Health insurers willing to give up a key ACA provision

Great article about new changes to the ACA from BenefitsPro by Zachary Tracer

U.S. health insurers signaled Tuesday that they’re willing to give up a cornerstone provision of Obamacare that requires all Americans to have insurance, replacing it with a different set of incentives less loathed by Republicans who have promised to repeal the law.

Known as the “individual mandate,” the rule was a major priority for the insurance industry when the Affordable Care Act was legislated, and also became a focal point of opposition for Republicans.

In a position paper released Tuesday -- the first since President-elect Donald Trump’s victory -- health insurers laid out changes they’d be willing to accept.

“Replacing the individual mandate with strong, effective incentives, such as late enrollment penalties and waiting periods, can help expand coverage and lower costs for everyone,” AHIP said.

That also includes openness to Republican ideas such as an expanded role for health-savings accounts and using so-called high-risk pools to cover sick people.

In return, insurers are asking Republicans to create strong incentives to buy insurance, and to ensure the government continues to make good on payments it owes insurers under the ACA. The paper was released by America’s Health Insurance Plans, or AHIP, the main lobby for the industry.

“Millions of Americans depend on their current care and coverage,” AHIP said in the document outlining its positions. The group called on lawmakers to “ensure that people’s coverage -- and lives -- are not disrupted.”

Republican replacement

Now that they’re set to gain control of the White House, Republican lawmakers are working to define their vision for replacing the law after years of attempts to repeal it. Obamacare brought insurance coverage to about 20 million people via an expansion of Medicaid and new insurance markets, and repealing the law without a replacement would leave those individuals without coverage.

Trump has said that repealing and then replacing the law will be one of his first priorities. Republicans in Congress, however, have signaled that they’ll need time to write a replacement -- potentially via a years-long delay between passing a repeal and implementing it -- to craft a replacement.

And AHIP on Thursday said insurers will need at least 18 months to create new products and get them approved by state regulators, if Republicans change the market. It could take even more time to educate consumers and change state laws, AHIP said.

“It’s taken six years to get where we are now and to demonstrate the failure of Obamacare, so it’s going to take us a little while to fix it,” said Senator John Cornyn of Texas, a member of the Republican leadership in the chamber.

Medicaid changes

Republicans may also make substantial changes to Medicaid, by turning the joint state-federal program into one where the U.S. sends “block grants” to the states, which exert more control. Vice President-elect Mike Pence said on CNN Tuesday that the Trump administration will “develop a plan to block-grant Medicaid back to the states” so they can reform the program. Some Medicaid programs are administered in part by private insurers.

AHIP said any such plans should ensure that payments are adequate to meet the health needs of individuals in Medicaid coverage. And they should ensure that when enrollment increases in an economic downturn, funds are available to help states deal with the increased demand, AHIP said.

AHIP is open to working with Congress on replacement plans for the ACA, said Kristine Grow, a spokeswoman for the lobby group. The document is the first detailed look at AHIP’s priorities.

Big insurers like UnitedHealth Group Inc. and Aetna Inc. are already scaling back from the ACA’s markets, because they’re losing money. At the same time, remaining insurers are boosting premiums by more than 20 percent on average for next year.

Trump’s election increased the level of uncertainty in the market, and a repeal bill without something to replace the law could destabilize it further. To shore up insurance markets, AHIP says lawmakers should fund a program, known as reinsurance, designed to help insurers with high costs, through the end of 2018, and avoid cutting off cost-sharing subsidies for low-income individuals.

See the original article Here.

Source:

Tracer Z.(2016 December 7). Health insurers willing to give up a key ACA provision[Web blog post]. Retrieved from address https://www.benefitspro.com/2016/12/07/health-insurers-willing-to-give-up-a-key-aca-provi?ref=mostpopular&page_all=1


15 voluntary benefits trends heading into 2017

Alan Goforth lists the top benefits trends of 2017.

Predicting industry trends is as much a sign of the end of the year as after-Christmas sales and New Year's resolutions.

Although predicting the future is only an educated guess, one thing is certain — voluntary benefits are here to stay.

Carriers, brokers, employers and workers all give a thumbs-up to the increased flexibility and opportunities for cost control they bring to benefits packages.

Here is what may lie over the horizon in 2017.

THE MARKET IS BULLISH

As a result, the quantity and quality of voluntary benefits will continue to grow. Examples of traditional voluntary benefits employers are likely to add include gap coverage, short-term disability, cancer, critical illness, prescription, dental, life insurance and hospital supplemental policies. Brokers should make sure they have these products in their portfolios.

