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The Boon Group, Inc. Announces New Regional Business Development Director, Bernie Dombrowski

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The Boon Group, Inc. Announces New Regional Business Development Director, Bernie Dombrowski

Austin, Texas (PRWEB) September 10, 2015

The Boon Group, Inc., a leading national provider of government contractor employee benefits products and services, is pleased to announce the addition of Mr. Bernie Dombrowski as Regional Business Development Director.

In this role, Mr. Dombrowski will be responsible for the development of sales in the Mid-Atlantic region, specializing within the government contracting and the health insurance brokerage industries. He will be focused on working with insurance brokers, accountants and consultants in the implementation of tailored and customized solutions for government contractors that fall under the Service Contract Act (SCA) and Davis-Bacon Act (DBA).

“We are very proud to welcome Bernie to our team,” says James Patton, Boon Group President and COO. “We look forward to his continuing an excellent career with The Boon Group. His dedication to his colleagues, customers, benefit brokers and consultants will continue to build on his personal ambitions and accomplishments.”

Mr. Dombrowski brings with him more than 20 years of experience in employee benefits, holding both Life and Health and Property and Casualty licenses. He holds five insurance designations: Registered Health Underwriter, Registered Employee Benefits Consultant, Certified Leadership Fellow, Chartered Healthcare Consultant and Certified Insurance Counselor.

“Bernie joins Chad Knight and Taylor Boon on our D.C. area sales team, and we are excited about the skills and experience he brings to the team,” says Boon Group Chief Revenue Officer Staci Satterwhite.

“In today’s employee benefits marketplace, it has become more and more challenging for brokers and their government contractor clients to find compliant, competitive and affordable health care coverage and benefit offerings for their employees,” Mr. Dombrowski says. “With the opportunity to be focused on bringing The Boon Group’s industry-leading, custom designed and affordable benefit solutions to the Washington, D.C. and Mid-Atlantic marketplace, we can identify and provide benefit solutions for the expansive market of government contractors. We are not simply looking for the one-time sale, but rather, a long-term solution and a relationship that ensures efficiency and success in filling the unique needs of government contractors.”

About The Boon Group, Inc.
The Boon Group® is the parent holding company of The Boon Insurance Agency, Inc., Boon Administrative Services, Inc. (formerly named CEBA®), Boon Insurance Management Services, L.P., Boon Investment Group, Inc., Health & Welfare Benefit Systems, Inc. and Healthy Achievers, Inc. The Boon Group® was formed to enhance the position of these companies as a wholesaler of exclusive employee benefits products and services. With more than three decades of experience in providing such products and services, The Boon Group has evolved into a national enterprise, becoming an industry leader in providing affordable benefit solutions to government contractors.

Boon Group Services
– Help contractors reduce costs
– Design and implement benefit packages to serve contractors and their employees
– Provide reliable and accurate compliance reporting
– Simplify the administration of benefits plans
– Deliver excellent customer service
– Online employer and employee suite of tools
– Enrollment and plan management updates
– Government focused in-house general counsel
– Proprietary enrollment system for web-based, telephone and paper enrollments
– HRA administration with HRA debit card
– Registered Investment Advisor offering open architecture retirement plans
– Nationwide provider of worksite wellness programs Reported by PRWeb 6 hours ago.

Help may be on the way for healthcare shoppers in California

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The Affordable Care Act has helped slow the overall growth of healthcare costs in the U.S., but for many Americans, health insurance premiums have continued to rise at an alarming rate. To lower their rates, consumers may have to switch insurers, which may also mean switching doctors. That's not... Reported by L.A. Times 4 hours ago.

Will employers eliminate flexible spending accounts?

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A looming tax on employer health plans could affect flexible spending accounts. The benefit allows employees to set aside tax-free money for various medical expenses. An Affordable Care Act tax on high-cost employer health insurance starts 2018, when it will impose a 40 percent levy on benefits that exceed a government-set threshold, The Wall Street Journal reports. The tax will prompt many employers to limit what workers can put in the accounts, or even eliminate the accounts, benefits consultants… Reported by bizjournals 4 hours ago.

Health Insurance Costs Continue to Rise

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Health Insurance Costs Continue to Rise Reported by ajc.com 3 hours ago.

Pets Best Turns 10, Announces Rebranding Initiative

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Celebrating 10 years of protecting pets, Pets Best gets an updated look.

Boise, Idaho (PRWEB) September 10, 2015

Pets Best Insurance Services, LLC, is celebrating its 10th birthday in September, marking a decade’s worth of happy customers and healthy pets.

The milestone comes at the same time as the North American Pet Health Insurance Association’s (NAPHIA) Pet Health Insurance Month, a potent two-pronged reminder of how far Pets Best and the pet insurance industry have come in battling economic euthanasia.

As part of its 10-year anniversary, Pets Best is reflecting on some of the many internal and industry-wide changes the company has shepherded since Dr. Jack L. Stephens, creator of the pet insurance industry in the U.S., co-founded the company in 2005. It is also being used as a springboard for the future.

“Pets Best has continued to evolve over the past decade, fueled by our dedication to continually listen and learn from our policyholders,” said Chris L. Middleton, president of Pets Best. “As we reflect on our successes and improvements, it seems like the perfect opportunity to give the Pets Best brand a fresh new look that epitomizes not just where we came from, but what we’ve become.”

The new branding includes a revamped corporate logo and new color scheme.

Pets Best is known for its continuing strategy of sustainable growth, and the company’s foundation is as strong as ever. After 10 years, there are still 36 pets with policies that were purchased in the first year. Of those policies, the average payout over the last decade has been $4,351 – more than twice the economic euthanasia level of $1,700 – the number at which most pet owners will choose to euthanize their pets rather than pay for expensive veterinary care.

Karen Hopkins of Oregon, one of the company’s original policyholders, still lives happily with her dog Tikaya – a mini-American Eskimo. She said Tikaya has taken full advantage of the policy, getting emergency care for eating toxic plants, pancreatitis, two knee surgeries and even bladder stones – a total of $15,000 over the 10 years that Hopkins only paid 20 percent of. Pets Best picked up the remainder of the tab.

Tikaya was a mischievous dog since she was a puppy, Hopkins says, so a policy always made sense.

“It’s what we’ve termed dumb dog insurance. It’s for when she does something stupid,” Hopkins says with some mirth.
The company has made its mark on the community as well. It has grown to employ 65 people, including eight of the original employees from 2005. The culmination of the hard work they have done has shown up in numerous accomplishments in 2015, such as:

-Being named one of the Best Places to Work in Idaho, where Pets Best is headquartered, for the third consecutive year.
-Hitting the $100 million mark in payouts to policyholders.
-Stephens receiving the Lifetime Achievement Award from NAPHIA.
-Celebrating one year in alliance with Farmers Insurance.

The achievements mean little, however, outside of their importance in the mission of the company: To end economic euthanasia by helping to ensure pet owners are financially prepared when their pets need unexpected veterinary care.

It’s that mission that makes Pet Health Insurance Month so important. Spreading the word about the security pet insurance brings to our furry friends can save our best friends’ lives. People can find out more about Pet Health Insurance Month at the NAPHIA website: https://www.naphia.org/

About Pets Best Insurance Services, LLC
Dr. Jack L. Stephens, president of Pets Best, founded pet insurance in the U.S. in 1981 with a mission to end euthanasia when pet owners couldn’t afford veterinary treatment. Dr. Stephens went on to present the first U.S. pet insurance policy to famous television dog Lassie. Pets Best provides coverage for dogs and cats and is the only veterinarian founded and operated pet insurance agency in the United States. Dr. Stephens leads the Pets Best team with his passion for quality pet care and his expert veterinary knowledge. He is always available to answer questions regarding veterinarian medicine, pet health and pet insurance. The Pets Best team is a group of pet lovers who strive to deliver quality customer service and value. Visit http://www.petsbest.com for more information.

Pet insurance coverage offered and administered by Pets Best Insurance Services, LLC is underwritten by Independence American Insurance Company, a Delaware insurance company. Independence American Insurance Company is a member of The IHC Group, an organization of insurance carriers and marketing and administrative affiliates that has been providing life, health, disability, medical stop-loss and specialty insurance solutions to groups and individuals for over 30 years. For information on The IHC Group, visit: http://www.ihcgroup.com. Additional insurance services administered by Pets Best Insurance Services, LLC are underwritten by Prime Insurance Company. Each insurer has sole financial responsibility for its own products.

Pets Best is a proud member of the North American Pet Health Insurance Association (NAPHIA).

### Reported by PRWeb 2 hours ago.

Health Programs For 9/11 Responders Face Uncertainty In Congress

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NEW YORK (AP) -- Two federal programs that promised billions of dollars in compensation and medical care to sick 9/11 responders and survivors are set to expire next year, meaning a new round of uncertainty for people exposed to the toxic dust that fell on New York after hijacked jets toppled the World Trade Center.

Advocates for responders have been pushing hard for renewal. Bills in the House and Senate would keep the health program going indefinitely while making billions of additional dollars available for compensation for people who fall ill.

But the debate over an extension is taking place in a fog of ambiguity. Many 9/11 responders, like Charles Diaz, are trying to figure out whether some or all of their care might be covered by private, public or union health insurance plans when the programs end.

Diaz, a retired Sanitation Department police captain, suffered a broken arm when the twin towers fell and was later diagnosed with a cancer that he blames on exposure to dust. Today, he relies on the World Trade Center Health Program to pay for the anti-leukemia drug Sprycel, which has a list price of $10,300 per month.

Who will pay for the drug if the program goes away?

"I have no idea," Diaz said.

