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State-run healthcare websites aren't as secure as you'd think

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State-run healthcare websites aren't as secure as you'd think Health insurance websites in California, Kentucky and Vermont apparently aren't as secure as they should be. According to the Associated Press, based on the vulnerabilities found by the Government Accountability Office, other states' health care webs... Reported by TUAW 4 hours ago.

How Good Is Obamacare Now: 2016 First Semester Grades

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Obamacare, the Affordable Care Act (ACA), has dramatically affected almost every American's healthcare decisions and healthcare costs. Benefits provided by the act and its regulations have changed relationships between doctors and patients.

How good has this act been for people and the healthcare system? I began giving the ACA grades on 4-24-2014 here in the Huffington Post. I updated the grades on 8-21-2014. Now it is time (after 2 Supreme Court decisions and a maturing insurance market) for the next semester grades.

Why do I call these semester grades? Well, I am a university graduate and also a university professor, so grades are a part of my experience, just as they have been to most Americans. And as author of the navigational guide book about using the American healthcare system Surviving American Medicine, I am able to evaluate the experiences of people with the ACA in light of my 4 decades of academic and clinical practice, as discussed in my website as well. Also, semester implies that these are interim evaluations, and we all know there continues to be talk of expansion, improvement, modification, and even repeal of Obamacare in this electoral season. So we have more regulations, laws, and insurance modifications along with more physician changes that will continue to affect our attitudes towards the ACA and American healthcare. But let's look at how well the ACA and all of us are doing with the healthcare system right now.

In April 2014, I gave Obamacare a grade point average (GPA) a 2.0 (letter grade is C). By August 2014 the average had improved a little to 2.2 (C+). Has this changed now? Here is my evaluation split up into the ABCs and PQRs.

ACCESS: Since the ACA is predominately an insurance reform statute, Obamacare has resulted in increased numbers of insured Americans. In 2008, 14.6% of Americans over 18 were uninsured. This has decreased to 11.4% (the CDC estimates this rate may now be as low as 9.6%). Over 20 million people have health insurance today who were previously uninsured, but it still leaves 30.7 million people without insurance. Estimates by Rand Corp. show that of NET newly insured people, 9.6 million were insured under an employer plan, 6.5 million by Medicaid expansion in the states, 4.1 million through the ACA marketplace individual plans (mostly with subsidies), and 1.5 million by individual non-marketplace private health plans. Notably, there are 25% more plans available in the marketplace in 2015 versus 2014. My grade: A minus, more people insured.

BENEFITS: the ACA has brought changes to most health plans unless the employer has an exempted plan. New benefits not previously covered include elimination of pre-existing conditions; payments for prevention and screening; access to dental and vision care for children; expanded rehabilitation, mental health and prenatal care; and coverage for patients participating in clinical trials. My grade: B, since many expensive drugs and treatments are still difficult to get approved.

CONFIDENCE: Gallup polls have shown that overall public confidence in health care increased from 31% in 2008 up to 41% in 2012. This enthusiasm at the beginning of the ACA implementation has been continued since the 2015 confidence was 43%, but it has not increased further. In my practice I see patients continuing to be worried about how rates will change, how physician panels will change, and how coverage for their expensive medicines may decrease. My grade is C for this aspect, since 57% of people still lack confidence in the polls and my practice.

PRICE: Costs associated with ACA have exceeded estimates. With the mandated increased benefits in all plans, private healthcare plans have seen premium increases of 13-38%. Patients over 65 covered by Medicare have increasingly opted for Medicare Advantage with a rise in enrollment of 8% per year. The ACA is gradually closing the donut hole and reducing patient charges for prescription medications. Overall, American healthcare costs increases have slowed considerably, although it is not certain if this reduced inflation of costs is due to better physician performance, stricter insurance authorization, or changes within the ACA itself. Unfortunately, most individuals insured through employers or private plans or in the marketplace have experienced much higher deductibles, higher premiums, and more prevalent preauthorization review with cost management. This has made these people feel under-insured, despite the fact they have an insurance policy. Some businesses have reduced the available hours for employees in order to avoid ACA mandated health insurance requirements. My grade: C, Obamacare is expensive unless you get the generous subsidies in the marketplace.

QUALITY: 1 in 14 patients are receiving care through physicians and hospitals participating in alternative payment models (like the 700 accountable care organizations, ACOs), which must report quality metrics on all their patients. This has improved compliance with some quality measures. In hospitals, there has been a 17% reduction in patient harms (e.g., in hospital infections or blood clots). Re-admission rates (after patients have been discharged) have decreased with ACA mandated use of transition care through care coordinators and/or nurses. My grade: B minus, many expensive interventions are delayed or unavailable to some patients.

RECORDS: Physicians are increasingly embracing use of electronic medical records (EMRs). This allows administrators in insurance organizations, healthplans and government to evaluate how well we are delivering care, and in time may allow us to individualize care more precisely (Big Data projects). Overall, 56% of doctors are using EMRs. Some patients value using patient portals to get results, schedule appointments, get disease and treatment information, and exchange messages with their doctors. But most patients don't care about these EMR benefits, and physicians dislike the mandates for reporting "meaningful use" compliance in order to maintain regular Medicare payments or network participation. My grade: C, too much busy work, too expensive and not enough doctor use yet.

