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BeniComp Offers Expert Advice to the 2016 Wellness World and Explains Why Wellness Incentives Don't Work

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While most employee wellness programs get 30% employee participation, BeniComp Advantage engages nearly 100% of the employee population through supplemental health insurance and deductible wellness incentives.

Fort Wayne, IN (PRWEB) April 12, 2016

It’s no secret that America has a health insurance problem. Rising health care costs and declining health has left companies struggling to provide the kind of health insurance employees had 10 years ago. Affordable Care Act customers turned out to be much sicker than anticipated, and now health insurance companies are seeking rate increases of 20-40% or more.

The industry’s answer was to offer wellness programs designed to promote awareness, education, and lifestyle change. The programs have evolved into an overly saturated market of wearables, apps, and fun programs without accomplishing the original goals. A recent study by MetLife claims that nearly 75% of employers offer a wellness program (1) but only 24% of employees actually participate. (2) Worse yet, those who participate are primarily employees who have already adopted healthy lifestyles. The remaining participants are those with greater health risks. When cash incentives are used, the employer pays low-risk employees resulting in an expensive program with little to no improvement in employee health or reduction in health care claims.

Unhealthy Employees Do Not Participate in Voluntary Wellness Programs

The goals of wellness programs are noble, and some of the services are outstanding; however, the dark secret of the wellness world is that the services are provided to the low-risk population. Researchers at Oliver Wyman, a subsidiary of one of the largest global insurance consulting firms, Marsh & McLennan, say the solution for businesses to engaging the entire population is to “Stop treating wellness as an add-on to [the] business. Start making it the core of everything [they] do.” (3)

For supplemental wellness programs to succeed and engage the majority of a group's population, employers need to build programs into the design of their health plan. BeniComp created a patent-pending, supplemental health insurance policy, called BeniComp Advantage. Their product not only makes health rewards outcome-based, but moves the financial incentives to the deductible.

Outcome-based incentives (OBI) are monetary rewards tied to lifestyle biomarkers such as BMI, cholesterol, nicotine, blood sugar, and blood pressure. Deductible-OBIs reward employees through the deductible. The result is over 95% participation. More importantly, OBIs decrease claims because employees are held accountable for their results. Similar to the good-driver car insurance discount, all employees are given the same supplemental health insurance plan, and have the ability to earn decreased deductibles by achieving health goals.

Deductible Outcome-Based Incentives are the Most Cost-Effective Type of Incentive

Deductible OBIs are the most cost-effective, engaging way for an employer to offer wellness incentives to employees. With traditional cash-equivalent or premium incentives, low-risk employees who are expected to have minimal claims end up costing the employer as much as those with higher risks. With deductible incentives, employers are able to fairly offer thousands of dollars in incentives without draining cash flow. In return, employees are empowered with the ability to control their plan and earn substantially lower deductibles. The entire population is engaged and the high-risk employees receive support, resources, and motivating financial incentives to make healthy changes. Combining advanced wellness programs with deductible OBIs allows companies to achieve over 95% participation and give the entire population the power to identify and address health risks to achieve health goals.

Sources:
1. “Benefits Breakthrough: How Employees and Their Employers Are Navigating an Evolving Environment.” Insights from MetLife’s 12th Annual U.S. Employee Benefit Trends Study. MetLife, Inc. 2014. Print. 17 Nov. 2015.
2. O'Boyle, Ed, and Jim Harter. "Why Your Workplace Wellness Program Isn't Working." Gallup.com. N.p., 13 May 2014. Web. 17 Nov. 2015.
3. Coyle, John, Daniel Lyons, and Elizabeth Southerlan. The Business Case for Integrated Wellness. New York: Oliver Wyman, 2015. PDF.

Founded in 1962, BeniComp later expanded its services to include BeniComp Advantage, a supplemental health insurance product that identifies health risks early and aims to proactively improve health in America. Offering wellness solutions in all 50 states, BeniComp’s patent-pending policy has received numerous awards for innovation and best practices. BeniComp has been featured in Forbes Magazine, Employee Benefit News, The Wall Street Journal, USA Today, Medscape and other publications for its innovative approach to providing solutions. For more information about BeniComp, visit http://www.benicomp.com. Reported by PRWeb 23 hours ago.

MAP Health Management Welcomes Butterfly House to its Recovery Network

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Members of the MAP Recovery Network extend the continuum of care to patients by providing extended post-treatment support.

Wellington, FL (PRWEB) April 12, 2016

MAP Health Management, the administrator of The MAP Recovery Network, announced today that Butterfly House has joined the Premier Outcomes-Driven Provider Network. The MAP Recovery Network is the preeminent, outcomes-driven alliance comprised of addiction treatment providers committed to extending the continuum of care for patients battling addiction, utilizing resources to track and apply outcomes data and demonstrating the efficacy of their treatment programs. Close to 80 addiction treatment providers have met the standards for membership and plans include expanding the membership beyond the addiction treatment space.

As the behavioral health field transitions to a pay-for-value system, providers will be required to demonstrate treatment success rates with empirical outcomes data. Patients and payers are demanding outcomes data, the standard in other segments of healthcare. By extending the continuum of care to discharged patients and providing post-treatment support, providers have the ability to collect outcomes data and track their rates of success. Through its technology platform, MAP offers an array of services and resources including licensed counselors in every state, and a technology platform that provides a structured, standardization method for providing post-treatment support and collaborating with a patient’s entire treatment team.

By joining the MAP Recovery Network, Butterfly House will more effectively navigate the changing reimbursement model and strongly position itself in the new healthcare paradigm. The Recovery Network includes a distinguished membership including in-patient and out-patient treatment facilities, sober homes, patient-specific facilities within the Florida Association of Recovery Residences of which Butterfly House is a certified recovery residence.

Kim Koslow, Founder and CEO of Butterfly House commented, “I am excited that Butterfly House has joined the MAP Recovery Network. We strive to offer the most effective care with the best possible outcomes for our clientele. As we look toward the future of addiction treatment, Butterfly House will continue to deliver the highest quality of continued care.”

MAP’s mission is to improve treatment outcomes for individuals struggling with addictions and other behavioral health issues. According to Jacob Levenson, CEO of MAP Health Management, “Our nation has fallen behind in meeting the addiction epidemic head-on. We now understand that through technology we can extend the continuum of care and improve outcomes, this will propel the field to a new level of success. Butterfly House is a welcome addition to the work we are doing to fight addiction.”

Butterfly House provides recovery services and a continuum of care for boomer and older adult women. The spacious private home is a spiritual oasis offering safety and support for women to heal. Membership in the MAP Recovery Network further distinguishes this private recovery program as experts in their field.

About Got Real Recovery - Butterfly House
Butterfly House is a recovery residence for women to heal from both behavioral and process addictive disorders. Residents are offered a safe and structured environment to work with licensed and credentialed professional women specializing in trauma. Individual, couple, family and group counseling are offered with a focus on women’s issues, addiction and recovery, depression and anxiety, grief and loss, work and career challenges, family reconciliation and spirituality.

Further information on Butterfly House may be found at http://www.gotrealrecovery.com.

Administrative and Counseling Office
Got Real Recovery - Butterfly House
521 Lake Avenue, Suite 4
Lake Worth, FL 33460
Admissions: 561-588-5522

About MAP Health Management, LLC
MAP Health Management is the nation’s leader in the provision of a comprehensive, accessible technology platform designed to improve treatment outcomes for patients treated for addictions and other behavioral health illnesses. MAP provides telehealth services, recovery support programs and revenue cycle management to its clients. The MAP Recovery Network, The Premier Outcomes-Driven Provider Network, is comprised of quality treatment providers committed to measuring and demonstrating outcomes data. Network members are able to differentiate themselves to behavioral health consumers and health insurance payers by demonstrating treatment success rates. Nationally recognized treatment facilities trust MAP to help them navigate and thrive in the new healthcare paradigm by utilizing the latest data-driven technologies. MAP’s dedicated teams of research analysts, clinical directors, recovery advocates, technology professionals and billing experts work to improve patient outcomes, empower treatment providers with data, reduce costs and drive facility revenue. For more information, see http://www.ThisisMAP.com. Reported by PRWeb 21 hours ago.

