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Rethinking Employer-Based Benefits

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Many Americans receive a long list of important benefits through their employers: life insurance, long-term disability insurance, accident and sickness insurance, dental/vision insurance, dependent care, flexible spending accounts, health insurance, legal assistance, free parking/parking subsidies, supplemental Medicare premiums, tuition reimbursement, and ... the list goes on.

In part, this is an accident of history. World War II wage and price controls precluded employers from giving the raises needed to hire and retain workers, but the central-planning bureaucracy decided that providing health insurance did not qualify as wages and, thus, not subject to tax. Employers had a way to give raises and the untaxed-fringe-benefit genie was out of the bottle.

It is also, in part, bad policy. If workers are paid in cash, they can choose the benefits they value and want -- not what their firm's HR department dreams up. Even worse, because they are not taxed, benefits are a "cheaper" way to reward employees. The result is a bias against growth in cash wages and toward growth in benefits. Finally, the exclusion from taxes is a disguised subsidy -- it represents genuine "spending" through the tax code -- and the subsidy gets larger as tax rates go up; i.e., the subsidy is bigger for the more affluent.

Nevertheless, the drumbeat for more employer-based benefits continues. The most recent addition to the list is paid family leave. The District of Columbia got headlines for a proposal that everyone be entitled to 16 weeks of paid family leave, paid for by a new payroll tax. Senator Bernie Sanders would mandate employers to provide at least 12 weeks of paid family and medical leave, while Secretary Clinton would "fight for paid family leave."

Notice that none of these approaches use the traditional tax subsidy. Instead, the DC approach is a classic tax-and-spend, pay-as-you-go entitlement program that could have been designed in the 1930s. In contrast, the Sanders proposal would mandate that employers provide, at their expense, the family leave. Characteristically, it is not clear which approach Secretary Clinton would pursue.

Still, these approaches inevitably hurt the growth of wages. The mandate is the easiest to see. It directly raises employers' labor costs, providing an incentive to recoup those increases by slowing the growth of other parts of the labor budget -- namely, wages. For this reason, the research literature broadly recognizes that mandated benefits come out of wages over the longer term. A similar finding prevails for payroll taxes. In Social Security, for example, the payroll tax is in principle evenly divided between employers (6.2 percent) and employees (6.2 percent), but the data indicate that wages are lower by the full 12.4 percent of the payroll tax. The new 1930s entitlement would have the same economics as the old 1930s entitlement.

Perhaps it's time for another approach. The "pure" policy approach would be to eliminate the tax subsidies, tax-based entitlements, and heavy mandates. But it seems clear that the political climate would not support a purely market-based provision of such benefits.

The alternative is to cap the taxpayer exposure to providing benefits and put workers in charge of the kinds of benefits they receive. Using White House estimates, the exclusion from tax of employer-provided benefits will lower receipts by roughly $235 billion in 2015. This translates into an average of roughly $35,000 of benefits for each of the 142 million working Americans.

Of course, not every worker gets $35,000 of benefits, but one could imagine setting a "budget" or cap for tax-preferred employer benefits of $35,000 for each worker. Or, one could design a set of caps that rose with wages and salaries, but which averaged $35,000 per worker.

For the worker making, say, $50,000 with a cap of $35,000, the employer could provide health insurance that was generous enough to trigger the Cadillac tax ($28,000 for the family policy) and paid leave for 7 weeks ($7,000). These benefits would be tax-exempt.

Or, the individual could tell the employer that she preferred 16 weeks ($16,000) of paid family leave, but a less elaborate ($19,000) health insurance plan. Or, she could opt for employer help with child-care expenses ($8,000), health insurance ($19,000) and a shorter leave of 8 weeks ($8,000). As long as the total remains within the cap, the employee gets what she wants, the employer faces the same labor costs, and there is no tax liability.

It is possible that the employee wants a lot of benefits -- $19,000 for health insurance, $16,000 for leave, and $8,000 for child care -- and the employer values the employee enough to provide all three. The total of $43,000 would exceed the cap by $8,000. This $8,000 would be included in taxable compensation and the employee would be liable for the tax on it. This would be fine; the employee voluntarily has chosen to pay a tax because she favors a benefit-rich compensation package.

Notice that the capped approach instills an incentive for efficiency in delivering fringes. One would not want, for example, the health insurance benefit steadily crowding out life insurance, transit subsidies and paid leave. Employees and employers will have better incentives in choosing plans and networks.

Second, this system will no longer encourage additional benefits at the expense of wages. As long as benefits stay in the cap, rises in productivity can be rewarded entirely in wages. Nor will it impose onerous taxes and mandates that damage take-home pay. Finally, it will permit benefits to reflect the desires of American workers instead of inefficiently providing benefits that workers do not value.

The demand for new benefits is real. But so must be the demand for a new approach to providing them.

-- 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 11 hours ago.

Bush offers plan to repeal, replace federal health care law

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MIAMI (AP) — Republican presidential candidate Jeb Bush is proposing to repeal and replace President Barack Obama’s health care law with one that would increase tax credits for individuals, allowing them to buy coverage protection against “high-cost medical events.” But the two-page proposal, which would give more power to states to regulate health insurance, contained […] Reported by Seattle Times 9 hours ago.

Article on Endometrial Cancer and Bariatric Surgery Highlights Yet Another Advantage of Weight Loss Surgery, Notes Dr. Michael Feiz

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Commenting on the recent article, the Los Angeles bariatric surgeon says that this is one of many advantages that bariatric surgery can have for patients.

