basic tenets of the Massachusetts health care reform law was "shared responsibility" among individuals, employers and government.
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Health Insurance gains detail
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State Health Plan Underfunded
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March 2008
2008 Employee HIRD Form
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Care, cost stressed in R.I. initiative
Drawing lessons from Massachusetts, Rhode Island's lieutenant governor unveiled a healthcare plan yesterday that puts as much emphasis on slowing soaring costs as it does on providing universal coverage…
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Cost control is next phase of state health care reform
The first phase of Massachusetts health care reform took advantage of some of Massachusetts' historic strengths, most notably the state's high percentage of employer-sponsored insurance and its nationally low percentage of uninsured…
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Health leaders seek to change payment system
To control soaring healthcare costs in Massachusetts, the state needs to overhaul how doctors and hospitals are paid, several healthcare leaders said yesterday during legislative testimony…
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Cost of health hurting business
Maynard H. Southard's 11 employees at Echo Industries Inc. cut back on smoking. They started going to a gym…
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Evidence-based dentistry hopes to redefine dental benefits
As more employers become savvy about applying evidenced-based medicine to determine medical benefits, it's only natural that some might want to see those concepts incorporated into dental plans…
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February 2008
DOR Issues Emergency Regulation Implementing Tax Penalty and Reporting Requirements under the Massachusetts Health Care Reform Act
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A health law with holes
JON KINGSDALE is a good man playing a bad hand dealt him by the Massachusetts Legislature and the Bush administration…
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Employers favor private-industry reforms
Employers don't seem to have much faith that the next president will produce significant health care reform, according to a new survey from Employee Benefit News and CBIZ Benefits & Insurance…
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Companies could help lagging spirits with better wellness programs
A surprisingly low percentage of employees indicate a desire to exercise, making it all the more important that employers promote wellness programs at their worksites, according to a new study released this week by ComPsych…
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March 2007
In its attempt to make health insurance premiums affordable, a state board is giving the go-ahead to plans with high deductibles, but that is causing concern that many newly insured people may avoid getting treated when they're sick or may run up onerous debts to pay their medical bills. Read Full Article
Governor Deval Patrick yesterday unveiled significantly lower prices for the health insurance plans that uninsured residents will be required to buy starting July 1. Patrick said six weeks of intense negotiations, in which he personally called the chief executives of Blue Cross and Blue Shield of Massachusetts, Harvard Pilgrim Health Care, and Tufts Health Plan, resulted in lower prices that will make the plans more affordable for uninsured residents. Read Full Article
Although industry surveys indicate that employers anticipate strong growth in consumer-driven healthcare plans (CDHC), low selection rates remain a significant stumbling block among employees offered such plans as one option among many, according to a report released today by The Conference Board, the international business research organization. Read Full Article
Massachusetts residents would have an extra 18 months to get what the state defines as minimum insurance coverage to comply with the landmark health care law, under preliminary regulations approved Tuesday. But residents would still be required to have some kind of health care plan as of July 1, when the law takes effect. Read Full Article
February 2007
A state panel yesterday outlined for the first time the minimum requirements for coverage under the state's new health insurance law, a package estimated to cost $380 a month on average for an individual, more than $100 above recent estimates. Read PDF - 79kb
When Cadmus Communications Corp. began requiring employees to undergo a health-risk assessment to qualify for medical coverage, some workers feared their medical conditions could cost them their jobs. But Stephanie Metzger credits the mandatory testing with possibly saving her life. Read PDF - 86kb
In April 2006, Massachusetts made history when Governor Mitt Romney signed thee landmark health care reform legislation into law. The goal of the law is to provide health insurance to most of the half-million Massachusetts residents who now have no coverage. Read PDF - 607kb
Effective January 1, 2007, the Health Care Reform Act (Chapter 5 of the Acts of 2006, as amended) requires that carriers with insured health benefit plans that provide for dependent coverage make coverage available for persons thought the earlier of their 26th birthday or the day two (2) years following the loss of their dependent status according to federal tax rules. Read PDF - 289kb
September 2006
Employers that develop plans connecting Family and Medical Leave Act
benefits with disability programs are finding it easier to manage costs and
track employee absences, according to insurers that have studied the trend
and offer integration management services.