Preliminary Results of AIS’s Health Plan Survey Show Continued Growth Among Provider-Sponsored Plans

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In preliminary results from Atlantic Information Services’ annual survey of health plans, AIS’s in-house researchers have identified 270 provider-sponsored plans, 53% of the health plan records in the forthcoming AIS’s Directory of Health Plans: 2016.

Washington, DC (PRWEB) April 12, 2016

Research currently being conducted for Atlantic Information Services, Inc.’s (AIS) Directory of Health Plans: 2016, to be published in June, is revealing continued growth among provider-sponsored plans. With 270 provider-sponsored plans identified, these entities now represent 53% of the health plan records in the Directory, compared with 50% in the 2015 edition. An online version of the Directory will be accessible in May.

According to AIS researchers, the biggest growth areas for provider-sponsored entities are commercial risk plans, including those offered on public exchanges. Of 40 new plans identified for the 2016 Directory, 23 are provider-sponsored plans. The majority (12) of the new provider-sponsored entities were created exclusively to serve new Medicare-Medicaid dual-eligibles initiatives, particularly in New York, Michigan and North Carolina. Seven are new Medicare Advantage plans, four of which are owned by Prominence Health Plan Services, Inc., a subsidiary of Catholic Health Initiatives. Researchers have also found that exchange enrollment has doubled since last year for provider-sponsored plans reporting to date, while other plans report more volatility individually and fairly flat exchange enrollment as a group.

Three new provider-sponsored plans have been introduced that are taking on the commercial risk markets:· Crystal Run Health Plans, established by Crystal Run Healthcare, offers commercial insurance to individuals and groups in New York, including an Essential Plan and a Medicaid plan.
· Premier Health Plan is serving Ohio residents with individual and group plans, as well as a Medicare Advantage plan and dual-eligibles SNP plan. It offers individual plans on the Ohio exchange.
· Zoom+ Performance Health Insurance offers individual and group coverage in Oregon, and participates on that state’s exchange.

With surveys collected so far from half of all U.S. health plans, AIS researchers have found that among provider-sponsored plans, 78% have increased membership, adding a net of 1.2 million members. This represents an increase of 11% in membership, compared with non-provider-sponsored entities — those plans that have submitted surveys at this point have netted a 4% increase in membership. Some of the fastest growing provider-sponsored plans are in both the public exchanges and Medicaid markets, such as UPMC Health Plan in Pennsylvania, Healthfirst in New York and HealthPartners in Minnesota. Some Medicaid-only provider-sponsored plans with big gains include Family Health Network in Illinois and University Health Care Inc., dba Passport Health Plan in Kentucky.

For more information, and to pre-order AIS’s Directory of Health Plans: 2016, visit https://aishealth.com/marketplace/aiss-directory-health-plans.

About AIS
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for nearly 30 years. It develops highly targeted news, data and strategic information for managers in hospitals and health systems, health insurance companies, medical group practices, purchasers of health insurance, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, databases, websites, looseleafs, strategic reports, directories, webinars and virtual conferences. Learn more at http://AISHealth.com. Reported by PRWeb 19 hours ago.

New Temporary Health Insurance Plans Become Available After Obamacare Deadline

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New Short Term Plans Are Now Available Outside Of The Open Enrollment Period. Learn The Best Uses For These Plans And How To Get 2016 Coverage Through EzHealthMart.

Miami, FL (PRWEB) April 12, 2016

New Temporary Health Insurance makes it easier for cosumers to find a plan while shopping for medical coverage outside of the open enrollment period. There are a multitude of options other than Obamacare. Most consumers are lost on what to do after the Obamacare open enrollment. These new plans include short term medical plans, discount plans or indemnity plans. Most of these new plans are recommended in two instances. First is for short term purposes, which means coverage until the open enrollment window is available. Secondly, they can be suggested for consumers looking to strategically fill in the gaps in a Major Medical Plan.

There is one major reason why these new temporary health insurance plans come in handy after the Obamacare deadline. Consumers may only enroll to a Qualified Major Medical Plan outside of the open enrollment period through government mandate. The only other way this is possible is if a consumer is eligible for a special enrollment. It is wise for consumers to enlist the services of a professional consultant when deciding on which medical plan to subscribe to. Agencies such as http://www.ezhealthmart.com offer these services and much more as well. They are equipped with resources that make them better poised to advice consumers on the options available to them. These resources include on and off government exchanges and health plans. It is vital for consumers to be well acquainted to their options during open enrollment as well as outside of open enrollment. There are many Short Term Medical plan (STMs) options that are available to them when looking for coverage. There are two major carriers that stand out from the rest when it comes to coverage and network. These are United Health and IHC.

Many of the new plans have a lot to offer. Some of their coverage plans have options with rates as low as $35 to seek the services of a primary doctor. The main difference between IHC and United Health is basically their pricing and network.

Short Term Medical Plans can turn out to be unaffordable when it comes to families or when consumers are in their senior years. In such cases, it is advisable for consumers to opt for supplemental indemnity combination plans. For instance, a family with six members can enroll to an appropriate combination plan from IHC. New combination plans offer four packages for a monthly fee of under $100. These include a Premier Membership Program, dental discount cards, vision discount cards and prescription discount cards.

There is a new Premier Two Tier Plan that includes Doctor on Demand, $5,000 in coverage for critical illness of the primary family member and spouse, $5,000 in Term Life Insurance for the primary member, $10,000 in Accidental Death Insurance coverage for all family members and finally Accidental Disability Income Insurance for the primary family member. The Doctor on Demand coverage includes a video chat with a board certified doctor and the consumers can obtain a written prescription. Evidently, these coverage plans will be significantly effective while trying to cover the gaps in Major Medical Plans.

Consumers need to know that these plans may have previously existing condition clauses and exclusions. The coverage may also vary considerably depending on the state. More importantly, if a consumer misses out on the open enrollment deadline and do not qualify for a special enrollment period they are liable to a government mandated penalty.

The penalty is currently 2.5% of their household income. Moreover, these coverage plans are not considered qualified Major Medical Plans and therefore cannot be used as defense by consumers to avoid paying the penalty. It is good habit to always consult with professionals in the health insurance industry like the aforementioned EzHealthMart, regarding any queries on the available coverage options, as they have the answers of what to do after Obamacare deadline. Reported by PRWeb 16 hours ago.

Don't Kid Yourself on the $15 Minimum Wage

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The story we're telling ourselves about this presidential election is that Americans are angry. We aren't paid enough and housing and health care costs keep going up. Meanwhile, the rich get richer and the system tilts toward them and away from us. Somebody ought to do something.

Since people don't have an obvious target to lash out at, many are taking it out on "establishment" politicians. Hence the rise of Donald Trump and Bernie Sanders. Meanwhile, a growing number of people support unprecedented hikes in the minimum wage. New York and California and the City of Seattle have put in motion minimum wage hikes of up to $15 an hour. If the past is an indicator, more states and cities will soon follow suit.

Many Americans are legitimately dissatisfied with their economic progress. The tepid recovery has left too many workers unemployed and it has held down wage increases for those with jobs.

Still, do we really think mayors, governors and presidents will solve our economic problems? Neither Trump nor Sanders nor Hillary Clinton can deliver what the jobs they promise. The economy just doesn't work that way. It doesn't care who is in the White House or the governor's mansion.

Perhaps the most troubling manifestation of this popular angst is the minimum wage hike. While it's painted as a hand up to the working poor, it's really about raising everyone else's wages. Research shows, and the politicians know, that most of the benefit of hiking the minimum wage "trickles up" to the much larger number of workers making more than the minimum wage. One possible explanation for this is that as the lowest paying firms raise wages to the new minimum, firms further up the ladder will have to raise wages to be able to compete for workers.