Los Angeles, CA (PRWEB) October 13, 2015

According to an article published October 5th by the American Journal of Managed Care, a recent study has shown that women who successfully lose weight with a bariatric procedure are much less likely to develop endometrial cancer, which affects 55,000 women in the United States each year. The article notes that anywhere from 40 to 50 percent of all endometrial cancer cases are caused by obesity, and in a study of 71 women where 10 percent had precancerous indicators, those potential dangers “seemed to have resolved following their procedure.” According to Michael Feiz, M.D., F.A.C.S. of Dr. Feiz and Associates, this is an extremely good sign for women considering weight loss surgery, and demonstrates just how effective the procedures can be at helping prevent a variety of serious health conditions.

Dr. Feiz explains that, while weight loss surgery’s ability to help patients overcome comorbidities such as diabetes and heart disease have been long known, the addition of endometrial cancer to the list of diseases and conditions whose prevalence can be reduced by weight loss surgery is incredibly significant. Because type 2 diabetes and high blood pressure are often perceived as chronic conditions that a great many patients must deal with, Dr. Feiz explains that certain insurance companies may not express a high-degree of urgency in covering a procedure that has been proven to send those conditions into remission. Cancer, however, is a disease that carries such urgency in the health care community that this discovery may lead insurance companies to look at weight loss surgery differently.

Currently, Dr. Feiz explains, many health insurance companies provide coverage to candidates based on an economical calculation of how much a reduction in obesity will reduce the sum of that patient’s healthcare costs going forward. Yet, when viewing weight loss surgery as a way to prevent deadly, obesity-related cancers, Dr. Feiz explains that these insurance companies may better understand the many urgent dangers that obesity may present to a patient’s health.

The reason why weight loss surgery is so effective at helping patients move past co-morbidities is simple, Dr. Feiz explains. Obesity directly causes a great number of health problems, and weight loss surgery is far and away the most effective medical tool available to help patients lose a significant amount of weight. Patients interested in learning more about weight loss surgery and the work done by the entire team at Dr. Feiz and Associates can call them at 310-855-8058 or visit them online at http://www.DrFeiz.com. Reported by PRWeb 10 hours ago.

Bipartisan Effort Revises Health Rule For Small Businesses

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A legal change that eases some of the health insurance requirements for small employers may actually help bolster coverage for their workers. Reported by NPR 8 hours ago.

More Than 1M Eligible Floridians Still Don't Have Health Insurance

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Some of those who are uninsured are qualified for Medicaid, while others are eligible for subsidies to offset the cost of Obamacare coverage. Reported by IBTimes 7 hours ago.

Census Bureau: Income, Poverty, and Health Insurance Products

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WASHINGTON, Oct. 13, 2015 /PRNewswire-USNewswire/ --  The Census Bureau is releasing a selection of data products on income, poverty and health insurance coverage. These products include: 2015 Current Population Survey Annual Social and Economic Supplement Public Use Micro Data... Reported by PR Newswire 6 hours ago.

1 in 3 of Louisiana's uninsured in Obamacare 'coverage gap'

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WASHINGTON - One-third of Louisiana's 582,000 residents without health insurance are in a "coverage gap": They can't qualify for the Affordable Care Act's Medicaid expansion because the state declined to participate, and their incomes are too low to receive subsidized... Reported by nola.com 6 hours ago.

More than 1 million eligible Floridians still don’t have health insurance

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More than 1 million people in Florida are eligible for but are not getting health insurance through the Affordable Care Act or Medicaid, an analysis published Tuesday by the Kaiser Family Foundation showed. In 2015, of the 2.788 million Floridians who did not have insurance, 11 percent were qualifie... Reported by Raw Story 6 hours ago.

Jeb Bush has found a part of Obamacare to love

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In the United States, every dollar you earn as wages is subject to taxes, but every dollar you get in health insurance is not. Reported by TwinCities.com 1 day ago.

What Democrats Said About Obamacare During The Debate (Not Much)

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WASHINGTON-- President Barack Obama's landmark health care reform law -- one of the most contentious political issues of the past six years -- received all but no attention during the Democratic debate Tuesday tonight. But considering that all five Democrats on the stage were supporters of the Affordable Care Act, perhaps it's not surprising that CNN opted to raise issues more likely to provoke confrontation.

In his closing remarks, Sen. Bernie Sanders (I-Vt.) reiterated his support for universal health care coverage, something Obamacare doesn't achieve, despite having led to a major reduction in the uninsured since 2013. "We should not be the only major country that does not guarantee health care as a right," Sanders said.

Earlier in the debate, former Secretary of State Hillary Clinton mostly evaded a question about Sanders' advocacy for single-payer health care, merely saying, "We agree on the goal. We just disagree on the means." Sanders has long proposed allowing everyone to enroll in Medicare, the health care program for retirees and people with disabilities. Clinton, by contrast, favors strengthening the structures created by the Affordable Care Act.

That was about as fiery as it got for an issue that's become so partisan it seems scarcely worth discussing during a primary debate. Obamacare also barely came up when the Republican candidates gathered for their second primary debate last month.

Among the Democratic candidates, support for Obamacare is universal. Sanders and former Virginia Sen. Jim Webb (Va.) voted for the Affordable Care Act, while Clinton served in Obama's cabinet and helped push for the bill behind the scenes in 2009 and 2010. Martin O'Malley took an active role in implementing the law while serving as governor of Maryland, and former Rhode Island Gov. Lincoln Chafee is on record as backing the law.

Overall, the Democratic contenders' position on Obamacare mirrors that of their party base. According to a Henry J. Kaiser Family Foundation poll conducted last month, nearly three-fourths of Democrats want to leave Obamacare in place or expand it.But if one of these Democratic candidates were to become president, he or she likely would face opposition from Republicans that's just as strong as the support on the left. Republican presidential hopefuls like former Florida Gov. Jeb Bush are rolling out plans to undo the ACA, the GOP-led Congress is advancing yet another repeal bill and the same Kaiser Family Foundation survey shows that 74 percent of Republicans want Obamacare eliminated or scaled back.

However, the debate did reveal one area of disagreement among the candidates when it comes to health care.