So the overall grade for the first semester of 2016 is 2.53 or a B minus, the highest grade yet for Obamacare. But it is not perfect, as seen in the above discussions. There are many improvements that can be made through regulation, legislation, revision or replacement. But some progress has been seen for some people, albeit not for everyone.

My tips to patients:

• Always have health insurance.
• Discuss available plans with your employer's Human Resources department, union, a Medicare adviser at the social security office, a private health insurance agent, or state Medicaid office. See my book Surviving American Medicine for a discussion of various types of health insurance plans.
• Once you have insurance, be sure to discuss with your doctor all the prevention and screening that you need to stay healthy.
• If you have a chronic condition, discuss care coordinators with your doctor, who may have a care coordinator and/or nurse available at the office or through the hospital or health plan.
• Use websites such as NIH, CDC, or Surviving American Medicine to get sophisticated information to discuss with your healthcare team.

-- 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.

Fully understand the IoT with this report

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The Internet of Things (IoT) Revolution is picking up speed and it will change how we live, work, and entertain ourselves in a million ways big and small.

From agriculture to defense, retail to healthcare, everything is going to be impacted by the growing ability of businesses, governments, and consumers to connect to and control their environments:

· “Smart mirrors” will allow consumers to try on clothes digitally, enhancing their shopping experience and reducing returns for the retailer
· Assembly line sensors will detect tiny drops in efficiency that indicate critical equipment is wearing out and schedule down-time maintenance in response
· Agricultural equipment guided by GPS and IoT technology will soon plant, fertilize and harvest vast croplands like a giant Roomba while the “driver” reads a magazine
· Active people will share lifestyle data from their fitness trackers in order to help their doctor make better health care decisions (and capture discounts on health insurance premiums)

No wonder the Internet of Things has been called “the next Industrial Revolution.” It’s so big that it could mean new revenue streams for your company and new opportunities for you. The only question is: Are you fully up to speed on the IoT?

Research analysts John Greenough and Jonathan Camhi of BI Intelligence, Business Insider's premium research service, spent months of researching and reporting this exploding trend and have put together a report on the Internet of Things that explains its exciting present and the fascinating future.

It covers how IoT is being implemented today, where the new sources of opportunity will be tomorrow and how 17 separate sectors of the economy will be transformed over the next 20 years, including:

· Agriculture
· Connected Home
· Defense
· Financial services
· Food services
· Healthcare
· Hospitality
· Infrastructure
· Insurance

· Logistics
· Manufacturing
· Oil, gas, and mining
· Retail
· Smart buildings
· Transportation
· Connected Car
· Utilities

 

If you work in any of these sectors, it's important for you to understand how the IoT will change your business and possibly even your career. And if you’re employed in any of the industries that will build out the IoT infrastructure—networking, semiconductors, telecommunications, data storage, cybersecurity—this report is a must-have.

Among the big picture insights you’ll get from *The Internet of Things: Examining How the IoT Will Affect The World*:

· IoT devices connected to the Internet will more than triple by 2020, from 10 billion to 34 billion. IoT devices will account for 24 billion, while traditional computing devices (e.g. smartphones, tablets, smartwatches, etc.) will comprise 10 billion.
· Nearly $6 trillion will be spent on IoT solutions over the next five years.
· Businesses will be the top adopter of IoT solutions because they will use IoT to 1) lower operating costs; 2) increase productivity; and 3) expand to new markets or develop new product offerings.
· Governments will be the second-largest adopters, while consumers will be the group least transformed by the IoT.

And when you dig deep into the report, you’ll get the whole story in a clear, no-nonsense presentation:

· The complex infrastructure of the Internet of Things distilled into a single ecosystem
· The most comprehensive breakdown of the benefits and drawbacks of mesh (e.g. ZigBee, Z- Wave, etc.), cellular (e.g. 3G/4G, Sigfox, etc.), and internet (e.g. Wi-Fi, Ethernet, etc.) networks
· The important role analytics systems, including edge analytics, cloud analytics, will play in making the most of IoT investments
· The sizable security challenges presented by the IoT and how they can be overcome
· The four powerful forces driving IoT innovation, plus the four difficult market barriers to IoT adoption
· Complete analysis of the likely future investment in the critical IoT infrastructure: connectivity, security, data storage, system integration, device hardware, and application development
· In-depth analysis of how the IoT ecosystem will change and disrupt 17 different industries

*The Internet of Things: Examining How the IoT Will Affect The World* is how you get the full story on the Internet of Things.

To get your copy of this invaluable guide to the IoT universe, choose one of these options:

1. Subscribe to an ALL-ACCESS Membership with BI Intelligence and gain immediate access to this report AND over 100 other expertly researched deep-dive reports, subscriptions to all of our daily newsletters, and much more. >> *START A MEMBERSHIP*
2. Purchase the report and download it immediately from our research store. >> *BUY THE REPORT*

The choice is yours. But however you decide to acquire this report, you’ve given yourself a powerful advantage in your understanding of the fast-moving world of the IoT.

Join the conversation about this story » Reported by Business Insider 9 hours ago.

UnitedHealth pulls out of two Obamacare exchanges

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UnitedHealth Group Inc. won't sell plans on health insurance exchanges in Arkansas and Georgia for the 2017 enrollment season. Bloomberg reports on the Minnetonka-based insurer's decision, which comes a few months after the company said it would reconsider participation in health insurance exchanges. UnitedHealth (NYSE: UNH) said in January that it's losing $720 million on individual plans eligible for sale on exchanges. It stopped paying commissions to brokers on individual plan sales in some… Reported by bizjournals 9 hours ago.