Almost 21,600 people received treatment through the World Trade Center Health Program over the past year, according to federal data, but officials haven't been able to say how many patients might lose access to doctors or medication if the program shuts down as planned next September.

Most health plans for active or retired city workers do cover cancer care, but some patients can still get socked with thousands of dollars in co-payments, depending on factors including availability of worker's compensation, the strength of their union's pharmacy plan, and whether they live close enough to New York to be treated by an in-network doctor.

"It's a very complex world of cost, and a lot of our members just don't want to go there," said Dr. John Howard, director of the National Institute for Occupational Safety and Health, which oversees the World Trade Center health program.

Congress initially capped spending on both the health and compensation programs and designed them to close within five years, because of concerns about the cost of caring for so many people, including many with common illnesses that might be unrelated to 9/11.

It's not clear how much it would cost to keep the program going, although the safety and health institute has offered one speculative estimate of an additional $1.83 billion to $2.22 billion over the next five years.

Since its creation in 2011, the health program has paid out about $411 million in medical and pharmacy bills, according to federal data. But that figure represents only part of the program's spending.

In its earlier years, the program spent $1.35 on administration and research for every $1 it spent treating and monitoring responders.

Meanwhile, thousands of people who have applied for a payment from the 9/11 Victim Compensation Fund, a separate program, are facing a strong likelihood there won't be enough money to pay their awards in full.

As of Sept. 6, the fund had awarded $1.44 billion to 6,285 people who developed health problems possibly related to the time they spent at the World Trade Center site, the Pentagon or the Flight 93 crash site in Pennsylvania.

But with at least an additional 11,000 applications still to be fully processed, the fund's overseer, Sheila Birnbaum, says she believes it will exhaust its entire $2.78 billion appropriation before every claim is fully paid.

Unless Congress appropriates more money, beneficiaries will be paid only a percentage of what they are owed when checks are issued in 2017. Birnbaum said she is still not sure how big the shortfall will be.

Michael Chilton, a former Verizon engineer from Freehold, New Jersey, who retired five years ago after having a chunk of his throat removed during a bout with cancer, said he has already burned through half his retirement savings.

The 55-year-old said he been counting on a payment from the fund to make up for the additional years he would have spent working if he hadn't gotten sick.

"If they stop this fund, I'm going to be in trouble," he said.

*Also on HuffPost:*-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 43 minutes ago.

These Cities Could Face Soaring Health Insurance Costs

The Cities with the Highest (and Lowest) Real Minimum Wage

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Over the past several years, cities such as Seattle, San Francisco and Los Angeles have opted to enact their own minimum wage laws in lieu of increases at the state or federal level. Part of the logic behind these increases is that living costs in cities are higher, making it harder to survive on a low income. An hourly wage that may be adequate to pay for basic expenses like housing and food in rural areas may fall short for people who live within city limits.

*Find out now: How much house can I afford?*

So which cities have the highest minimum wage in terms of purchasing power (that is, adjusted for the cost of living)? And, conversely, where does this "real" minimum wage fall short?**Data & Methodology**To answer those questions, SmartAsset collected data on state and city minimum wages from around the country. Then, for 141 of the largest cities in the U.S., we adjusted the applicable local minimum wage according to the local cost of living.^1

In our initial analysis, we used the current minimum wage (as of August 2015) in each city. For cities and states that differentiate between large and small employers, we used the large employer wage.

For example, in Seattle the current large-employer minimum wage is $11 per hour and the cost of living is over 20% higher than the national average. Thus, in terms of purchasing power, the minimum wage in Seattle is about $8.38. That is the "real" minimum wage. It ranks as the 37^th highest of the cities we examined.

Since many cities and states have enacted legislation that calls for regular increases in the minimum wage over the next several years, we also wanted to see where things will stand once those increase schedules are complete. We applied the same cost of living analysis to every city's future maximum rate (or the current rate for cities where no increases are scheduled) and re-ranked according to these future rates.^2**Key Findings***It's good to live in Eastern Washington. *The three cities with the highest real minimum wage are all located in the eastern half of Washington State. The Evergreen State has had the highest state-level minimum wage for nearly two decades and cities in the sunny eastern half of the state have relatively low living costs.*Albuquerque's wage pays off. *Albuquerque was one of the first major cities to enact its own minimum wage law. It is the only city with its own minimum wage to rank in the top ten of our study.*The Northeast is falling behind. *Five of the ten cities with the lowest real minimum wage are located in the Northeast: Philadelphia, Stamford, Boston, Newark and Portland (Maine). Furthermore, while most low-wage West Coast cities are planning future wage increases (see Anchorage and Los Angeles, for example), these northeast cities have no such plans in the works (although state-level increases are planned in Connecticut and Massachusetts).*
**Kennewick, Washington*

Kennewick is the largest of the cities located in Eastern Washington's Tri-Cities region. Along with Pasco and Richland (the other two), it may be the very best city in the country for workers who are living on the minimum wage.

There are two reasons for that. The first is that Washington State has the highest minimum wage of any U.S. state, at $9.47 an hour. Meanwhile, the Tri-Cities area has the lowest cost of living of any major metro in Washington, with living expenses 5.5% lower than the national average. Thus, workers in Kennewick enjoy a real minimum wage closer to $10.02 per hour.

*Spokane, Washington*

For the second-ranked city in our study we head about 140 miles northeast to Spokane, the largest city in Eastern Washington. The cost of living in the Lilac City is about 3.7% below the national average. That makes it a little easier for workers living on Washington's $9.47 minimum wage to afford basic expenses like rent and health insurance.

*Yakima, Washington*

The Yakima Valley produces a significant portion of the nation's apples and hops and the city of Yakima is the region's economic hub. Minimum wage workers in Yakima earn $9.47 an hour, but when considering the city's slightly lower-than-average living costs that is equal to $9.69 in purchasing power. That's the third highest real minimum wage in the country.

*Pueblo, Colorado*

The Colorado Constitution (Article XVIII, Section 15) requires that the state's minimum wage is adjusted annually for inflation. That ensures that if living costs rise, wages paid to low-income workers do too. While many major cities in Colorado have above-average living expenses, the cost of living in Pueblo is 14% below the national average. That means the state's $8.23 minimum wage goes a lot further.

*Albuquerque, New Mexico*

Albuquerque was the first major U.S. city to enact its own minimum wage law. The ordinance was passed in 2006 and called for regular minimum wage increases up to January 2013, when it would reach $8.50 per hour. Thereafter, the wage would be annually adjusted based on changes in the Consumer Price Index. Today, the city's minimum wage is $8.75.

Unlike other cities that have recently added their own minimum wage, such as Seattle and San Francisco, the cost of living in Albuquerque is not especially high. In fact, the cost of living in Albuquerque is about 7% lower than the national average. That means that in terms of purchasing power the city's $8.75 minimum wage is closer to $9.45.

*Kalamazoo, Michigan*

In 2014, Michigan lawmakers passed legislation that will gradually increase the minimum wage to $9.25 from its previously level of $7.40. The first of those increases took place on Labor Day of last year, with the wage rising to its current rate of $8.15. Future increases will take place on the first day of the year through 2018, when it will reach its maximum and be tied to inflation. That's great news for Kalamazoo workers, who face the lowest cost of living of any major Michigan city.

*Decatur, Illinois*

The Illinois state minimum wage is $8.25 per hour, 14^th highest in the country. Earlier this year, the Illinois state Senate passed a bill that would increase that wage to $11 but that bill has yet to pass the state house. If that bill does pass, Decatur may well one day have the highest real minimum wage in the country. Even without that increase, minimum wage workers in Decatur, where the cost of living is 11.3% lower than the national, are earning a cost-of-living-adjusted wage of about $9.30 per hour.

*Springfield, Illinois*

Since the city of Springfield does not have its own minimum wage, workers in the Illinois capital are paid the state minimum of $8.25. Yet, after adjusting for cost of living, that wage goes farther than the minimum wage in one Illinois city that has passed its own minimum wage law. Chicago's $10 per hour minimum wage has a purchasing power of $8.74, while the purchasing power of the state minimum wage in Springfield is closer to $9.26.

*Buffalo, New York*

The current minimum wage in New York is $8.75 per hour. That is the 10^th highest minimum wage in the country. For full time workers it adds up to an annual income of $18,200. That's a fraction of what it costs to afford basics like housing and healthcare in New York City, but it goes a lot further in Buffalo. After adjusting for the city's cost of living, the purchasing power of the minimum wage in Buffalo is $9.21. That's good for an annual income of about $19,150.

*Tacoma, Washington*

SmartAsset's analysis found that the purchasing power of the minimum wage in Tacoma is $9.17. That's slightly lower than the nominal minimum wage ($9.47 per hour, the state rate) as Tacoma's cost of living is about 3% higher than the national average. Yet, it still ranks as the tenth highest in the country and it soon may rise even higher than that.

In November, Tacoma residents will cast their votes for a ballot initiative to increase the city's minimum wage to $15 per hour, following in the footsteps of nearby Seattle and SeaTac. If that initiative passes, Tacoma would likely have the highest cost-of-living-adjusted minimum wage in the U.S.*
**Philadelphia, Pennsylvania*

The minimum wage in Pennsylvania is $7.25, equal to the federal minimum wage. In Philadelphia, where the cost of living is nearly 20% higher than the national average, that hourly minimum has a purchasing power of just $6.12. That's the lowest of any city in our study and its equal to an annual income of about $12,730.

*Stamford, Connecticut*

While Connecticut's minimum wage ranks as the fourth highest in the country at $9.15 an hour, that is not enough to overcome the high cost of living in Stamford. According to the Council for Community and Economic Research, living expenses in Stamford are 45.9% higher than the national average. Thus, the real minimum wage in Stamford is closer to $6.27 an hour.