O'Malley supports allowing undocumented immigrants full access to Affordable Care Act benefits. But Clinton stopped short, saying that while she favored making it legal for undocumented immigrants to use Obamacare's insurance exchanges to buy coverage with their own money, she would not offer this group subsidies to reduce the cost unless they came as part of a comprehensive immigration reform bill. Clinton did say that she supports state governments covering undocumented immigrants, which California will begin doing for children next year. Webb said he "wouldn't have a problem" with opening Obamacare to undocumented immigrants.

The final time health care surfaced Tuesday night was when host Anderson Cooper asked the candidates to list who they were most proud to have as enemies. In response, Clinton named the health insurance and pharmaceutical industries alongside the Republican Party and the Islamic Republic of Iran.

*For the latest updates on tonight's debate, visit our liveblog. *
-- 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 1 day ago.

RAM Technologies, Inc. Sponsors AHIP’s National Conferences on Medicare & Medicaid and the Dual Eligibles Summit

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RAM Technologies lends support to America’s Health Insurance Plans (AHIP) Organization.

Fort Washington, Pennsylvania (PRWEB) October 14, 2015

RAM Technologies, Inc., the perennial leader in the development of enterprise software solutions for health plans, is proud to sponsor America’s Health Insurance Plan’s (AHIP) National Conferences on Medicare & Medicaid and the Dual Eligibles Summit. The combined events are being held October 18th - 22nd in Washington, DC.

“We are proud to lend our support to AHIP and the Medicare, Medicaid and Duals conferences,” said Christopher P. Minton, Executive Vice President for RAM Technologies. “RAM Technologies and the Medicare, Medicaid and Duals Conference are a strong match. This conference brings together the leading voices in the industry to discuss ways to secure the future of government sponsored healthcare. RAM, as an organization, is dedicated to finding innovative ways to leverage our solutions to improve the administration of these programs.”

The RAM solutions, HEALTHsuite® Mercato and eHealthsuite™, are the leading solutions for the administration of Medicare, Medicaid and Dual Eligible programs. They provide extensive capabilities for health plans looking to deliver these programs in the most efficient manner possible.

HEALTHsuite Mercato is an enterprise application with fully integrated functionality to automate all aspects of enrollment, eligibility, benefit administration, provider contracting and reimbursement, care management, utilization and medical management, claims administration, subrogation / overpayment recovery, customer service, premium billing, fulfillment, reporting and more.

eHealthsuite is RAM’s flexible and secure web portal product. This highly innovative portal enables healthcare payers to reduce administrative costs while extending services to members and providers on a 24 x 7 basis. The self-service capabilities of eHealthsuite allow a health plan’s members and providers to access their information and conduct real-time transaction processing from their offices or homes via a secure Internet connection.

AHIP’s National Conferences on Medicare & Medicaid is a comprehensive event designed to address the major factors impacting the industry. At the National Conference on Medicare former CMS administrators will discuss the evolution of the Medicare program. The Dual Eligibles Summit will highlight innovative strategies for engaging dual eligible populations and providers.

About America’s Health Insurance Plans (AHIP)
AHIP is the national trade association representing the health insurance industry. AHIP’s members provide health and supplemental benefits to more than 200 million Americans through employer-sponsored coverage, the individual insurance market, and public programs such as Medicare and Medicaid. AHIP advocates for public policies that expand access to affordable health care coverage to all Americans through a competitive marketplace that fosters choice, quality and innovation. For more information on America’s Health Insurance Plans visit ahip.org

About RAM Technologies
RAM Technologies is the leading provider of enterprise claims management software and claims adjudication software for health plans. For over 34 years RAM Technologies has led the way in the creation of Medicaid software solutions, Medicare software solutions and software for dual eligible processing (the Medicare-Medicaid Financial Alignment Initiative). RAM Technologies has been recognized on Inc. Magazine’s List of Fastest Growing Private Companies and the Philadelphia Business Journal’s List of Top Software Developers for their advancements in the creation of comprehensive claims management systems for Medicare and Medicaid administration. To learn more about RAM Technologies’ healthcare claims processing and managed care software solutions call (877) 654-8810 or visit ramtechinc.com. Reported by PRWeb 1 day ago.

United Benefit Advisors Partners Recognized for Industry Excellence

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Recent Awards and Recognitions Show Independent Advisors are Thriving

Indianapolis, IN (PRWEB) October 14, 2015

Partners of United Benefit Advisors (UBA), the nation’s leading independent employee benefits advisory organization, are being recognized for leadership within the industry, receiving important awards and keynote opportunities. UBA, which prides itself on having a national presence with a local influence, attributes its success to its dedication to collaboration, proving that independent benefits advisors can thrive in today’s challenging health insurance environment.

Executives from Selden Beattie, a UBA Partner Firm in Miami, Florida, were recently named to Employee Benefit Advisor’s (EBA) http://mydigimag.rrd.com/publication/?i=274999%23%7B%22issue_id%22:274999,%22page%22:0%7D#{"issue_id":274999,"page":0} [Top 25 Most Influential Women in Advising for 2015 __title__ ], and featured as the cover story of EBA’s October issue. EBA is one of the industry’s most prominent voices in the benefits industry.

Selden Beattie founder and CEO Beverly E. Beattie and Chief Client Officer Monica Digon were recognized as women who excel in categories including significantly increasing a firm’s sales or market share, providing strategic consulting to help clients achieve their highest goals, fostering employee benefit innovations, advocating successfully for advisor causes and, in general, elevating the status of all women in the profession.

Another UBA Partner, Russ Blakely, CEO of Russ Blakely & Associates, was a featured speaker at the EBN Benefits Forum and Expo, held Sept. 30 – Oct. 3 in Orlando, Florida, presenting his groundbreaking work on the concept of Personal Physician Networks.