UnitedHealth starts pulling out of Obamacare, but will anybody notice--or care?

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The giant health insurance company UnitedHealth inspired lots of hand-wringing and hyperventilation last year when it announced that it had lost hundreds of millions of dollars on Affordable Care Act exchanges and was considering withdrawing from the market in 2017.  Although that news prompted... Reported by L.A. Times 6 hours ago.

The Beginning Of The End For Obamacare: Largest US Health Insurer Exits Georgia, Arkanasas

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The Beginning Of The End For Obamacare: Largest US Health Insurer Exits Georgia, Arkanasas You can't say UnitedHealth didn't warn us.

* * *

Tracking the slow motion trainwreck of Obamacare has become one of our preferred hobbies: below is just a random sample of headlines covering just the most recent tribulations of the "we have to pass it to find out what's in it" *Un*affordable Care Act:

· In Latest Obamacare Fiasco, Most Low-Income Workers Can't Afford "Affordable Care Act"
· The Stunning "Explanation" An Insurance Company Just Used To Boost Health Premiums By 60%
· Your Health Insurance Premiums Are About To Go Through The Roof -The Stunning Reason Why
· Obama Promised Healthcare Premiums Would Fall $2,500 Per Family; They Have Climbed $4,865
· Largest Health Insurer On Colorado Exchange Abruptly Collapses
· Co-Op Insurers Across America Are Collapsing, And Now There Is Fraud
· "$19,000 Premiums, Up 4x Since Passage": The 'Crippling Effect' Of Obamacare On The Middle Class
· Meet The Family That Just Spent Half Its Annual Income Paying For Obamacare

But the most surprising article we wrote was our explanation from last November explaining why "Your Health Insurance Premiums Are About To Go Through The Roof" showing that even insurance companies have been unable to earn a profit under Obamacare, as shown in the following chart:

 

This was a stunning revelation because, after all, the Affordable Care Act was largely drafted by the insurance industry itself, and if for whatever reason, it itself was unable to capitalize on Obamacare, then it has truly been a disaster.

It all came to a head in late November of last year when none other than the U.S.’s biggest health insurer, UnitedHealth, cut its 2015 earnings forecast with a warning that it was considering pulling out of Obamacare, just one month after saying it would expand its presence in the program. At the time UnitedHealth Group said it would scale back marketing efforts for plans it’s selling this year under the Affordable Care Act, *and may quit the business entirely in 2017 because it has proven to be more costly than expected.*

In a statement, UnitedHealth said that "*the company is evaluating the viability of the insurance exchange product segment and will determine during the first half of 2016 to what extent it can continue to serve the public exchange markets in 2017*."

Needless to say, the implications for Obamacare - which had seen a surge in problems over the past year - were dire: As Bloomberg reported at the time, "a pull-back would deal a significant blow to President Barack Obama’s signature domestic policy achievement. While UnitedHealth has been slower than some of its rivals to sell Obamacare policies since new government-run marketplaces for the plans opened in late 2013, the announcement may indicate that other insurers are struggling."

“If one of the largest and presumably, by reputation and experience, the most sophisticated of the health plans out there can’t make money on the exchanges, then one has to question whether the exchange as an institution is a viable enterprise,” Sheryl Skolnick, an analyst at Mizuho Securities said at the time. UnitedHealth further said it suspended marketing its individual exchange plans and is cutting or eliminating commissions for brokers who sell the coverage.

Fast forward to today, this largest U.S. health insurer, announced it has decided to pull the plug on two state Obamacare markets.

*Going forward, UnitedHealth said it will no longer sell plans for next year in Georgia and Arkansas, according to state insurance regulators. Tyler Mason, a UnitedHealth spokesman, confirmed the exits and declined to say whether the company would drop out of additional states*, *Bloomberg reported.*

As per our extensive coverage of the topic, the reason for the pull out is simple: many, if not most, insurers have found it difficult to turn a profit in the new markets created by the Affordable Care Act, "*where individuals turned out to be more costly to care for than the companies expected. UnitedHealth and Aetna Inc. both posted losses from the policies last year, as did big Blue Cross and Blue Shield plans in states like North Carolina.*"

According to Bloomberg, UnitedHealth’s decision to stop offering ACA plans next year means that people who are currently enrolled with the insurer *will have to choose a new health insurance provider next year*. And while UnitedHealth is the biggest carrier in the United States, with about 42 million medical customers, it has a smaller role in the ACA’s markets. The company had about 650,000 in individual exchange-compliant policies as of Dec. 31.  Kenneth Ryan James, a spokesman for the Arkansas Insurance Department, told Bloomberg tgat UnitedHealth had a “small footprint” in the state, where Blue Cross and Blue Shield plans are dominant.

However, now that the the precedent has been made, it will likely promptly spillover to other major insurers, *including Blue Cross Blue Shield plans*, which are dominant on many state exchanges, and have also complained about losses in the individual market, citing higher-than-expected medical claims. 

In total, Georgia currently has nine - make it eight after the withdrawal of UnitedHealth - health insurers that currently offer ACA polices, according to Glenn Allen, a spokesman for the state’s insurance commissioner. Others include Aetna, Humana Inc. and Cigna Corp. No other company has yet told Georgia that it’s exiting, and companies have until May 11 to decide, he said.