*Boston, Massachusetts*

According to rentjungle.com, the average rent on a one bedroom apartment in Boston is $2,085. At the state minimum wage of $9 per hour, a worker would need to work about 58 hours per week in order to pay that average rent.

Even if a full-time minimum wage worker were able to find an apartment at half that rate, she would need to spend over 70% of her income on rent alone. (Owning a home would be out of the question.) There is relief coming, however. The Massachusetts minimum wage will be increasing to $11 an hour over the next two years.

*San Diego, California*

San Diego has been on something of a minimum wage roller coaster in recent years. Following two city council votes, a mayoral veto and a last-minute signature petition drive, San Diego will have to wait until June 2016 to decide once and for all whether or not its minimum wage will increase to $11.50 an hour.

In the meantime, workers will continue to earn the state minimum wage. It is currently set at $9.00 an hour and will increase to $10 an hour in 2016. Even that number may change, however. The California State Senate recently approved a bill that would increase the state minimum to $13 an hour.

All of which is good news for minimum wage workers in San Diego. Given the city's high cost of living, the purchasing power of the current minimum wage is just $6.63 an hour, fourth lowest of any city in SmartAsset's study.

*Newark, New Jersey*

The minimum wage in New Jersey is chained to the Consumer Price Index, which means that when the cost of living in the state increases, so does the minimum wage. The current minimum wage in the Garden State is $8.38 an hour, 13^th highest in the U.S. Yet, in Newark, where living costs exceed the national average by 25%, that wage has a purchasing power of just $6.67.

*Portland, Maine*

In July of this year, the Portland City Council voted to approve a citywide minimum wage of $10.10 in 2016, which will increase to $10.68 in 2017. When that happens, Portland's cost-of-living-adjusted minimum wage will jump from the sixth lowest in the country to the 12^th highest.

*Los Angeles, California*

Los Angeles is one of several cities that has adopted a plan to eventually increase the city minimum wage to $15 an hour. That increase will be implemented over the course of five years beginning in 2016 when the wage will rise to $10.50. In the meantime, minimum-wage workers will continue to face some of the highest living costs in the country, which reduce the purchasing power of the current $9 an hour minimum wage to $6.75.

*Anchorage, Alaska*

Anchorage does not have its own minimum wage, which means the statewide minimum wage applies. The Alaska minimum wage is currently $8.75 but is set to rise to $9.75 in 2016. It also bears mentioning that permanent Alaska residents benefit from a state tax system that pays out annual dividend checks, often exceeding $1,000, just for living in the state.

*Madison, Wisconsin*

Cities and other local governments in Wisconsin are specifically prohibited from enacting minimum wage laws that differ from the state minimum of $7.25.

That means that if voters or legislators in Madison wanted to increase the city's minimum wage, they could not. Indeed, a 2014 ballot measure in Dane County (in which Madison is located) called for the state to increase the minimum wage to $10.10. It passed with over 70% of the vote.

*Flagstaff, Arizona*

Like Wisconsin, Arizona has a law that prevents local governments from enacting their own minimum wage laws. Recently, a group of Flagstaff residents challenged that law in the courts, citing Flagstaff's high cost of living.

Our analysis confirms that minimum wage workers in Flagstaff earn significantly less - in terms of purchasing power - than those elsewhere in the state. The cost-of-living-adjusted minimum wage in Flagstaff is $6.81, as compared with $8.31 in Tucson and $8.41 in Phoenix.**The Real Minimum Wage in 2020**Many of the cities and states listed above have scheduled major minimum wage increases in coming years. With that in mind, SmartAsset wanted to see where things will stand when the dust settles. Assuming no further changes in city, state or federal minimum wage laws and assuming no changes in the cost of living in any of these cities (two major assumptions, we know), here are the Top Ten Cities with the Highest Real Minimum Wage for the year 2020.*
*Photo credit: ©iStock.com/tillsonburg --------------------1. Cost of living data comes from the Council for Community and Economic Research.

2. This portion of the analyses is inherently flawed, as the cost of living in all of these cities is sure to change over the next several years, especially given the changing wages.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 21 hours ago.

AMA: Proposed Anthem-Cigna deal would slash competition in SF, California

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The proposed $48.4 billion acquisition of Cigna Corp. by Anthem Inc. would cause a nearly 14 percent drop in the competitiveness of the California health insurance market, exceeding federal antitrust guidelines in nine major cities, according to an analysis by the American Medical Association. Others say the deal won't have a huge impact in the Golden State, since Cigna (NYSE: CI) only holds 4 percent of California's private market, compared with Anthem (NYSE: ANTM) at 20 percent. But the Chicago-based… Reported by bizjournals 20 hours ago.

AIS Newsletter Offers Coverage of New CMS Memo on Its Use of Special Enrollment Periods

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The Sept 3, 2015, issue of Atlantic Information Services’ Medicare Advantage News offers analysis of a new CMS memo on special enrollment periods, which one prominent industry observer says shows that CMS is becoming much more activist on the network-adequacy issue.

Washington, DC (PRWEB) September 10, 2015

Last month, the Centers for Medicare & Medicaid Services (CMS) issued a memo indicating that it will ramp up its use of Special Enrollment Periods (SEPs) for Medicare Advantage (MA) plan members, which allows enrollees to switch to another plan if they didn’t have complete information, for example, if a huge provider system leaves the program or the description of plan benefits is deemed misleading. The Sept. 3, 2015, issue of Atlantic Information Services, Inc.’s (AIS) Medicare Advantage News offers analysis of the new memo, which one prominent industry observer says shows that CMS is going to become much more activist on the network-adequacy issue.

Basic standards require MA organizations (MAOs) to give CMS 90-days’ notice of a significant “no-cause mid-year network change,” according to the memo. CMS then will review the information to determine whether the changes will be substantial enough to trigger an SEP. “CMS views the SEP as an important beneficiary protection and not as a punitive measure triggered by the MAO’s decision to effectuate a significant no-cause mid-year network change,” the memo asserts. “In all instances, the SEP will be effective immediately upon notification to the enrollees of his or her eligibility for the SEP and will continue for an additional two full calendar months.”

Michael Adelberg, senior director at FaegreBD Consulting and a former top CMS official, tells MAN that the memo, along with other previously announced changes to network-advocacy audits and provider directory oversight “strongly suggest that CMS is lowering the bar for the circumstances that might trigger a mid-year provider network change SEP.” Advocates have been urging CMS to take such action, he notes, but the agency didn’t issue any documentation on it until now. “CMS has long had the right to do this, but to date, they’ve been very cautious on acting on it,” Adelberg continues.

“I take the memo as a clear signal that CMS will, at some point soon, start letting beneficiaries switch plans midyear when a health plan network loses a flagship provider group or hospital system during the plan year,” Adelberg adds. “Maybe it will be just one or two sentinel prosecutions, or maybe it will be program-wide when this sort of thing happens.”

Visit https://aishealth.com/archive/nman090315-01 to read the article in its entirety, which also includes comments from a CMS spokesperson. The memo can be read by visiting http://aishealth.com/sites/all/files/cms_ma_provider_network_sep_memo.pdf.

About Medicare Advantage News
Medicare Advantage News is the health care industry’s #1 source of timely news and business strategies about Medicare Advantage plans, product design, marketing, enrollment, market expansions, CMS audits, and countless federal initiatives in this hotly contested area of health insurance. Published biweekly since 1994 (when it was Medicare+Choice), the newsletter exists to help plans boost revenues, increase enrollees, cut costs and improve outcomes in Medicare Advantage and Medicaid managed care. Visit http://aishealth.com/marketplace/medicare-advantage-news for more information.

About AIS    
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://AISHealth.com. Reported by PRWeb 21 hours ago.

HUFFPOST HILL - Def Comedy Jindal

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Bobby Jindal mocked Donald Trump for not reading the Bible, because of course Jindal had to gripe about the one thing Trump has in common with ordinary people. The Obama Administration wants to welcome 10,000 Middle East refugees to the U.S., a departure from the usual strategy of dropping 10,000 bombs on the Middle East. And Senate Democrats successfully blocked the resolution disapproving the Iran deal, once again demonstrating their longstanding embrace of that majestic senatorial tradition, the filibuster. This is HUFFPOST HILL for Thursday, September 10th, 2015:

*DEBT CEILING SOON* - Sam Stein: "The United States government will be unable to pay its bills shortly after the end of October, the Treasury Department warned Congress on Thursday. In a letter to lawmakers, Treasury Secretary *Jacob Lew said that the government was close to exhausting all of its extraordinary means for paying its obligations unless the debt ceiling was raised*. The timeline was similar to the one Lew gave Congress when he last updated them on the country's monetary situation in late July. Since then, nothing has been done by Congress to a prevent the potential default." [HuffPost]

*'WAR' HAVING WORST WEEK IN WASHINGTON* - Jessica Schulberg: "The two-month Republican-led effort to kill the Iranian nuclear accord in Congress failed Thursday, after 42 Democrats filibustered a procedural vote related to the nuclear deal…. *Thursday’s action in the Senate effectively renders moot the ongoing legislative process in the House*. Opponents of the nuclear accord would have needed a two-thirds majority in both the House and the Senate to kill the agreement. Nevertheless, House Republicans are pursuing a three-pronged vote on the Iran deal, partially aimed at finding President Barack Obama in violation of the law. The first vote, expected Thursday evening, will be on a resolution declaring that Congress’s two-month review period of the nuclear deal has not actually started yet, because lawmakers do not have access to a set of confidential agreements between Iran and the International Atomic Energy Agency over its investigation into Iran’s alleged past nuclear weapons development. Because of legislation passed in the spring, the president is obligated to provide Congress with the complete text of the nuclear agreement with Iran." [HuffPost]