Personal Physician Networks utilize on-site health clinics and pharmacies, enabling an employer to partner directly with a group of physicians dedicated to serving their employee population. Blakely, who has tested this market disruptive strategy with employers in the southeastern U.S., says participating employers are saving hundreds of thousands of dollars annually on their health care.

"The combination of onsite clinics, onsite pharmacies, and the Personal Physician Network have been a home run to several area employers in the Chattanooga area,” says Blakely. “It’s like a network within a network, and so far has been met with great success.”

UBA is a unique community of nearly 140 independent employee benefits advisory firms, comprised of more than 2,200 professionals offering thought leadership and best-in-class solutions that positively impact employers. With partners in 42 states, Canada and the United Kingdom, UBA is the nation’s leading organization of independent benefits advisors.

“We are thriving because we offer the best of both worlds: national presence and local advice, including our annual Health Plan Survey of nearly 10,000 employers, plus hundreds of advisors on the front lines of health care benefits,” says Les McPhearson, CEO of UBA. “By collaborating together, pooling resources and insisting on class leading solutions, UBA has become a recognized leader in the market at a time when many industry professionals are struggling.”

For further information, contact UBA to explore stories about local approaches to controlling health plan costs, or pre-order a copy of the 2015 UBA Health Plan Survey Executive Summary today at https://www.ubabenefits.com/wisdom/surveys. For more information about joining UBA as a partner, visit http://content.ubabenefits.com/partner-inquiries.

About the UBA Health Plan Survey
United Benefit Advisors (UBA), one of the nation’s largest employee benefits advisory organizations, released the results of its 2015 UBA Health Plan Survey. The report database contains the validated responses of 18,186 health plans, sponsored by 10,804 employers, who cumulatively employ more than two million employees and more than five million total lives. Individually validated responses from employers in more than 3,000 communities were utilized in compiling the database.

While other surveys primarily target large employers, the focus of the UBA survey is to report results that are applicable to the small and mid-size companies that represent the overwhelming majority of the nation’s employers, while also including a mix of large companies in rough proportion to their actual prevalence nationally.

The survey includes plan renewals from June 2014 to May 2015 through the joint effort of 129 of the nation’s premier independent benefit advisory firms, which comprise UBA. The national distribution of UBA Partner Firms, the diversity of their client base, and the extraordinary number of survey responses provided a unique basis to conduct a non-probability sample survey that yields benchmark results that pertain to a representative cross-section of the nation’s employers.

Contact a UBA Partner Firm for a customized benchmark survey based on industry, region and business size.

About United Benefit Advisors
United Benefit Advisors is the nation's leading independent employee benefits advisory organization with more than 200 offices throughout the United States, Canada and the United Kingdom. As trusted and knowledgeable advisors, UBA Partners collaborate with more than 2,200 fellow professionals to deliver expertise, thought leadership and best-in-class solutions that positively impact employers and make a real difference in the lives of their employees and families. Employers, advisors and industry-related organizations interested in obtaining powerful results from the shared wisdom of our Partners should visit UBA online at http://www.UBAbenefits.com. Reported by PRWeb 22 hours ago.

Allsup Provides Health Insurance Assistance and Access to Experts During Marketplace and Medicare Annual Enrollment Periods

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True Help® with Health Insurance When Disability Strikes is available on demand with access to healthcare and Medicare experts

Belleville, IL (PRWEB) October 14, 2015

Medicare beneficiaries and individuals with disabilities seeking information on the Health Insurance Marketplace can access information, resources and experts online at True Help® with Health Insurance When Disability Strikes. The site is provided by Allsup, a nationwide Social Security Disability Insurance representation company and Medicare plan selection services provider.

Medicare annual open enrollment is Oct. 15 to Dec. 7. Open enrollment for the Health Insurance Marketplace is Nov. 1 through Dec. 15 for new coverage to start January 1, 2016.

Web event offers timely resources and access to experts

Participants can control which slides and videos to view, participate in instant polls and submit questions through the Q and A window. Medicare and healthcare experts will email personal responses to participants.

“Choosing an insurance plan can be overwhelming or even a little frightening, and you can certainly benefit from the right resources at the right times, such as during open enrollment,” said Aaron Tidball, manager, Allsup Medicare Operations.

Open enrollment offers individuals the opportunity to enroll for the first time or review their health insurance coverage and make changes based on their health and financial needs.

An Enroll America survey showed almost 90 percent of Marketplace enrollees wanted more information about how to use their coverage. About half of the uninsured respondents expressed a lack of confidence in choosing their coverage.

“When it comes to Medicare, one study showed that nearly one-fourth of beneficiaries were surprised when their plan didn’t cover the medical care they needed,” said Tidball. “Another study showed that 95 percent of Medicare beneficiaries spent too much on their prescriptions.” See the Medicare infographic here.

To register for True Help® with Health Insurance When Disability Strikes, click here or visit Webinar.Allsup.com.

ABOUT ALLSUP

Allsup and its subsidiaries provide nationwide Social Security disability, veterans disability appeal, re-employment, exchange plan and Medicare services for individuals, their employers and insurance carriers. Allsup professionals deliver specialized services supporting people with disabilities and seniors so they may lead lives that are as financially secure and as healthy as possible. Founded in 1984, the company is based in Belleville, Illinois, near St. Louis. For more information, go to Medicare.Allsup.com or call (866) 521-7655. Financial advisors seeking more information may go to FinancialAdvisor.Allsup.com or call (888) 220-9678. Reported by PRWeb 19 hours ago.

NCQA Health Insurance Plan Ratings - Valuable Tool for Consumers

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NCQA Health Insurance Plan Ratings - Valuable Tool for Consumers WASHINGTON--(BUSINESS WIRE)--NCQA is rating US Health Insurance Plans. These ratings coincide with open enrollment season. Reported by Business Wire 19 hours ago.

