Category: Medical

PPO Networks: The Devil Employers Think They Know

Source: David Chase/Forbes Written with David Contorno, President, Lake Norman Benefits Do you give your employees an unchecked unlimited expense account? If they carry your company’s health plan ID card, you do. The Affordable Care Act requires every health plan to offer benefits free from most annual and all lifetime dollar limits. If you have a self-insured plan, you may feel the direct impact of this a little more immediately (although many employers still do not recognize

The amount of the average emergency medical bill is staggering

Source: Allison Sadlier/ NY Post Ever delayed a dental or medical procedure because of your wallet? You’re far from alone since one in two Americans have postponed a procedure due to cost, according to new research. A study examining how people pay for unexpected medical or dental bills found that four in five people have experienced the shock of a medical emergency within their immediate family, with many forced to turn to unorthodox methods to

Albertsons Extends BridgeHealth Surgery Benefit to 30K Employees

Source: Progressive Grocer Albertsons Cos. has beefed up its employee benefits package by expanding associates’ access to BridgeHealth, a Denver-based provider of value-based health care services. The grocer identified BridgeHealth as a way to control the cost of expensive surgeries while boosting employees’ health and wellness. A year-long pilot gave 7,000 Albertsons employees and dependents across four states access to top-ranked surgical centers at no cost to the employee. The pilot achieved a favorable ROI

Why America’s Healthcare System Is Broken

Source: David Rook/ JP Griffin Group According to The Commonwealth Fund’s most recent study of 11 different countries’ healthcare systems, the United States comes in dead last. This study measures overall industry performance and each country is ranked by five factors that contribute to their score: care process (in which the U.S. placed 5th), access (11th), administrative efficiency (10th), equity (11th), and outcomes (11th). For being one of the richest countries in the world, the

Health Plans For State Employees Use Medicare’s Hammer On Hospital Bills

Source: Julie Appleby/NPR States. They’re just as perplexed as the rest of us over the ever-rising cost of health care premiums. Now some states — including Montana, North Carolina and Oregon –are moving to control costs of state employee health plans. Their strategy: Use Medicare reimbursement rates to recalibrate how they pay hospitals. If the gamble pays off, more private-sector employers could start doing the same thing. “Government workers will get it first, then everyone

4 Ways Amazon Is Moving Into Healthcare

Source: Natalie Walters/ The Motley Fool Amazon is setting itself up to disrupt the healthcare sector just as it did the grocery sector. Amazon (NASDAQ:AMZN) has been eyeing the $400 billion U.S. prescription drug market for well over a year, but it’s coming at it in a different way than people thought.  While Amazon originally wanted to sell pharmaceutical drugs through its Amazon Business marketplace, the company ended up abandoning those plans earlier this year. Instead, Amazon

Democratic governors have bold ideas to transform health care: Harvard researchers

Source: Clare Fauke/ Eurekalert A new analysis published in the American Journal of Public Health finds competing visions for health reform among newly elected governors, including significant enthusiasm among Democrats for new public coveragRepublican and Democratic governors have strikingly different visions for the future of health care, according to a new analysis published in the American Journal of Public Health. While Republican leaders favor maintaining or shrinking public health insurance programs, Democratic leaders are advancing

US spends twice as much on health care as its peers

Source: By Tami Luhby /, CNN Despite many efforts to rein in US health care costs in recent years, spending is still on the rise. Americans spend more than twice as much on health care per person as their peers in developed nations, according to a new analysis from Johns Hopkins Bloomberg School of Public Health. It’s not because people in the US use more medical services. Instead, it’s because drugs cost more, doctors and nurses

So You Want to Offer a Student Loan Repayment Benefit

Source: Rebecca Moore / PLANSPONSOR In an Issue Brief published by the Employee Benefit Research Institute (EBRI), Neil Lloyd, partner and head of DC & financial wellness research at Mercer, explains choices plan sponsors have for offering student loan repayment benefits. In an Issue Brief from the Employee Benefit Research Institute, Craig Copeland, senior research associate, says that overall, the percentage of families with student loan debt has grown tremendously since 1992, more than doubling from

Dem states take first step in appealing ObamaCare ruling

Source: LYDIA WHEELER AND JESSIE HELLMANN / THE HILL A coalition of Democratic states defending ObamaCare filed notice Thursday to appeal a recent federal court ruling that struck down the health-care law as unconstitutional, sparking what’s likely to be a lengthy legal fight that could reach the Supreme Court and influence the 2020 elections. California Attorney General Xavier Becerra (D) said that by appealing to the Louisiana-based 5th Circuit Court of Appeals, the 17 states are standing up