The bigger problem is that raising wages by government fiat can really screw up labor markets. The cost burden falls disproportionately on small- and mid-sized retailers, restaurants, low-skill manufacturers and nonprofit social service agencies. These business owners already are struggling to cover the rising costs of health insurance, workers' compensation and regulatory compliance with low profit margins. They also have to compete with big box retailers, restaurant chains and overseas producers.

The weak economy and strong competition make it hard to pass cost increases on to consumers. If wages rise faster than product prices, many small and mid-sized companies will reduce labor costs by investing in machinery and other labor-saving strategies. How many new self-service lanes have you seen open up in your local grocery store?

But lost jobs will not be the worst part for low-skilled workers. Setting a high minimum wage creates a moral hazard for them. Large numbers of working poor will be conned into thinking they don't need to build up their human capital to earn a decent living. They will avoid the time and expense of extra training that might help them advance. They will find themselves trapped in low-skill jobs.

If politicians truly wanted to help the working poor there are much more effective strategies. For example, states could institute a refundable earned-income credit for qualified workers. Or, they could reimburse low-wage workers for the federal payroll taxes they pay. Approaches like these would send the benefits directly to the working poor, minimize labor market disruptions, reduce overall costs, and distribute those costs across all taxpayers, not just low-profit margin business owners.

But that is the political appeal of these big minimum wage hikes. Who wouldn't want a pay increase when someone else pays for it?

We just shouldn't kid ourselves that this is for the working poor.

Blaming politicians for our problems and then looking to them to solve them is not a promising strategy. The hard fact is the only ones who can improve economic conditions for ordinary Americans are ordinary Americans. Real economic change won't come from politicians. It will come from employers who help their workers become more productive and competitive. And it will come from ordinary people themselves, doing the hard work of boosting their human capital.

-- 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 14 hours ago.

Aetna's CEO Proves You Can Prioritize People And Still Earn A Huge Profit

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Aetna's Mark Bertolini isn't the kind of chief executive you typically find in the elite group of Fortune 50 companies.

He talks openly about his personal health struggles. He evangelizes a healthful culture, and encourages his employees to meditate and practice yoga. After reading French economist Thomas Piketty's blockbuster book on income inequality, he actually raised the minimum wage at his health insurance giant to $15 an hour. He promised to pay his employees up to $300 a year in extra cash just for getting plenty of sleep. 

But he certainly gets paid like a top-brass executive. Last year, Aetna bumped Bertolini's compensation to $17.3 million -- higher stock options and awards bumped this from the $15.1 million in 2014, according to a proxy statement filed with the U.S. Securities and Exchange Commission on Friday. Bertolini earned a base salary of about $1 million, with a bonus of $1.84 million. 

"In 2015, Aetna had record operating earnings and record operating revenues, and the company's total return to shareholders was 23 percent," company spokesman T.J. Crawford told The Huffington Post by email. "Mark continues to be a recognized thought leader for his efforts to transform the health care system and on important social policy issues."

Ninety-four percent of Bertolini's compensation was tied to the company's financial performance, Crawford said. 

Aetna has a market capitalization of $37.6 billion. It's waiting for federal regulators to greenlight a $37 billion merger with rival Humana, which would be the largest insurance deal in history. In February, its fourth-quarter profits rose 38 percent as operating revenue increased 2.2 percent to $15.09 billion.

But that alone didn't get Bertolini on Fortune magazine's list of the world's 50 greatest leaders last year. Over the last decade, two near-death experiences -- his own skiing accident and his young son's battle with a rare form of cancer -- transformed him into someone the business press has called an "unconventional boss" who is “mindful of morality."

“What I found very quickly in both his circumstance and mine was getting our lives back, becoming engaged and productive members of society, was something that the health care system cared very little about,” Bertolini said about himself and his son in a recent interview with HuffPost. 

That perspective shaped his leadership style and convinced him to focus on a bigger picture. 

“We view stock price and compensation as ways of measuring the success of an organization, and I think, because of that, we have a very short-term view of how capitalism works,” he said. “At Aetna, we actually say, ‘You know what, we’re here for the long run. Here are the fundamentals we’re investing in, like we did with our employees.’” 

Bertolini declined to comment for this story.

Companies with a clearly articulated purpose tend to outperform firms without one. A global survey of 474 executives, conducted last year by Ernst & Young and the Harvard Business Review, found that 58 percent of leaders who prioritized purpose had seen their companies grow by 10 percent or more in the last three years. By contrast, only 42 percent of the executives who reported lagging behind on imbuing their companies with meaning saw similar double-digit growth. "This is a powerful signal of how pioneer CEOs are driving value by values," Valerie Keller, strategy executive director and global leader of Ernst & Young's Beacon Institute, wrote in an email on Tuesday. "This is also an answer to the tired debate of ‘does purpose drive profits?’ Clearly, yes. Benefit for society equals benefits for shareholders equals benefits for executives."

Still, the pay bump may draw some heat from those who criticize astronomical pay for chief executives. The CEOs of the top 350 public-traded companies earn more than 300 times what average workers do, according to a study released last year by the liberal-leaning Economic Policy Institute. 

"In a political and socioeconomic climate where inequality is rampant and executive compensation is targeted, it would be easy for people to take pot-shots at this," Keller said. "But let’s not miss the underlying point: When global CEOs are rewarded for driving value for a wider set of stakeholders -- and that is in turn seen as driving value for shareholders -- it is a powerful proof point for all those advocating ‘conscious capitalism’ and sustainable growth. More, please."

-- 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 13 hours ago.

What if each Humana member got a cut of the company's profits?

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When we write about Humana Inc., we often refer to the company as a "health insurance giant." And the term "giant" is perfectly justified, since the company has tens of millions of total plan members and returns seven-figure yearly profit. But what would happen if each of those members got a cut of those profits? That number isn't so giant — it would have been about $54 for 2014. That's according to an analysis from Forbes that looks at what would happen if all nine major health insurers in… Reported by bizjournals 10 hours ago.

Health Care Reform Is Saving Lives

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Of all the lies being told by candidates during this presidential campaign season, some of the greatest are about the Affordable Care Act (ACA). Donald Trump, for example, regularly refers to it as "a disaster."

Perhaps we just have different ideas of what constitutes a disaster. Public health data are beginning to show that the ACA and related federal policy developments led by President Obama are saving thousands of lives, as well as money.

The ACA's full coverage of preventive care without copays -- which includes things like cancer screenings, vaccinations, and smoking cessation interventions -- is undoubtedly saving lives. The National Commission on Prevention Priorities estimates that approximately 100,000 lives could be saved each year in the U.S. if just five preventive services (daily aspirin use, smoking cessation, colorectal cancer screening, flu immunization, and mammograms) were scaled up.

Meanwhile, chronic diseases that would have otherwise progressed unchecked are being diagnosed and treated. A study published last year in Diabetes Care found the number of patients diagnosed with diabetes increased by 23 percent from 2013 to 2014 in the 26 states that expanded eligibility for Medicaid under the ACA; in the 24 states that didn't expand Medicaid, the increase in the number of patients diagnosed with diabetes was less than half of one percent. This means that in one year, as a result of the expanded health care access brought about by the ACA, about 3,500 people who would otherwise not have been diagnosed with diabetes now know that they have this serious health condition and are, hopefully, being treated for it.

Other federal health care reforms are also making a difference. An October 2015 report from the Agency for Healthcare Research and Quality (AHRQ) found that increases in safety resulting from the Partnership for Patients initiative spearheaded by the Centers for Medicare and Medicaid Services (CMS) led to a 17 percent decline in hospital-acquired conditions, including infections, from 2010 to 2013. That translates to about 50,000 lives saved, according to AHRQ.

Although the ACA has dramatically increased access to publicly-funded health care for low-income residents, overall healthcare costs are levelling out, if not dropping. For example, the estimated savings from averted hospital-borne conditions mentioned above is $12 billion. Meanwhile, overall spending on healthcare is growing at its slowest rate in 50 years.