WellCare, Georgia Partnership for TeleHealth and Appling HealthCare System Open School-Based Health Centers in Appling County

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WellCare Health Plans, Inc. in partnership with Georgia Partnership for Telehealth (GPT) and Appling HealthCare System, helped open two new school-based health centers at Appling County Elementary and Appling County High schools.

Tampa, FL and Baxley, GA (PRWEB) October 14, 2015

A trip to the school nurse is now more like a trip to the doctor’s office at two Appling County schools.

WellCare Health Plans, Inc. in partnership with Georgia Partnership for Telehealth (GPT) and Appling HealthCare System, helped open two new school-based health centers at Appling County Elementary and Appling County High schools.

WellCare provided the funding to equip these schools with telehealth systems that will allow school nurses to connect injured and sick students and faculty to health care providers at Appling HealthCare System via a video conference.

How it works: If a student is sick enough to merit a trip to the doctor’s office, the school nurse, with parental consent, will immediately reach out to an appropriate Appling HealthCare provider. The physician will video conference with the nurse and student, and if medication is needed, can send a prescription to a local pharmacy for the student’s parents to pick up. The telehealth systems will serve approximately 240 students and faculty at these two schools.

In addition, school nurses also will have access to approximately 150 specialists in the GPT network of providers from facilities across the state.

“WellCare is committed to increasing access to health care for those in rural and underserved communities like Appling County,” said Dr. John Alexander Johnson, senior medical director for WellCare of Georgia. “Telehealth is an easy, convenient and effective way to increase access to care, as it can provide an array of services that include assessment and diagnosis, medication management and individual and group therapy.”

GPT currently works with 63 schools in Georgia to implement school-based telehealth centers, said Sherrie Williams, executive director of Georgia Partnership for Telehealth.

“We know firsthand the impact this access to care affords,” she said. “Not only can students and staff receive primary care at school, they can also receive care from specialists such as Children’s Healthcare of Atlanta. It’s no secret that healthier children are better learners. GPT has worked closely with WellCare on similar projects and we are proud to partner again on the Appling initiative.”

“We were extremely excited when Appling HealthCare’s CEO Andy Smith met with us along with Georgia Partnership for Telehealth representatives to inform us that we had received a grant from WellCare to pilot telemedicine,” said Dr. Scarlett M. Copeland, superintendent of Appling County Schools. “This was a great opportunity to positively impact health care in our school district. We believe this will be a wonderful service for students and their parents who choose to participate.”

School officials hope the new telehealth system will lead to higher attendance rates, which could impact student learning and help improve test scores.

“Telemedicine is a tangible and affordable way to expand access to specialists and access to care in rural areas,” said Robin Crosby, director of education/marketing for Appling HealthCare System. “We are excited to provide this service to our community.”

A Health Resources and Services Administration (HRSA) grant has expanded school-based health centers for all schools in Appling County. For more information on telemedicine, contact Sherrie Williams, Georgia Partnership for Telehealth at 866-754-4325.

About Georgia Partnership for Telehealth
Georgia Partnership for Telehealth works with more than 60 schools in Georgia and Tennessee to support school-based health centers with telemedicine. With more than 250 primary care and specialty physicians, users of these school-based health centers have variety health care options, including local community-based physicians.

About WellCare Health Plans, Inc.
WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, including Medicaid, Medicare, Prescription Drug Plans and the Health Insurance Marketplace. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled. The company serves approximately 3.8 million members nationwide as of June 30, 2015. For more information about WellCare, please visit the company's website at http://www.wellcare.com or view the company’s videos at https://www.youtube.com/user/WellCareHealthPlan.

About Appling HealthCare System
Since 1951, Appling HealthCare System has been dedicated to providing our patients/residents the highest quality of medical care possible. Appling HealthCare operates a 64-bed nonprofit acute medical center in Baxley, Georgia, and offers an array of high quality, technologically advanced inpatient and outpatient health care services to Appling County and surrounding communities. Appling HealthCare System is accredited by “DNV” Det Norske Veritas. DNV is the first and only CMS approved accreditation service that surveys annually and integrates ISO 9001 quality methods with Medicare Conditions of Participation.

Media Relations
Georgia Partnership for Telehealth
Sherrie Williams
866-754-4325
Sherrie.Williams(at)gatelehealth.org

WellCare
Charles Talbert
770-913-2181
charles.talbert(at)wellcare.com Reported by PRWeb 17 hours ago.

Some Legislators Think The Smoking Age Should Be 21

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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.
While a growing number of states have turned their attention to marijuana legalization, another proposal has been quietly catching fire among some legislators—raising the legal age to buy cigarettes.This summer, Hawaii became the first state to approve increasing the smoking age from 18 to 21 starting Jan 1. A similar measure passed the California Senate, but stalled in the Assembly. And nearly a dozen other states have considered bills this year to boost the legal age for buying tobacco products.

“It really is about good public health,” said Democratic Hawaii state Sen. Rosalyn Baker, who sponsored the legislation. “If you can keep individuals from beginning to smoke until they’re at least 21, then you have a much greater chance of them never becoming lifelong smokers.”

Supporters say hiking the legal age to 21 not only will save lives but will cut medical costs for states. But opponents say it would hurt small businesses, reduce tax revenue and violate the personal freedom of young adults who are legally able to vote and join the military.

Measures to raise the smoking age to 21 also were introduced this year in Massachusetts, New York, Oregon, Rhode Island, Utah, Vermont, Washington and the District of Columbia, according to the Preventing Tobacco Addiction Foundation, an advocacy group aimed at keeping young people from starting to smoke. Iowa and Texas considered measures to increase the legal age to 19. None of those bills passed. And just last week, a Pennsylvania legislator introduced a bill to up the minimum age there to 21.

