Monthly Archives: September 2015

Do Workplace Wellness Programs Work? Usually Not

Did you know that over 50% of large firms (defined as over 200 employees) offer incentives for employees to complete health risk assessments, intended to identify health issues? Medium to large employers spent an average of $521 per employee on wellness programs in 2013, double the amount spent 5 years ago. Per the NY Times, Read More

Coverage for Spouses and Dependents Scaled Back

Did you know that to control rising health care costs and minimize triggering the Affordable Care Act’s 2018 excise tax, a growing number of employers will significantly reduce the subsidies paid to support spousal and dependent coverage? As reported by the Society for Human Resurce Management (SHRM), 58% of companies have completed an audit of Read More

Overpayments Are an Obligation to Refund

Did you know that healthcare providers are legally compelled to return overpayments as part of their compliance efforts? The Patient Protection and Affordable Care Act (PPACA) includes a civil monetary provision that requires the return of overpayments within 60 days of identification by the provider. Read More

Private Health Insurance Exchanges Unleash ‘Transformational Change’

Did you know that despite the negative attention of public healthcare exchanges, private health insurance exchanges are quietly building steam as new tools to engage employees and manage health care benefits more effectively? The potential benefits of private exchanges are relatively obvious: reducing trend for health care costs, reducing administrative burdens in an increasingly complex Read More

Will Narrow Networks Strike Out On The Health Care Exchanges?

Did you know that narrow networks, while limiting your choice in chosen medical providers, typically offer significantly reduced premiums? Narrowing the choice of in-network doctors and hospitals is designed to help insurance companies control costs and manage care. Typically a narrow network may only include 30-70% of the available providers in the area. Read More

Can The Apple Watch Really Keep The Doctor Away?

Did you know that the Apple Watch, while still early in its development, has the capacity to become the first commercial data-gathering and synthesis system for personal health metrics? With the availability of specialized biosensors and real-time access to medical records, it could deliver event or monitor-driven, ultra-personalized medical info to you, and evaluate and Read More

Why Is There So Much Unnecessary Care?

Did you know that Walmart is receiving unexpected benefits from its leading edge program for medical “centers of excellence”? Walmart is sending employees to chosen “centers of excellence”, and is finding that 30% of the transplants initially recommended are not necessary.Read More

Employers Plan Strategic Changes to Health Benefits

Did you know that the majority of midsize and large U.S. employers (84%) expect to make changes to their employee health benefits program over the next 3 years, according to nw research from consultancy Towers Watson? Two-thirds are planning to use claims and other data to evaluate plan performance and employee behavior changes in lifestyle Read More