WELLNESS PROGRAMS GET FISCAL

Most businesses understand that the size of an employee's waistline can correlate to attendance, productivity and turnover. Many also are starting to realize the link between the size of their bank account and job performance.

Smart employers are adding voluntary benefits that can help workers reduce stresses associated with finances and debt. These can include financial education, financial counseling, employee purchase programs, parental leave, retirement planning and even short-term loans under certain circumstances.

A-WEAR-NESS IS INCREASING

Technology is taking the guesswork out of employee wellness programs. Nearly two-thirds of carriers surveyed expect wearable technologies to have a significant impact on their industry, according to Accenture's annual Technology Vision report. Fitbits and similar devices enable employees to quantify the results of their effort, which both inspires them and provides employers valuable feedback about the effectiveness of their programs. An increasing number of businesses now subsidize the cost of wearable devices or set up payroll deductions to cover the expense.

ENGAGEMENT GOES HIGH-TECH

Year-in and year-out, HR professionals cite employee engagement as one of their most vexing issues. Traditional tactics are becoming less effective with millennial employees, who often prefer voluntary benefit portals and enrollment platforms.

"Millennials get information on their own," said Aprilyn Chavez Geissler, owner of Geissler Agency Inc. in Albuquerque. "However, when it's time to purchase, they still want the personal service and an advisor to help them. As a large demographic, they are similar to the silent generation in that they think through their purchases and do research on their own."

CRITICAL ILLNESS REACHING CRITICAL MASS

Critical illness insurance was once a blip on the radar screen of voluntary benefits packages — but not anymore. It is becoming an increasing popular option as the workforce ages and companies reduce primary health coverage and shift the cost of primary medical onto

“Critical illness insurance is by far the fastest-growing insurance product on the market," said Mark Randall, a researcher for GoldenCare in Minneapolis. "Even though the market share is still fairly small, it's a hot product. The bottom line is that every broker should add this product to their portfolio.”

 VOLUNTARY BENEFITS REDEFINED

One sure sign of growing demand for voluntary benefits is the fact that many definitions have become obsolete. In the past, voluntary benefits were limited to such bread-and-butter options as dental or vision insurance. Today, however, they are all about lifestyle benefits, such as health club memberships, legal services or pet insurance. A good working definition of a voluntary benefit is anything that can be deducted from an employee's paycheck.

CONSUMERS DRIVE PLANS

A well-designed consumer-driven health plan creates a win-win scenario. Employers hold the line on costs, and employees pay only for the coverage they need and want. This can mean a transition to high-deductible health plans and health savings accounts or health reimbursement arrangements that help employees pay their out-of-pocket expenses and allow them to retain unspent contributions.

TOOLS PROMOTE TRANSPARENCY

Information is a double-edged sword: Employees can be overwhelmed by the voluntary benefit options available to them, but they are also empowered to make smart choices. Benefits providers, brokers and employers are providing user-friendly tools that increase transparency. Studies show that this is especially important to younger workers.

Fifty-two percent of millennials report searching online for health or care-related information, and reliance on social media, patient portals and performance scorecards is growing. One-quarter of consumers say they have looked at a scorecard or report card to compare the performance of doctors, hospitals or health plans, compared to 19 percent two years ago. Among millennials who need medical care, scorecard use has grown from 31 percent to 49 percent.

THE DOCTOR WILL SEE YOU… ONLINE

Telemedicine is a natural byproduct of increased telecommuting. The practice is both a cost-effective option for employers and a perk for employees who are paying more out of pocket for health care. On-call services can bring virtual health care providers into the office with advice about preventive care and nonthreatening illnesses.

ANALYTICS REDUCING GUESSWORK

Anyone remotely involved in the benefits business knows that the industry is swimming in tons of data. Innovative employers are putting this information to work to design better plans that improve health care and reduce expenses. Claims data and historical use patterns demonstrate how much employees can save on new plans by making better decisions. This information also helps employers get a better handle on plan costs, employee adoption and administrative efficiency.

NONTRADITIONAL BENEFITS BOOMING

Employees continue to express interest in new, nontraditional voluntary benefits, and carriers are responding. According to a study by Eastbridge Consulting, 13 percent of employees have selected employee purchase programs; 8 percent have selected legal plans; 3 percent have selected identity protection; and 1 percent selected pet insurance. The relatively low numbers reflect the fact that these options are new, according to researchers.

These percentages are expected to grow. Nontraditional voluntary benefits offer workers a way to obtain products and services through convenient payroll deduction. Most nontraditional offerings provide immediate, tangible benefits that can be used any time, unlike many core benefits that employees need only when they are sick or injured.