-Cities Act First-

In almost every state, the legal age to buy tobacco products is 18. Four states—Alabama, Alaska, New Jersey and Utah—have set the minimum at 19.

Anti-tobacco and health care advocates say that hiking the smoking age to 21 is a fairly new approach in their effort to reduce young people’s tobacco use. Until recently, research on the topic has been somewhat limited, they say.

That hasn’t stopped a growing number of local governments from taking action on their own in the last few years. As of late September, at least 94 cities and counties, including New York City, Evanston, Illinois, and Columbia, Missouri, had passed measures raising the smoking age to 21, according to the Campaign for Tobacco-Free Kids, an advocacy group that promotes reducing tobacco use.

One of those communities is Hawaii County, the so-called “Big Island” of Hawaii, where the law changed last year after a grassroots effort by health care advocates, anti-smoking groups and local high school students. That coalition, joined by teens from across Hawaii, continued its fight at the state level, and legislators heard the message, said Sen. Baker, whose bill also included e-cigarettes, battery-powered devices that deliver vaporized nicotine, which have become popular among young people.

Supporters of raising the smoking age to 21 say that a turning point was a Marchreport by the Institute of Medicine, the health arm of the National Academies of Sciences, Engineering and Medicine, which predicted that raising the age to 21 would cut smoking by 12 percent by the time today’s teenagers are adults. It also would result in about 223,000 fewer premature deaths.

The institute’s report also supported health care advocates’ argument that preventing or delaying teens and young adults from experimenting with smoking would stop many of them from ever taking up the habit. About 90 percent of adults who become daily smokers say they started before they were 19, according to the report.

“Raising the age to 21 will keep tobacco out of high schools, where younger kids often get it from older students,” said John Schachter, state communications director for the Campaign for Tobacco-Free Kids. “If you can cut that pipeline off, you’re making great strides.”

California state Sen. Ed Hernandez, a Democrat who sponsored a measure to raise the smoking age, said it’s good public policy.

“If we make it a law to drive with your seatbelt on to protect the consumer, or to require helmets for people on motorcycles, why can’t we raise the smoking age to protect young adults from becoming addicted to tobacco?” he said.

Supporters also point out that 21 became the national legal drinking age after President Ronald Reagan signed legislation in 1984 that forced states to comply or risk losing millions of dollars in federal highway funds. That has resulted in reduced alcohol consumption among young people and fewer alcohol-related crashes, national studies have found.

“President Reagan thought young people were not ready to make this decision to drink or to drink and drive before they turned 21,” said Rob Crane, president of thePreventing Tobacco Addiction Foundation. “Smoking kills more than six times as many people as drinking.”

-Personal Choice-

Opponents say that raising the smoking age to 21 would have negative consequences for businesses, taxpayers, and 18-year-olds who should be free to make a personal choice about whether they want to smoke.

Smokers’ rights groups, retailers and veterans’ organizations are among those who’ve opposed such legislation.

“If you’re old enough to fight and die for your country at age 18, you ought to be able to make the choice of whether you want to purchase a legal product or not,” said Pete Conaty, a lobbyist for numerous veterans groups who testified against the California bill. “You could enlist in the military, go to six months of training, be sent over to Iraq or Afghanistan and come back at age 19½ to California and not be able to buy a cigarette. It just doesn’t seem fair.”

Opponents say it’s wrong to compare cigarettes with alcohol. “If you smoke one or two cigarettes and get behind the wheel of a car, you’re not driving impaired,” Conaty said.

Opponents also say taxpayers would take a financial hit if the smoking age is raised because it would mean less revenue from cigarette taxes.

In New Jersey, where a bill to hike the smoking age to 21 passed the Senate last year and remains in an Assembly committee, a legislative agency estimated that tax revenue would be reduced by about $19 million a year.

In California, a fiscal analysis by the Senate appropriations committee estimated that raising the age to 21 would cut tobacco and sales tax revenue by $68 million a year. That would be offset by what the analysis said could be “significant” health care cost savings to taxpayers—reaching as much as $2 billion a year.

Stores that sell tobacco products and e-cigarettes also fear the effect. The Hawaii Chamber of Commerce opposed the measure there.  And Bill Dombrowski, president of the California Retailers Association, suggested that raising the smoking age would simply drive young people to the black market.

“If you raise the age, people under 21 will find the cigarettes somewhere else,” he said.

-Health Care Savings-

Cigarette smoking is the leading cause of preventable death in the U.S. and is responsible for more than 480,000 deaths a year, according to a 2014 U.S. Surgeon General report, which said the direct medical costs of smoking are at least $130 billion a year.

Supporters of the 21 smoking age say that the savings in health care costs, especially through Medicaid, the federal-state health insurance program for the poor and disabled, will far outweigh any loss in tax revenue for states.

Schachter and other advocates say Hawaii’s action, along with that of dozens of cities, will help spark legislation in other states and create a new standard for when young people take their first puff.

“There is momentum on this issue, and I think you’re going to see more and more states and cities moving in that direction,” Schachter said.

-- 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 16 hours ago.

Wal-Mart's CEO just revealed troubling news about the economy

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Wal-Mart CEO Doug McMillon just revealed a bleak outlook for the state of the global economy.

In an interview on CNBC, McMillon was asked to comment on the US economy.

He shrugged and said, "It's steady. It's ok."

He went on to address back-to-school sales and sounded unimpressed, calling them "pretty good."

Back-to-school sales are a strong indicator for the holiday season, which is the most important shopping period of the year.

Looking ahead to the holidays, McMillon said, "Christmas will be fine."

When asked why a drop in gas prices hasn't provided a bigger boost to sales in the US, McMillon said that consumers "had debt to address and other things going on."

"They are just balancing in where they manage their budgets," he said.

Many Americans are watching their spending despite lower gas prices, writes Lindsey Piegza, chief economist at Sterne Agee. 