Nearly 18 million people have health insurance today who didn't have it three years ago. This includes at least 7.4 million White Americans; 2.6 million African Americans; and four million Hispanics. An additional 2.3 million young people age 19-25 have been allowed to remain on their parents' health insurance policies thanks to the ACA. As of September 2015, the percentage of Americans who lacked insurance had dropped from 20.3 percent to 12.6 percent, a decline of 38 percent.

While this expansion benefitted everyone, it has disproportionately benefitted groups that were more likely to lack health insurance prior to the ACA's passage and implementation: Black and Latino people; lesbian, gay, bisexual, and transgender people; and people living with cancer, HIV, and other pre-existing health conditions. Between 2013 and 2015, rates of uninsurance among Blacks dropped from 22.4 percent to 12.1 percent and from 41.8 percent to 30.3 percent among Hispanics. After the first period of enrollment in late 2013, rates of uninsurance dropped from 34 percent to 26 percent among low-income LGBT adults. Although we don't have data yet on people with HIV and other chronic diseases, we know that in 2013 only 17 percent of people living with HIV in the U.S. had private insurance, and 30 percent had no health insurance at all.

The evidence is clear that the ACA is saving lives, improving public heath, and driving down health care spending. If this is a disaster, we can't wait to see what success looks like.

-- 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 8 hours ago.

Problems Faced in America by the Nepalese Immigrant Community

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Moving to a new country and starting a life from scratch is never an easy process. Giving up the close proximity of everyone and everything you love, and starting afresh takes a huge toll on you, and you are often left on your own in an unfamiliar land, surrounded by foreign faces. For someone to shift from Nepal to America can be nothing short of a shock. The vast differences that exist between the two nations are staggering. Even with its rich cultural past, Nepal has been a nation that has struggled with poverty and strife. Democracy has only been a recent phenomenon in the country, and the Nepalese people are only starting to get a taste of amenities and freedoms that most Americans take for granted.

Currently, I live in Jackson Heights, Queens and have a career that offers me and my family a better standard of life. Here in America, I have seen a number of my fellow compatriots struggle with their shift to a foreign land. The immigrant programs that I have been a part of, have introduced me to a number of Nepalese individuals who work here, either as permanent citizens or through permanent work visas, and made me aware of the issues that they face.*
Immigration to the US - Rise in Numbers*

The Nepalese community is only a small fraction of the millions of immigrants from all over the globe who has moved to America in the past 50 years. Even though the number of people who have left Nepal and now study or work here has grown over the decades, it is still low enough for the country to qualify for special diversity lottery privileges that entitle Nepalese citizens to get a better chance at acquiring a permanent work visa.

The first known recorded immigration from Nepal to America took place in the 1940s, but it was only in 1957 that Nepalese immigrants were identified by the US as their own special group. Before 1957, Nepalese immigrants fell under the broader category of other Asians, and records indicate that till the year 1996, the number of legal immigrants from the country has stayed below 100 per year. It is only in the last decade that this number has started increasing steadily, with the 1990s US consensus showing that 431 permanent citizenships were granted to the community for the year 1996.

*Problems Faced in America by the Nepalese Immigrant Community*

The problems that immigrants face are largely the same, no matter which country they come from, but there are some issues that are unique to each nation. While the drastic change in culture, religion, economics, general living standards, and even cuisine are things that most immigrants from developing nations have to cope with, when it comes to Nepal, a number of immigrants also struggle with education and a general distrust in the government due to the very recent introduction of democracy in their homeland.

 Low literacy rate in Nepal reduces chances of gaining a white collar job. Degrees awarded by many colleges in Nepal are not recognized in America.

 Political and social instability and inequality of Nepal stands in stark contrast to the way things work in the US.

 Unawareness about services those are easily available in America, such as health insurance, and apartment rental protocols.

From coping with the language barriers to dealing with the cultural differences, I have faced many issues, and since the years that I have started living in the US, I have noticed many fellow Nepalese who have gone through similar experiences.
The working community in America made up by Nepalese immigrants includes white collared professionals such as lawyers, doctors, professors, engineers, as well as blue collared professionals such as gas station attendants, waiters and more. As more and more people immigrate to the US from Nepal, the community will have to come together and face these challenges together. Already efforts have been started to help recent immigrants find a place for themselves in the country, and due to the close knit nature of Nepalese people, these efforts are only going to intensify in the future.

This article was first published on http://kathmandupost.ekantipur.com/printedition/news/2014-12-25/postplatform-the-land-of-dreams.html

-- 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 8 hours ago.

Hate Taxes? You Certainly Are Not Alone...

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Hate Taxes? You Certainly Are Not Alone... Submitted by Michael Snyder via The Economic Collapse blog,

At this time of the year, millions of Americans are rushing to file their taxes at the last minute, and *we are once again reminded just how nightmarish our system of taxation has become*. 

I studied tax law when I was in law school, and it is one of the most mind-numbing areas of study that you could possibly imagine.  At this point, the *U.S. tax code is somewhere around 4 million words long*, which is more than four times longer than all of William Shakespeare’s works put together.  And even if you could somehow read the entire tax code, it is constantly changing, and so those that prepare taxes for a living are constantly relearning the rules. 

It has been said that Americans spend more than 6 *billion* hours preparing their taxes each year, and Politifact has rated this claim as true.  *We have a system that is as ridiculous as it is absurd, and the truth is that we don’t even need it. * In fact, the greatest period of economic growth in all of U.S. history was when there was no income tax at all.  * Why anyone would want to perpetuate this tortuous system is beyond me*, and yet we keep sending politicians to Washington D.C. that just keep making this system even more complicated and even more burdensome.

*If you hate taxes, you are far from alone. * According to NBC News, here are some of the things that Americans would rather do than pay taxes…



Six percent would rather sell a kidney, eight percent would rather name their first-born “Taxes,” and 11 percent would rather spend three years cleaning the bathrooms at noro-torious Chipotle.



*Of course our system was never intended to be like this anyway. * Our founders hated taxes, and they fought a very bitter war to escape the yoke of oppressive taxation.  During his very first inaugural address, Thomas Jefferson clearly expressed what he thought about taxes…



“A wise and frugal government… shall restrain men from injuring one another, shall leave them otherwise free to regulate their own pursuits of industry and improvement, and shall not take from the mouth of labor the bread it has earned. This is the sum of good government.”



Why couldn’t we have listened to him?

When the federal income tax was originally introduced a little more than a century ago, most Americans were taxed at a rate of only 1 percent.

But of course once they get their feet in the door, the social planners always want more, and today we are being taxed into oblivion.  Below, I would like to share with you three quick facts about our taxes that come from the Tax Foundation…

*-This year, Tax Freedom Day falls on April 24, or 114 days into the year (excluding Leap Day).*

*-Americans will pay $3.3 trillion in federal taxes and $1.6 trillion in state and local taxes, for a total bill of almost $5.0 trillion, or 31 percent of the nation’s income.*

*-Americans will collectively spend more on taxes in 2016 than they will on food, clothing, and housing combined.*

That last statistic is a huge sore point with me.

How can anyone argue that we are not a socialist society when the government takes more of our money than we spend on food, clothing and housing combined?

What they are doing to us is deeply wrong and it is fundamentally un-American.

And of course the elite have the resources to be able to hire very expensive tax attorneys that help them manipulate the game in their favor.  At the end of the day, many extremely wealthy Americans end up paying a much lower percentage of their income to the government than you or I do.

For example, just consider what the Clintons have been doing…



The Clintons and their family foundation have at least five shell companies registered to the address 1209 North Orange Street in Wilmington, Delaware — which is also home to some 280,000 other companies who use the location to take advantage of the state’s low taxes, limited disclosure requirements, and other business incentives.