CAREER DEVELOPMENT IS HOT

Employees are eager to improve themselves, especially if doing so is cost-effective. Financial planning and online educational services, including college courses, certifications and career development, are becoming popular. Look for more of these, such as Graduate Management Admission Test prep and Graduate Medical Education courses, to be added.

MINIMUM WAGE HIKES MAY SPIKE DEMAND

Although the drive toward a $15 per hour minimum wage in some cities has been controversial, it may have an upside in demand for voluntary benefits.

"With the California minimum wage going to $15 an hour, those employees will have extra money to opt for more voluntary benefits," said Wayne Sakamoto, owner of Health Insurance Interactive Inc. in Naples, Florida. "This extra money will help them get into a nicer apartment, buy a home, get a car or opt to purchase more voluntary benefits. Benefits such as dental and vision insurance are a goodwill gesture by the employer."

DEMAND CREATING COMPETITION

Brokers, employers and workers all may benefit from the increasing number of carriers offering voluntary benefits.

"Brokers now have a lot more different carriers in voluntary benefits than they did several years ago," said Kathy O'Brien, vice president of voluntary benefits and national client group services for Unum in Chattanooga, Tennessee. "They have to be very knowledgeable about the carrier, what they will do to meet the needs of their clients and what types of service they offer, not just in enrollment but also in plan administration, how they will deliver the services, how they will pay and handle billing information."

VOLUNTARY BENEFITS MUST BE INTEGRATED

A well-designed package of voluntary benefits is more efficient when integrated seamlessly with traditional benefits, and not merely tacked on. Learning how best to do this is an ongoing challenge.

"Understanding how all of the different solutions work together is critical, especially when paired with a high-deductible health plan," said Paul Goedde, executive vice president of the Voluntary Employee Benefits Board and product management lead for Cigna in Philadelphia. "Not only does it help the employer attract and retain talent, it helps them manage their bottom line with more-productive and satisfied employees."

 

See the original article Here.

Source:

Goforth, A. (2016 October 25). 15 voluntary benefits trends heading into 2017. [Web blog post]. Retrieved from address https://www.benefitspro.com/2016/10/25/15-voluntary-benefits-trends-heading-into-2017?kw=15+voluntary+benefits+trends+heading+into+2017&et=editorial&bu=BenefitsPRO&cn=20161025&src=EMC-Email_editorial&pt=Daily&page_all=1


Travel is millennials’ work incentive

Do you know what millennials are looking for in the workplace? Travel and flexibility are among the top 2 as mentioned in the article below by Marlenen Y. Satter.

Original Article Posted on BenefitsPro.com

Posted: October 7, 2016

Millennials have itchy feet.

In fact, their desire to see faraway places is their main reason to work — after, of course, paying basic necessities. According to FlexJobs survey, a hefty 70 percent of millennials say their “overwhelming desire to travel” is their main motivation on the job — that’s just a tad less than the 88 percent who cite that basic motivator: necessities.

Gen X respondents are fond of travel too, but not as much as millennials; 60 percent ranked it as the fourth most important reason for working. And boomers are apparently settling down; just 47 percent ranked travel as fifth in importance.

Not only are millennials wanderers, they want flexibility — up to a point. Freelance work seems to be going farther than they’d like (particularly since at least some of that “flexibility” is really out of a freelancer’s control and in the hands of clients).

Although millennials tend to be more associated with freelance work than other generations, only 42 percent of millennials are open to freelancing as a flexible work arrangement.

Gen Xers actually view freelance work more favorably than millennials, with 47 percent willing to consider it. Forty-four percent of boomers also expressed interest in freelancing.

Flexibility, on the other hand, is important enough to millennials that 82 percent say it’s a factor in evaluating a potential job, and 34 percent have actually left a job because it did not have work flexibility. In addition, 82 percent say they’d be more loyal to an employer if they had flexible work options.

Yet, although they’re the ones most interested in flexibility, millennials are also the generation most required to be at the office to work than older generations: 34 percent, compared with Gen Xers at 26 percent and boomers at 19 percent. Their work schedule — part of that flexibility — is also important to more millennials (65 percent) than it is to Gen Xers (57 percent) or to boomers (62 percent).

Interestingly, though, none of the generations regard the office during traditional working hours as their location of choice for optimum productivity.

See the Original Article Here.

Source:

Satter, M.Y. (2016, October 7) Travel is millennials' work incentive [Web log post]. Retrieved from https://www.benefitspro.com/2016/10/07/travel-is-millennials-work-incentive?ref=hp-top-stories


The Next Innovation In Controlling Healthcare Costs

As healthcare costs continually increase, understanding where the cost come from and how to manage them is critical. Bruce Barr gives a great editorial on why new trends are essential in controlling costs.