Read Full Article
As more companies turn to pharmacy benefit managers for pharmaceutical
services, some industry experts are asking whether accreditation standards
are needed.
"There are many accreditation bodies for managed health care services, but
there is no oversight of PBMs," says Marianne Fazen, a board member of the
Utilization Review Accreditation Committee, a nonprofit health care group.
Read Full Article
Although once the hare, prescription drug trend now is the tortoise. A
withering pipeline of brand-name drugs, paired with a recent flood of
generics and increased consumer skepticism regarding drug safety, led to a
sleepy 5.4% increase in 2005 drug spending, according to Medco Health
Solutions.
The annual change in year-to-year expenditures is the lowest since Medco
began tracking such data in 1999. Last year's 5.4% increase is less than
2004's 8.5%, and a fraction of 1999's 16.4%.
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August 2006
Something that exacerbates health problems, produces prolonged absences and
worsens employers' headaches over medical costs is hard to ignore. So it's
easy to see why businesses are starting to recognize the negative influence
depression has on disability claims.
Read Full Article
Get 20/40 vision in 20 minutes. However, despite achieving Food and Drug
Administration approval less than two years ago, a new vision correction
procedure already is making headlines for yielding such quick and positive
outcomes for nearsighted patients who are not candidates for LASIK surgery.
This latest in surgical options involves making an incision in the cornea
and inserting an implantable contact lens (ICL) - a refractive phakic
implant made from a plastic material used in cataract operations - behind
the iris of the eye. The procedure requires a local anesthesia and takes
about 20 minutes.
Read Full Article
Employers and health plans that rely on case managers to help workers with
cancer have a new tool at their disposal: cancer-specific services that
guide patients through the complexities of diagnosis, treatment and
survivorship.
Read Full Article
July 2006
Wellness programs and employee wellness incentives continue to gain in
popularity in the wake of unrelenting spikes in medical costs for businesses
and patients.
Read Full Article
Dental plans these days come in many different shapes and sizes, but the
average employee benefit manager may end up seeing nothing but spots through
all the marketing spin - much like a patient leaving the dentist under the
influence of laughing gas.
Read Full Article
In tandem with the consumer-driven health care groundswell, disease
prevention is getting a boost in coverage and attention from employers and
health care insurers. However, when it comes to drugs, what's preventive
isn't always cut and dried.
Read Full Article
June 2006
In a groundbreaking move with far-reaching implications, Massachusetts
adopted a law in April to require state residents to obtain medical
insurance by July 1, 2007. Previously, no state had required people to carry
medical insurance.
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A June 2000 car crash in Southern California has reverberated all the way to
the portico of the U.S. Supreme Court, and one way or another, employee
health insurance plans will soon feel the aftershocks.
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May 2006
"Perhaps the best deal on the eye care chart is the basic examination. To
encourage utilization, providers usually charge $10, tops. VSP, the
Microsoft of the vision industry, charges nothing for exams within its
provider network."
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It didn't take a fancy claims analysis or much shopping around for John
Keach to add a wellness program to the employee benefits offered by his
small bank. He signed on when the bank's health insurance company offered
the program.
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Call it the Great Awakening of the modern worker. The denouement of the Age
of the Automaton. Employees ranging from the lowest wage earners to seasoned
CEOs are rising up and demanding the freedom and flexibility to tend to
their family and personal lives. That means looking beyond the size of their
paycheck to all the perks and privileges that help strike a happy medium
between life and work
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April 2006
With the best of intentions, beginning in the 1950s, U.S. companies extended
health benefits to retirees to encourage retirement and, after the adoption
of Medicare in 1965, to fill in the gaps in the coverage that Medicare
provided. Employees and retirees valued these benefits for obvious reasons -
they made it possible to retire before age 65 and provided coverage for
prescription drugs, which Medicare did not include.
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March 2006
Should your company self-insure its health plan? The answer lies largely in
your plan size, but there are plenty of other significant pros and cons to
weigh, experts say. It's not a question that should be taken lightly, as it
can have significant implications for benefit expenses and corporate cash
flow.
Read Full Article
HR professionals and providers collectively voice widespread dissatisfaction
with health care quality but favor different solutions, according to a
recent survey by EBN and State of Our Health.