We are certain that many if not all will promptly follow in UnitedHealth's footsteps as the beginning of the end for Obamacare finally plays out as so many skeptics of the "Affordable" Care Act had predicted. Reported by Zero Hedge 6 hours ago.

Susan Polk Insurance Releases New Report On 2016 Healthcare and Medicare Trends

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This week, Susan Polk Insurance released a report on 2016 healthcare and medicare trends. http://www.susanpolk.com/

San Luis Obispo, CA (PRWEB) April 09, 2016

This week, Susan Polk Insurance released a report on 2016 healthcare and medicare trends. The report outlines these three healthcare trends and Medicare changes to watch out for in 2016. To view the report, click here or see below.

The New Year will likely usher in some expected (and unexpected) trends in healthcare practices and changes to Medicare. In a new recently released report, Medicare San Luis Obispo specialists at Susan Polk Insurance have compiled some of the (soon-to-be) most talked about issues affecting the healthcare system.

Healthcare and mobile apps. With technology being an integral part of our everyday lives, it is no wonder that healthcare providers are looking for ways to make healthcare accessible – on the go. According to Pew Research, in 2015, over 30-percent of adults used at least one health-related app on their mobile device. This trend is expected to increase and the healthcare industry is looking for new ways to engage health consumers. 2016 could be the year of handheld medical technology that all consumers have access to through their smartphones.

Medicare Part B changes will impact premiums. This is a big change and could affect upwards of 30-percent of Medicare Part B participants. Those who do not pay their Part B premium directly out of their Social Security check and instead pay for Medicare directly themselves are in for an increase! The Medicare Trustees Report released in 2015 projected the expected premium increase to be in excess of 50-percent; however, a last-minute budget deal limited the increase.

Income categories for those paying the income-related monthly adjusted amount (IRMAA) have not changed since 2010. The threshold of $85,000 for individuals and $170,000 for couples will remain until 2019. This will increase the numbers paying this penalty from 5.1% in 2012, to about 9.7% in 2019. Previously, the maximum anyone would pay was 65% of the actual cost of Part B expenses. Today, the percentage is 80% for the highest income earners.

Several companies have recently announced rate increase for California Medicare Supplements. For those enrolled in Plan F in San Luis Obispo County, they can expect rate increases of about 8% in 2016.

There are several strategies for improving one’s financial position. To view the complete report, visit Susan Polk's blog.

About Susan Polk
Since 1988, Susan Polk Insurance has provided exceptional customer service to her clients. Specializing in health insurance plans, Susan Polk’s healthcare and Medicare San Luis Obispo team, time after time, are able to find the lowest cost plans to meet their client needs. Partnering with health and life insurance agents nationwide, Susan Polk Insurance provides a wide range of offerings for Medicare Plans, life insurance, long-term care insurance, travel, and international insurance for San Luis Obispo residents and beyond.

For more information about this report and other Medicare changes, call the Medicare San Luis Obispo experts at Susan Polk Insurance today at (805) 544–6454.

Susan Polk Insurance Agency, Inc.
1443 Marsh Street
San Luis Obispo, CA 93401
(805) 544-6454
CA Insurance License No. 0D44015

Press release by San Luis Obispo SEO and web designer Access Publishing, 806 9th Street, #2D, Paso Robles, CA 93446 (805) 226-9890. Reported by PRWeb 23 hours ago.

United States: Phase 2 HIPAA Audits Are Under Way: Are You Prepared? - Wilson Elser Moskowitz Edelman & Dicker LLP

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The Office of Civil Rights (OCR) within the U.S. Department of Health and Human Services (HHS) announced on March 21, 2016, that it has officially begun Phase 2 of its Health Insurance Portability Reported by Mondaq 2 days ago.

Caregiverlist® Announces Alaska Nursing Home Rating and Cost Index for April 2016

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Seniors in Alaska looking to plan ahead for long-term senior care options should first understand the daily costs of nursing homes in their area and review the most important factors indicating quality of care.

Chicago, Illinois (PRWEB) April 11, 2016

Alaska nursing home rates are the highest in the nation, with an average annual cost of approximately $209,500 (based on both private and semi-private rooms), or $17,500 per month.

Alaska seniors needing nursing home care can now view the most recent ratings and costs of nursing homes in their area by using the interactive Caregiverlist® Nursing Home Directory. This month’s update of the Alaska Caregiverlist® Index, indicates that the average cost of a nursing home in Alaska is $573.90 per day. Of the 18 total Alaska nursing homes, over half rate 4-stars or better. No nursing homes in Alaska receive a 1-star rating or below on the Caregiverlist® Star Rating Index.

Caregiverlist® Rating Criteria National Averages for Alaska Nursing Homes

April 2016, National Averages Weighting for Rating

2 hours, 28 minutes: C.N.A. Hours per Resident per Day 40%
15.7%: Long-stay Residents with Increasing Activities of Daily Living Needs 20%
1.0% Short-term Residents with Pressure Sores (Bed Sores) 20%
Overall Medicare Star-Rating Score 20%

April 2016 Caregiverlist® Alaska Nursing Home Rating and Cost Index

Total Number of Nursing Homes: 18
Average Single Price: $621.38
Average Double Price: $526.43
Average Rating: 3.5

Star Rating Snapshot:
5-Star: 6
4-Star: 6
3-Star: 4
2-Star: 2
1-Star: 0

The Caregiverlist® rating combines 4 criteria to calculate an overall star-rating with a 5-star rating as the highest and a 1-star rating as the lowest score, as rated against the results for the total number of nursing homes.

