Health Plans/Managed Care

Health care solutions and benefits management for employers and HR teams. Providing direction on health care consumerism and population health and wellness.
ObamaCare: From “No Way” to “Now What?”
For flexible strategic planning, there are four major phases to consider: Legislation, regulation, compliance, and litigation.

It’s Time to Listen to Health Care Consumers
Released April 14, 2010, a Mercer study for the American Association of Preferred Provider Organizations (AAPPO) showed that insurance with health care consumerism now covers an estimated 23 million lives. Health care consumerism includes insurance plans with personal care accounts attached to the insurance coverage.

CCH Offers Complete Text, Explanation, Analysis of New Health Care Reform Law
Now, there’s a single, comprehensive resource from CCH that explains and makes accessible the sweeping changes brought about by recently enacted health care reform legislation: CCH's Law, Explanation and Analysis of the Patient Protection and Affordable Care Act, Including Reconciliation Act Impact.

VitalSpring Launches Code Blue Initiative to Help Employers Respond to New Health Law


Companies Should Take Control of Health Care Costs
Seven proactive steps executives can take to controlling health care costs

Employers' Support Leads to Increased Biometric Screening and Health Coaching Growth in 2009
Encouragement and incentives drive employees towards better health

Latest DSS Research Survey Reveals That Consumers Are Torn Between Access and Coverage
In the most recent survey, Americans were given a choice between making their first priority providing some level of health insurance coverage for all citizens or slowing down the rapidly rising costs of health care.

Care.com Now Offers Resources Through Ceridian Lifeworks
Today Care.com (www.care.com), the premier source of trustworthy family care options, announced a partnership with Ceridian Health & Productivity Solutions. As part of the agreement, Care.com will provide caregiving resources and discounted access to its nationwide network of care providers for Ceridian LifeWorks program customers and their employees.

Towers Watson, UnitedHealthcare Partner to Design Solution for Employer-Based Retiree Health Program
New Retiree Health Collaborative Gives Employers Simple Alternative to Managing Their Own Retiree Medical Programs While Enhancing the Value of Retirees’ Health Benefits

A First Look at the Impact of Health Care Reform on Employers
This bulletin focuses on the Act’s effects on employer-sponsored health coverage and new employer responsibilities.

Corporate America weighs in on health law costs
A pair of top U.S. industrial companies gave some of the first estimates of what the nation's health care overhaul will cost them...

Health Reform – the Ultimate Fix
A majority of Americans believe that a health reform fix is needed. For those in power the following is the perspective of a concerned physician and an actuary, two professionals who work in the dysfunctional system. Please read, it’s important for a few noble Congressmen and women to listen to these insights. Consider what kind of fix you may be voting for.

MagnaCare Positioned for Growth in National Health Care Marketplace, Expanding Member-Centric Progra
MagnaCare, ( www.magnacare.com) a health plan services company with national reach, today announces plans to build on its stable customer base and dominant position in the fiercely competitive NY/NJ/CT region to expand into the broader health care services market.

Companies Face Worker, Health Care Challenges as Millennium Closes
Overall Outlook for 2010

Reform Prospects, Recession Remain on the Minds of Many
Survey Respondents See No Clear Winners This Year

Any Reforms Must Strengthen Both Health Care and Economy
Initial Focus Should Address Cost

Maximize Corporate Value When Implementing Parity Act
Mental health parity has been misunderstood as long as it has been debated. The cost concerns expressed for many years have been eliminated, with years of experience showing the beneficial corporate and improved health effects of recognizing the mind-body relationship.

Lack of Reform Helps Preserve HSAs
Not only did HSAs survive under Obamacare, they were poised to become a cornerstone of the program.

Awareness Can Be Key to Success of HDHP
A study finds that high-deductible health plans (HDHP) coupled with health savings accounts (HSA) can be a good fit for many employers and employees.

Zions, Employees Reap Rewards of CDHPs
ConnectYourCare helps Zions Bancorporation remedy a classic health care conundrum.

Companies Use Personal Touch With Health Care
Once employees begin to manage their own Personal Value, they will begin to understand that their investments in performance, wealth, and health will accompany them from job to job within or outside their current employer.

Government Agencies Issue Interim Final Regulations on Mental Health Parity


And Now ... The Rest of the Story
Consumer-driven plans and on-site clinics are unquestionably the right combination in today’s environment.

Remember CDHC? Consumer-Directed Health Plans Offer Options
Will consumer-directed health care (CDHC) play an important role in employer benefits during this new decade?

