Posts Tagged ‘plans’
California benefits for health plans under federal reform defined in …
Ed Hernandez, and AB 1453 by Assemblyman Bill Monning, D-Carmel — define what are called "essential health benefits" under the federal health care overhaul and will fundamentally transform the kind of insurance Californians will buy. "It's historic …
Read more on San Jose Mercury News
Federal health care law: A string of broken promises
Few lawmakers read the 2,000+ page bill before voting on it, but supporters promised it would expand access to health care, cut health care costs and – most importantly – allow people to keep their coverage and their doctors if they wished. Those have …
Read more on Columbia Basin Herald
Flu shot bill lacks penalty for health workers
Health care workers who don't get a flu shot wouldn't have to wear a mask under an amended bill that state lawmakers sent to the governor on Thursday. The initial bill was designed to encourage health care workers to get influenza vaccines so they don …
Read more on Sacramento Bee
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Washington, DC (PRWEB) August 16, 2012
In a final rule published in the Federal Register on July 20, 2012, the Secretary of Health and Human Services nominated URAC to serve as an HHS recognized accrediting entity of Qualified Health Plan (QHP) issuers participating on Health Insurance Exchanges. The Affordable Care Act (ACA) mandates that Exchanges begin operation in all 50 states and the District of Columbia on January 1, 2014, and also requires that all QHP issuers wishing to participate on an Exchange obtain accreditation from any accrediting entity recognized by HHS.
The ACA, final rule, and subsequent HHS clarification make clear that:
SPINNING OFF: Pfizer Inc., the world’s largest drugmaker, plans an initial public offering of about $ 100 million in shares of its animal health business to pay off debt.
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(PRWEB) July 26, 2012
Zane Benefits, which provides comprehensive and flexible small business heath insurance alternatives, today published key health reform questions businesses should be able to answer.
U.S. businesses have traditionally paid premiums to insurance companies to cover workers with a single “defined benefit” group health insurance plan. However, due to changes in the individual market, most of these businesses will consider switching to a “defined contribution” health benefits program, where employers give workers a monthly allowance to purchase their own “individualized” coverage through a private or public health insurance exchange.
Health Reform Provides Massive Federal Subsidies for Individual Policies
Under the health law, individuals or families making as much as four times the U.S. poverty level — that’s approximately $ 90,000 for a family of four — are eligible for health insurance premium subsidies. In states that dont set up exchanges, a federally run national site will take over.
Public Health Insurance Exchanges are Being Developed Now for 2014
The development of the public health insurance exchanges for 2014 is under way. These public exchanges will provide new opportunities for health insurance companies and brokers to provide new, value-added services. Similarly, private health exchanges, which have been around for years, are adapting their services for employers and defined contribution.
Below are 5 key questions brokers, health plans and businesses should be prepared to discuss during the upcoming renewal periods.
1. Broker Role: How can insurers and brokers integrate and/or coordinate with federally run health insurance exchanges?
2. Public exchanges: What insurance options will be available in public health exchanges?
3. Defined contribution: How can employers, insurers and broker adopt defined-contribution platforms?
4. Employer Penalty: First, Does it apply? Then, based on the comparitive costs of “paying or playing”, should the employer provide qualified, affordable coverage or provide a defined contribution plan and pay the penalty?
5. Private exchanges: What role will private health exchanges play in 2013, 2014 and beyond?
About Zane Benefits, Inc.
Zane Benefits, Inc, a software company, helps insurance brokers, accountants, and employers take advantage of new defined contribution health benefits and private exchanges via its proprietary SaaS online health benefits software. Zane Benefits does not sell insurance. Using Zanes platform, insurance professionals and accountants offer their clients a defined contribution plan with multiple individual health insurance options via a private health exchange of their choice.
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Garden City, NY (PRWEB) July 20, 2012
Members and guests of the NAPW Orange County Local Chapter gathered on June 27 for a professional networking meeting at the Costa Mesa offices of SYSPRO, 959 South Coast Drive, Ste. 100, in Costa Mesa. Hosted by Monique Nabal, Manager of Technical Services at SYSPRO, Chapter members and guests enjoyed a productive afternoon of networking as well as an informative talk about the international software company. Plans for a group trip to Italy in December were also discussed.
Networking 101 is the way NAPW Orange County Local Chapter President Petra Petry described the Chapters June meeting, which was hosted by member Monique Nabal. The afternoon event allowed for plenty of time for members and guests to get to know one another.
New members were warmly welcomed and introduced to the group by Petra and connections were renewed and established.
The NAPW Orange County Chapter allows you to network with other members and grow your business. That is the entire premise of the Chapter, to help members connect and grow together, said President Petra.
The Chapter President thanked member Monique Nabal for offering her companys conference room for the afternoon and for all future meetings, since it is a convenient location for members, allows for easy networking, and offers members and guests the flexibility to bring in their own food or have it delivered.
As the guest speaker, Monique showed members and guests around the offices and filled them in on what SYSPRO does.
Monique provided the group with very valuable information about her company. She gave members and guests a mini tour of her office and explained what type of software is used for creation of everyday things around us. It was very exciting to understand that this company can help many of the smaller manufactures to grow rapidly and expand with distribution and with the computerized technology offered by SYSPRO. This successful international company is a leader in its industry and has more than 14,500 customers worldwide.