Alaska seniors and their families must remember that nursing homes have become an extension of a hospital stay. Many times Medicare health insurance will authorize a hospital discharge directly to a nursing home for rehabilitation after a major medical event has occurred. This means researching the right nursing home ahead of time will ease the transition should a senior and their family face a medical emergency.

Costs of senior care are always a factor when choosing the right senior care option, as many seniors live on a fixed income. Low-income seniors in Alaska may qualify for Medicaid, with the financial qualification of no more than $2,000 in assets for individuals and a $3,000 limit for couples. Medicaid will pay for long-term care in a nursing home for as long as the senior qualifies for needing care, even if this means multiple years of care until death. Visit the Caregiverlist® Alaska Medicaid Eligibility Requirements for for more information.

Because seniors must private pay for a nursing home if needing care beyond the number of days Medicare will reimburse (usually only up to 100 days), many seniors also explore in-home senior home care and assisted living options. Some assisted living centers also provide nursing home care.

Seniors should review the ratings and costs of nursing homes in their area and then visit the nursing homes which meet their budget parameters. Ratings for nursing homes are only a starting point, and while the Caregiverlist® Index calculates a custom rating based on the most important criteria for quality, nothing takes the place of actually viewing a prospective facility. Currently, all of the information for the nursing home ratings is self-reported.

About Caregiverlist®
Caregiverlist.com® is the premier service connecting seniors and professional caregivers with the most reliable senior care options, highest quality ratings and outstanding careers nationwide. Founded by senior care professionals, Caregiverlist® delivers the efficiencies of the internet to senior care companies by providing online job applications, caregiver training, background checks and industry news. Seniors and caregivers can access senior service information “by state,” view nursing home costs and star-ratings and learn about all senior care options and quality standards. For more information, please visit http://www.caregiverlist.com. Reported by PRWeb 2 days ago.

Will Obamacare end 'job lock'?

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The Affordable Care Act was first and foremost intended to extend health insurance coverage to a broader segment of the population. It has largely succeeded, with the uninsured rate among the non-elderly population falling to 10.7 %, from more than 18% just before the law took effect.However, it... Reported by L.A. Times 2 days ago.

Avritek Achieves NAID AAA Certification

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ITAD provider certified for hard drive and nonpaper media destruction at its San Diego plant.

San Diego, CA (PRWEB) April 11, 2016

Avritek, San Diego, has announced that it has earned NAID AAA Certification from the National Association for Information Destruction (NAID), Phoenix.

NAID is the standards setting body for the information destruction industry. NAID AAA Certification verifies the qualifications of certified information destruction providers through a comprehensive scheduled and unannounced audit program, as well as by requiring strict security measures, such as access control, remote video monitoring and personnel background checks.

“We are thrilled to announce that we have received our NAID AAA Certification for data destruction,” says CEO Ed Pletner.

“Data security has always been at the forefront of our business, and this further exemplifies the type of standards we have put in place to ensure our clients’ information is handled with the utmost care,” he continues. “In today’s landscape an organization cannot afford to take any chances with whom and how their data-bearing devices are handled. Our rigorous process supports the needs of organizations who are obligated to meet the numerous laws and regulations requiring the protection of confidential information, such as HIPAA (Health Insurance Portability and Accountability Act), SOX (Sarbanes-Oxley), PCI (Payment Card Industry Security Standards) and FACTA (Fair and Accurate Credit Transactions Act). By achieving NAID AAA Certification, we are proud to show how seriously we take our clients’ data destruction needs.”

NAID CEO Bob Johnson says, “NAID Certification is constructed to assess both the security of the services provider’s systems as well as their compliance with regulations. As a result, clients using Avritek’s data destruction services satisfy their regulatory due diligence requirements in addition to validating and monitoring security. In this regard, Avritek is providing more than peace of mind; they are literally helping the client meet their compliance requirements.”

Avritek provides business critical hardware life-cycle services, such as data destruction, reverse logistics, technology recycling and asset recovery.

Headquartered in San Diego, CA, Avritek services accounts throughout Southern California and nationwide.

For more information visit http://www.avritek.com or call 858-715-0950 x502 Reported by PRWeb 2 days ago.

A.M. Best Special Report: Publicly Traded Health Insurers Increase Revenues, Operating Earnings in 2015

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A.M. Best Special Report: Publicly Traded Health Insurers Increase Revenues, Operating Earnings in 2015 OLDWICK, N.J.--(BUSINESS WIRE)--The stock price performance of publicly traded U.S. health insurance companies covered in a new A.M. Best special report increased 11.3% in 2015 year-over-year, besting the broader market’s -0.7% decline. The Best Special Report, titled, “Publicly Traded Health Insurers Increase Revenues, Operating Earnings in 2015,” states that stock price performance of the 12 companies followed rose 2.5% in fourth-quarter 2015 after a pullback of 12.2% in the previous quarter. Reported by Business Wire 2 days ago.

The great GOP subplot: how donors are setting the agenda

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This election cycle has dominated by a populist backlash in the GOP between the Republican elite donor class and the activist base. While many have suggested that immigration lies at the heart of this story, new evidence suggests that at the core of the debate may actually be deep rifts on economic policy. As GOP candidates prepare to take the stage tonight, it remains to be seen whether they will adopt the policies of the wealthy Republican donor class or average Republicans. (Hint: probably the donors.)

