Healthcare

Earlier this year, the Department of Health and Human Services issued proposed regulations under the privacy rule of the Health Insurance Portability and Accountability Act of 1996. The proposed regulations address the changes to the accounting requirement under the HIPAA privacy rule, pursuant to the Health Information Technology for Economic and Clinical Health Act. The regulations also create a new requirement that covered entities - health plans, health care clearinghouses and health care providers - provide an access report to individuals upon request.

It was a busy summer in the pharmacy benefits management business. First, in June, pharmacy chain Walgreens announced it would withdraw from Express Scripts' pharmacy provider network starting Jan. 1, 2012. Walgreens said the poor contract terms Express Scripts was offering - including prescription reimbursement rates below the industry average - made it impossible for the pharmacy chain to continue its relationship with the PBM.

The rising cost of health care will soon be reflected even more substantially in employee cost-sharing. A new National Business Group on Health survey shows that large employers anticipate their health care benefit costs to climb 7.2% in 2012.

The Early Retiree Reinsurance Program - created under the Patient Protection and Affordable Care Act to help employers offset the costs of maintaining early retiree health benefits - may get another $5 billion worth of funds thanks to a bill introduced in the Senate this spring. However, some industry insiders don't expect the bill to gain much traction.

After the Twin Towers fell, the Pentagon stood burning and Flight 93 left a gaping hole in the Pennsylvania countryside on Sept. 11, 2001, Americans depended on human contact to revive our nation's spirit. Many companies consoled employees and their family members with grief counselors, supported them when financial uncertainty arose and - when there was nothing else they could do - just listened to their fears and worries. As our nation marks the 10th anniversary of the 9/11 tragedy, EBN examines the success of employee assistance programs, which gained even greater acceptance and utilization after the terrorist attacks. Employers and experts close to the tragedy share how EAPs helped employees in the immediate aftermath and continue to aid them today in a shaky economic environment.

In some organizations, the complex, painstaking and costly business of producing key benefit documents like summary plan descriptions is accepted merely as a legally necessary but thankless task. You won't find that attitude anywhere in the vicinity of Michael Calhoun, director of benefit plan governance for AT&T and winner of this year's EBN Benny Award in the Judges' Choice category.

OhioHealth's manager of benefits administration integrated all of OhioHealth's wellness initiatives into one program, branding the new program OhioHealthy, in 2006. The following year, she consolidated OhioHealth's three health plans into one. Meddock's accomplishments in these initiatives has earned her EBN's 2011 Benny Award for Benefits Leadership in Health Care.

With the hefty price tag organizations pay for employee benefits, effectively communicating those offerings to get the highest return on investment is critical - particularly in the current economic environment. To this end, having a vision to engage and motivate workers is one thing. Turning that vision into a successful campaign is quite another.

The group legal plan is growing. More employers are slashing budgets, which often equals cutting benefits. No more 401(k) matching, a high-deductible health plan becomes the only option, and money gets tight and employees see it and feel it.

An entrepreneur has launched a new employee benefits service promising companies access to a network of certified public accountants who will offer prepaid tax preparation and year-round tax advice to their employees.