Two of the five are tied to Bill and Hillary Clinton specifically. One, WJC, LLC, is used by the former president to collect his consulting fees. The other, ZFS Holdings, LLC, was used by the former secretary of state to process her $5.5 million book advance from Simon & Schuster. Three additional shell companies belong to the Clinton Foundation.



One could argue that they are simply “playing the game”, but why do we have to play such a complicated game in the first place?

Another thing that frustrates me is how our tax money is being wasted.  Speaking of the Clintons, did you know that Bill Clinton still receives close to a million dollars from the federal government every year?  Since he left office in 2001, he has been given approximately 16 million of our tax dollars.

Does that seem right to you?

Of course there are other examples that should make us all sick as well.  Tens of millions of our tax dollars have been spent on Obama vacations, and Planned Parenthood received 528 million taxpayer dollars in one recent year.

Our system is deeply, deeply broken, but I am under no illusion that it will change any time soon.  It will probably just continue to roll along until it eventually collapses under its own weight.

And of course it isn’t just income taxes that I am talking about.  Our politicians have become masters at inventing ways to extract money from all of us.  If you doubt this, just look at the list that I have shared below.  It comes from my previous article entitled “A List Of 97 Taxes Americans Pay Every Year“, and it shows how the politicians are squeezing money out of us in just about every way that you can imagine…

*#1* Air Transportation Taxes (just look at how much you were charged the last time you flew)

*#2* Biodiesel Fuel Taxes

*#3* Building Permit Taxes

*#4* Business Registration Fees

*#5* Capital Gains Taxes

*#6* Cigarette Taxes

*#7* Court Fines (indirect taxes)

*#8* Disposal Fees

*#9* Dog License Taxes

*#10* Drivers License Fees (another form of taxation)

*#11* Employer Health Insurance Mandate Tax

*#12* Employer Medicare Taxes

*#13* Employer Social Security Taxes

*#14* Environmental Fees

*#15* Estate Taxes

*#16* Excise Taxes On Comprehensive Health Insurance Plans

*#17* Federal Corporate Taxes

*#18* Federal Income Taxes

*#19* Federal Unemployment Taxes

*#20* Fishing License Taxes

*#21* Flush Taxes (yes, this actually exists in some areas)

*#22* Food And Beverage License Fees

*#23* Franchise Business Taxes

*#24* Garbage Taxes

*#25* Gasoline Taxes

*#26* Gift Taxes

*#27* Gun Ownership Permits

*#28* Hazardous Material Disposal Fees

*#29* Highway Access Fees

*#30* Hotel Taxes (these are becoming quite large in some areas)

*#31* Hunting License Taxes

*#32* Import Taxes

*#33* Individual Health Insurance Mandate Taxes

*#34* Inheritance Taxes

*#35* Insect Control Hazardous Materials Licenses

*#36* Inspection Fees

*#37* Insurance Premium Taxes

*#38* Interstate User Diesel Fuel Taxes

*#39* Inventory Taxes

*#40* IRA Early Withdrawal Taxes

*#41* IRS Interest Charges (tax on top of tax)

*#42* IRS Penalties (tax on top of tax)

*#43* Library Taxes

*#44* License Plate Fees

*#45* Liquor Taxes

*#46* Local Corporate Taxes

*#47* Local Income Taxes

*#48* Local School Taxes

*#49* Local Unemployment Taxes

*#50* Luxury Taxes

*#51* Marriage License Taxes

*#52* Medicare Taxes

*#53* Medicare Tax Surcharge On High Earning Americans Under Obamacare

*#54* Obamacare Individual Mandate Excise Tax (if you *don’t buy* “qualifying” health insurance under Obamacare you will have to pay an *additional tax*)

*#55* Obamacare Surtax On Investment Income (a new 3.8% surtax on investment income)

*#56* Parking Meters

*#57* Passport Fees

*#58* Professional Licenses And Fees (another form of taxation)

*#59* Property Taxes

*#60* Real Estate Taxes

*#61* Recreational Vehicle Taxes

*#62* Registration Fees For New Businesses

*#63* Toll Booth Taxes

*#64* Sales Taxes

*#65* Self-Employment Taxes

*#66* Sewer & Water Taxes

*#67* School Taxes

*#68* Septic Permit Taxes

*#69* Service Charge Taxes

*#70* Social Security Taxes

*#71* Special Assessments For Road Repairs Or Construction

*#72* Sports Stadium Taxes

*#73* State Corporate Taxes

*#74* State Income Taxes

*#75* State Park Entrance Fees

*#76* State Unemployment Taxes (SUTA)

*#77* Tanning Taxes (a new Obamacare tax on tanning services)

*#78* Telephone 911 Service Taxes

*#79* Telephone Federal Excise Taxes

*#80* Telephone Federal Universal Service Fee Taxes

*#81* Telephone Minimum Usage Surcharge Taxes

*#82* Telephone State And Local Taxes

*#83* Telephone Universal Access Taxes

*#84* The Alternative Minimum Tax

*#85* Tire Recycling Fees

*#86* Tire Taxes

*#87* Tolls (another form of taxation)

*#88* Traffic Fines (indirect taxation)

*#89* Use Taxes (Out of state purchases, etc.)

*#90* Utility Taxes

*#91* Vehicle Registration Taxes

*#92* Waste Management Taxes

*#93* Water Rights Fees

*#94* Watercraft Registration & Licensing Fees

*#95* Well Permit Fees

*#96* Workers Compensation Taxes

*#97* Zoning Permit Fees

*So after reading all of this, are you still satisfied with how our present system operates?* Reported by Zero Hedge 7 hours ago.

Pulse8 to Address How Success Requires Innovation at the Upcoming Gorman Health Group 2016 Forum

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Pulse8’s Chief Executive Officer (CEO), John Criswell, along with Actuarial Analyst, Eric Hedrick, will address how risk-bearing entities need to align risk adjustment with quality, reconcile the revenue impact of the Risk Adjustment Processing System (RAPS) to Encounter Data System (EDS) transition, and exchange data with providers through Electronic Medical Record (EMR) integration at the Gorman Health Group 2016 Forum, April 19-20, at the Worthington Renaissance Fort Worth Hotel in Fort Worth, Texas.

Annapolis, MD (PRWEB) April 13, 2016

The Gorman Health Group 2016 Forum features proven tactics to cut costs, increase member satisfaction, and manage and drive sustainable growth. We are honored to join the renowned team of Gorman Health Group (GHG) experts, presenters, and industry pioneers who will offer advice on key issues related to product development, compliance, operations, quality improvement, Star Ratings, and risk adjustment.

Pulse8, the only healthcare analytics and technology company delivering complete visibility into the efficacy of risk adjustment and quality management programs, will present “Innovate or Disintegrate” on the first day of this exclusive event, Tuesday, April 19, 2016. Attendees will learn how coordinating the closure of quality gaps with documentation and coding gaps reduces administrative waste and minimizes provider abrasion. Gain efficiencies via innovative gap closure methods, such as EMR integration, computer-aided coding, and telehealth. Stop chasing the “wasteful tails” and focus on the interventions most apt to bear fruit.

“Managing gaps in care for the chronically ill, paired with complete and accurate risk adjustment data, is a do-or-die cost and revenue management capability for health plans and providers in government programs,” said John Gorman, GHG’s Founder & Executive Chairman. “Our annual client Forum will focus on better execution at the member level to ensure your plan is successful, your provider partners are engaged and aligned, and your members stay happy and loyal. As a strategic partner, we’re excited for Pulse8 to present at our annual client Forum to offer our clients a unique combination of analytics, technology, expertise, and our shared values on high-quality care for the most vulnerable beneficiaries.”

Pulse8 has developed the most rigorous, scientifically tested algorithms in the risk adjustment and quality analytics arena, along with the dynamic intervention planning required to ensure a coordinated approach to all gap closure efforts.

“We continue to be the leader in predictive models that eliminate waste and drive towards efficient activities that improve provider workflow and patient care,” remarked John Criswell. “We share GHG’s vision to help providers and payors achieve more while removing unnecessary interventions.”