Chronic Diseases and Health Care Accounts, Dispelling the Myth
Industry data shows those with chronic care needs, who have account-based plans, have lower medical costs as compared to those with traditional plans...

Knoxville Takes Charge of Health Care Costs with NavigatorMD Analytics
The city of Knoxville, TN, offers an innovative wellness program that includes HRA contributions for physical activity, tobacco avoidance, and chronic disease self-care.

Human Resources Targets Your Family
HR has yanked the junk food and badgered you to get healthy. Now it's eyeing your spouse and children

Insurer Steps Up Fight to Control Health Care Cost
UnitedHealthcare takes an aggressive approach to cut health costs ahead of the wave of reform.

Employer Satisfaction With Health Insurers Is Declining
Employers in the United States have become less satisfied with their health insurers, according to a study released today by PricewaterhouseCoopers' Health Research Institute.

Goodbye Executive Medical Reimbursement Plans?
Wolters Kluwer Health Reform Talk blog: January 15, 2010

Understanding Key Provisions in Federal Health Care Reform
To help employers prepare for the changes, Business Insurance provides answers to frequently asked questions about what to expect from health care reform.

Aflac Becomes the Most Preferred Carrier for Voluntary Insurance Among Brokers
A survey of 358 brokers finds Aflac is the number one preferred carrier for voluntary insurance among brokers.

Employer Health Mandate May Be Dropped
AP Sources: Health Bill May Drop 'Millionaires Tax,' Requirement for Large Employer Coverage

Health Reform Impact on Consumer-Driven Health Care Likely to be Modest
Analysis of: Reform Bill Could End Popular HSAs, Flex Spending

Excise Tax on 'Cadillac' Health Care Plans is a Bad Idea
More than 80% of the taxes for health care would come from individuals paying higher income, Social Security and Medicare taxes -- not from employers and insurers.

New Applications Provide Employers with Competitive Position of Health Care Costs, Benefit Plans...
New Application from Thomson Reuters and HighRoads Provides Employers with a Deeper Understanding of the Competitive Position of Their Health Care Costs and Benefit Plans

Pan-American Life Insurance Group Launches New Company Offering Limited Medical Benefits
Product portfolio offers alternatives to major medical health benefits

CCH Special Report Details Employer, Medicare Provisions of Senate Health Care Reform Bill
CCH has issued a Special Report on the Senate version of health care reform legislation, detailing the provisions of the bill which passed by a vote of 60-39 on December 24, 2009.

CIGNA Names Key Executive Leadership
David M. Cordani, president and chief executive officer of CIGNA Corporation, today announced his executive leadership team for the company. The appointments are effective immediately.

Businesses to Push for Modifications to Senate Bill
Big employers stress over taxes and fees proposed in both Senate and House health reform legislation.

HMS Acquires Verify Solutions, Adding Dependent Eligibility Audit Services...
Acquisition moves HMS into the employer-based market with a valuable new service that fits well with mission to help control health care costs

Aetna Provider Collaboration Program Delivers Positive Results for Pennsylvania Medicare Members
Aetna and PMA Medical Specialists LLC, of Phoenixville, Pa., have completed the first year of their unique pay-for-performance program for Aetna Medicare Advantage plan members residing in Pennsylvania.

Americans Would Feel Varying Effects from Health Bill
Here are some of the largest groups to be affected by health reform...

Priority Health Offers Employers More Options in Wellness
Priority Health Launches A New Line of Wellness Packages

Group Health Insurance Program Launched by Benepath.com
Online health insurance quotes leader Benepath.com announced the expansion of their online presence into the group health insurance market.

Humana Develops Social Media Tool Combining Twitter Search with Mapping Function
Humana's new social media tool allows users to see, join conversations as and where they happen.

U.S. Health Bill Passes Crucial Senate Test
In a middle-of-the-night vote, Democrats unanimously backed the first in a series of three procedural motions to cut off debate and move the bill to a final vote by at least Christmas Eve.

Squeezing Costs out of Health Care...
Squeezing Costs out of Health Care Tops PricewaterhouseCoopers' List of 2010 Health Industry Issues

Senate's Solution: Consumer Choice Is Dead on Arrival
According to the health care reform bill, there's an easy way to solve the problem of the uninsured in this country: buy it, sell it or else...

