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Category: "Health Plan Management"

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04/17/13

  11:01:35 am, by MedBen5   , 183 words,  
Categories: News, Health Plan Management

Patient Complications Can Help Hospital's Bottom Line, Study Finds

Hospitals benefit financially from patient complications after surgery, a new study suggests. According to the Hill’s Healthwatch Blog, researchers found that hospitals make roughly $30,000 more from patients who suffer at least one complication… more »

04/16/13

  05:15:14 pm, by MedBen5   , 224 words,  
Categories: Health Plan Management

Small-Business Owners Grapple With "Employer Mandate"

“Small-business owners across the U.S. are bracing for the health-care law that kicks in next year, fearing it will increase the cost of providing insurance to employees. “But Rick Levi, a business owner in Des Moines, Iowa, is among… more »
  12:19:41 pm, by MedBen5   , 210 words,  
Categories: News, Wellness, Health Plan Management

Computer-Aided Mammogram Study Raises Cost Issue

Balancing the availability of advanced medical testing with real-world financial realities can be very tricky – a point that a new study makes clear. According to HealthDay News (via WebMD), researchers concluded that adding computer-aided… more »

04/15/13

  05:21:57 pm, by MedBen5   , 397 words,  
Categories: Health Plan Management

When Faced With An Improper Medical Bill, Take Action

Should you ever receive a medical bill that you feel is questionable, incorrect or improper, there are measures you can take to deal with it. The Los Angeles Times offers several suggestions, which we summarize here: Know your rights. Most states have… more »
  11:49:01 am, by MedBen5   , 247 words,  
Categories: News, Health Plan Management

Obama Administration Anticipates Exchanges Will Cost $4 Billion In 2014

Getting health insurance exchanges up and running nationwide clearly won’t come cheap. In its fiscal 2014 budget request relased last week, the Obama administration estimates that the federal government will spend about $4 billion on those… more »

04/12/13

  05:22:48 pm, by MedBen5   , 218 words,  
Categories: News, Health Plan Management

President's Budget Wants Smaller Insurance Tax Breaks For Higher Earners

Earlier this week, President Obama submitted his Fiscal Year 2014 Proposed Budget, which calls for $3.77 trillion in overall spending. On its website, the Employers Council on Flexible Compensation highlighted several aspects of the budget of particular… more »
  11:10:44 am, by MedBen5   , 178 words,  
Categories: News, Health Plan Management

Keeping Young Adults On Health Care Plan Raises Costs, Study Finds

Young adults who opted to remain on their parents’ coverage under an Affordable Care Act provision incurred somewhat higher costs that those who had their own coverage, according to new research by the Employee Benefits Research Institute. The… more »

04/11/13

  04:38:19 pm, by MedBen5   , 178 words,  
Categories: News, Health Plan Management

Several States Pushing Stop-loss Changes To Discourage Self-funding

In an effort to keep smaller businesses from funding health care benefits for their employees, four states – California, Minnesota, Utah and Rhode Island – have introduced legislature that would limit stop-loss coverage for self-insured… more »

04/10/13

  04:48:36 pm, by MedBen5   , 185 words,  
Categories: News, Health Plan Management

Less Than 20% Of Employer Plans Still Grandfathered

Fewer health plans have retained their grandfathered status since the passage of the Affordable Care Act, the Society for Human Resource Management (SHRM) reports. Less than one out of five employers currently offer at least one plan that is excempt… more »

04/08/13

  10:52:14 am, by MedBen5   , 320 words,  
Categories: Wellness, Health Plan Management

Oncologists Propose Plan To Slow Cancer Treatment Costs

In a New York Times opinion piece, “20 prominent members of the oncology community", noting that costs to treat cancer are rising faster than all other areas of medicine, offer a five-point plan to fix cancer care. We summarize their points below:… more »
  10:18:00 am, by MedBen5   , 223 words,  
Categories: News, Health Plan Management

IRS Amends Pay Or Play Rule For Multiemployer Plans

The Internal Revenue Service recently clarified a transition rule pertaining to the “pay or play” mandate of the Affordable Care Act. According to Robert Projansky of Proskauer’s ERISA Practice Center Blog, an employer required by a… more »

04/04/13

  10:49:53 am, by MedBen5   , 216 words,  
Categories: News, Health Plan Management

PCIP Problems Possible Sign Of Things To Come, Economist Warns

Financial headaches brought on by the federal government’s pre-existing condition program could prove a harbinger of even higher costs under health care reform, a health economist warned lawmakers yesterday. According to MedPage Today, the… more »

04/03/13

  05:17:10 pm, by MedBen5   , 241 words,  
Categories: News, Health Plan Management

Independent ERs Feeling Heat From Patients, Insurers and Hospitals

Bloomberg News (via Employee Benefits News) reports on a growing backlash against independent emergency rooms. While these free-standing facilities are popular with some patients – often offering 24-hour service, minimal waits, board-certified… more »
  04:25:27 pm, by MedBen5   , 255 words,  
Categories: Prescription, Health Plan Management

The Hospital That Refused To Carry An Expensive Drug -- And Why

David Kesterbuam of NPR shares the story of a hospital that dared to say “no” to a pricey new cancer drug, for a simple – and perfectly logical – reason: “Last year, a new drug called Zaltrap was approved as a kind of… more »

04/02/13

  09:49:36 pm, by MedBen5   , 164 words,  
Categories: Health Plan Management

Health Subsidies: Crunching The Numbers

The Associated Press (via The Washington Post) offers some examples of how health subsidies will work for individuals who purchase coverage under state-run exchanges. Under the Affordable Care Act, premiums paid by taxpayers will be tied to their… more »

04/01/13

  04:05:56 pm, by MedBen5   , 253 words,  
Categories: News, Health Plan Management

Reinsurance Fee Unfair, Some Large Employers Say

The transitional reinsurance fee hasn’t got nearly the same notoriety as other provisions of the Affordable Care Act, but for many businesses it may be a pricey little afterthought. Beginning in 2014, employers will pay an additional $63 for each… more »

03/29/13

  04:01:45 pm, by MedBen5   , 223 words,  
Categories: Health Plan Management

MedBen Takes Security Of Your PHI Seriously

With the majority of doctor’s offices using some type of electronic health record system, questions invariably arise about the security of protected health information (PHI). Increased availability of patient data requires a heightened reliance on… more »
  03:14:31 pm, by MedBen5   , 261 words,  
Categories: Wellness, Health Plan Management

One Doc's Take On Health Care Reform

Some thoughts on three years of health care reform from a medical insider: “[W]e should admit that our health care system has flaws when it comes to the uninsured. To prove the health care reform’s benefits, the easy-to-sell low-risk coverage for… more »

03/28/13

  11:57:53 am, by MedBen5   , 229 words,  
Categories: News, Health Plan Management

Costs For Some Will Rise Under Health Care Reform, Says HHS Secretary

Coinciding with the Society of Actuaries analysis we reported yesterday comes an acknowledgment by the Obama administration that health care costs will rise for some people under the Affordable Care Act… but exactly who will be affected and by how… more »

03/27/13

  11:01:29 am, by MedBen5   , 246 words,  
Categories: News, Health Plan Management

Actuaries: Most States Will See Double-Digit Jumps In Individual Claim Costs

Ohio is one of many states that could see a huge spike in claim costs for individual health policies – as much as 80%, says a new report by the Society of Actuaries. According to the Associated Press, financial risk analysts concluded that while… more »

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