While it's certain that resentment about race and immigration are motivating Trump's supporters, there is reason to believe that the donor class's economic agenda is alienating as well. To explore how donors differ from non-donors, Brian Schaffner, a political scientist at University of Massachusetts Amherst and an expert in campaign finance, provided me data from the 2008 Cooperative Congressional Election Study, which had 32,800 respondents. While the 2008 survey is a bit older, CCES uses questions that come up for roll-call votes, and sadly the last time such questions were available was 2008. CCES is unique in that it has a relatively large sample of large donors, in this case 324 Republican donors who gave more than $1,000 and 459 Democrats who did the same.

The five questions I examined where all roll call vote questions, which ask respondents whether they would vote in favor or against legislation. I examined support for the following policies:

· *Increase Minimum Wage:* Increase Minimum Wage from $5.15 to $7.25· *Health Insurance Program for Children:* Fund a $20 billion program to provide health insurance for children in families earning less that $43,000· *Federal Assistance for Housing Crisis:* Federal assistance for homeowners facing foreclosure and large lending institutions at risk of failing· *Extend NAFTA:* Extend the North American Free trade Agreement (NAFTA) to include Peru and Columbia· *Bank Bailout:* U. S. Government's $700 Billion Bank Bailout Plan

The first thing that stands out is that when examining donors who gave more than $1,000 compared to non-donors is that they are more economically conservative than non-donors. Donors who gave more than $1,000 were 10 points less likely to support an increased minimum wage (84 percent to 74 percent) and 5 points less likely to support a health insurance program for low-income children (76 percent to 71 percent). They were also more supportive of the bank bailouts (27 percent to 35 percent).

However, these gaps become far larger when we explore the differences between major Republican donors (those giving more than $1,000) and non-donors. For instance, a whopping 63 percent of Republican non-donors support a higher minimum wage, compared to only 32 percent of donors who gave more than $1,000. In addition, 46 percent of Republican non-donors support a funding a program to provide health insurance to poor children, compared with 26 percent of big donors (other research has shown gaps between donors and non-donors on healthcare). Big donors are far more supportive of a NAFTA expansion, while non-donors were split nearly half and half. Finally, non-donors were more likely to support housing assistance, though there were no large differences on bank bailouts. These data suggest that a key divide between GOP voters and donors are on issues related to the economy and redistribution. But elites have systematically failed to address these concerns, preferring instead massive upward redistribution.
Among Democrats the biggest gaps were the NAFTA extension (50 percent of non-donors supported extending NAFTA, compared to 32 percent of donors who gave more than $1,000) and the bank bailouts (34 percent of non-donors in support compared to 48 percent of donors giving more than $1,000).

These findings are in line with other data suggesting that the wealthy have differing priorities from average Americans (the donor class is overwhelmingly more wealthy than average Americans). Political scientist Martin Gilens, whose work has examined in depth opinion differences between the rich and middle class, finds that redistribution is one of the areas with the most disagreement. This lines up with the results of a survey of wealthy respondents by political scientists Benjamin Page, Larry Bartels and Jason Seawright, who find, "to a much greater extent than the general public--the wealthy oppose government action to redistribute income or wealth." They also find deep gaps on policies related to healthcare (see chart).

Donors have differing preferences from the general population, and their power is only increasing in the wake of Citizens United and other court cases that have made it easier for donors to influence elections. In 2012, Cooperative Congressional Election Study data indicate that 24 percent of Americans gave money, but only 6 percent gave more than $200. On average, members of the general public gave $336. However, FEC data show that among the richest 100 billionaires, the average donation was $74,982. That means that the average donation by one of the super rich is 223 times more than the donation of the general public.

Tonight's debate may be broadcast nationally, but candidates have so far dedicated themselves to an agenda that is supported by, and benefits, a small sliver of the population. As long as politicians respond to donors, Trump-mania and other populist movements will remain inflamed.

This piece originally appeared on Salon.
-- 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 2 days ago.

Roth IRA Withdrawals: The Exceptions Can Be as Important as the Rules

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Dear Carrie,

I'm thinking of taking a distribution from my Roth IRA. What do I need to know? Are there any taxes or penalties?

--A Reader

Dear Reader,

This is a great question because a transaction that presumably would be very simple can quickly get bogged down in rules and exceptions.

The reason? While Roth IRA distributions are often tax and penalty free, there are also situations in which this might not be the case. In reality, it all depends on how long you've had your Roth IRA, your age, and what you plan to do with the money.

As always when it comes to tax issues, I suggest you talk to your accountant or tax advisor. But I can at least give you a rundown on the basics so you'll be armed with some information.

*The basic rules*

Because Roth IRA contributions are made with after-tax dollars, you can withdraw the contributions tax and penalty free at any time. That's the simple part. But the beauty of a Roth is that the earnings can also be tax and penalty free. And that's where things can get more complicated.