Pulse8 is the only Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustment and Quality Management programs. We enable health plans and at-risk providers to achieve the greatest financial impact in the ACA Commercial, Medicare Advantage, and Medicaid markets. By combining advanced analytic methodologies with extensive health plan experience, Pulse8 has developed a suite of uniquely pragmatic solutions that are revolutionizing risk adjustment and quality. Pulse8’s flexible business intelligence tools offer real-time visibility into member and provider activities so our clients can apply the most cost-effective and appropriate interventions for closing gaps in documentation, coding, and quality.

Gorman Health Group | GHG is a leading consulting and software solutions firm specializing in government health programs, including Medicare managed care, Medicaid, and Health Insurance Marketplace opportunities. Since 1996, our unparalleled teams of subject matter experts, former health plan executives, and seasoned healthcare regulators have been providing strategic, operational, financial, and clinical services to the industry across a full spectrum of business needs. Further, our software solutions have continued to place efficient and compliant operations within our client’s reach. Learn more at gormanhealthgroup.com and follow us on Twitter @gormanhealth. Reported by PRWeb 23 hours ago.

Far more Dallas children have health insurance since Obamacare passed, study says

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Reported by DallasNews 14 hours ago.

Study: Far more Dallas children have health insurance since passage of Obamacare

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Reported by DallasNews 17 hours ago.

The Women Presidents’ Organization and American Express Recognize Akorbi as the 12th Fastest-Growing Women-Owned/Led Company Globally

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Akorbi's 12th place ranking was a significant leap from its 30th spot in 2015.

Plano, Texas (PRWEB) April 13, 2016

Akorbi’s fast and impressive growth was celebrated during the Women Presidents’ Organization’s (WPO) 2016 Annual Conference, in partnership with American Express. On April 8th, hundreds of business owners and executives from around the world gathered at the dinner and awards ceremony held at The Baltimore Marriott Waterfront in Baltimore, Maryland, to celebrate the impressive growth and success of the world’s 50 fastest-growing, women-owned/led companies. The awards ceremony was part of the WPO’s 3-day conference, which took place April 7 – 9.

This year, Akorbi was ranked #12. It was a significant leap from its #30 spot in 2015. Akorbi joined four other Dallas-area companies in the coveted list, including Pinnacle Group (#2), Ivie & Associates, Inc. (#11), Point 2 Point Global Security, Inc. (#19) and Anserteam Workforce Solutions (#46).

According to the WPO, applicants do not have to be WPO members. All eligible companies were ranked according to a sales growth formula that combines percentage and absolute growth. From this list, the 50 fastest-growing companies were selected. To be qualified for the ranking, businesses are required to be privately held, woman-owned/led companies and to have reached revenue of at least $500,000 by the first week of 2011 and $2 million in 2015.

More about the 2016 50 Fastest:· Average Age: 49
· CEOs that founded the business: 92%
· Listed companies that do business globally: 44%
· Provide health insurance: 92%
· Plan to continue to grow their company: 90%
· State hiring the best talent as their biggest business challenge: 44%

“We are very grateful for this incredible recognition from the Women Presidents’ Organization, an organization I greatly value for many reasons, including the support and wisdom I receive from other members,” said Claudia Mirza, CEO of Akorbi. “I’m thrilled to share this recognition with an amazing group of dedicated and hardworking team members, as well as my wonderful partner in life and business, Azam Mirza.”

“This year’s 50 Fastest list represents our most diverse ranking ever, with an immense geographic reach covering 20 states and one international winner in Turkey, as well as industries ranging from energy efficiency services to cybersecurity and engineering,” said Marsha Firestone, Ph. D., president and founder of the WPO.

Akorbi employs 670 full-time and part-time people around the world. The company serves an impressive client base, including the U.S. Department of Agriculture, the U.S. Department of Homeland Security and many Fortune 500 companies.

Akorbi’s success has been recognized worldwide. In June 2015, it became the fastest-growing provider of translation, localization and interpretation services in the U.S. and globally, according to independent market research firm Common Sense Advisory’s 2014-2015 growth figures.

About Akorbi
Akorbi offers multilingual business solutions in more than 170 languages to some of the largest companies in the world. The company offers a full range of language, localization and global marketing solutions, including: professional staffing, translation, interpretation, multilingual call centers, business process outsourcing, sign language interpretation, alternate formats, transcription, eLearning and eDiscovery. The company holds several certifications including ISO 9001:2008, ISO 13485:2003, EN 15038:2006 and M/WBE Certification. For more information, visit http://www.akorbi.com or call 1.877.4.AKORBI.

About the Women Presidents’ Organization (WPO)
The WPO is the ultimate affiliation for successful women entrepreneurs worldwide. In monthly meetings across the world, women from diverse industries invest time and energy in themselves and their businesses to drive their corporations to the next level. Local WPO chapters are coordinated by a professional facilitator and meet monthly to share business expertise and experience in a confidential setting. For more information, call 212-688-4114 or visit http://www.womenpresidentsorg.com. Follow WPO on Twitter (@womenpresidents) and like us on Facebook. Reported by PRWeb 18 hours ago.

The Most Substantive Debate In Recent Political History

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Win or lose, Bernie Sanders has made this Democratic primary the most substantive in my lifetime. Not that Hillary Clinton's campaign is devoid of ideas. She has some thoughtful ones. But the boldness of Sanders' proposals is what has driven this historic and instructive debate.

The dynamic so far consists of Sanders setting a marker (e.g. free tuition, universal free health care, breaking up the banks, a $15 federal minimum wage, a $1 trillion public works investment); Clinton responds, and their two camps engage in a spirited, intelligent, and surprisingly concrete debate.

This back and forth has forced both candidates to raise their game. When Sanders proposed free college tuition, Clinton responded by unveiling her detailed New College Compact Plan. When Clinton attacked Sanders for failing to identify revenue sources to finance his free tuition and health care proposals, he promptly posted chapter and verse on his web site.

When economics Professor Gerald Friedman concluded that if all Sanders policies were implemented the combined effect would be to stimulate dramatically strong economic growth, four former heads of the Council of Economic Advisers (CEA) wrote an open letter not only dismissing his conclusions as not credible but admonishing, "Making such promises runs against our party's best traditions of evidence-based policy making..."

The three-paragraph letter generated a collegial scolding from James Galbraith, former Executive Director of the Joint Economic Committee, the Congressional counterpart of the CEA. He pointed out the signatories' own lack of evidence for their conclusion. "I looked to the bottom of the page to find a reference or link to your rigorous review of Professor Friedman's study. I found nothing there." That led one of the signers to undertake a far more detailed response, which in turn generated an instructive and much too rare discussion regarding the validity of assumptions inside the black box of conventional economic models.

The back and forth has also revealed strategic differences born of a distinct political philosophies. Bernie would deal with concentrated economic power through structural change; Hillary would rely on regulatory oversight. Bernie would work to break up giant banks directly. Clinton prefers to strengthen the Dodd-Frank law. Clinton sees Sanders' proposal as politically untenable. Sanders sees Clinton's proposal as unworkable.

Sanders' prescription for structural change often includes using government as a competitive service provider. That is the case with his proposal to revive Postal Banking. From 1910 to 1967 the U.S. Post Office, the most ubiquitous of all public institutions, provided financial services. At its peak 1947 the U.S. Postal Bank had over 4 million accounts and deposits exceeding $3.3 billion. Almost 90 million people in the United States have no bank account and pay about l0 percent of their income in fees and interest to gain access to credit or other financial services.

Today the USPS already handles money orders. Sanders, adopting recommendations put forth in 2014 by the USPS Inspector General, proposes to allow the post office to also offer reloadable prepaid debit cards, mobile transactions, domestic and international money transfers, savings accounts, check cashing and small loans.

