Accountable care organizations require payers—i.e., insurers—and health care providers to better coordinate care for members, especially those with the most medical needs, with the goal of improving cost trends and patient outcomes. Providers typically share in savings reaped from better coordinated care and lower costs, and they must meet and maintain quality standards.
Three months after the justices heard oral arguments on a challenge to the Patient Protection and Affordable Care Act by 26 Republican state attorneys general, the high court will rule sometime next week as its 2011-2012 term comes to a close.
The increase is directly attributable to the young adult coverage provision in the health care reform law, federal researchers say.Read More
The recent modest increases contrast sharply with the explosive growth in health care expenditures of just a few years ago. From 2001 through 2003, increases in health care spending averaged nearly 9 percent. And as recently as 2007, costs leaped 6.2 percent.
Just over 9 percent cited retention of tax advantages as a reason for keeping coverage and just over 7 percent said a top reason for keeping coverage was to avoid tax penalties.Read More
Typically, SHRM's conference agenda reflects the economic, political and other realities of the workplace, and this year is no different. Several sessions are scheduled on the topics of health care reform, social media, aging workers and domestic partner benefits.Read More
Employers could amend their FSAs to allow employees to withdraw as taxable cash up to $500 in unused balances remaining at the end of the plan year or at the end of an FSA grace period, if an employer has that feature.
Jay Krueger is chief strategy and client services officer at PMSI Inc., providing overall strategic direction for the Tampa, Florida-based provider of pharmacy benefit management services, medical equipment, home health care and case settlement services. In a recent interview with Workforce Management sister publication Business Insurance senior editor Roberto Ceniceros, Krueger said the evaluation of medical marijuana as a way to alleviate pain warrants that employers consider their policies on the issue.
Some 66 percent of the respondents' predictions about the fate of the mandate reflect what they heard the justices say during oral arguments, says one expert.Read More
Under the measure headed for a vote this week on the House floor, employers could amend their FSAs to allow employees to withdraw as taxable cash up to $500 in unused balances remaining at the end of the plan year or at the end of an FSA grace period, if an employer has that feature. Read More