Healthcare

While President Barack Obama's open support of same-sex marriage hasn't caused any immediate change in federal law, the 1st U.S. Circuit Court of Appeals in Boston ruled recently that part of the Defense of Marriage Act - which denies federal benefits to same-sex married couples - is unconstitutional and cannot be enforced. Noting that a "Supreme Court review of DOMA is highly likely," however, the 1st Circuit put the ruling on hold.

For all employers' focus on curbing obesity statistics through healthy eating and exercise programs, it can be easy to forget that smoking remains the leading cause of preventable death in the United States. One employer, Nelnet, is remaining vigilant about stamping out smoking among its employee population.

As employers move past the anxiety and drama over the Supreme Court ruling on health care reform, there's no escaping the fact that steep employee medical benefit costs remain as a serious concern - not only in the United States, but all over the world.

Last September, after the Patient Protection and Affordable Care Act gave the Department of Health and Human Services authority to review premium rates in states that didn't have strong enough review programs, the agency began handing down decrees of "unreasonable" premium rates for insurers that proposed increasing rates by an average of 10% or more - meaning HHS can publically shame an insurer.

"The whole onsite clinic thing has been a buzz the last few years," says Michael Troup, partner at Forsite Benefits.

Employers who postponed action on health reform compliance will now be going full tilt to continue meeting the legislation's provisions that take effect this year and beyond. But even larger strategic questions loom over their roles as benefit sponsors.

Ever since the Supreme Court issued its ruling to uphold the Patient Protection and Affordable Care Act in June, family, friends and colleagues have been asking me, "What do you think of the ruling? Is it good? Is it bad? Does it matter?"

We talk a good game in the health care system. We say we want to empower patients, but how powerful do we really want them to be? We say we want to give them enough information so they can make informed choices, but how do we deliver that information so that patients truly understand what is being said? As health care reform continues and open enrollment periods occur, encourage your employees to know that they are the key to this empowerment that everyone's talking about. Thus, it's important that they be educated about, and encouraged to exercise, their medical freedoms - specifically, the freedom to request the surgeon of your preference.

After the Supreme Court upheld the so-called individual mandate and substantially all of the Patient Protection and Affordable Care Act following a legal challenge led by my home state of Florida, President Obama hadn't finished his victory lap before the political line was drawn in the sand. The battle is over, but war wages on until the American people take to the voting booth in November. I have a feeling this election year will be an interesting one, and with a front row seat in Florida, I'm going to be tuned in and transfixed.

Even under the best employment conditions, hiring the wrong employee can drag down a company's bottom line and dampen workforce productivity and morale. However, the national skills gap and ongoing economic concerns make finding the right candidate crucial the first time around.