The IRS makes a distinction between what they call qualified and nonqualified distributions. According to the 5-year rule, for a distribution to be qualified, or not taxable or subject to penalty, you have to have held your Roth IRA for a period of five tax years, and meet one of the following conditions:· You must be at least 59½, or· You use the money to pay for a first-time home (10,000 lifetime cap), or· You become disabled, or· The distribution is made to a beneficiary or to your estate after you die.
Here are a couple of sample scenarios:· Qualified distribution--Let's say you opened a Roth IRA in 2005 and have made yearly contributions amounting to50,000. With your earnings, your account is now worth54,000. Let's also say you turned 59½ in 2016. Because you meet both the 5-year holding period and the age qualifications, you won't owe any taxes or penalties.
· Nonqualified distribution--Now let's say you're only 45 (and you're not disabled or buying a first house). In this case, you'll be taxed on the4,000 in earnings at your ordinary income tax rate. But that's not all. Because you're under 59½, and you don't meet the other conditions, you might also have to pay a 10 percent early withdrawal penalty on your earnings. I say might because, as with all rules, there are exceptions.
*The exceptions*

In general, if you withdraw money from your Roth IRA before you've met the 5-year holding period and/or before you reach 59½, not only is the earnings portion of the distribution taxable, but you could be subject to a 10 percent penalty on those earnings unless the distribution is used for one of the following exceptions:
· Qualified higher education expenses for yourself and/or eligible family members,· Unreimbursed medical expenses that exceed 7½ percent of your adjusted gross income, or· Health insurance premiums if you're unemployed.
You can also avoid the 10 percent penalty if the distribution is:· Made in substantially equal periodic payments over the period of your life expectancy, or· Due to an IRS levy of the qualified plan.
One factor in your favor is that the IRS also has rules about the order in which funds are taken out. Withdrawals are considered to first come from contributions (which are not subject to any holding period), then from Roth conversions, and lastly from earnings. So how much you're withdrawing and what percentage comes from earnings will also determine the extent of any taxes and penalties.

*Different rules for Roth IRA conversions*

If you've converted your traditional IRA into a Roth, there's yet another set of distribution rules. Unlike contributions to a Roth that come from your income, if you're under 59½ contributions from a conversion must be held in your account for five tax years from the time of the conversion to be penalty free upon withdrawal.

*Talk to your tax advisor*

As you can see, unless you clearly fit the specific conditions for a qualified distribution, there are plenty of things to consider. Once again, as with all tax issues, talk to your advisor. It's the best way to avoid losing money--and sleep!For more updates, follow Carrie on LinkedIn and Twitter.

Looking for answers to your retirement questions? Check out Carrie's new book, "The Charles Schwab Guide to Finances After Fifty: Answers to Your Most Important Money Questions."

This article originally appeared on Schwab.com. You can e-mail Carrie at askcarrie@schwab.com, or click here for additional Ask Carrie columns. This column is no substitute for an individualized recommendation, tax, legal or personalized investment advice. Asset allocation and diversification cannot ensure a profit or eliminate the risk of investment losses. Where specific advice is necessary or appropriate, consult with a qualified tax advisor, CPA, financial planner or investment manager. Diversification cannot ensure a profit or eliminate the risk of investment losses.

The information on this website is for educational purposes only. It is not intended to be a substitute for specific individualized tax, legal or investment planning advice. Where specific advice is necessary or appropriate, consult with a qualified tax advisor, CPA, financial planner or investment manager.COPYRIGHT 2016 CHARLES SCHWAB & CO., INC. (MEMBER SIPC.) (#0416-1435)

-- 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 2 days ago.

Joy and Pain: One Film Director Thoughtfully Depicts the Spectrum of Childbirth in the Black Community

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As we celebrate International Day for Maternal Health and Rights, the documentary The American Dream shares varied maternity experiences in Black women's own voices.
April, a mother featured in The American Dream, looks out the window of her home during an interview with the filmmaker, Paolo Patruno.

The American Dream is part of the Birth is a Dream documentary project created in 2011 by Italian filmmaker Paolo Patruno to bring attention to untold maternity stories across the world. The film encourages viewers to consider a more positive future for Black maternal health even as it shares the startling and shocking reality of the disproportionately high rates of maternal death in the Black community.

On documenting maternity experiences of African women (99% of all maternal deaths occur in developing countries) and of Black women in the United States, Patruno says, "I found many more similarities than differences. Maternal health is not just medical; it is a cultural and social matter [on both sides of the Atlantic]. It is mainly a story of social issues, of race, and of women's empowerment."

Black women in the United States are three to four times more likely to die from pregnancy-related causes than white women, and two times more likely to suffer from severe maternal morbidity such as excessive bleeding, shock and heart problems. Black women's interactions with the health care system can also vary from that of white women. Stories of mistreatment, disrespect and negligence have been documented in various reports such as "Reproductive Injustice,""Doula Care in New York City" and "Deadly Delivery."

In The American Dream, quietly released last November, Black women share their pregnancy and childbirth experiences in their own voices, an intentional device. "We mainly asked them to share their own experiences and decided to leave it like that," says Patruno. "One of the main ideas behind the documentary is to let the women talk. We need to listen, to give a voice to the women."

Joanne describes giving birth with the assistance of a midwife as "magical.""I felt so comfortable. I felt like I was in heaven," says the mother of seven. Joanne's story is one of many featured in the thought provoking documentary now available online. It will also be screened at the Women Deliver 2016 Global Conference in May.

Hearing Black women's voices on pregnancy and childbirth is critical to understanding the reality behind the shocking statistics. Yet, the documentary captures what data and statistics simply cannot--the hope, love, joy, despair, frustration, and pain of Black women as they bring life into the world.
Joanne, a mother featured in the film, is shown here with her midwife Jennie Joseph, whose own story is also featured in the film.

