April 14, 2006 Today's sponsor: The International Foundation of Employee Benefit Plans (Click on company name or banner to learn more.)
What Will It Take for Disease Management to Demonstrate a Return on Investment? Excerpt: "Conclusion: A review of historical utilization trends and a number-needed-to-decrease analysis should be conducted before disease management program implementation to determine whether sufficient opportunity exists to reduce utilization to levels that will ensure a positive return on investment." (The American Journal of Managed Care) Managed Care State Laws & Regulations, Including Consumer & Provider Protections - Updated April '06 The information is presented in seven tables: 2005 Managed Care Laws, Access to Services (2 tables), Appeals and Remedies, Provider Flexibility and Report Cards, Mandates, and Comprehensive Consumer Rights Statutes with citations. (National Conference of State Legislatures) Health Care Consumption -- Comments on the April 10, 2006, New York Times Op-Ed Excerpt: "Perhaps you have been wondering who or what is to blame for the high cost of medical care in this land of ours - and, more broadly, for the ungainly, unjust mess that is the American health-care system. If so, wonder no more. Your government has fingered the culprit: it's 'the vast majority of Americans.'" (The New Yorker via Physicians for a National Health Program) Employee Obesity is Number One Factor in Productivity Loss, According to White Paper Excerpt: "The paper not only addresses the impact of obesity on workplace productivity and medical costs, but focuses on health coaching as a way for employers to combat employees' weight issues through lifestyle intervention programs." (Insurance NewsNet) General Motors to Spend $3 Billion on Health Fund for Retiree Health Care Excerpt: "General Motors Corp., the world's largest private provider of health care, will report a first-quarter expense of as much as $3 billion to create a fund to pay future retiree health care costs." (Detroit Free Press) General Motors Says UAW Deal Will Save $13B in Health Costs Excerpt: "General Motors Corp. said [yesterday] it expects to see net cost savings of about $13 billion over six years from its health care deal with the United Auto Workers union." (Business Insurance) Massachusetts Health Plan Seems Unlikely to Be U.S. Model Excerpt: "[E]ven as the law to expand health insurance coverage to virtually every resident makes headlines nationwide, some executives and advocates say it is unlikely to serve as a national model." (The Boston Globe) Comments on the New Massachusetts Health Plan -- Proceed with Caution Excerpt: "An integral provision is the requirement that every employer with more than 10 employees - think your local automotive garage - must offer a Section 125 cafeteria plan so employees can use pre-tax money for their insurance premium contributions." (Galen Institute) Nat. Business Group on Health Sets Up Nat. Leadership Committee on Consumer-Directed Health Care Excerpt: "The NBGH, Washington, a coalition of large, influential employers, says the new committee will 'promote effective public policies.' The group also wants to become a source of CDH plan information, according to NBGH." (National Underwriter Life & Health; free one-time registration or paid subscription required) Colorado Bill Would Let Grandparents Carry Grandkids on Health Insurance Excerpt: "HB 1346 would require employers to allow their workers to carry their grandchildren as dependents and pass on the additional costs to the employee. The bill does not cover federal employees, self-insured employers or companies that purchase coverage from an out-of-state health plan." (Rocky Mountain News via BlueCross BlueShield Association) New York Ruling, Issued March 27, Applies to Health Plans Governed by ERISA Excerpt: "Two weeks ago, the New York State Insurance Department quietly issued a decision barring insurance companies and health-maintenance organizations from writing discretionary clauses into their group benefit policies. Discretionary clauses offer health and disability insurers wide latitude to decide whether an insured employee deserves coverage following an illness or injury. Employee advocates have long argued that insurers wield this advantage to deny claims." (Long Island Business News) AARP Says It Opposes Enzi Bill that Would Allow Small Businesses to Form Association Health Plans Excerpt: "AARP last week said it opposes a bill (S 1955) introduced by Senate Health, Education, Labor and Pensions Committee Chair Mike Enzi (R-Wyo.) that would allow small businesses to form association health plans under certain conditions, The Hill reports ...." (Kaiser Family Foundation) Chart of State-Mandated Benefits for Contraceptives Updated April 1, 2006. (Statehealthfacts.org from the Henry J. Kaiser Family Foundation) Report Hits New York's Health Care Bill Excerpt: "An economist's report states that New York state would lose up to 100,000 jobs, and businesses would take a $9.2 billion hit under the proposed Fair Share for Health Care Act. According to research sponsored by the Employment Policies Institute, the policy would ignore more than 83 percent of the uninsured in New York." (Business First of Buffalo via bizjournals.com; one-time registration required) Economist's View: The 'Fair Share for Health Care Act' and New York's Labor Market Excerpt: "I describe the major legislative provisions of the health insurance mandate, along with the likely economic impact.... Next, I document current health insurance arrangements in New York.... Lastly, I assess the possible labor market adjustments." (Employment Policies Institute) The Long-Term Uninsured in America, 2000-2003: Estimates for the U.S. Population under Age 65 (PDF) 7 pages. Excerpt: "Using information from the Household Component of the Medical Expenditure Panel Survey (MEPS-HC) for 2002 and 2003, this Statistical Brief provides detailed estimates for the U.S. civilian noninstitutionalized non-elderly (under age 65) population that was uninsured for the entire 2000-2003 period and identifies groups most at risk of lacking any coverage over that four-year period." (U.S. Agency for Healthcare Research and Quality) Links to Items on Executive Comp, Benefits in General Newsletter: Employee Benefits Developments, March 2006 Topics include 'The DOL issues two new FMLA opinion letters,' 'New York City's Equal Benefits Law found invalid,' 'Wal-Mart can't 'wrap',' 'Participants not bound by arbitration clause between investment manager and plan,' and 'Error-prone COBRA notice procedures costly to employer." (HodgsonRuss) Newly Posted Events 2006 Spring Summit "Keeping Your Head Above Water in the Employee Benefits Ocean" in California on May 9, 2006 presented by Western Pension & Benefits Conference - Los Angeles Chapter Code Section 409A Workshop Nationwide on June 7, 2006 presented by SunGard Corbel Legislative Update in Massachusetts on April 26, 2006 presented by ASPPA Benefits Council (ABC) of New England New - Fundamentals of 401(k) and Other Qualified Plans Nationwide on June 7, 2006 presented by SunGard Corbel SEC Executive Compensation Update: New Proxy Disclosure Rules and Practices in District of Columbia on May 19, 2006 presented by BNA, Inc. Newly Posted Press Releases S&P Releases Latest Index Versus Active Fund Scorecard (Standard & Poor's) USW Wins Lifetime Health Care and Lower Prescription Drug Costs for Thousands of American National Can Co. Retirees (United Steelworkers) Most Americans Fail to Make the Grade When Tested Beyond the 'ABC's' of Financial Literacy (Northwestern Mutual) Health Care, Union Coalition Issues Call to Arms Against Small Business Health Plan Legislation (American Chiropractic Association) Newly Posted or Renewed Job Openings
Consultant for Veritude, A Fidelity Investments Company in MA Analyst - Contract position for Veritude, A Fidelity Investments Company in MA Trust Operations Manager for Trust Company of Illinois in IL Associate Healthcare Compliance Analyst (Supervisor) for Great-West Corporate in CO Recordkeeper for Guidant Financial Group, Inc in WA Handy Links:
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