Monthly Archives: September 2015

Seniors Flock To Star-Rated Medicare Plans Under ACA Rollout

Did you know that more than half of seniors enrolled in Medicare Advantage plans are now enrolled in plans with ratings of four or more stars on a five-star scale, a ranking system created under the health law to guide seniors to cost-effective and higher quality benefits? Plans are rated on such measures like call Read More

Claims of Wellness Cost Savings Are Overblown: RAND

Did you know that per a recent RAND Wellness Programs Study of 600,000 employees across 7 employers, wellness programs benefits are highly exaggerated, returning only $0.50 on every dollar invested. Workplace wellness has become a $6 billion industry in the United States, as employers hope these programs can help control health-care costs. In 2012, half Read More

Doctors, nurses, others charged in $712M Medicare fraud bust

Did you know that in June 2015 the U.S. Justice Department conducted the largest ever crackdown on Medicare fraud, filing charges against 243 people covering $712 million in false billings to Medicare? Among those charged over the past several days are 46 doctors, nurses and other medical professionals as well as others accused of health-care Read More

Obamacare brings $273 billion bonanza for paper pushers

Did you know that a study by Health Affairs found that administration costs for the Obamacare legislation will cost roughly $273.6 billion, or roughly 22.5 percent, of the total estimated $2.76 trillion cost of the Affordable Care Act through 2022 will go to overhead costs?Read More

Drugs for this disease are now a $100 billion market

Did you know that the world spent an all-time high of $100 billion on cancer medicines in 2014, up 33 percent from $75 billion just five years ago? The spending is concentrated in only a handful of nations. The U.S. and the five largest European countries — Britain, France, Germany, Italy and Spain — make Read More

Patients Can Do More to Control Chronic Conditions

Did you know that disease management can help patients with chronic conditions live longer, healthier lives? For the millions of Americans over 50 who have already been diagnosed with chronic ailments like kidney disease, diabetes, heart disease, rheumatoid arthritis and chronic obstructive pulmonary disease, careful management can’t turn back the clock, but it can buy Read More

Overkill

Did you know that Walmart has launched a program for employees undergoing spine, heart or transplant procedures? Employees would have zero out-of-pocket costs if their treatment was performed at one of 6 “centers of excellence” nationally. Interestingly, per Sally Wellborn, senior vice president for benefits at Walmart, nearly thirty percent of the employees slated for Read More

2014 Health Care Changes Ahead Survey Report

Did you know that per Towers Watson, 81% of companies plan to make moderate to significant changes to health benefit programs for full-time active workers in 2015? Additionally, the cost per employee for healthcare in 2015 is $13,037. This consists of $10,233 paid for by the employer and $2,804 borne by the employee. The study Read More

Aon Hewitt 2014 Health Care Survey

Did you know that per Aon Hewitt’s 2014 study of 1,234 corporate leaders, three critical trends are emerging in healthcare: Sixty-six percent of companies aim to achieve increased participation in wellness, health improvement and disease management programs. Sixty-five percent desire to increase employee awareness of, and decision- making related to, health issues. Seventy percent indicate Read More

ICD-10 And Cost Of Care Transparency Among Leading Issues For Physicians In 2015

Did you know that the migration to ICD-10 and the cost of care transparency are among the leading issues for physicians in 2015? The ICD-10 migration will see the diagnosis codes grow from about 18,000 numeric codes to over 140,000 alphanumeric codes. While it will provide greater granularity in terms of disease management, it will Read More