*OBAMA ADMINISTRATION OPEN TO ONE (1) HUDDLED MASS* - Elise Foley: "President Barack Obama told his administration to prepare for a 'significant scaling up' of Syrian refugee admissions, under which *the U.S. will take in at least 10,000 Syrians next fiscal year*, White House press secretary Josh Earnest said on Thursday. With refugees from Syria spilling into the surrounding countries and Europe, the U.S. is under pressure to conduct more resettlement, in addition to the approximately $4 billion in aid it gives to assist refugees overseas. *About 4 million Syrians have left their homes since the beginning of the civil war there in 2011*. Earnest told reporters at a press briefing that the U.S. is on track to have taken in 1,500 Syrian refugees this fiscal year, which ends on Sept. 30....For the past three years, the refugee admission number has been about 70,000, but Secretary of State John Kerry said Wednesday that the administration is 'committed to increasing the number.' He did not offer reporters details about the exact figure, although a Senate aide said Kerry told lawmakers it would be at least 75,000 refugees total and he was aiming for even more. *The latest plan to admit 10,000 refugees, though larger than the number Kerry floated, is unlikely to appease refugee groups and others advocating for the U.S. to resettle more people*. The International Rescue Committee called for the U.S. to accept at least 65,000 Syrians by the end of 2016, and some Democratic lawmakers have echoed that figure." [HuffPost]

*GEE I WONDER IF PETE KING LIKES THIS IDEA* - Oh, I see. @hillhulse: Rep Pete King blasts WH plan to admit Syrian refugees. Says it will put US lives at risk. No "capability to vet these individuals."

*Haircuts:* Nick Baumann, Arthur Delaney.

*FRIVOLOUS LAWSUIT ALERT* - Laura Barron-Lopez: House Speaker John Boehner (R-Ohio) said Thursday that all options are on the table in the fight to stop the Iran nuclear deal from moving forward, including suing the president. *Boehner said a lawsuit against President Barack Obama over the deal is 'an option that is very possible.'*...Pressed on realistic options Republicans could use to stop the deal, Boehner said he is looking at everything. 'We are pursuing a number of options and ideas that members have for what could happen in the weeks to come. We [will] continue to investigate those and look into them and see if they are viable or not,' he said. Asked if Republicans would try to attach something on Iran to a continuing resolution to fund the government, which needs to be passed by Sept. 30, Boehner said, 'All options are on the table.'" [HuffPost]

*DELANEY DOWNER* - Tomorrow is September 11th, so of course somebody has reportedly beaten up a Sikh. [NBCChicago.com]

Does somebody keep forwarding you this newsletter? Get your own copy. It's free! Sign up here. Send tips/stories/photos/events/fundraisers/job movement/juicy miscellanea to huffposthill@huffingtonpost.com. Follow us on Twitter - @HuffPostHill

*BOBBY JINDAL UNLEASHES 1,000 BURNS ON DONALD TRUMP* - Igor Bobic: "Louisiana Gov. Bobby Jindal (R) went all out Thursday in a tirade against GOP frontrunner Donald Trump, calling him a "madman" who isn't fit for the White House. In a series of sharply worded attacks at the National Press Club in Washington, D.C., Jindal called into question Trump's conservative record and urged Republican voters not to nominate a *'non-serious, unstable, substance-free narcissist.'* 'Donald Trump is for Donald Trump. He believes in nothing other than himself. He’s not a liberal, he’s not a moderate, and he’s not a conservative. He’s not a Republican, Democrat or independent. He’s not for anything or against anything. Issues and policies and ideals are not important to him. He’s for Donald,' Jindal said at the event, *which was attended by approximately 20 people*. He went on to call Trump an 'egomaniac,' a 'carnival act,' 'shallow,' 'insecure,' 'weak' and a 'madman.'" [HuffPost]

These are way better insults than the ones Rick Perry tried.

*IT'S ALMOST AS IF TRUMP SUPPORTERS DON'T CARE WHAT TRUMP SUPPORTS* - This may not be one of those elections where it's the media's fault no one understands the candidates' positions on things, like the Iran deal, for instance. Sam Stein: "Of all the speakers at Wednesday’s affair, none drew more buzz than Trump....But among those rally-goers, there was some obvious ignorance (willful or otherwise) about how Trump actually felt about the Iran deal. The business mogul has called it atrociously negotiated. He’s warned that it will endanger Israel and set back U.S. interests in the region. He’s mocked Secretary of State John Kerry’s intelligence and political acumen. *But, alone among GOP presidential candidates, he has said he’d improve it rather than toss it.*" [HuffPost]

*MIKE HUCKABEE IS SUCH A PAIN* - Christopher Massie: "While defending Kentucky Clerk Kim Davis’ refusal to issue marriage licenses out of her religious opposition to same-sex marriage, Mike Huckabee said Wednesday that the Supreme Court’s 1857 ruling in Dred Scott v. Sandford -- which held that all blacks, free or enslaved, could not be American citizens -- is still the law of the land even though no one follows it." Note: The 14th Amendment overturned Dred Scott. [BuzzFeed]

Yesterday, we promised you video of Hillary Clinton dancing on Ellen Degeneres' show. Here is that video. You are welcome.

*SENATE GOP SO BORED OF TED CRUZ* - It's almost as if a guy who uses to a giant painting of himself to keep "grounded" lacks modesty. Burgess Everett: "Even some of his closest allies from past battles -- fellow tried and true tea party Republicans like Sen. Mike Lee of Utah -- aren’t exactly jumping to join Cruz’s latest crusade. Same goes for Cruz’s onetime allies-turned-presidential rivals, Sens. Marco Rubio of Florida and Rand Paul of Kentucky. *As the Texas Republican prepares for a potentially decisive month in his presidential campaign with his high-profile Planned Parenthood push, his colleagues in the Senate are more agitated with him than ever*. The effort, they say, carries more than a whiff of his losing strategy to defund Obamacare in 2013 -- which culminated in a government shutdown, damaged the GOP’s political standing and left the health care law unscathed." [Politico]

Brian Williams returns to TV Sept. 22, and must have a ton of great new anecdotes to share by now.

*MAYBE HE SHOULD PRETEND A DIFFERENT COMMITTEE CALLED FOR WORSE PUNISHMENT* - Remember that male state legislator in Michigan who allegedly faked a sexual encounter with a male prostitute to cover up his very real extramarital affair with a female legislator? Jonathan Oosting: "Michigan Reps. Todd Courser and Cindy Gamrat should be expelled for engaging in misconduct and misusing taxpayer resources to hide their extra-marital affair, according to a special House panel." [MLive]

*THIS IS SPARTA (WISCONSIN!)* - That's a real town, by the way. Jenna Johnson: "Standing on a stage at Eureka College where Ronald Reagan gave his first major speech as a college student, Scott Walker railed against Republicans in Washington, saying they have not achieved what they promised voters. Again and again, Walker promised that if he is elected president, he will 'wreak havoc on Washington.'" [WashPost]

Little-known fact: Women are sometimes senators, not just wives.

*ACTORS ARE NOT SMART* - Daniel "James Bond" Craig, who isn't even American, might have been ripped off by a dodgy pro-Bernie Sanders super-PAC, because this is the world we live in now. Michael Beckel: "*Daniel Craig, the actor famous for portraying the British spy, confirmed to the Center for Public Integrity that he donated nearly $50,000 this summer to Americans Socially United*, an organization purporting to support Sanders’ upstart presidential campaign. What Craig apparently didn’t know: The super PAC’s founder, Cary Lee Peterson, has routinely run afoul of creditors and the law -- including stiffing one of the nation’s largest news companies out of a six-figure sum." [Center For Public Integrity]

*#NEVERFORGET MAYBE MEANS #FORGETAFTER15YEARS* - Federal health programs for ailing World Trade Center first responders might expire next year, and it's not clear the Congress will stop that. David B. Caruso: "Bills in the House and Senate would keep the health program going indefinitely while making billions of additional dollars available for compensation for people who fall ill. *But the debate over an extension is taking place in a fog of ambiguity.* Many 9/11 responders, like Charles Diaz, are trying to figure out whether some or all of their care might be covered by private, public or union health insurance plans when the programs end." [AP]

A $26 million visitor center and museum dedicated to the passengers who died on United Flight 93 in Shanksville, Pennsylvania, on Sept. 11, 2001, opened today.

*WHAT'S ANOTHER FEW DECADES OF A POINTLESS WAR ON DRUGS?* - You know thinks the war on drugs is awesome? Drug czars! Nick Wing and Ryan Grim and Roque Planas: "For most Americans, including some presidential candidates, the record on the U.S.-led drug war is settled: After spending more than $1 trillion on efforts that have taken or destroyed the lives of millions around the world, drug purity has risen, prices have fallen and rates of use have remained the same. It has, in no uncertain terms, been a catastrophic failure. *But in an op-ed published in The Boston Globe this week, two former drug czars say we have it all wrong.*" [HuffPost]

*THERE GO THOSE LAWMAKERS, LOOKING OUT FOR THEIR OWN SELF-INTERESTS AGAIN* - Some folks in Congress want to make it easier for ex-cons to get jobs. Dana Liebelson: "The Fair Chance Act echoes growing nationwide support to 'ban the box,' where applicants must check on an application whether they have a criminal record. At least 70 million Americans qualify to some degree." [HuffPost]

*BECAUSE YOU'VE READ THIS FAR* - Note that pro football returns tonight, featuring handsome Tom Brady.

