Healthcare plans

A sluggish economy hasn't slowed the nation's health care consumerism movement, according to a recent analysis by the Employee Benefit Research Institute.

You may remember the two extremes depicted in the 2008 presidential election regarding health care. We heard health care proclaimed as an inalienable "right" of sorts. Politicians would ask their constituents polarizing questions like, "Is health care a right for all Americans?" or, "Is it a privilege to which only the wealthy minority are entitled?," as if these two extremes were the only positions that a health care stakeholder (consumer, provider or carrier) might have on such a complex topic.

Amid the nationwide noise of budget debates and court battles over the constitutionality of health care reform, Vermont has gone largely unnoticed as its legislature uses the Patient Protection and Affordable Care Act's state exchange requirement to set the stage for an eventual switch to a single-payer health care system. Bob Gaydos, president of the Benefits Group of New England, spoke with EBA about his efforts to slow down the fast-paced bill that, as of press time, had already passed in the House and was a week or two away from passing in the Senate. "There's no doubt it'll pass at this point," says Gaydos. "You've got to applaud the governor on a well-played political hand."

It's like taking gourmet cooking lessons, but continuing to eat at drive-throughs. It's like buying a highly praised book and leaving it on the shelf. In a similar fashion, your clients' wellness programs might not reach their potential if they are unable to engage employees and change behavior.

The New Year began with a wince for many employers around the country as they saw their health insurance premium costs increase once again, some by double-digit percentages. The recession, medical cost inflation, and uncertainty over health care reform dealt a punishing blow to employer-sponsored health care programs, forcing the majority of organizations to pass some of the cost increases on to their employees. Still, despite the trying times, some employers were able to hold their rates steady.

Last September, Carter Express, a logistic, freight and transport firm based in Anderson, Ind., accomplished something that every self-insured employer wants to do. It saved 23% on an employee's surgery for prostate cancer. Plus, not only did the company spend nearly $12,000 less, but the employee was happy with his surgical experience.

Built-up demand for health savings accounts helped to account for a solid 2010 for J.P. Morgan’s HSA business, according to David Josephs, managing director with the company.

Have HR and benefit professionals who work for midsize employers lost their hunger for cafeteria plans in austere times? It seems that the answer depends on semantics and plan design nuances.

Helping employers get more bang for their health care buck is the focus of a new online tool from the Center for Health Value Innovation.

The Leapfrog Group, an employer coalition advocating increased health care quality and safety, joined many other organizations in applauding the Obama administration's new $1 billion Partnership for Patients safety program.

Employers nationwide - big and small, retail and high-tech - are watching and waiting keenly to see whether the public state exchanges created under health care reform will succeed when they open for business in 2014. Small employers and those with low-paid or part-time employees are especially interested in finding out whether funneling their employees into, or finding coverage for them through, an exchange would be beneficial.

Having spent about 30 years in health care benefits consulting, health plan management and health services delivery, I've witnessed many products, services, strategies and platforms introduced to the employer market, climb to the top of the solutions menu and eventually fade away as more effective alternatives emerge. One very popular solution today is the onsite health clinic.

Some employers are investing more time and resources to find out whether workers are tobacco-free and in the process are rewarding those who pass muster with lower health premiums or financial rewards.

It’s no surprise that unhealthy employees cost employers big bucks. But a new workforce wellness index shows that the unhealthy behaviors of the U.S. workforce cost employers an average of $670 per employee annually.

A new statewide survey by the Georgia Association of Physician Assistants is stirring debate about the extent to which insurance protocols serve as harmful barriers to patient care or necessary cost controls.

A program including regular follow-ups with nurses and focused attempts to cut back on TV, fast food, and sodas appears to keep some overweight and obese kids from gaining more weight, according to a new study.

A large online survey of medical practices, with nearly 4,600 responses, finds no consensus that electronic health records systems increase physician productivity.

Most health systems adopting an accountable care organization model will lose money during the first three years, according to a report posted on the New England Journal of Medicine Web site.

U.S. health insurers offering private Medicare Advantage plans will see an average net 0.4 percent increase in federal reimbursements next year, the Centers for Medicare and Medicaid Services said on Monday.

Republicans in the U.S. House accused the AARP of gaining financially from President Barack Obama's healthcare overhaul, which the influential elderly advocacy group supported.