"Consumers are increasingly familiar with energy price reprieve from summer gas prices and no longer adjust their long-term spending habits as much, or at all, based on short-term price fluctuations," Piegza writes. 

And while gas prices are lower, the benefit is offset by higher housing and utility costs, according to Piegza. 

Health insurance premiums have increased between 39% and 56% since early 2013, meaning additional costs of $230 per month for the average family. 

The lackluster job market is also contributing to poor sales at middle-market retailers like Gap and Macy's, Piegza writes. 

McMillon said he's less concerned about the US economy, however, and more worried about China.

"China's a little tougher," he said. "You just can’t think about China as a one-year endeavor, it's a longer endeavor."

Wal-Mart announced earlier this year that it would be investing heavily in China to expand its store footprint by one third, as well as remodel existing stores.

McMillon made the remarks shortly before Wal-Mart announced Wednesday that it was cutting its profit outlook for the next two years, forecasting a 6%-12% earnings decline.

Following the news, shares of the nearly $200 billion company fell as much as 9%, marking the biggest single-day decline in at least six years. 

*SEE ALSO: These 5 restaurants will dominate the rest of the industry*

Join the conversation about this story »

NOW WATCH: One of the most beloved clothing stores of the '90s is reopening Reported by Business Insider 15 hours ago.

Cambia Health Solutions Ranked 18 Out of 100 Healthiest Employers in America

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Healthiest Employers, LLC, an analytics firm focused on population health and corporate wellness, recently named Cambia Health Solutions the 18th healthiest employer in the United States.

Portland, Ore. (PRWEB) October 14, 2015

Healthiest Employers, LLC, an analytics firm focused on population health and corporate wellness, has named Cambia Health Solutions the 18th healthiest employer in the United States. By using aggregated employee population health data, Healthiest Employers, LLC, chose Cambia from 5,000 other applicants due to its wellness culture.

Healthiest Employers was impressed with Cambia’s comprehensive programs offered to all employees, including the 38 percent of employees who work remotely. These programs include the Cambia Wellpower program, offering staffed fitness centers, financial health programs and well-being seminars. This year, Cambia’s employees also benefitted from other cultural changes including healthier workplace layouts, healthy vending machine options and incentivized benefits for behaviors.

“We are successful in creating a culture that rewards healthy behavior because of our focused leadership in this area, and our employee commitment to wellness,” said Cambia Senior Vice President and Chief Human Resource Officer Mark Stimpson. “This dedication spills over into our offerings to customers and their employees through our incentivized health insurance and wellness products. Through wellness, we can be a catalyst to create a person-focused and economically sustainable health care system, and it starts within our own walls.”

The top 100 employers were recognized at The Healthiest Employers Corporate Wellness Conference® in Orlando, Florida. The winning organizations were honored for their commitment to employee health and exceptional corporate wellness programming. This achievement is a national extension of more than 40 local Healthiest Employer events, of which Cambia placed second in 2014.

“It’s exciting to see the nation’s healthiest employers at work,” noted Rod Reasen, CEO of Healthiest Employer. “These organizations are leading the charge in worksite health and demonstrate a remarkable commitment to improve the lives of their workforce and community.”

Award applicants were evaluated across six key categories: vision, culture/engagement, learning, expertise, metrics and technology. Applicants were evaluated with the proprietary Healthiest Employer Index, a one to100 metric for wellness programming. These organizations have achieved lasting success through a wide array of employee wellness initiatives and corporate wellness programs.

Learn more about the Healthiest Employers 100 announcement.

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.

About Healthiest Employer, LLC
Healthiest Employer® is an analytics firm focused on population health/corporate wellness. The firm collects corporate health data from over 18,000 employers that represent over 60 million employee lives. Through the Springbuk® health analytics platform, Healthiest Employer enables employers to unify health data, target engagement and improve outcomes in their population. Learn more at http://www.HealthiestEmployers.com and http://www.springbuk.com. Reported by PRWeb 16 hours ago.

Woman’s Arrest Should Prompt HIPAA CEs to Examine Policies for Contacting Law Enforcement, AIS Newsletter Says

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In the wake of a woman’s arrest at her doctor’s office for presenting a fake ID and the resulting criticism, the October 2015 issue of Atlantic Information Services’ Report on Patient Privacy examines when CEs should contact law enforcement.

Washington, DC (PRWEB) October 14, 2015

In the wake of a woman’s arrest at her doctor’s office and the resulting criticism, Health Insurance Portability and Accountability Act (HIPAA) covered entities (CEs) should review their processes on when to contact law enforcement for the purpose of thwarting identity fraud against the need to render care while complying with HIPAA, other federal laws and state regulations, say compliance experts interviewed for the October 2015 issue of Atlantic Information Services, Inc.’s (AIS) Report on Patient Privacy.

The woman, who is not a U.S. citizen, was arrested when she presented a fabricated driver’s license at her ob-gyn, according to RPP. She was not charged with violating immigration laws. In a statement, Memorial Hermann, the health system to which the ob-gyn clinic belongs, said it does not “ask patients about residency or immigration status, nor do we report an undocumented patient to law enforcement. To be clear, this incident has nothing to do with immigration or residency status.” Memorial Hermann also acknowledged that “what happened to the patient is unfortunate” and adds that clinic officials “did not ask for this individual to be arrested” and “did not press charges.”

“Some folks take the position that if someone is knowingly presenting false documents that may result in fraud or identity theft, this represents a crime on premises,” Frank Ruelas, principal and founder of the consulting firm HIPAA College, tells RPP. “As such they use this as a basis for a disclosure –– using minimum necessary –– to law enforcement.”

It also would not be unthinkable to conclude that patients who are undocumented and admit to being in the United States illegally are committing a crime on premises, RPP says. But CEs making such a call need to be aware of how this scenario would play out, particularly if it went public, as it did in Memorial Hermann’s case.