Companies Expanding EAP Offerings
Short-Term Counseling Often Cheaper Than Therapy Through Medical Plans

UPMC Health Plan Offers Brain Fitness Software to Improve Health
Insurer Promotes Healthy Minds and Bodies

CDHPs Deliver Real World Health Care Reform
CIGNA Study: CDHPs Could Bend the Cost Curve 26% over Four Years and Improve Health Care Quality

Employer Contributions Shifting in Consumer-driven Health Plans
Workers with employee-only coverage have seen their annual employer contributions decrease

RedBrick’s Health Earnings System Projected to Generate Five Percent Savings...
RedBrick’s Health Earnings System Projected to Generate Five Percent Savings on Health & Productivity Costs for Welch Allyn

Is There a Doctor in the Corporation? Maybe Soon
Employers find putting employee wellness first curbs costs and boosts performance

Lighthouse1 Helps Canopy Financial and CareGain Partners, Customers Avoid Service Disruption
Lighthouse1 has created a special migration program for customers and partners of Canopy Financial, including HealthDirect and CareGain.

Market Based Health Care Reform Alternatives
Government-based overhaul has completely monopolized the debate on healthcare. Here are seven examples of successful market-based healthcare alternatives that you should know about.

Focus on Men’s Health Worth Employer’s While
Employers and Health Plans Examine Rates of Chronic Disease Within Certain Employee Populations

Employers Hold the Line on Health Benefit Cost Increases
Large employers add health management programs; small employers move employees into account-based high-deductible plans

Value-Based Benefits Solution Paves Road to Member-Level Benefit Design and Incentives
New TriZetto Value-Based Benefits Solution Paves Road to Member-Level Benefit Design and Incentives

Long-Term Care Insurance: The Next Big Thing in Healthcare
Profit from the Burgeoning Market for Long-Term Care Insurance

Employers with CDHPs Prefer HSAs
Majority of Employers with Consumer-Driven Health Plans Prefer Health Savings Accounts, Says Aon Consulting

Sibson Consulting Announces 2009 Healthy Hospital Survey
Sibson Consulting is seeking to evaluate the maturity of employer health and productivity programs and measure the impact of various strategies and practices by surveying health care and hospital employers' best practices in absence, health, wellness and productivity initiatives. Data gathered from this new, on-line survey will allow Sibson to establish a set of benchmarks for peer organizations both within the hospital and healthcare sector and beyond. (Last year, Sibson published results of its 2008 Healthy Campus Study.)

The Essential Benefits Package--An Employer Model
Following Wolters Kluwer Health Care Reform Talk blog

Use Open Enrollment to Engage Employees in Health Care Decisions
A study by the National Business Group on Health and Watson Wyatt found that the best and most consistent performing companies are more than twice as likely as poor performing companies to have more than 50 percent of their employees enrolled in a consumer-directed health plan...

eHealth, Inc. Announces Partnership With CareCounsel, a Leader in Health Advocacy Programs
CareCounsel to Utilize eHealth's Technology Platform When Providing Industry Leading Healthcare Assistance and Advocacy Services

Key Influencers Convene to Improve Health Outcomes, Lower Costs
Key Influencers Convene in Chicago to Advance Behavioral Economics in Healthcare and Improve Health Outcomes and Lower Costs

John Hancock's Enhanced Flagship Long-Term Care Insurance Product Available in Additional States
'Custom Care II Enhanced' features broad range of innovative benefits

Employer Contributions Shifting in Consumer-Driven Health Plans
Workers with employee-only coverage have seen their annual employer contributions decrease, while those with family coverage have seen their annual employer contributions increase, according to a new survey released today by the nonpartisan Employee Benefit Research Institute (EBRI).

How Does Union Membership Affect Health Insurance Coverage?
How does union membership affect the likelihood of a worker having health insurance benefits?

An Insider’s Guide to Surviving Health Care
Help for the unemployed… and anyone else wanting to save money

GM Salaried Staff Get Only Consumer-driven Health Plans


Employer Health Benefits Survey
The Kaiser Family Foundation and Health Research & Education Trust Employer Health Benefits Survey -- 2009 Summary of Findings

Workers Will Pay More for Health Care, Consulting Firm Says
No matter what happens with health-care reform this fall, employees should expect to pay more for health insurance in 2010 -- especially with co-pays and deductibles.

Ceridian: Subsidy’s Complexities May Have Limited COBRA Enrollment
COBRA subsidy compliance limits enrollment

A Better Health Care Alternative
Public plans aren't cutting it? Look to the Swiss.