Read Full Article
For some, consumer-driven health care meant fully replacing their health
benefits with high-deductible plans and health savings accounts. Others gave
employees a choice between HSAs, health reimbursement arrangements and
traditional health plans. Still others didn't adopt HSAs or HRAs, but kept
their traditional plans and used online tools to help employees select
health care providers based on price and quality.
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The federal subsidy for providing retiree drug coverage has proven very
popular among larger employers, at least for the first year it's available,
according to a new survey of 300 mega-firms by Kaiser Family Foundation and
Hewitt Associates.
Read Full Article
February 2006
Regulation of Health Savings Accounts has been a hot topic since their
creation in 2004, and it is likely that the HSA law will continue to evolve
in 2006. New regulations and other guidance are expected from the IRS, and
guidance may also be issued by other federal agencies. Also, it is possible
that new state laws governing the tax consequences of HSAs will be passed.
Read Full Article
Just as employers are adjusting to consumer-driven health, some say that it
is already going the way of the first edition of the ubiquitous MP3 player,
and that "managed consumerism" is its Nano.
Managed consumerism will combine the best of CDH with the best of managed
care principles, says University of California Professor James Robinson, who
coined the term. Consumers will be cost conscious, and medical services will
be tightly integrated and efficiently delivered. The marriage is needed
because both movements made the same fundamental mistake early on, that is,
they tried to apply one strategy of cost control or quality improvement to
all forms of medical care, Robinson says.
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Dental plans rank as the third most important employee benefit, just behind
health and retirement, according to the 2005 Group Purchaser Behavior Study
commissioned by the National Association of Dental Plans.
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January 2006
Somewhere in the traditional alphabet soup of required employment law
postings, there should also hang - per a 2005 Department of Labor rule -
something that reads "USERRA."
Read Full Article
Some of the nation's largest and best-known employers want to give gay and
lesbian couples the same tax breaks married couples enjoy in purchasing
health insurance.
Read Full Article
As conclusive research pours in every day on the effectiveness and
cost-effectiveness of health and disease management programs, more employers
are asking: Why not combine the two?
Read Full Article
Pharmacy costs are expected to remain the fastest-growing component of
health benefits spend this year. The challenge for employers and PBMs will
be squeezing additional savings out of already carefully designed plans.
Here are 10 cost-containment strategies that experts say will help cap costs
and improve value to employees in 2006 and beyond.
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December 2005
"How's this for a parting shot from an employee: "I'm sick and tired of your
self-serving benefit communications!" Surely, you say, there are better
things to gripe about on the way out. Like lumpy half-and-half or the lack
of a subsidized soda plan."
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"Expensive gasoline, due in part to the economic fallout from Hurricanes
Katrina and Rita and the war in Iraq, is fueling new interest in
transportation benefits, such as qualified transportation expense plans and
carpooling arrangements."
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"As more couples seek treatment for infertility, some consumer advocates are
pushing to expand insurance coverage for assisted reproductive technologies
such as in-vitro fertilization. They're enlisting citizens to contact
elected officials and teaching workers how to ask their company to add
infertility coverage to the health plan."
Read Full Article
"Chronic diseases are hard enough to deal with on their own. Add clinical
depression, and you've got a double whammy that can knock employees and
employers for a loop."
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"More Americans than ever are enrolled in discount plans that promise big
savings on dental care but don't cover any of the costs."
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November 2005
"Health care benefits are under attack from all sides. Management wants
medical costs under control. Employees are tired of cost shifting. Benefit
managers are caught in the middle."
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"More employers have increased the financial incentives used to entice
workers to participate in wellness and disease management programs."
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"Engaging consumers in their health care has become a mantra for U.S.
employers. Effective health care consumerism tools help companies meet their
goals to provide needed health care benefits while controlling costs."
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"To accomplish this challenging goal, some innovative companies have
uncovered a way to transform a sleepy little benefit into a vehicle to
support the message - and impact - of consumerism: the health care Flexible
Spending Account (FSA), which allows employees to set aside pre-tax wages to
pay for health care expenses not paid for by a traditional health care
coverage."
Read Full Article
October 2005
"Employees continue to spend big on voluntary benefits, as several new
reports show. And employers are adding more of these products to their
benefit plans." Read further at
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"The results of the Employee Benefit News/Forrester Research 2005 Benefits
Strategy and Technology Study reveal that about of third of employers today
currently offer an employee benefits portal, and that another quarter of
employers expect to do so over the next two years."