*IT SAYS HERE, THERE ARE DEMOCRATS OTHER THAN HILLARY CLINTON* - Who says Democrats are weak-kneed? Patrick Healy: "*Vice President Joseph R. Biden Jr., Secretary of State John Kerry, Senator Elizabeth Warren, former Vice President Al Gore: Each has been discussed among party officials in recent weeks as an alternative to Mrs. Clinton* if she does not regain her once-dominant standing in the 2016 presidential field and instead remains mired in the long-running email controversy, with its attendant investigations." [NYT]

*COMFORT FOOD*

- Watch Martin O'Malley go unrecognized, earn chump change busking on Wall Street.

- Watch this TV weather dude totally nail the pronunciation of a crazy town in Wales with a 58-letter name.

- Jerk tries to kick dog, fails.

- Our sun is plotting to kill us, and there's video to prove it.

*TWITTERAMA*

@elisefoley: It must have been rough in the days before Twitter to not know how many people thought you were a stupid piece of garbage.

@sbellelauren: ahhh the pumpkin spice latte has returned signaling the start once again of white history month

@FrankConniff: Trump is lobbying to insert "No Fat Chicks" into the 2016 Republican Party platform.

*Got something to add? Send tips/quotes/stories/photos/events/fundraisers/job movement/juicy miscellanea to Eliot Nelson (eliot@huffingtonpost.com) or Arthur Delaney (arthur@huffingtonpost.com). Follow us on Twitter @HuffPostHill (twitter.com/HuffPostHill). Sign up here: http://huff.to/an2k2e*

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 20 hours ago.

Excellus BCBS Data Breach Exposes Data for 10 Million Americans

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Excellus BCBS Data Breach Exposes Data for 10 Million Americans Excellus BCBS acknowledged it was the victim of a cyber-attack in which data for over 10 million of patients and collaborators has been exposed. Excellus BlueCross BlueShield is a non-profit health insurance organization which caters to the upstate New York area. According to a statement on its website, the organization revealed a data breach they discovered on August 5 this year, which, after further investigat... Reported by Softpedia 18 hours ago.

After Same-Sex Marriage Ruling, States Reconsider Domestic Partner Benefits

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This piece comes to us courtesy of Stateline. Stateline is a nonpartisan, nonprofit news service of the Pew Charitable Trusts that provides daily reporting and analysis on trends in state policy.
Now that the U.S. Supreme Court has legalized same-sex marriage nationwide, some states that offer health and retirement benefits to their employees’ domestic partners are considering changing those policies, in large part to save money or avoid discrimination lawsuits.

Before the ruling, 34 percent of state and local governments allowed unmarried same-sex couples to receive health care benefits, while 28 percent did so for domestic partners of the opposite sex, according to a study of public sector benefits by the Bureau of Labor Statistics.

Based on what happened in states that legalized gay marriage on their own, those numbers are about to dwindle.Maryland ended domestic partner benefits for state employees, which it offered only to same-sex couples, just a few months after it legalized same-sex marriage in 2013. Arizona did the same after its legalization in 2014. Alaska still offers same-sex domestic partner benefits to the roughly 6,000 state employees it covers, but it is now reviewing that policy. The majority of Alaska state employees get their health insurance through state-funded union health trusts, and the state’s largest union, the Alaska State Employees Association, ended same-sex domestic partner benefits for the more than 8,500 state and municipal employees it covers.

Connecticut and Delaware never offered domestic partner benefits to their workers, but they did allow those in civil unions to add their partners to their health and retirement plans. The two states scrapped those benefits once same-sex couples could marry.

Of the 13 states that prohibited same-sex marriage before the Supreme Court’s June ruling (Arkansas, Georgia, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Tennessee and Texas), only Michigan offered anything similar to domestic partner benefits, as employees could add to their plan one adult they were not related to. Matthew Fedorchuk with the Michigan Civil Service Commission, which oversees state benefits, said the fate of those benefits could be hashed out in ongoing labor negotiations.

Government workers are likely to see more changes than those in the private sector.

Bruce Elliott, manager of compensation and benefits for the Society for Human Resource Management (SHRM), cited a survey of 153 companies by Mercer, a health care advocacy group, which found that although some companies had plans to get rid of their domestic partner benefits, many were not planning changes. Of the 19 percent that offered domestic partner benefits to same-sex couples, 23 percent said they would drop the option in the next year, while another 23 percent said they would do so over the next two or three years. The majority of companies offered domestic partner benefits to both homosexual and heterosexual couples, and 62 percent of those said they were not planning any changes.

Elliott said domestic partner benefits may be more vulnerable within state and local government, where competition over employees isn’t as fierce as in the private sector and where leaders have been under pressure to keep finances in check since the recession.

*A Question of Fairness*

Cathryn Oakley, senior legislative counsel for the Human Rights Campaign, a gay rights advocacy group, said the group is encouraging public and private employers to keep offering domestic partner benefits. But she said employers that offer domestic partner benefits exclusively to same-sex couples should extend them to heterosexual couples to avoid discrimination lawsuits. 

That risk is part of the reason the capital city of Annapolis, Maryland, decided to end its domestic partner benefit program.

“We had added it because the law didn’t treat people equally,” Paul Rensted, former human resources manager for the city, said of the program, created in 2010. Now all city employees must be married to add an adult to their benefits package, and Rensted said couples were given six months’ notice, with four employees ultimately marrying.

Many in the gay rights community say keeping domestic partner benefits would continue to benefit some in the gay community as well as other non-traditional families. But straight couples would continue to be the biggest user of the benefits, they say.

“Millennials are waiting longer to get married, but that doesn’t mean they’re not living together—they’re not all living with mom and dad,” said SHRM’s Elliott.

Nancy Polikoff, a family law professor at American University Washington College of Law, said she likes “plus one” policies that allow employees to take care of their families, whether it be a spouse, a partner or an aging relative.

“The purpose of providing benefits is to help employees fund the financial and emotional obligations in their homes, and marriage is not always a part of that,” she said.

She pointed to Salt Lake City’s plan as a model. City employees can add any adult to their plan as long as they live together.

Jodi Langford, who oversees the benefits program for the city, said it has been used to cover parents, siblings and unmarried children older than 26 who would otherwise age out of their parents’ health insurance plans. Of the 60 people on the plan before same-sex marriage was made legal, only about 10 have switched to spousal benefits.

“If we stop, we would have parents, siblings, boyfriends and girlfriends who would be without benefits,” Langford said. While the program is secure for now, she said there’s been some talk about reviewing it within the next year.

In Florida, public universities are planning to review their domestic partner benefits. Because only spouses are eligible for state-funded benefits, state universities had to come up with creative solutions to offer benefits to gay employees’ domestic partners. It was an anonymous gift that covered the additional cost of adding an adult beneficiary to a health plan at Florida State University (FSU) starting in 2014, while the University of North Florida (UNF) began covering the additional cost to employees through its fundraising foundation in 2006.

Spokesmen for both universities said the programs played a role in attracting talent. UNF is winding down its program, which had only been offered to same-sex couples, said Vice President and Chief of Staff Tom Serwatka.

“When we went to this, we did so on the basis that heterosexual couples had a choice whether they wanted to marry and understood the full implication of that choice. Homosexual couples didn’t have that choice.” Now that they do, Serwatka said, it makes less sense for the university to raise private funds to pay for thebenefits.

“The university wasn’t trying to change the idea of marriage as the policy for the state, and state funding required marriage,” he said.

FSU is reviewing its program, which only paid for health insurance for domestic partners who could not get insurance through their work, said spokesman Dennis Schnittker.

“The gift was made under the belief of the donor that the state would be funding the benefit in the near future,” he said.

*No Change?*

In some states, however, domestic partner benefits are likely to continue.

California’s domestic partner benefit statutes remain intact, and in Massachusetts the policy is part of a still-standing executive order. Maine and Vermont, which was the first state to offer domestic partner benefits, are not planning to change their programs.

“We wouldn’t just get rid of it because same-sex marriage has come about,” said Tom Cheney, deputy commissioner for Vermont’s Department of Human Resources. “The state of Vermont has long seen the value in offering domestic partner benefits to couples of all types. It’s a useful recruitment and retention tool for the state as an employer.” 

Elliott believes it’s too early to know what most employers—both public and private—will do with domestic partner benefits.

“Once we get past this year into next year’s open enrollment, we’re going to see some real change. The tea leaves haven’t dried yet,” he said.

*Also on HuffPost:*

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Health Insurance Costs Continue to Rise

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*Blame Prescription Drug Prices*

The actuarial service firm Milliman recently released the *2015 Milliman Medical Index (MMI),* an index that tracks the hypothetical costs of a family of four with health insurance coverage through an average employer-sponsored preferred provider organization (PPO). Initiated in 2001, this index is unique in that it measures the collective costs of healthcare benefits instead of focusing on just an employer's share or the premiums.

To no great surprise, the MMI index rose in 2015. *The MMI reached $24,671 for 2015, compared to $23,215 in 2014 and $22,030 in 2013.* The 5.4% cost increase in 2014 was the smallest in the history of the MMI, but 2015 represents a larger percentage increase (6.3%). Since the initial reading in 2001, the MMI index has shown an almost tripling of costs.

*This year, prescription drug costs are leading the charge.* Pharmaceutical costs grew by 13.6% over the previous year, considerably higher than the 6.8% average growth over the last five years. Thanks to this increase, 15.9% of the total healthcare spending for the hypothetical family of four is now taken up by prescription drug costs.