Weekly Health Care Reform Pulse: Senate Finance Committee Bill Marks Intense New Phase
Following Towers Perrin Health Care Reform Blog

Health Reform Talk: The Baucus Proposal and Larger Employers
Following Wolters Kluwer Health Reform Talk Blog

MedRisk, Inc. and Coventry Workers’ Comp Services Announce New Partnership
MedRisk, Inc. and Coventry Workers’ Comp Services Announce New Partnership

Consumer Health Plans Pass HMOs in Popularity


Number of Retail Clinics Shrinking; Growth Slows as Partnerships Sought with Hospitals
Experts say calculated growth will lead to stronger longevity in a market that has seen some notable failures in recent years.

How CEOs Can Help Fix Health Care
It's time for American companies to turn health care costs from a weakness into a strength.

CDHC Becomes Practical
Employers across the country are making CDHC more applicable.

Build a Terrific Plan Design and Watch CDHC Work for Your Organization
Sustaining fabulous results is due to continuing and extensive employee education that drives behavior changes. By Marie Dufresne

More Limited Benefit Health Insurance Options on Horizon?
Offering limited benefit plans helps companies cut turnover, boost workplace appeal. Here’s what to look for in the plan design. By Susan Nicolai

Orion Health and Cisco Announce New Medical Data Exchange Solution to Integrate, Share and Report Pu
Orion Health and Cisco Announce New Medical Data Exchange Solution to Integrate, Share and Report Public Health Data

Fletcher/CSI Presents Using Competitive Intelligence to Improve Product Development, Strategy...
Fletcher/CSI, LLC, experts in competitive intelligence and primary research, announced today the company will present Using Competitive Intelligence to Improve Product Development, Strategy, and Best Practices at the 2009 New Product Innovation, Design & Development for Health Plans Conference in Chicago, IL on September 22nd, 2009.

Health Care Claim Costs Expected to Rise 10.5 %
Costs for employer-provided health plans are expected to rise more than 10 percent within the next 12 months, a jump workers may feel in their paychecks or through changes to their insurance coverage.

The Cost of Employers Waiting for Heath Care Reform
This year, with major potential changes in healthcare looming every night on the evening news, many employers have virtually shut down discussions on what to do with their employee health benefit plan. This is costing these employers much more than they realize.

Health Care Debate Misses Issue of Costs
With health care costs increasing at more than twice the general rate of inflation, any reform that does not adequately address costs will bankrupt both our economy and the U.S. Treasury, and thus ultimately will fail.

Connextions Cited in Leading Industry Analyst Firm's 'Hype Cycle for Health Care Payers'
Connextions Help Plans Attract, Retain and Serve Health Insurance Consumers

ConnextionsHealth Introduces Turnkey, Rapid Ramp Call Verification Solution
New CMS Guidelines on Verification Calls Leave Only 60 Business Days for Health Plans to Comply

Mobile MedCheck Brings Back House Calls


Health Insurance Innovation Is Possible
Former U.S. Secretary of Health and Human Services Tommy Thompson References Liazon on Larry King Live

Lightspeed Research--The Foresight Group, Announced the Annual Meeting for The Healthcare Consortium
Lightspeed Research - The Foresight Group, a global provider of innovative employee survey solutions, 360 surveys, and manager feedback surveys, announced today the annual meeting for The Healthcare Consortium scheduled for November 2, 2009, at the Hyatt Regency Hotel in Chicago, IL.

Survey: Consumer Driven Health Plans (CDHPs) in the U.S. Have Surpassed HMO Plans
United Benefit Advisors (UBA) from its 2009 UBA Health Plan Survey reveals Consumer Driven Health Plans (CDHPs) in the U.S. have surpassed HMO plans in covered employees

Building a Health Marketplace that Works
In the debate about health reform, many issues are getting an inordinate amount of attention, but one is not getting the detailed consideration it deserves. How it is finally resolved is likely to be one of the key factors of the ultimate plan’s success or failure. That issue is the design of the health insurance exchange.

Leading Health Website Offers New Approach to Comparative Medicine
RateADrug.com introduces a methodical way for patients to compare conventional treatments to alternative and complementary therapies.

Online Health Insurance Resource, HealthInsurancePlan.us, Launches New State By State Insurance Guid
HealthInsurancePlan.us announces the launch of a new state by state guide to health insurance plans. The guide helps users compare California health insurance with Florida health insurance, and every state in between.

Asparity Helps Consumers Select Health Plans and Control Costs
Decision support tools are ‘exchange’ featured in national debate on health reform