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"With more National Guard and Reservists called up for lengthy tours in the
Middle East, a nonprofit organization is offering a free online database to
help employers find support programs for their employees on military duty."
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September 2005
By the end of October, employers must decide whether to take the federal
subsidy for retiree drug coverage. Most employers that offer this waning
benefit have already made their choice; however, those choices come with
trade-offs.
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Stress and personal relationships have eclipsed substance abuse as a focal
point for employee assistance programs.
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Promoting healthy habits and consumerism is the most effective way to lower
medical costs ....
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Employers that haven't yet offered a consumer-directed health plan are fast
becoming the minority.
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August 2005
Read about how "Rising drug expenses are prompting more employers to
consider limiting their retail pharmacy network to low-cost providers or
cutting out retail pharmacies from prescribing non-emergency medication
altogether."
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Work-life benefits ... how do they fit in?
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May 2005
Howard Weyers had had enough. He gave his employees at Weyco an ultimatum -
quit smoking or quit your job - and just over one year to comply.
Read Full Article
Some of the nation's largest employers have streamlined access to health
information in an effort to engage employees in managing their health...
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Employers may well make the health savings account a benefits star this
year. President Bush has one. Vendors seem to be offering new HSA products
by the day. And rising health trends are pushing companies to try tougher
measures to stem costs...
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Eyes are said to be the window to a person's soul, but to doctors, they're
also the window to a person's health...
Read Full Article
April 2005
The lack of insurance is a widely recognized problem in the United States,
but what about the lack of adequate insurance? Read Full Article
Aware of low-wage workers' struggle to pay for their share of medical
coverage, an increasing number of employers are embracing an income-based
sliding scale for employees' health care contributions. Read Full Article
Maybe you thought that you were finished with HIPAA compliance when you sent
out your Privacy Notices on April 15, 2003. Read Full Article
Lobbyists, now resigned to the fact that the Treasury Department has
successfully punted the flexible spending account ball, have their sights
set on Congress to end the use-it-or-lose-it provisions governing FSAs. Read Full Article
March 2005
Early adopters of health savings accounts are finding there's a big design
flaw in their health plans - if they have large medical expenses at the
beginning of the year, they don't have the balances in their HSAs to cover
the costs. To solve this dilemma, some HSA vendors have considered adding
credit lines to their products. . . Read Full Article
Employees are open to assuming more responsibility for their own and their
families' health care, but they are woefully unprepared for the role,
according to two new surveys. . . Read Full Article
As more Americans turn to medications to manage everything from heart
disease to hair loss, employers are gazing anew at drug benefit designs in
search of better ways to control costs. . . Read Full Article
February 2005
Evidence continues to mount that President Bush's administration is unlikely
to legalize imported medicines. . . Read Full Article
It may not happen quickly, but retiree health benefits appear headed for
extinction. . . Read Full Article
Banks, having tackled insurance sales, now are diving headlong into the new
frontier of health savings accounts. . . Read Full Article
January 2005
Workers tend to blame the health care industry, not their employers, for
rising health costs, and they show a strong preference for
employer-sponsored health insurance, two recent polls demonstrate. . .
Read Full Article
Disease management companies promise good returns on investment. Many firms
deliver, but employers should be wary about how vendors calculate return,
experts say. . .
Read Full Article
Because many workers lack health insurance, cash-strapped state governments
are using an array of methods to expand job-based coverage. . .
Read Full Article
December 2004
If you own a home or drive a car, you already know that opting for a
high-deductible insurance plan can save you hundreds of dollars per year, as
long as you're financially secure enough to meet the deductible in case
disaster strikes. . .
Read Full Article
Suppose one of your employees falls off a ladder this weekend while
repairing his roof. The doctor tells him he needs shoulder surgery, which
can be done through a traditional open procedure or through a far less
invasive arthroscopic approach. . .
Read Full Article
Pharmacy benefit managers are integral players in the health care system, so
it is not surprising that their role has come under scrutiny by those trying
to determine the reasons for continued drug cost increases. . .
Read Full Article
November 2004
Small and midsize employers are strong believers in employee benefits, and
they anticipate maintaining or expanding their offerings in the next two
years, reveals research by Employee Benefit News and Genworth Financial
Employee Benefits Group. . .