Different political philosophies may also explain Sanders and Clinton's contrasting positions on means testing. Sanders proposes free education at public colleges and universities for billionaires and paupers alike. Clinton disagrees. She finds it ethically offensive to require taxpayers to foot the college tuition bill for those who can afford to pay. "I disagree with free college for everybody. I don't think taxpayers should be paying to send Donald Trump's kids to college," she has said several times during the campaign. As for those who can't afford to pay full fare, she notes that her education plan "makes everybody put some skin in the game."

Hillary has the support of most economists. Twenty-two selected by NPR's Planet Money "from across the political spectrum" turned thumbs down on Bernie's proposal. 2007 Nobel Laureate Eric Maskin spoke for most of his profession, " Many students can afford to pay a considerable amount toward their higher education. It is wasteful to give them a free ride."

For Sanders, programs designed to help only those in severe economic distress save taxpayers money but the savings are achieved at a great moral and social cost. Means testing imposes a considerable and often humiliating burden on families to prove their dire straits, not to mention an avalanche of paperwork and significant overhead expense. He would also note that programs that involve means testing also tend to have a bumpier ride and shorter life expectancy than universal programs. Consider the divergent past, present and future of Medicare and Medicaid.

Sanders and Clinton's proposals for health care reveal similar ideological/strategic differences. Both accept that Obamacare has extended health insurance to tens of millions of people. Clinton believes we can get to universal health care by further expanding Obamacare. Sanders disagrees. He considers the foundation of Obamacare--a network of increasingly concentrated private profit oriented insurance companies--an insurmountable obstacle to achieving universal, affordable health care.

With massive subsidies, the Obamacare exchanges have extended health insurance to millions. But health insurance does not necessarily translate into access to health care. Nearly a quarter of all non-elderly adults are underinsured, nearly double the rate in 2003. As a result, almost half go without a doctor's visit, medical test, or prescription due to cost. Under Obamacare the average deductible for families with a silver plan is about $6000 and out of pocket costs for co-payments and deductibles can be as high as $13,200. Dr. Robert Zarr, President of Physicians for National Health Program (PNHP) observes, "In short, under the new health law we're witnessing a dramatic acceleration of the trend of shifting more and more medical costs onto the shoulders of patients and their families, even as medical costs and premiums rise and as private health insurance companies reap record profits."

Government spending currently accounts for over almost two thirds of US health care spending when we take into account tax expenditures. As Dr. David Himmelstein, cofounder of Physicians for National Health Program points out, "We already pay for national health insurance but we don't get it."

Bernie proposes to create a single non-profit insurance company--Medicare for all-- and provide free health care without deductibles or copays. And he would give that public agency the right to negotiate prices with a pharmaceutical industry that boasts a profit rate five times higher than that of the rate of the median Fortune 500.

Unlike in the debate involving free tuition, where both sides agree that sufficient public money exists but disagree on its appropriateness, deep and often-vehement disagreement exists about the financial impact of Bernie's health proposals. Critics estimate savings from reduced overhead and lower drug prices to be only a fraction of those projected by Sanders supporters. But again, the back and forth is readily available for those wanting to make their own decisions.

Sanders envisions a government role not only as insurer but also as a direct provider of health care. His vehicle for this is the government financed and operated Veterans Administration (VA). Most of those reading this will be surprised because of the scandals regarding long wait times. But these are problems of access, not quality. Many independent studies of the VA here and abroad found it one of the most effective and lowest cost medical systems in the US. Its long-term care model allows it to profitably focus on prevention. Salaried doctors allow it to avoid a fee for service model that encourages waste. And its pioneering information technology allows for data gathering and sharing that reduces medical mistakes and identifies areas for improvement.

Sometimes the differences between Clinton and Sanders are more quantitative than qualitative. Sanders pushes the envelope (break up the banks in a year, require no copays or deductibles for health care). Clinton is far more cautious. Bernie would invest $1 trillion over 5 years on infrastructure. Clinton's budget calls for $250 billion. Bernie advocates raising the federal minimum wage to $15 an hour. Clinton proposes $12.

Clinton has criticized many of Bernie's proposals as "pie in the sky", comparing them to what she views as her own more pragmatic and politically feasible plans. I suspect Bernie would concede that Clinton's proposals would be easier to enact, although he could make a powerful argument that even a modest proposal is highly unlikely to receive a hearing in a Republican Congress.

But Sanders may well see a need for proposals commensurate with the scale of the problem. He raises the question, "What do we want?" which then leads to the question, how do we get there? Clear ambitious goals set the terms of the debate. The conversation tends to focus on whether we can achieve these goals and even more challenging, how we might do so. Should we break up concentrated economic power and if so, how can we? Should we once again make public higher education free and if so how can we? Should we make health care universally accessible and affordable, and if so, how can we? Political negotiation will undoubtedly restrain lofty ambitions but recent experience should have taught Democrats that compromising at the outset often results in even more compromised outcomes.

Whatever policy differences exist between Hillary and Bernie pale into insignificance next to the Grand Canyon-wide chasm dividing Democratic and Republican candidates. While Sanders and Clinton debate how far and fast to raise the federal minimum wage, Republican candidates insist on a freezing it at the current $7.25 an hour. While Bernie and Hillary debate whether tuition should be free for all, Republicans continue to slash state and federal spending on higher education. While Sanders and Clinton debate whether Dodd-Frank is sufficient to curb financial predation Republicans prefer to get rid of Dodd-Frank entirely.

As the Democratic primary campaign moves into the homestretch, the media will focus even more narrowly on candidate miscues, delegate counts, new polls and intra party maneuvering. That is inevitable. But perhaps we can pause to applaud the nature and level of the policy debate so far. And thanks to the wonders of the Internet, enterprising citizens can access both sides of those debates, tap into some of the best thinking about what can and should be done to address central problems, and make up their own minds.

-- 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 15 hours ago.

Sales Of Short-Term Health Plans Soar As Americans Flee Expensive Obamacare

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Sales Of Short-Term Health Plans Soar As Americans Flee Expensive Obamacare Submitted by Mike Krieger via Liberty Blitzkrieg blog,

 

When it comes to Obamacare, the devil is in the details.

As the years go by, Americans are quickly recognizing that not only is Obamacare not helping them out, it’s actually crushing their paychecks to such an degree they’re finding it necessary to pursue alternatives. This has resulted in a mad dash into non-ACA compliant short-term health insurance plans, *or the kind of plans Obamacare was specifically designed to replace.*

Before we get into that, it’s important to understand just how unaffordable and useless Obamacare actually is for millions of Americans. First, let’s revisit a few excerpts from last month’s post, *The Health Insurance Scam – “Coverage” Doesn’t Mean Affordability or Access*:

 



*The Affordable Care Act hasn’t just caused premiums to skyrocket across the country, out-of-pocket costs are also on the rise.*

*According to Freedom Partners, an Arlington, Va.-based pro free-market non-profit, 41 states are facing higher deductibles in 2016 – 17 of which saw a double-digit hike.*

 

*“Higher Obamacare deductibles increase, by hundreds of dollars, what families must pay out of pocket to access their health insurance,”Freedom Partners Senior Policy Adviser Nathan Nascimento said in a statement. “Instead of reducing costs, Obamacare regulations and mandates continue to drive up these costs and make quality care less accessible for hardworking families.”*



For some additional insight, let’s turn to a New York Times article published last year titled, Many Say High Deductibles Make Their Health Law Insurance All but Useless:



*WASHINGTON — Obama administration officials, urging people to sign up for health insurance under the Affordable Care Act, have trumpeted the low premiums available on the law’s new marketplaces.*

 

*But for many consumers, the sticker shock is coming not on the front end, when they purchase the plans, but on the back end when they get sick: sky-high deductibles that are leaving some newly insured feeling nearly as vulnerable as they were before they had coverage.*

 

*“The deductible, $3,000 a year, makes it impossible to actually go to the doctor,” said David R. Reines, 60, of Jefferson Township, N.J., a former hardware salesman with chronic knee pain. “We have insurance, but can’t afford to use it.”*



Brilliant, just brilliant. So what are consumers faced with either an unaffordable and unusable Obamacare plan, or no insurance at all doing? They’re shopping for non-ACA compliant short-term plans.