For Joanne, childbirth wasn't always magical. Of the last time she gave birth at a hospital, Joanne describes being compelled to sit in a wheelchair in order to be moved to the delivery room even as her baby's head was emerging, simply because it was the hospital's policy.

Young mother Alexis says she was disrespected by clinic staff because her health insurance was provided through Florida's Medicaid program. After being questioned by workers about why she was there she heard one of them comment, "That's another one of them with the gold card." Alexis asserts, "It shouldn't matter what type of insurance you have. Everyone should be treated the same way with the same care."
Alexis with her son.

Unfortunately, in the United States, the social constructs of race and class matter. Jennie Joseph, a Black midwife trained in the United Kingdom and founder of the U.S.-based Commonsense Childbirth Inc. explains, "The history of Black women in [the U.S.] is still to this day playing out. The legacy of the negativity of that history, especially surrounding their health, continues to this day to plague us and to plague women and their families."

And while the story could end there--as one of historical disenfranchisement and lingering despair--it doesn't. There is also a narrative within The American Dream that begs the question, What if all Black women could have safe and healthy pregnancies and respectful, comfortable, and even enjoyable birth experiences?

Expectant mother Miracle beams as she holds her belly and tells of the joy her first baby will bring her, even as she recalls spending time in a shelter and searching for stable housing for her growing family. Miracle says she looks forward to giving birth naturally as she believes it will help her become closer to her baby.
Miracle with midwife Jennie Joseph.

April, a teacher and mother of two, chose to use a midwife after learning her health insurance would cover it. "Just being able to have freedom in the delivery process and being able to make many of the decisions for myself was empowering," she says. Working with a care provider who encouraged her throughout her pregnancy helped her to realize that she has control over the birthing process. "There's something I can do to help this along and it's not just something that's happening to me," she says. April also uses her pregnancy experience to show the young girls she teaches that they can have a healthy pregnancy free from trauma.

The American Dream focuses on the lived experience of Black women and contributes to the body of evidence on Black maternal health. Through its striking visual appeal, it brings attention to the problematic racial disparities in American maternal health. The film provides yet another tool to raise awareness and inspire action to protect and improve the health of Black women and babies in the United States.

"Positive change can come only through social commitments made by people," says Patruno. "We need to push for change by sharing stories with a wide audience."

Birth is a Dream is also accessible online at birthisadream.org. International Day for Maternal Health and Rights is on Monday, April 11, 2016.

-- 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 2 days ago.

Backers Fight for Children's Health Insurance in Arizona

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A fight is intensifying in Arizona over the Senate leader's refusal to restore a program providing health insurance to poor children, a decision that would maintain the state's position as the only one in the nation that doesn't participate in the plan Reported by ABCNews.com 1 day ago.

Insurer UnitedHealth starts pruning ACA exchange business

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The nation's biggest health insurer has decided to stop selling coverage on public insurance exchanges in two states for next year, but consumers shouldn't take this as an early warning that a mass exodus is brewing from a key element of the Affordable Care Act's coverage expansion. UnitedHealth Group Inc. said it will not sell coverage on exchanges in Arkansas and Georgia for 2017, and it is continuing to evaluate its presence in other markets after reporting steep losses from the still-developing business. The Minnetonka, Minnesota, company is selling coverage on ACA exchanges in 34 states this year, but it shook up health insurance stocks last fall when company leaders said they would decide by the first half of this year whether to even sell coverage for 2017. Reported by SeattlePI.com 1 day ago.

Backers fight for children's health insurance in Arizona

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PHOENIX (AP) — A fight is intensifying in the Arizona Legislature over the Senate leader's refusal to restore a program providing health insurance to poor children, a decision that would maintain the state's position as the only one in the nation that doesn't participate in the plan. Senate President Andy Biggs has blocked the proposal despite it passing overwhelmingly in the House because he's opposed to the Affordable Care Act and is worried the federal government will cut payments and force Arizona to pick up more of the tab. The bill is sponsored by an Arizona House Republican who says the parents of eligible children are the working poor, people making $11 or $12 an hour who make too much to qualify for the state's Medicaid program but who do not qualify or can't afford for subsidized health insurance on the federal marketplace. Participants at Monday's rally included parents, pediatricians, nurses, faith and women's groups and the Children's Action Alliance, a nonprofit group focused on children's health. Reported by SeattlePI.com 1 day ago.

Backers fight for children’s health insurance in Arizona

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PHOENIX (AP) — A fight is intensifying in the Arizona Legislature over the Senate leader’s refusal to restore a program providing health insurance to poor children, a stance that would maintain the state’s position as the only one in the nation that doesn’t participate in the plan. Advocates who want the program restarted rallied at […] Reported by Seattle Times 1 day ago.

The National Security Group, Inc. Declares Cash Dividend

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The National Security Group, Inc. Declares Cash Dividend ELBA, Ala.--(BUSINESS WIRE)--On April 11, 2016, the Board of Directors of The National Security Group, Inc. (NASDAQ:NSEC), declared a quarterly dividend of $0.045 per share. This cash dividend is payable on May 31, 2016, to shareholders of record May 9, 2016. The National Security Group, Inc. (NASDAQ Symbol: NSEC), through its property & casualty and life insurance subsidiaries, offers property, casualty, life, accident and health insurance in ten states. The Company writes primarily person Reported by Business Wire 1 day ago.
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