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Attraction and Retention – The War for Talent

For some years, we have been concerned about business’s response to demographic shifts in US population. As we have discussed previously, about 10,000 people turn age 65 every day and this threshold will continue for the next 19 years. Many of those turning age 65 are retiring from their jobs,...

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Health and Well-Being Survey – Moving Toward Value-Based Healthcare

 In June PwC sent around the results of its latest Health and Well Being Touchstone Survey.  Conducted in 2016, 1100 survey participants from many industries gave their views on a broad range of employee benefit issues primarily focusing on health and wellness benefit issues.  Approximately half ...

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HIPAA & Self-Insured Health Plans

Back in 1996, effective in 2003,when the Health Insurance Portability and Accountability Act (HIPAA) was first installed, employers had to dash around and get some agreements in place to assure that all vendors related to the employer’s health benefit plan were prepared to secure individual he...

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Asking About the Cost of Health Care Services

Do you ask for the cost? While Americans are very meticulous when it comes to shopping for the best price on most products, we have seemingly a discomfort in talking about the cost of services. We recently did a project where we helped an employer bid out some of their retirement services.  When we...

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Population Health Examined

As more providers and groups discuss population health, I am reminded of an old M*A*S*H episode.  The 4077th receives a visitor who is an actuary.  He tells the colonel, physicians, and a nurse that there will soon be a push for a certain hill and that they should expect a certain number of casual...

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Beginning of the End for ACA?

UnitedHealth Group recently announced they are not going to promote any further ACA exchange sign ups and were considering dropping out of all exchanges by 2017.  This announcement follows the note that more than half of the cooperatives that had been set up to offer exchange plans have already clo...

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Determining Quality in Health Care Payment Reform Models

Many of the considerations made for directing patients or employees to better value providers require the assessment of quality in those providers. How does anyone determine a “high quality” provider?  A recent study indicates that patients receive the proper diagnosis and care in only ...

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The Intersection of Price & Quality in the Health Care Market – Considerations for Self-Insured Employers Part II

Bundles of Services A next step in the evolution includes understanding the services that are commonly performed together in association with a procedure (i.e. facility component, professional component, lab, anesthesia, etc.). For surgical procedures, pre-op, post-op, rehab, and other components ma...

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The Intersection of Price & Quality in the Health Care Market – Considerations for Self-Insured Employers

Part I One of the most significant changes occurring within the health care industry today is the adjustment both self-insured employers and health care providers are attempting to make towards value based health care.  One key initiative includes how to package or “bundle” health care services...

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Leading an Organization

How To Get Ahead – A Strategy for Health Benefits There has been a common theme to material lately on employee health benefit strategy for the future. The strategy promotes one of two paths. First, you will see a string of articles about private insurance exchanges. Second, you will see a path...

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