The important Technologies Awards winner helps its customers with the production of many different things, such as, food, wine, vitamins, medical devices, bikes, tailored guitars, cleaning supplies, tires, in summary, anything you can think of in big or small scale production where the software is able to manage and updates very rapidly with customers demands and even last minute changes. Monique has been a tremendous asset and excellent NAPW Orange County Local Chapter member. To contact her you can visit the syspro.com, said President Petra.
The Chapter President reminded the members and guests about the Chapters Italian Tour 2012 December that is being planned. The tour is for eight days with the possibility of an extension.
We could all use some rest before the Holidays if we start to plan now, so we can budget for our trip to Italy and with the money we save, we can bring some gifts for our loved ones, said the President.
Petra took time to thank NAPW South County Local Chapter President Laura Bazerman-Swanson for her participation in the June meeting. The South County Chapter was recently launched July 12 at Mimis Caf
Atlanta, GA (PRWEB) July 12, 2012
Protect Your Bubble (http://us.protectyourbubble.com/), the UKs leading specialty insurance brand, has launched in the US market, offering pet insurance policies for dogs and cats with a variety of affordable options. Plans provide up to 90 percent reimbursement on covered vet bills for eligible accidents, illnesses, and hereditary conditions. Routine wellness coverage is also available to help consumers get reimbursed on routine vet treatments. Consumers can go to any vet in the country, and may be eligible to receive a 10 percent multi-pet discount.
According to the 2011-2012 APPA National Pet Owners Survey, 62 percent of U.S. households own a pet, which equates to 72.9 million homes. Pets have moved from the backyard to the family room because most American pet owners see their pet as a member of the family. In fact, according to a 2011 survey published in PsychologyToday.com, 81 percent of those surveyed consider their dogs to be true family members, equal in status to children. A 2009 Forbes.com article speculates that this increased focus on pets could be a result of many variables including, couples abstaining from having children until later in life, our real-life relationships have been exchanged for the over saturation of social media consumption, or the fact that our stressful lives warrant a furry, unconditionally loving four-legged friend to greet us when we come home.
Whatever the reason, one thing is for sure: Consumers insure their loved ones with health insurance; now its time to insure pets, too. Owners who wouldnt consider not treating their pet to needed care due to their financial situation may find Protect Your Bubble USA (http://us.protectyourbubble.com/) to be an affordable option for their pets healthcare.
Protect Your Bubble Pet Insurance Plan Overview:
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GOP plans to call attention to healthcare law with tax repeal votes next week
J.) – a key player in brokering deals within his party to pass the healthcare bill – called the upcoming debate a “waste of time” and said the House should be focus on legislation to create jobs. “(The timing) is probably not coincidental, …
Read more on The Hill
Facts About the Health Insurance Compensation Gap
Below are the answers to some key questions about this gap, as well as how the Affordable Care Act—the new health reform law—works to close it. Q: What is the health insurance compensation gap? A: Women are less likely than men to receive health care …
Read more on Center For American Progress
Fact-check: Crossroads GPA ad exaggerates Obama's debt
AP By The Washington Post “Obama started spending like our credit cards have no limit . . . his health-care law made health insurance even more expensive.” — voiceover of new Crossroads GPS television ad The latest entry by Republican-leaning …
Read more on Chicago Daily Herald
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Washington, DC (PRWEB) January 05, 2012
Atlantic Information Services, Inc., publisher of Health Plan Week, Inside Health Insurance Exchanges, AIS’s Health Reform Week and ACO Business News, is pleased to announce its January 10 webinar, Setting Out-of-Network UCR Rates: Evaluating FAIR Healths Benchmark Data and New Alternatives for Insurers and Employers. See webinar details at http://aishealth.com/marketplace/c2m01_011012.
Its been nearly four years since New Yorks attorney general investigated the out-of-network reimbursement system used by insurers in the state and concluded it was flawed. UnitedHealth Group and 10 other insurers contributed nearly $ 100 million to a settlement, a portion of which was used to launch FAIR Health, Inc., a not-for-profit entity that has become a national clearinghouse for claims-based data.
Today, methods used to determine rates for out-of-network providers are coming under increased scrutiny. And rising deductibles and other out-of-pocket costs are leaving enrollees looking for tools that can help them estimate costs. Some medical societies have proposed that FAIR Health (and its 12 billion billed procedures for more than 120 million covered lives) become the default data source for determining rates for members who seek care from out-of-network providers. But some health insurers and self-insured employers have come up with alternative methods for determining Usual, Customary and Reasonable (UCR) rates for out-of-network providers.
Speakers Robin Gelburd, President of FAIR Health, Inc. and Robert Park a principal and consulting actuary in the New York office of Milliman will present the specifics about FAIR Health and other alternatives being used today by employers and health plans to set out-of-network rates.
During the 60-minute presentation and 30 minutes of Q&A, the speakers will answer these and other questions:
What models exist today for setting out-of-network rates? What are the chief advantages and disadvantages of each?
How does FAIR Healths new database differ from Ingenix databases? Whats new? What remains the same?
What are the pros and cons of basing out-of-network rates on a percentage of Medicare? How will FAIR Healths Medicare comparison tool work?
How will detailed consumer pricing information about out-of-network costs encourage members to stay in network?
What are the chances that FAIR Health will become the industry standard? What must take place for this to happen?
How should benchmarking data be used to determine charges under value-based payment mechanisms such as an ACO?
Visit http://aishealth.com/marketplace/c2m01_011012 for more details and registration information.
AIS develops highly targeted news, data and strategies for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. Learn more at http://www.AISHealth.com.