Faced with a patient who may be committing a crime or meet other categories for which HIPAA permits notification to law enforcement, CEs must consider timing and whether care should be interrupted. One option a CE could take to mitigate the situation is to refer the patient to a free clinic, Ruelas tells RPP. Ruelas acknowledges that that isn’t an ideal solution, but says “this has worked in the past” and makes sense “[g]iven all of the moving pieces that are involved with people without insurance, the use of false IDs, the need to try to obtain information for payment of services, the need to create correctly documented records of care, and that undocumented workers in these situations may not have coverage.”

Visit https://aishealth.com/archive/hipaa1015-01 to read the article in its entirety, which includes an interview with the lawyer representing the patient.

About Report on Patient Privacy
Report on Patient Privacy is the health industry’s #1 source of timely news and business strategies for safeguarding patient privacy and data security. Published for hospitals and other providers, health plans and other HIPAA-covered entities and business associates, the 12-page newsletter focuses on privacy issues that can result in huge fines, penalties and public relations nightmares, including: security breach notification; business associate relations and agreements; and new federal privacy rules for marketing, fundraising, privacy notices, minimum necessary, patient rights and safeguarding privacy in EHRs. Visit http://aishealth.com/marketplace/report-patient-privacy for more information.

About Atlantic Information Services
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 13 hours ago.

Medicaid and CHIP Agencies Can Expect Influx of Consumer Inquiries from the IRS 1095-B Tax Form

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While most people haven't given much thought to their upcoming 2015 tax year filing, state Medicaid and Children's Health Insurance Program (CHIP) agencies have been thinking about them a lot -- specifically the creation, mailing and outreach of the new IRS 1095-B health insurance tax form. Under the Affordable Care Act (ACA), they are responsible for sending the 1095-B tax form to all enrollees who received Medicaid or CHIP insurance coverage in 2015.

The ACA requires Americans to have a basic level of health insurance -- also referred to as minimum essential coverage (MEC). Consumers need to receive this completed 1095-B tax form in January 2016 so they can prove that they and their family members received MEC during each month of the year in 2015 when filing their taxes.

*With a New Tax Form Comes New Questions*
Since this will be a new tax form for consumers, it can be expected that many will have questions and be confused as to why they received it. The IRS has already provided some information to help explain what the form is and who needs to file it, but state Medicaid and CHIP agencies need to be prepared for an influx of additional questions about what the 1095-B tax form is, why consumers need it, what the information provided means to them, and what to do if the information isn't correct.

Compounding the potential confusion from receiving this form is that, due to variations in health insurance coverage among households, it is possible that a single household could receive three different 1095 health insurance tax forms in January. Besides the 1095-B tax form for government-sponsored coverage and other forms of MEC, they could also receive the 1095-A tax form which is sent by all state-based marketplaces (SBM) and the Federally-Facilitated Marketplace (FFM), also known as Healthcare.gov, to individuals who enrolled in a qualified health plan (QHP). Additionally, they could also receive the 1095-C tax form which is sent out by applicable large employers to all employees with MEC to confirm each month of health insurance coverage.

*Preparing for Consumer Inquiries*
The rollout of the ACA has generated many questions from consumers and led to high volumes of inbound inquiries to both SBM and FFM contact centers, especially during the open enrollment periods, which overlap with tax preparation season. The distribution of the 1095-B tax form will likely generate its own share of inquiries and will also have a peak period. Based on our experience supporting six SBMs with the distribution of the 1095-A tax form during the last tax period, MAXIMUS estimates more than 25 percent of consumers who receive the 1095-B forms will call the Medicaid or CHIP contact centers with have questions regarding 1095-B forms. In many cases, the SBM call centers also handle calls related to CHIP and Medicaid.

In order to ensure that consumers have what they need to understand the 1095-B tax form, why they need them for their tax filing, and how to address any information discrepancies, Medicaid and CHIP agencies should consider a few key strategies:

Plan for volume: Contact centers must be able to quickly and efficiently scale up to support an increase of incoming calls when the forms are delivered, as well as an even higher surge of inquiry calls in March and April, when most consumers are preparing to file their taxes.

Provide resources: Consumer-facing channels should contain informational resources about the 1095-B tax form that provide self-help for finding answers to their questions. Making this information readily available through websites, social media channels and integrated voice response systems helps consumers address frequently asked questions on their own, which allows trained call center representatives to focus on those with more complex needs.

States should also ensure that the informational materials they provide comply with literacy best practices from the Centers for Disease Control (CDC): the information needs to be accurate, accessible and actionable. The MAXIMUS Center for Health Literacy also provides advice to help ensure that materials are written in plain language and formatted in ways that help readers find and understand key messages.

Train and educate: As with the 1095-A tax forms, Medicaid and CHIP agencies should consider training in-person assisters (IPAs) to answer questions about the 1095-B tax form and direct citizens to additional resources. Many people still want a face-to-face interaction when they have questions, especially with anything related to their health coverage and taxes, and the IPAs can serve a valuable role in ensuring a smoother process for consumers.

*Getting Started Now*
There will be a significant effort needed to ensure that state Medicaid and CHIP agencies successfully complete the 1095-B process, including delivering tax forms to enrollees by January 31, 2016 and helping them understand the forms. The time is now to consider the best and most efficient ways to support this process, from training contact center support and assisters, creating forms, fulfilling mail services and processing returned mail.

As Americans adjust to receiving health insurance coverage under the ACA, both states and consumers are adapting to new rules and regulations for this evolving process. Receiving a tax form to verify insurance coverage is certainly another one of the new changes. Government health insurance program administrators, such as Medicaid and CHIP agencies, must work to develop a consumer-oriented process that is as positive and efficient as possible for both sta

-- 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 9 hours ago.
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