Read Full Article
Employers should be careful to not overstate the capabilities of health
savings accounts to workers because they cannot cover all health expenses in
retirement, even if participants save the maximum permissible amount and
avoid using the funds to pay for current expenses. . .
Read Full Article
Evidence continues to mount that the growth in health care costs is slowing. . .
Read Full Article
October 2004
Against the objections of the pharmaceutical industry and the Food and Drug
Administration, more states and municipalities are guiding their citizens
and employees to Canada to save money on prescription drugs. . .
Read Full Article
Voluntary benefits are gaining extra luster in the eyes of employers who
continue to look for ways to reduce their benefit costs, experts say. . .
Read Full Article
It's official: Health savings account holders now can invest in certain
types of coins, but not art or wine, according to the latest HSA guidance
from the IRS. . .
Read Full Article
September 2004
It's been smooth traveling along the consumer-driven health itinerary so
far, report insurers and third-party administrators. Early results show
consumer-driven health plans - either based on a health reimbursement
arrangement (HRA) or the newly available health savings accounts (HSAs) -
are having the intended effect of getting consumers to question
health-seeking behaviors and reduce discretionary spending. . . Read Full Article
In structuring work-life and employee assistance program benefits, it's
important to consider that almost half of working caregivers identify
emotional issues as their main cause of stress. . . Read Full Article
On May 26, 2004, the Department of Labor (DOL) issued final rules
implementing the notice requirements under the Consolidated Omnibus Budget
Reconciliation Act of 1985 (COBRA), the federal law that requires employers
to offer the opportunity to temporarily continue group health plan coverage
at group rates when such health coverage would otherwise end due to certain
qualifying events such as job loss, divorce or death. COBRA has always
contained several notice requirements applicable to employers, covered
employees, qualified beneficiaries and plan administrators. However, the new
rules markedly modify the existing notice requirements and impose two new
notice requirements. . . Read Full Article
Health care cost concerns are permeating every aspect of benefits these
days. . . Read Full Article
August 2004
A wide gap exists in perceptions of health care consumerism among American
workers and their employers. . . Read Full Article
For the first time in nearly a decade, health care spending per privately
insured American slowed in 2003, reports the Center for Studying Health
System Change (HSC). Spending rose 7.4% last year, down from 9.5% in 2002
and from a 10% peak in 2001. . . Read Full Article
In today's world of gene therapy and noninvasive surgery, dentistry doesn't
seem that high tech. When fighting tooth decay and gum disease, dentists
still use sharp metal objects to do their work. . . Read Full Article
July 2004
Now that many over-the-counter drugs and medical products can be reimbursed
through flexible spending accounts, consumers are beginning to show more
interest in the plans, according to FSA administrators. . . Read Full Article
As a greater portion of health care costs are pushed onto employees,
employers and brokers are concerned this could cause a drop in demand for
important voluntary benefits, such as income replacement and life insurance. . . Read Full Article
High blood pressure and high cholesterol don't often keep employees off the
job, but left untreated, they can lead to serious, budget-busting
cardiovascular disease.Creating heart-healthy workplaces... High blood
pressure and high cholesterol don't often keep employees off the job, but
left untreated, they can lead to serious, budget-busting cardiovascular
disease. . . Read Full Article
June 2004
For better or for worse, many employers are using cost-sharing as a way of
focusing employees' attention on health care costs and prodding them to
become better consumers of care. Their efforts are paying off in the form of
lower health care costs now, even if the long-term effect on employee health
is still hazy. . . Read Full Article
Total compensation - the concept of creating synergies when benefits, pay
and work life are presented as a single entity - was the talk of the
industry in the late 1990s. Has the sluggish economy of recent years
dampened its spirit? Not at all. . . Read Full Article
Faced with having to pay out more each year in health care premiums despite
a good claims history, the Bank of Geneva in Geneva, Ind., last year decided
it had no choice but to pass more of its health plan costs on to its
employees. Like many other companies, it decided to raise its employee
deductible, in this case from $500 to $2,500. . . Read Full Article
May 2004
Health benefit plans for Medicare-eligible retirees got a huge boost from
Congress in the Medicare Reform Act, which includes billions in tax
subsidies for employers that provide prescription drug benefits to retired
employees. . . Read Full Article
When it comes to measuring disease management programs, finding return on
investment (ROI) savings can be a bit like searching a "Where's Waldo?"