While all costs are increasing, the employee's portion of the cost is increasing at a higher rate. Defined as the total of payroll deduction and out-of-pocket costs, over the last five years, the employee's cost burden has increased by almost 43% compared to 32% for employer's costs. For 2015, employer contributions covered 58% of the costs ($14,198) while employee costs of $10,473 were split between $6,408 in employee contributions (26% of the total) and $4,065 in out-of-pocket costs (16% of the total).

Broken down into the components of spending, the largest components are inpatient facility care and professional services (physicians and other support personnel). Both take up 31% of the cost. Outpatient care takes up 19% of the costs, pharmacy charges are 16% of the costs, and the remaining 9% covers miscellaneous costs -- things such as medical equipment, home health care, and ambulance transport.

While prescription drug costs account for most of the increase, professional services costs rose by only 3.6% -- the lowest rate in the history of the MMI. Physicians bear little of the load for the 2015 increases.

Why have drug costs spiked? According to the Milliman report, the combination of expensive new specialty drugs and a price increase for both brand name and generic drugs contributed to "*the perfect pharmaceutical storm*." Adding to this perfect storm is the rise of the use of compounded drugs (along with a rise in their price) and the "patent cliff" of expiring patent protection for well-known drugs like Lipitor and Nexium. While the shift to generic is an initial improvement for consumers, once generic alternatives are established, the more popular drugs raise the generic price component.

The reforms of the Affordable Care Act (ACA) do not affect the MMI much, since the MMI is focused on employer-based group health plans and the ACA is aimed at individuals and smaller employers. However, Milliman suggests that continuing trends will eventually trigger the "Cadillac tax" (an excise tax on higher-cost, higher-benefit plans) for the MMI average family. Milliman estimates that smaller employers may cross the excise tax line as early as 2018.

*Indirect costs from the ACA *may also affect the MMI family, as lower income from the individual market may shift costs toward the employer market to make up the difference.

The bottom line of the Milliman report: health insurance costs are going up yet again. Future MMI reports are likely to reach the same conclusion. The only real question is how much the costs will rise, and whether the cost increases are broad or concentrated in one particular area.

More from MoneyTips.com

Changing Jobs Under The Affordable Care Act
ObamaCare Savings
Health Insurance's Hidden Costs

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 22 hours ago.

Children Living With Relatives Lose Out on Benefits as Young Adults

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Nationally, around 28 percent of foster youth live with kin -- in other words, over 100,000 children. Children living with relatives often receive the short end of the stick -- regularly lacking health benefits, access to programs and college grants received by other foster youth -- but, seemingly, no one knows or cares to discuss the topic. Often, the media discusses foster care, yet does not go into the deeper complexities of the confusing child welfare system.

Usually, only a discontinuation of court involvement and a label of permanency differentiate traditional foster care placements and kinship placements. For example, imagine a child who lives with a relative for a dozen years and maintains traditional foster care status, before entering a kinship program. There is no differentiation in placement for that child between kinship and foster care, other than a subjective determination of permanency and a termination of court involvement. A child in the same circumstances might just as easily never enter kinship care, therefore having access to the benefits of foster care.

Kinship programs relegate youth out of the foster care system, eliminating court dependency, while never actually giving the benefits of adoption or reunification. These youth remain under legal guardianships, ending at 18, without any permanent parental ties. After entering kinship care, these youth not only remain without permanent parental ties, but also without permanent ties to the state.

The discontinuation of state dependency causes most of these youth to go without services given to traditional foster youth, such as Medicaid to the age of 26, qualification for federal college grants for foster youth, transitional housing, extended foster care, and so on. Working with foster youth, many come across these "loopholes," and wonder why they exist. Does the language mean for these circumstances to occur, or is it simply a problem of blurry legislation?

Most boggling, perhaps, is the lack of extended Medicaid to children in these placements. The extension of Medicaid for foster youth to age 26, by the Affordable Care Act, was intended to provide young adults without parental relationships the same benefits as others, who qualify to continue receiving health insurance under their parents until age 26. In kinship placements, legal guardianship ends at 18, putting these young adults in a situation where they do not qualify for extended health insurance through any parental relationship or the state.

In addition to the lack of healthcare, though, these young adults lack numerous other benefits provided to foster youth. One example is the CHAFEE Grant, which awards $5,000 a year to current and former foster youth. Those in kinship programs are unable to access the grant, as they do not fit the traditional parameters of foster youth. Due to many programs' definitions of foster care entailing court dependency, these young adults often cannot access transitional housing and other services, like free computers and phones.

Why does this distinction exist? The differentiation between a youth in a kinship program and a youth in foster care is obviously very subjective, and often misunderstood. Youth in kinship programs usually first enter foster care, after being forcibly removed from their parents, just like any other foster youth. In addition, unlike cases of adoption or reunification, these children never establish permanent parental ties.

In most states, entrance into kinship programs from foster care is voluntary, like California's Kin-GAP. The fact that entrance into the program from foster care is optional shows how ridiculous it is to deny children, whose guardians opt-in, services.

When entertaining Kin-GAP as an option, many agencies never inform caregivers of the future downsides for the child. This leads caregivers, many of whom are low-income and lack formal education, to opt into a program that seems to offer the benefits of lessened state involvement, without an understanding of the future drawbacks.

Children in these circumstances often lack the support they need to transition into adulthood, merely because of subjective and unclear distinctions in legislation. If these programs continue to exist, they should provide children with the same benefits as others without permanent parental ties.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 21 hours ago.

S. Jersey health system blasts newly formed alliance

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Lourdes Health System said Monday it is “offended and deeply troubled” to be excluded from the O mnia Health Alliance, which was formed last week by Horizon Blue Cross Blue Shield and six New Jersey health systems for a first-tier health insurance product offering planned for 2016. The Camden-based health system aimed its anger at Horizon BCBSNJ. 2015 South Jersey Entrepreneur Awards: Meet the winners In a statement, Lourdes said, “This exclusion apparently was the result of a process that… Reported by bizjournals 22 hours ago.

College Football Brought to You by Koch Industries

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College football season has begun, and this year it is being brought to you by Koch Industries, and not just in Kansas. The Center for Media and Democracy (CMD) has obtained an exclusive list of the Koch-branded college football games, below.The twelve Koch-backed college football games this season will feature Koch signage, a Koch video board, and Koch-branded giveaways.Koch Industries is owned by billionaire industrialists Charles and David Koch, who have made their fortune on refineries and fossil fuels. The Koch network of billionaires is one of the largest and most influential political operations in the country, and they are major funders of climate change denial operations like the American Legislative Exchange Council. The Kochs and their political network have pledged to raise and spend nearly a billion dollars to influence who wins the 2016 election.This is not the first time the Kochs have taken aim at colleges.The Kochs have come under scrutiny for providing funding to university programs with strings attached, raising serious questions about academic freedom. At Florida State, for example, the Kochs demanded control over the economic program's curriculum and the hiring of professors in exchange for providing funding. At the University of Kansas, the Kochs earmarked funding to a university professor as part of a fight against the state's renewable energy standards.The Kochs have also tried to appeal directly to college students through the millennial-focused political advocacy group Generation Opportunity. That group is best known for its attempts to rally college students against the 2010 federal health care reform bill, which included a popular provision that enabled young people to stay on their parent's health insurance plan even after they graduate. That group was behind the series of "creepy Uncle Sam" TV ads in 2012 as well as alcohol-fueled tailgate parties -- complete with dozens of free pizzas -- held during college football games.Koch Industries is in is the midst of a 10-year image makeover, including airing pro-Koch ads during The Big Bang Theory and The Daily Show, to hilarious mocking by Jon Stewart. CMD recently reported on a major Koch hiring spree to beef-up its internal communications team, hiring senior PR pros with experience at firms known for shilling for cancer-causing tobacco, such as Edelman and Burson-Marsteller. One of these new hires is Steve Lombardo, the head of Koch Marketing and Communications, who previously worked to assist the cigarette company Philip Morris with its image problem (its image was so bad it rebranded itself globally as "Altria")."College sports are a great fit for us and we're excited to lend our support to these schools," Lombardo said of the Koch football deal.Here is the full Koch college football schedule, published for the first time:
*September 03, 2015*
U of Minnesota vs. TCU

*September 12, 2015*
Southern Methodist U vs. North Texas

*September 19, 2015*
Oklahoma State U vs. UT San Antonio
U of Arkansas vs. Texas Tech
U of Oklahoma vs. Tulsa
Texas A&M vs. Nevada.

*September 26, 2015*
U of Nebraska vs. Southern Miss.

*October 03, 2015*
Iowa State vs. U of Kansas

*October 10, 2015*
U of Kansas vs. Baylor

*October 31, 2015*
U of Houston vs. Vanderbilt.
U of Wisconsin vs. Rutgers

*November 05, 2015*
Kansas State U vs. Baylor
The Kochs will also be sponsoring men's and women's college basketball; check here for the list.

--------------------
College students are working hard to expose Koch funding and distortion at universities across the country. Learn more at UnKoch My Campus.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 21 hours ago.

Laurent Rotival to Lead Cambia’s Next Generation of Consumer Technology Solutions

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Laurent Rotival today joined Cambia Health Solutions as Senior Vice President of Strategic Technology Solutions and Corporate Information Officer.

Portland, Ore. (PRWEB) September 14, 2015

Laurent Rotival today joined Cambia Health Solutions as Senior Vice President of Strategic Technology Solutions and Corporate Information Officer.

Rotival will lead Cambia’s work in delivering the next generation of technology solutions to meet consumers’ health care needs. “Laurent is a top global health care IT leader who will design Cambia’s long-term technology strategy and lead our IT team as we work to transform health care for consumers,” said Mark Ganz, President and CEO of Cambia Health Solutions.