The Wall Street Journal reports:



*A type of limited health coverage with features largely banned by the Affordable Care Act is flourishing, as some consumers grab onto an alternative they say is cheaper than conventional plans sold under the law.*

 

Sales of short-term health insurance are up sharply since the health law’s major provisions took effect in 2014, according to insurance agencies. New sales figures show the temporary policies, traditionally sold to consumers who are trying to fill coverage gaps for a few months, have continued their surge recently—*even though people who buy them face mounting financial penalties because the coverage doesn’t meet the ACA’s standards.*

 

Robin Herman, the 34-year-old owner of a marketing firm in San Francisco, bought a short-term policy in December. The monthly cost of her short-term coverage, plus conventional ACA-compliant plans for her two children, is roughly one-quarter of what she would have paid for conventional health plans covering all three of them, she says.

 

*“This is saving me a ton of money for the year,” she said, despite the penalty. Plans that comply with the health law’s rules cost more than her old pre-ACA policy and are “just not affordable,” she said.*

 

*“This is exactly the kind of coverage the ACA was designed to get rid of,”* said Larry Levitt, a senior vice president at the Kaiser Family Foundation. 



Thanks for playin’ America.



The short-term policies’ limits help keep premiums down. A survey by eHealth Inc. this year found that *51% of purchasers cited price as their reason*, versus 39% who said they needed only temporary coverage.

 

EHealth said the number of people applying for short-term policies on its site last year was nearly 147,000, slightly down from 2014 but more than double the figure for 2013, before the ACA took full effect. * *

 

*HealthMarkets Inc., a national insurance agency, said short-term sales in 2015 were about 150% higher than in 2013.* GoHealth LLC, a major health-insurance site, saw a “substantial increase” in short-term policy sales in 2014, and again in 2015, said Michael Mahoney, a senior vice president.

 

In addition, if consumers develop health problems they can move to ACA plans that cover pre-existing conditions.



Right, so at the moment there appears to be little downside to buying the short-term plans since you can just swap into an Obamacare plan if you develop a serious condition down the road.



*That holds a risk for the ACA’s insurance marketplaces. The short-term plans can siphon off healthy people who are needed to help make the ACA insurance business work.* Those consumers then add to the costs of ACA plans if they buy coverage only when they have health needs. “You cause some real problems for the market,” said Timothy S. Jost, a professor at Washington and Lee University.



Obamacare is unraveling before our very eyes. *Don’t say you weren’t warned…*

The Health Insurance Scam – “Coverage” Doesn’t Mean Affordability or Access

Video of the Day – Obamacare Architect Credits “Lack of Transparency” and “Stupidity of the American People” for Passage of Healthcare Law

Emails Show Jonathan Gruber Played Bigger Role with Obama Administration on Healthcare Than Previously Admitted

ObamaFraud: GAO Study Finds Almost All Fake Applicants are Approved for Subsidized ObamaCare

The Obama Administration is Forcing Insurance Companies to Keep Quiet About ObamaCare Problems

Woman Touted as Obamacare Success Story is Now Kicked Off Obamacare

Humana Warns of “‘Adverse ObamaCare Enrollment Mix”

Computer Security Expert Claims he Hacked the ObamaCare Website in 4 Minutes

Serfs Up – Average Healthcare Premiums Have Soared 39%-56% Post Obamacare Reported by Zero Hedge 15 hours ago.

New York's VC activity counters global 'funding chill'

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Thanks to a $430 million Series F to WeWork and a $400 million Series C to Oscar Health Insurance, New York saw a sudden jump in venture capital funding and deal volume over the previous two quarters. The news means Silicon Alley hit a five-quarter high in funding — a 76 percent increase from the fourth quarter (Q4) of 2015. In addition, New York outpaced Massachusetts for deal activity in each of the last 5 quarters and is now the only state with both deal and funding growth. In a detailed report… Reported by bizjournals 14 hours ago.

Fitch Affirms Aflac Inc.'s Ratings; Outlook Stable

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CHICAGO--(BUSINESS WIRE)--Fitch Ratings has affirmed Aflac Inc.'s (Aflac) 'A-' senior notes and the 'A+' Insurance Financial Strength (IFS) ratings of Aflac's insurance subsidiaries. The Rating Outlook is Stable. A complete list of ratings appears at the end of this release. KEY RATING DRIVERS The affirmation of Aflac's ratings reflect the company's extremely strong competitive position in the supplemental accident and health insurance markets in Japan and the U.S., its extremely strong earning Reported by Business Wire 13 hours ago.

eKare and Daewoong Team Up to Bring Mobile Health Innovation to Wound Care

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eKare Announces Commercialization Partnerships with Daewoong Pharmaceutical to Market inSight™ 3D Wound Assessment Solution in Asia

Fairfax, VA (PRWEB) April 13, 2016

eKare Inc, a US based medtech company, will partner with Daewoong Pharmaceutical to market inSight™ in the Asia-Pacific region. The inSight™ Wound Assessment Solution provides accurate and convenient 3D wound measurement and documentation at the point-of-care for pressure ulcers, diabetic foot ulcers, and other hard-to-heal chronic wounds. Built on top of Apple iPad, inSight™ enables clinicians to obtain a full set of 3D measurements, including depth and volume, by simply snapping a photo of the wound without direct patient contact. Under the terms of the partnership, Daewoong will work with eKare to obtain regulatory approvals and to manage marketing, sales and distribution activities of eKare inSight™ in the territory.

“inSight is designed to provide latest sensing technology to customers with easy to use interface and affordable price,” said Patrick Wong, Executive Director of Global Surgical Devices for Daewoong Pharmaceutical. “We have now reinforced the D+ Wound Solution lineup by partnering with a leading wound assessing company like eKare. We expect this will positively impact both patients and doctors as it allows faster, more accurate assessment of wound, resulting in more appropriate treatment for patients.”

eKare Co-Founder and Chief Medical Officer, Dr. Kyle Wu, states, “We are truly excited to work with a leading pharmaceutical company such as Daewoong to bring our innovative solution to the Asia Pacific Region. Chronic wounds are significant problems worldwide. With a shared vision in improving clinical delivery and quality, the Daewoong-eKare partnership will bring about significant improvement to how we care for chronic wounds.”

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Upcoming Events
eKare Inc will be exhibiting at the SAWC Symposium in Atlanta, GA in April, 13-17th, 2016.
Daewoong will be exhibiting at the WUWHs in Florence, Italy in September, 25-29th, 2016

About eKare
eKare Inc. is dedicated to the design and development of wound assessment solutions using the latest computer-vision and mobile technology. eKare’s innovative technology is creating new possibilities in how we deliver wound care across the healthcare continuum, from inpatient hospital and skilled nursing facilities to ambulatory clinics and telemedicine. eKare’s mission is to advance the science and delivery of wound care by leveraging mobile and sensor technologies to connect patients, providers, and industry.

About Daewoong
Daewoong Pharmaceutical Co. Ltd. is a leading Korean pharmaceutical company with annual turnover of nearly $727 million in 2014. Daewoong is ranked the first in South Korean pharmaceutical market in terms of requested reimbursement totals, according to Health Insurance Review Agency (HIRA). Daewoong is one of the leading surgical device manufacturers and distributors in South Korea, providing total wound management solutions and a broad spectrum of bone products for orthopedic & dental applications. Daewoong has expanded global business operations throughout Asia and is currently developing strategies for the global market. Daewoong is dedicated in providing high quality products portfolio of allograft, DBM, synthetic bone grafts, spinal implants, NPWT, growth factors and advanced wound dressings.

*D+Wound Solution Guidebook has been published to provide the systematic wound care information ranging from the diagnosis of wounds to the optimum treatment plan and D+Wound Solution mobile App assist accurate wound assessment and provide proper treatment solution. Reported by PRWeb 12 hours ago.

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