picture. You know he's in there somewhere, you just can't find him. . . Read Full Article
Massachusetts officials have a new plan for tackling rising prescription
drug costs: bulk purchasing. The state intends to secure lower prices from
drug companies by pooling drug benefit programs for some 910,000 people,
including state employees, retirees and Medicaid recipients. . . Read Full Article
After a three-year jaunt with ordinary Americans at the wheel,
consumer-driven health plans (CDHPs) say consumers have quickly learned to
read the road signs, maps, and travel guides. Among the mile-markers,
generic drug usage is up and emergency room visits are down as consumers
seize the chance to educate themselves about appropriate and cost-efficient
medical care. . . Read Full Article
April 2004
Massachusetts officials have a new plan for tackling rising prescription
drug costs: bulk purchasing. . . Read Full Article
Employers and employees appear convinced that disability income insurance is
a necessary part of financial well-being. Increasingly, though, they seem to
be focusing on the most cost-effective coverage they can find. . . Read Full Article
Domestic partner benefits and recognition of same-sex unions are increasing,
generating debate in the courts, on the campaign trails and in benefits
departments. . . Read Full Article
March 2004
Consumer-driven health plans are ramping up for rapid growth, poised to
attract 2.7 million members and $16 billion in premiums by 2005, according
to Forrester Research Inc. The plans are likely to grab 24% of the health
insurance market and $413 billion in premium income by 2010, as 40% of PPO
and point-of-service plan members switch coverage. . . Read Full Article
Everyone agrees that health plan costs are too high, and much of the expense
can be attributed to increased use of prescription drugs. . . Read Full Article
New Medicare legislation provides tax-advantaged health savings accounts
(HSAs) for virtually anyone who has coverage under a high-deductible health
plan. In a surprising twist, the law allows HSAs to be funded on a pre-tax
basis through a cafeteria plan, opening a whole new avenue for funding
consumer-driven health care. . . Read Full Article
Every big idea for reforming the health care system these days revolves
around behavior change - it's simply a question of whose behavior. . . Read Full Article
February 2004
Let's say you wake up on a Tuesday morning with a rash on your leg. You recognize the symptoms of poison ivy, which you think you may have
contracted over the weekend on a wilderness hike. . . Read Full Article
Employers are wielding effective new weapons in the war on health care costs by pushing patients to increase utilization of lower-cost generic drugs and
mail-order pharmacy programs, or else pay the difference out of pocket. . . Read Full Article
The recovery of the global economy is being restrained by a whole host of factors, and the impact is being felt in benefit programs around the world. . . Read Full Article
January 2004
Workers are indeed becoming better health care consumers as employers ask
them to share more of the costs, new evidence suggests. . . Read Full Article
Common pain conditions are a leading cause of lost employee productivity and
disability, yet experts say the ailments are often poorly diagnosed and
treated. . . Read Full Article
Though disagreement persists on senior citizens' gains under the Medicare
reform act, industry analysts are touting the new law's provisions -
especially the addition of Health Savings Accounts - as a boon to plan
sponsors. . . Read Full Article
December, 2003
Doctors may not be able to listen to a patient's heartbeat or do a throat
culture without a face-to-face visit, but that's not stopping some Metroplex
physicians and their patients from meeting in cyberspace. . . Read Full Article
As the notion of consumer-driven health care begins to take hold in medical
insurance, dental plans are adopting some of its precepts. . . Read Full Article
Let's say you wake up on a Tuesday morning with a rash on your leg. You
recognize the symptoms of poison ivy, which you think you may have
contracted over the weekend on a wilderness hike. . . Read Full Article
November, 2003:
The slumping economy and surging health care costs are squeezing many
employers, who are trimming back benefits in response. . .
Read Full Article
State legislatures appear to be experiencing a change of heart over the
multitude of health care mandates passed during the last decade, given the
review commissions and so-called "bare-bones" insurance policies springing
up across the country. . .
Read Full Article
Until they help change consumer and physician behavior, employers are just
nibbling around the edges of the health care cost problem. . .
Read Full Article
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