Rotival has more than 25 years of senior leadership experience in IT business strategy at major global companies. Most recently, Rotival was responsible for GE Healthcare’s IT business in its highest growth region spanning 85 countries from his base in Istanbul, Turkey. Previously, Laurent served as CEO of GE Healthcare’s Korean business and its Healthcare IT Enterprise business serving leading health providers globally. As CIO, Laurent led IT, innovation teams and business networks at GE’s Oil & Gas, Energy and NBC Universal divisions. Before GE, Laurent led the development of advanced automotive composite solutions for European automotive manufacturers.

Rotival received his B.S. with honors in Sciences and Physics at Lycée Blaise Pascal in Abidjan, Côte d'Ivoire. He then completed a Bachelor’s degree with honors, as well as a Master’s degree, in Materials Science and Engineering at Brown University.

About Cambia Health Solutions
Cambia Health Solutions, headquartered in Portland, Oregon, is a health solutions company dedicated to transforming health care by creating a person-focused and economically sustainable system. Cambia’s growing family of companies range from software and mobile applications, health care marketplaces, non-traditional health care delivery models, health insurance, life insurance, pharmacy benefit management, wellness and overall consumer engagement. Through bold thinking and innovative technology, we are delivering solutions that make quality health care more available, affordable and personally relevant for everyone. To learn more, visit cambiahealth.com or twitter.com/cambia. Reported by PRWeb 21 hours ago.

Fourth Turning: Crisis Of Trust, Part 2

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Fourth Turning: Crisis Of Trust, Part 2 Submitted by Jim Quinn via The Burning Platform blog,

In *Part 1* of this article I discussed the catalyst spark which ignited this Fourth Turning and the seemingly delayed regeneracy. In Part 2 I will ponder possible Grey Champion prophet generation leaders who could arise during the regeneracy.

*The nearly seven year reign of Barack Obama has resulted in furthering wealth inequality, in spite of his socialistic rhetoric. *Notwithstanding his Nobel Peace Prize, military spending is at all-time highs and we are engaged in actual and proxy wars across the Middle East and in the Ukraine. Race relations have never been worse. Poverty levels have never been worse. Real median household income is lower than it was in 1989. Real hourly wages are at 50 year lows. Home ownership has plunged to 50 year lows, as middle class workers have been kicked out of their homes and young people are saddled with so much student loan debt and bleak job opportunities they will never have an opportunity to own. The ownership society pushed by Clinton and Bush, with the proliferation of Wall Street created “exotic” subprime mortgages, peddled to people incapable of paying their mortgages, blew up the world in 2008, and the fall out will last for decades.

*Meanwhile, Wall Street banks have reaped $700 billion of ill-gotten profits since 2010 as the Federal Reserve has handed them trillions of interest free funds to gamble with, while rigging the financial markets, and paying their executives obscene bonuses. *The hubris and arrogance of the Wall Street titans is appalling, as they buy politicians, write toothless financial regulations (Dodd Frank) for their bought off politicians to pass, report fraudulent financial results with the stamp of approval from the FASB, blatantly rig interest rate, currency, stock and commodities markets, and use deception and propaganda to distract and mislead the public through their corporate media mouthpieces – dependent upon Wall Street advertising revenue to thrive.

*And still, Obama has not prosecuted one banker for the largest control fraud in world history, as he assumed the role of useful puppet to the vested financial interests.* I’m sure he will be paid handsomely after he leaves office in 2017, just as Bill Clinton, Alan Greenspan, and Ben Bernanke have been richly rewarded by their Deep State benefactors for a job well done.

Illegal immigrants are pouring over our borders with encouragement from the Obama administration. Obamacare has proven to be a giveaway to health insurance conglomerates, hospital corporations, and drug companies, as insurance costs are driven higher, care deteriorates, and deficits soar ever higher. The welfare state has grown to immense proportions, with 46 million Americans remaining on food stamps, proving the reported unemployment rate of 5.1% to be a fraud. The labor participation rate of 62.6% is at levels last seen in 1977 and far below the 67.1% rate achieved from 1997 through 2000. The politicians and corporate media applaud $600 billion deficits as an achievement, while 10,000 Boomers turning 65 per day is guaranteed to drive future deficits back over $1 trillion per year.

Laurence Kotlikoff, economics professor at Boston University, reveals the truth about our true fiscal mess. Our unfunded liabilities are too damn big and our current deficits are a lie:

*“I told them the real (2014) deficit was $5 trillion, not the $500 billion or $300 billion or whatever it was announced to be this year.* Almost all the liabilities of the government are being kept off the books by bogus accounting. The government is 58% underfinanced. Social Security is 33% underfinanced. So, the entire government enterprise is in worse fiscal shape than Social Security is, but they are both in terrible shape. So, how much is America on the hook for in the future?  If you take all the expenditures that the government is expected to make, as projected by the Congressional Budget Office (CBO), all the spending on defense, repairing the roads, paying for the Supreme Court Justices’ salaries, Social Security, Medicare, Medicaid, welfare, everything and take all those expenditures into the future *and compare that to all the taxes that are projected to come in, and the difference is $210 trillion.  That’s the fiscal gap.  That’s our true debt.*”

*We now know for sure Barack Obama is not the Grey Champion of this Fourth Turning. *He has only worsened the three core elements of this Crisis – debt, civic decay, and global disorder. Since his ascension to power, U.S. and global debt has expanded at an astounding rate never seen in world history. Class, race, political and cultural divides have grown to vast proportions. The world is exploding in violence, refugees flooding over borders, civil wars, proxy wars, riots, currency wars and economic depressions caused by U.S. military interventions and monetary policies.

*The world is becoming increasingly chaotic *and the American people are seeking a leader who can bring order, make tough decisions, and capture the zeitgeist of this moment in history. They are in search of a prophet generation (Boomer) Grey Champion, whose arrival marks the moment of darkness, adversity and peril as the Fourth Turning careens towards its climax.* The Grey Champion doesn’t necessarily have to be a good person, but they must lead and display tremendous confidence in their cause and path. *Franklin, Lincoln, and FDR have many detractors, but during their Fourth Turnings, they most certainly led, casting aside obstacles (sometimes illegally) and enduring dark days and bleak prospects for success. Is there someone of that stature ready to lead the American people now?

*Gray Champion?*

“Americans have always been blind to the next turning until after it fully arrives.

Most of today’s adult Americans grew up in a society whose citizens dreamed of perpetually improving outcomes: better jobs, fatter wallets, stronger government, finer culture, nicer families, smarter kids, all the usual fruits of progress. Today, deep into the Third Turning, these goals feel like they are slipping away. Many of us wish we could rewind time, but we know we can’t – and we fear for our children and grandchildren.

Many Americans wish that, somehow, they could bring back a saecular spring now. But seasons don’t work that way. As in nature, a saecular autumn can be warm or cool, long or short, but the leaves will surely fall. The saecular winter can hurry or wait, but history warns that it will surely be upon us.

We may not wish the Grey Champion to come again – but come he must, and come he will.” – *The Fourth Turning** – **Strauss & Howe – 1997*

When Strauss and Howe wrote these words eighteen years ago, halfway through the Unraveling, the American Dream was already turning into a nightmare. Perpetually improving outcomes have turned into a perpetually declining standard of living for most Americans. Fear for the futures of our children and grandchildren were warranted. Millennials have been lured into and enslaved by $1.3 trillion of student loan debt, left with limited job opportunities and low pay, priced out of the housing market, and handed a $200 trillion bill by their elders. Despite factual data showing that default rates on for-profit student loans were even three times as high as subprime mortgages in the early 2000s, the government took over the student loan market in 2009 and proceeded to dole out $500 billion (taxpayer money) in new debt over the next six years to anyone that could fog a mirror and scribble an X on a loan document.

The criminal enterprises known as for profit colleges such as: University of Phoenix, Corinthian, ITT Tech, Strayer, and Devry, have absconded with the money, provided dreadful education, graduated about 20% of enrollees, and left millions of suckers with billions of debt. With default rates now exceeding 50%, students are angry, demanding relief from their own stupidity. Hard working taxpayers who have struggled to put themselves and their kids through college are angry they will foot the bill for defaults that anyone with a high school diploma could see would happen. Trust in the government’s decision making process and motives have been rightfully shattered.

*It is clear the Obama administration purposely enslaved young people in debt to artificially lower the unemployment rate for political purposes.* The issuance of colossal amounts of subprime auto loan debt (begun by Ally Financial when it was owned by the Federal government) has also been politically motivated to artificially increase GDP figures and pump up the financial results of the US automakers (GM, Chrysler) saved with taxpayer funds in 2009. There are no free markets left. Everything is manipulated for a political reason or to benefit a particular constituent. The average American pays the price, while the connected .1% are further enriched.

When young people protested against the true enemies of the people on Wall Street in 2011, they were maced, beaten, tear gassed, trampled by horses and imprisoned by the enforcers of the surveillance police state. The working middle class has seen their real wages stagnate for the last 50 years, as the dollar was unpegged from gold, politicians were free to run up the national debt with no short term consequences, and citizens were turned into consumers through media propaganda, the peddling of debt by Wall Street, and the complete and utter failure of our educational system.

*While working class Americans have seen no advancement in their real wages in almost a half century, the cost of their food, energy, education, healthcare, housing, and taxes have risen astronomically.* It is no coincidence the Wall Street bankers stepped in to offer prodigious levels of consumer debt in the form of credit card, mortgage and auto loans to allow Americans to pretend their standard of living hasn’t fallen. Excessive levels of debt leads to excessive profits for the moneyed interests. The last 35 years have been a grand national delusion.

