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Category: "Health Plan Management"

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02/20/12

  03:42:44 pm, by MedBen5   , 758 words,  
Categories: Health Plan Management

The ACA 2012 Health Plan "To Do" List

With the second anniversary of the passage of the Affordable Care Act fast approaching, it’s an appropriate time to look forward to what health plans have to do to comply with reform law in 2012. Fortunately, it’s a pretty quiet year from a… more »
  10:59:45 am, by MedBen5   , 262 words,  
Categories: Health Plan Management

WSJ Op-ed: Health Spending Declined During Last Decade

In a Wall Street Journal opinion piece, J.D. Kleinke of the American Enterprise Institute argues that better medical care and consumer choice have contributed to slowing the growth rate of national health expenditures over the past decade: “As… more »

02/17/12

  04:03:26 pm, by MedBen5   , 138 words,  
Categories: News, Health Plan Management

Tax Credit Spurs Small Businesses To Cover Employees

As part of an effort to encourage more small businesses to provide health care coverage, the Obama administration has expanded the Affordable Care Act’s healthcare tax credit to $14 billion in its proposed fiscal 2013 budget. According to Modern… more »

02/16/12

  05:30:01 pm, by MedBen5   , 217 words,  
Categories: News, Wellness, Health Plan Management

Many Baby Boomers Not Getting Eye Exams

Most older members of the U.S. workforce have vision care coverage, but not all of them take full advantage of their benefits, Employee Benefit News reports. A recent Transitions Optical survey found that 79% of baby boomers have enrolled in a group… more »
  04:29:37 pm, by MedBen5   , 177 words,  
Categories: News, Prescription, Health Plan Management

Birth Control Solution Fails To Address Self-Insurance Question

The birth control compromise offered by the Obama administration quelled – momentarily, at least – a growing political headache. But, as the New York Times notes, it ignored one conspicuous point. To appease religiously-affiliated employers… more »
  03:00:45 pm, by MedBen5   , 168 words,  
Categories: News, Wellness, Health Plan Management

U.S. Doctors' Group Attempts To Stem Excessive Testing

In an effort to reduce excessive medical testing, the American College of Physicians (ACP) is releasing guidelines to aid physicians in determining whether or not patients should screen for specific disesases. “Excessive testing costs $200… more »

02/15/12

  10:13:11 am, by MedBen5   , 258 words,  
Categories: News, Prescription, Wellness, Health Plan Management

Contraceptive Compromise Offered, But Question Of Cost Remains

As we noted here last week, President Obama has proposed a compromise regarding the mandate that religiously-affliated businesses cover contraceptive services. But even if the Catholic Church accepts the work-around, questions and controversy remain.… more »

02/10/12

  05:16:30 pm, by MedBen5   , 274 words,  
Categories: News, Health Plan Management

Department of Labor Releases Final SBC Regulations

On Thursday, the Department of Labor released the Final Regulations describing a plan sponsor’s responsibilities for preparing and distributing the 4-Page Summary of Benefits and Coverage (SBC). The template for the 4-Page (double-sided) Summary has not… more »
  05:07:10 pm, by MedBen5   , 175 words,  
Categories: News, Wellness, Health Plan Management

President Obama Revises Birth Control Coverage Requirement

In response to escalating criticism from political opponents and members of his own party, today President Obama has reversed the requirement that religiously-affilated employers provide birth control coverage to women. The Washington Post reports that… more »
  02:13:28 pm, by MedBen5   , 157 words,  
Categories: News, Health Plan Management

Growth Rate Of Health Care Spending Slow In 2011

The National Journal reports that health care spending increased just 4.4% from 2010 to 2011, among the slowest rate of growth in the past 50 years. According to a report by the nonprofit Altarum Institute, the $2.70 trillion spending rise… more »

02/08/12

  04:37:27 pm, by MedBen5   , 367 words,  
Categories: Announcements, News, Health Plan Management

MedBen IS Team Putting Final Touches On HIPAA Updates

Members of the MedBen Information Systems team worked diligently throughout 2011 to see that new Centers for Medicare & Medicaid Services guidelines for electronic transmission of administrative transactions were in place by the original December 31… more »
  01:06:25 pm, by MedBen5   , 207 words,  
Categories: News, Wellness, Health Plan Management

Birth Control Mandate Spawns Backlash, Potential Compromise

The Obama administration may attempt to find middle ground with Catholic universities and hospitals in regard to the controversial rule that health insurance plans must cover birth control, Reuters reports. Speaking on MSNBC, presidental adviser David… more »

02/07/12

  05:02:16 pm, by MedBen5   , 165 words,  
Categories: News, Health Plan Management

Individual Mandate Foes Say Congress Overstepped Bounds

The Obama administration had its say about the Affordable Care Act, and now the opposition has chimed in as well. Reuters reports that 26 states and the National Federation of Independent Business have presented separate written briefs to the Supreme… more »
  03:37:36 pm, by MedBen5   , 246 words,  
Categories: Prescription, Health Plan Management

Doctor Offers Personal Take On Lipitor Vs. Generic Question

Still on the fence about whether to switch from Lipitor to a new generic alternative? Here’s some thoughts from Anthony Komaroff, M.D., the Editor in Chief of Harvard Health Publications – a doctor who puts his medication money where his… more »

02/06/12

  05:07:59 pm, by MedBen5   , 257 words,  
Categories: Announcements, Health Plan Management

Partners Expands Community Health Network

As part of an ongoing effort to promote better health, Partners Community Health Plan is currently expanding its community health network. Local businesses, sharing a common dedication to consumer wellness, have generously agreed to provide discounts to… more »
  04:10:54 pm, by MedBen5   , 207 words,  
Categories: News, Health Plan Management

House Votes To Repeal Long-Term Care Program

Last week, the House of Representatives voted 267-159 to repeal the Community Living Assistance Services and Support program, the Associated Press reports. A provision of the Affordable Care Act, the program – known as the CLASS Act – was… more »

02/01/12

  11:56:55 am, by MedBen5   , 195 words,  
Categories: Health Plan Management

High-Risk Pools Not Affected By Unlimited Coverage Rule

The Affordable Care Act no longer allows health insurers to set lifetime maximums on coverage. But the change doesn’t apply to people in high-risk insurance pools – sicker individuals who would benefit most from unlimited access to medical… more »

01/31/12

  10:48:22 am, by MedBen5   , 219 words,  
Categories: News, Health Plan Management

People Divided On Reform Legislation, But Like Key Elements

A new Harris Interactive/HealthDay survey reveals that key provisions of the Affordable Care Act are increasingly finding favor with most Americans. HealthDay News (via MedicineNet.com) reports that people remain sharply divided over the overall… more »

01/30/12

  05:39:02 pm, by MedBen5   , 190 words,  
Categories: News, Wellness, Health Plan Management

U.S. Cancer Screenings Remain Below Target Levels

If you’ve put off a cancer screening, you’re not only doing yourself a disservice – you’re also disappointing your friends in the federal government. According to WebMD, a new Centers for Disease Control and Prevention report… more »
  04:45:42 pm, by MedBen5   , 257 words,  
Categories: News, Health Plan Management

President -- And A Candidate -- Weigh In On Individual Mandate

Two health care reform news notes to begin the week: Reuters reports that the Obama administration has presented a written brief to the Supreme Court, which argues that even if the individual mandate is found unconstitutional, almost all the rest of… more »

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