March 19, 2002 - 6,505 subscribers Today's sponsor: CareCounsel (Click on company name or banner to learn more.) * Our employees love our health plans! * We don't have lots of claims problems or network access issues! * Our carriers do a great job on customer service! * Nobody is as good at managed care troubleshooting as our HR staff ... and that's what we like to spend our time doing! If this is your experience, please skip to today's benefits news. But if it's not, CareCounsel can help! [click here or on banner] (Help BenefitsLink to provide this newsletter at no charge to you -- our sponsors pay our way. Remember to visit them periodically; we try to make sure their products and services will be of interest to you. Thanks! --Editor) American Benefits Council Publishes Chart Comparing Pending Health Legislation, Showing Bill Status (PDF) 12 pages. Includes patients' bill of rights, mental health parity, genetic nondiscrimination, health care assistance for displaced workers, Medicare reform and prescription drug coverage, retiree health, more. (American Benefits Council) Survey: State External Review Programs Excerpt: "A new report for the Kaiser Family Foundation by researchers at Georgetown University's Institute for Health Care Research and Policy finds that 42 states have external review programs to resolve disputes between health plans and consumers. Although consumers are granted relief about half the time on average, the report finds the programs are used infrequently." (Henry J. Kaiser Family Foundation) Bush To Advocate MSA Expansion, Allowing Small Businesses To Pool Purchasing of Health Benefits Excerpt: "President Bush on March 19 is expected to call for proposals that would help small businesses cover the cost of health insurance for employees, the Wall Street Journal reports. In particular, Bush plans to 'reiterate his support' for reducing the deductible for tax-free medical savings accounts ..." (KaiserNetwork.org) Excerpt: Healthcare Provisions in the President's Fiscal Year 2003 Budget Proposal (PDF) 29-page excerpt; includes discussion of refundable tax credit for the purchase of health insurance; above-the-line deduction for long-term care insurance premiums; allow up to $500 in unused benefits in a health flexible spending arrangement to be carried forward to the next year; permanently extend and reform Archer Medical Savings Accounts; more. (Joint Committee on Taxation, trimmed by BenefitsLink) Low Pay Increases Need for Family-Friendly Benefits Excerpt: "Low-wage earners, unlike professional staff, often can't receive phone calls at work from sick children or lose a day's wages when family emergencies arise. They're often reprimanded or suspended for taking time off.... Employers can't do it all, [said Ellen Bravo of the 9to5 organization] 'but they can provide adequate wages to support a family, transportation, paid leave, flexible scheduling and equal hourly wages, and pro-rated benefits for part-time employees.'" (Chicago Tribune; free registration required) Group Therapy Could Reduce Medical Tab for Hypochondriacs Excerpt: "Billions of dollars could be saved if hypochondriacs, who run up 15% of U.S. medical costs, were identified and treated in brief therapy groups, a Harvard Medical School researcher said over the weekend." (USA Today via International Foundation of Employee Benefit Plans) Wisconsin Regulators Crack Down On Unlicensed Health Plan Marketers Excerpt: "Due to a lack of clarity in [ERISA] and some instances of fraud, a change was made in 1983, shifting multiple employer welfare arrangements to state regulation. However, most states, including Wisconsin, do not allow multiple employer welfare arrangements. Some companies still claim they can arrange employee benefit programs under the federal law. Application forms and marketing materials look like that of licensed insurers." (The Business Journal of Milwaukee via bizjournals.com; free registration required) Making the Case for a 'Health Care Fed': Should Uncle Sam Decide What Works? Excerpt: "A U.S. government agency, some argue, should be created to rule on usefulness of medications, equipment, and procedures. Britain has just instituted such a system." (Managed Care magazine) Opinion: Bad Medicine-- Collision Between Healthcare Costs and Government Willingness to Spend Excerpt: "Why do health care costs keep on rising? It's not because doctors and hospitals are greedy; it's because of medical progress. More and more conditions that once lay beyond doctors' reach can now be treated ... [W]e have already reached the point at which we must either come up with more money or deny health care to retirees." (Paul Krug in the New York Times; free registration required) California HMOs' New Programs Shine Spotlight on Hospital Costs Excerpt: "PacifiCare and Blue Shield of California hope to juice up competition and pressure hospitals to control costs by establishing new tiered health insurance systems, which require members to pay more for treatment at expensive hospitals." (San Francisco Business Times via bizjournals.com; free registration required) Hospitals Skeptical of Cost-Shifting by HMOs Excerpt: "Blue Cross will test the concept of tiered hospital care in Broward, Palm Beach and Miami-Dade counties, said Craig Thomas, vice president of development.... Hospital officials said they are skeptical that it will save money, because doctors -- not patients -- control which hospital to use. And they fear it could lead to a second-class system of low-priced health care." (South Florida Sun-Sentinel) GM Chief Executive Says Healthcare Costs, Pension Funding Drag Down Stock Price Excerpt: "Despite recent U.S. market share gains and a rosier earnings outlook, General Motors Corp. still has two clouds looming over its balance sheet and stock price. They are rising health care costs and an under-funded pension fund, GM Chief Executive Rick Wagoner said Monday." (Detroit News) Analysis: the ERISA Claims Procedure Odyssey Continues (PDF) Originally published October 2001. Excerpt: "[R]ecently the DOL delayed the effective date [of the new claims procedure regulations] for health plans to the first day of the plan year beginning after July 1, 2002, but not later than January 1, 2003. Retirement plans and other welfare plans (such as severance or life insurance plans) will require only minor revisions under the rules." (Gardner Carton & Douglas) Opinion: Coke Lowers Bar for CEO to Earn Free Stock Excerpt: "Coca-Cola Co. has thrust Chief Executive Officer Douglas Daft into at least the semi-finals of the high jump in what I like to call the Executive Compensation Olympics.... But if a CEO hits the bar, he doesn't go anywhere. Rather, the bar is lowered to five feet and he is invited to try again. If necessary, the bar is lowered further and further." (Graef Crystal, on Bloomberg.com) Description of Revenue Provisions in the President's Fiscal Year 2003 Budget Proposal - Full Text (PDF) 178 pages. (Joint Committee on Taxation) Newly Posted or Renewed Job Openings -
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Copyright 2002 BenefitsLink.com, Inc., but you may freely distribute this email newsletter in whole. This newsletter is edited by David Rhett Baker, J.D.
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