*Trust in the economic system, financial markets, political parties, mainstream media, and generational social contract has been destroyed*. Rampant irresponsible fraud, abuse, deception, and deceit by the moneyed interests, lackey politicians, their government apparatchiks, media mouthpieces, and legal system have shattered the illusion the establishment is looking out for your best interests. The revelations by Edward Snowden of illegal mass surveillance, militarization of local police forces, military exercises in US cities, attempts to roll back the 2^nd Amendment, and trying to control the internet has revealed the true nature of the corporate fascist state. The disintegration of trust began slowly after 9/11 but accelerated rapidly over the last three years. Our leaders have done the exact opposite of what needed to be done after 2008. Everything they have implemented has failed. The average American is worse off than they were in 2009 at the depths of the recession.

*The highly educated, white collar, sociopath masters of the universe have captured the levers of power in this country. *The world is enthralled and mesmerized by a gray haired academic troll-like figure who will ascend her monetary throne and pronounce whether her and her fellow central bank lackeys will raise an obscure inconsequential interest rate from 0% to .25%. This is nothing but a meaningless diversion as her owners (Wall Street banks), their corporate brethren, captured politicians, pliable judiciary, and media mouthpieces rig the financial markets to enrich themselves while impoverishing the masses and drowning current and future generations in un-payable debt. Harry Markopolos, who uncovered Bernie Madoff’s Ponzi scheme, while the SEC and criminal co-conspirator Wall Street bankers willfully ignored the blatant easily identifiable fraud, captures the essence of why trust in our economic, financial, regulatory, political, judicial and journalistic systems has collapsed:

“Government has coddled, accepted, and ignored white collar crime for too long. It is time the nation woke up and realized that it’s not the armed robbers or drug dealers who cause the most economic harm, it’s the white collar criminals living in the most expensive homes who have the most impressive resumes who harm us the most. They steal our pensions, bankrupt our companies, and destroy thousands of jobs, ruining countless lives.” – *Harry Markopolos, Congressional Testimony*

*The men who retain the levers of power are the same men who were in command when the Crisis struck in 2008.* They are even more powerful and rich today than prior to the financial collapse provoked by their unbridled greed and avarice. They believed they could engineer a recovery by promoting confidence in the Wall Street banks through the issuance of prodigious amounts of debt to solve a crisis caused by too much debt. Total debt outstanding in the U.S. rose from $52 trillion in 2009 to $59 trillion today, at the behest of the government and their Federal Reserve cohorts.

While rational thinking Americans have continued to pay down their mortgage debt and reduce credit card usage, the Federal government through their insolvent (if using mark to market accounting) entities Fannie and Freddie, along with their monopoly on student loan issuance, and their massive deficit spending, have accounted for more than 100% of the $7 trillion increase. Total global debt approaches $230 trillion, up approximately $70 trillion since the crisis began.

*The mood change in the country is palpable as economic misery besets the middle class; race wars break out in urban ghettos across the land; push back against the police state intensifies; distrust of a rigged financial system keeps people out of the market; young people are priced out of the housing market by Wall Street price manipulation; productive good paying jobs dwindle; government bureaucrats prove themselves inept at everything they attempt; illegal immigrants pour over the southern border overwhelming the social safety net when it is already stretched thin; and faith in both political parties is close to zero.* The regeneracy has been delayed, but this has allowed the anger, bitterness, and dismay with the government to grow to staggering proportions. The country is growing desperate for someone to lead. Ignoring the debt, civic decay and global disorder is no longer acceptable. It’s time for someone to step forward and tell the people the truth.

“Soon after the catalyst, a national election will produce a sweeping political realignment, as one faction or coalition capitalizes on a new public demand for decisive action. Republicans, Democrats, or perhaps a new party will decisively win the long partisan tug of war. This new regime will enthrone itself for the duration of the Crisis. Regardless of its ideology, that new leadership will assert public authority and demand private sacrifice. Where leaders had once been inclined to alleviate societal pressures, they will now aggravate them to command the nation’s attention. The regeneracy will be solidly under way.” – *The Fourth Turning** – **Strauss & Howe – 1997*

*The Grey Champion is likely to be elevated through an election, but it isn’t a requirement.* Ben Franklin and Samuel Adams were the intellectual and firebrand Grey Champions of the American Revolution. They inspired the revolutionaries through writings and oratory. Lincoln and FDR were elected Grey Champions, but Lincoln only won 40% of the popular vote in a four way race, while FDR won in a landslide with 57% of the vote over Hoover. It was clear Lincoln didn’t have a mandate, as Southern states began seceding after his election. No one can argue Franklin, Adams, Lincoln or FDR united everyone in a common cause. They actually aggravated the societal pressures that had been ignored or deferred by their predecessors. Compromise was not an option for these men. They were going to lead based upon their own criteria. You were either with them or against them. And many were against them.

*It is widely believed only 20% of colonial Americans were strong supporters of the American Revolution, with 20% Loyalists, and the rest sitting on the fence.* Franklin’s own son remained a Loyalist throughout the fight. Half the country departed the Union upon Lincoln’s election and his support in the North was lukewarm at best. Lincoln captured 55% of the vote in the 1864 election, with only northern states voting. Even though FDR won landslide popular vote victories in 1932 and 1936, his detractors and enemies were many. FDR’s confiscation of gold and antagonism toward big business convinced a number of wealthy businessmen to approach General Smedley Butler to lead a coup against FDR and install a fascist regime to run the country. So, it is clear Grey Champions are not universally loved or supported. They have the ability to ignore the complexity of life and focus on one simple imperative: society must prevail.

*Until three months ago the 2016 presidential election was in control of the establishment.* The Party was putting forth their chosen crony capitalist figureheads – Jeb Bush and Hillary Clinton. They are hand-picked known controllable entities who will not upset the existing corrupt system. They are equally acceptable to Goldman Sachs, the Federal Reserve, the military industrial complex, the sickcare industry, mega-corporate America, the moneyed interests, and the never changing government apparatchiks. The one party system is designed to give the appearance of choice, while in reality there is no difference between the policies of the two heads of one party and their candidate products. But now Donald Trump has stormed onto the scene from the reality TV world to tell the establishment – *You’re Fired!!!*

*As Hillary’s crimes and lies catch up to her and Jeb Bush drowns in a sea of irrelevance, low energy, and passionless rhetoric, Trump and Bernie Sanders have surged ahead in the polls. *The country is tired of the Clinton and Bush dynasties. They are tired of the existing ruling authority. My initial reaction to Trump’s entering the presidential race was scorn. He’s a bloviating, egocentric, self-promoting, reality TV parody of himself. After seeing him in action for the last three months it has become apparent the country deserves a president like Trump.

He represents everything we’ve become as a nation. Sound bites, no substance, self-involved, boastful, and in constant attack mode are the qualities necessary to lead America today. Facebook twitter nation merits a president like Trump. Bill Clinton playing sax on Arsenio and Obama’s weekly guest appearances on the Daily Show or Jimmy Fallon Show has already tainted and made a mockery of the office of the president.

Trump was born in 1946 putting him in the Boomer Prophet generation, so he fits the mold of Grey Champion from a generational perspective. Hillary and Jeb are also Boomers, with Sanders from the Silent generation. Trump has struck a nerve with a wide swath of middle class America with his anti-illegal immigration rhetoric, disdain for the elitist mainstream media, unflinching assessment of his second string GOP opponents, and exuberant confidence in his own abilities.

Building a wall on our southern border, going after billionaire hedge fund managers, cutting government spending, and negotiating trade deals that don’t ship American jobs overseas, are resonating with fed up households across America. Some polls show Trump with significant support among blacks and Hispanics. The linear thinking supporters of the status quo are flabbergasted and outraged by Trump’s popularity. The ruling classes never anticipate the mood shift of the peasants as they look down on the masses from their gated estates and penthouse suites. The country is looking for someone who can tear down the entire fetid, corrupt, rotting structure.

*The moneyed interests are still betting on Hillary or Jeb, but they are getting nervous. *There is still time for them to pull the old Ross Perot play by threatening Trump or his family with harm or making him an offer he can’t refuse in financial terms. But, with the Middle East awash in blood, refugees flooding into Europe, China experiencing an epic meltdown, oil producing countries suffering depressions, emerging market economic systems collapsing under the weight of unpayable promises, the Federal Reserve panicked as recession approaches with interest rates at zero bound, and stock, bond and real estate bubbles approaching the inescapable pin, the stars are aligning for a 2^nd crisis more perilous and catastrophic than the 2008 catalyst event. The onset of phase two of this Crisis in 2016 will produce a populace more desperate, less trusting of the establishment and likely to turn towards someone like Trump, in despair.

*No matter who is elected in November 2016, there is no turning back. Winter is here and Spring is many years away. Grim times will befall the world. The potential for tragic consequences is growing by the day. The storm clouds are gathering on the horizon. There will certainly be famine, chaos, death, destruction, and war. Let’s pray our Grey Champion can lead us through the valley of death to a new High.*

“The risk of catastrophe will be very high. The nation could erupt into insurrection or civil violence, crack up geographically, or succumb to authoritarian rule. If there is a war, it is likely to be one of maximum risk and effort – in other words, a total war. Every Fourth Turning has registered an upward ratchet in the technology of destruction, and in mankind’s willingness to use it.” *– Strauss & Howe –* *The Fourth Turning*

In Part 3 I will try to assess which channels of distress are likely to burst forth with the molten ingredients of this Fourth Turning, and lastly make some educated guesses about potential climaxes. Reported by Zero Hedge 18 hours ago.

Imagining U.S. seniors in a world without Medicare

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It's pretty well known that Americans pay more for health insurance and medical treatment than people in other developed countries - at least until they turn 65 and are eligible for Medicare. Reported by L.A. Times 8 hours ago.
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