Original post from EmployeeBenefitAdviser.com on August 1, 2016.

Four decades ago, PPOs were hailed as the “silver bullet” to control healthcare costs. Participating providers were contractually obligated to accept discounted fees, which seemed like an obvious solution to out-of-control increases in healthcare costs. Self-funded plan sponsors readily adopted this approach to gain access to network discounts and lower their healthcare costs. In fact, some self-funded plan sponsors still periodically conduct a re-pricing analysis or another method of comparing which PPO yields the best discounts for their specific group.

However, as provider contacts expired, they were renegotiated at higher rates for providers and higher costs for plan sponsors. In addition, hospital charge-masters have increased at an exorbitant pace and have largely gone unregulated and uncontrolled. As a result, the significant discounts once achieved by PPOs no longer deliver the true savings that were seen in the 1980s and 1990s.

For example, a 60% discount on a $1,000 “oral cleansing device” (more commonly referred to as a toothbrush) clearly does not deliver value for the plan sponsor or member and is indicative of some of the billing practices that go undetected. The same could be said of a $150,000 knee replacement. Using a PPO for its discounted fees is somewhat analogous to buying a car by negotiating a discount off the list or sticker price.

As employers gain a better understanding of the questionable value of PPO discounts and pricing optics, reference based pricing (RBP) and reference based reimbursement (RBR) provide possible solutions by addressing the demand for:

· Price transparency,
· Benchmarking the cost of claims,
· Eliminating inappropriate charges, and
· A fiduciary or co-fiduciary serving on behalf of the plan sponsor.

With RBP, the plan specifies the amount that will be allowed for certain common procedures such as MRIs or knee replacements based on prevailing charges. Covered members have access to a list of participating providers who have agreed to accept these payments. Should the member choose a higher-priced provider, he or she may be responsible for the balance of the payment.

RBR uses a common “pricing reference” — often tied to the Medicare allowance and the actual cost for a specific service – and then reimburses the hospital or facility an additional 20-80%, allowing for the provider to make a “fair and reasonable” profit. For context, many PPO discounts result in net payments equal 250% or more of the Medicare allowance.

There are different ways this strategy can be implemented. Some employers begin using RBR exclusively for out-of-network claims. In other cases, RBR is used for all facility claims in conjunction with a PPO network for physician claims or an accountable care organization.

While used successfully by many employers, RBR can be disruptive for some employees when a provider attempts to “balance bill” patients for the difference between the set plan allowance and the provider’s billed charges. In the overwhelming majority of cases, however, these issues are quickly and easily resolved in favor of the plan sponsor and member. Rarely does a discrepancy like this lead to legal action.

Employers who decide to implement a RBR strategy need to carefully select a partner with expertise in communicating and educating employees about how these arrangements work and what to do should they receive a balance bill. The RBR partner should also have expertise in negotiating pricing discrepancies with providers, providing employee advocacy, indemnifying the plan and its members, and modifying the language in the plan document.

Many early adopters of this approach were often those who were subject to extreme increases in healthcare costs and who saw RBP and RBR as a last ditch effort that would enable them to continue to provide medical benefits for their employees. We’re now beginning to see more employers adopt this approach as a way to more effectively determine and control the cost of healthcare.

See Original Post Here.

Source:

Barr, B.F., (2016, August 1). The next innovation in controlling healthcare costs [Web log post]. Retrieved from https://www.employeebenefitadviser.com/opinion/the-next-innovation-in-controlling-healthcare-costs


Employers Advised to Re-Evaluate Retirement Plan Costs

Original post benefitnews.com

Even with fee disclosure rules in place, it is hard for plan sponsors to discern the fairness of the fee structures in their retirement plans.

The TIAA Institute has taken issue with the fairness of per capita administrative service fees. In a recent report, the Institute says that plan sponsors need to look harder at the fee structures of their plans because what may seem fair might actually be penalizing the lowest paid or shortest term workers.

“When people started charging per head fees, people claimed it was fair. It doesn’t meet an economic standard of fairness. It is simple and transparent but definitely not fair,” says David Richardson, senior economist with the TIAA Institute and author of a recent research paper on assessing fee fairness.

It is up to plan sponsors to “do that classical weighing of efficiency vs. fairness and what it means. A per head fee is transparent but it is not a fair thing to do. … These per head fees are a clever way to charge expensive fees to younger, shorter tenure workers. I find it worrisome,” he says.

This has always been an issue but all of the fees were wrapped up in an all-inclusive fee that paid for investment, administrative and other services. Once the government began requiring an unbundling of fees, “we started seeing all of these things,” he says.

Historically, fees were charged on a percentage of assets basis, which was fair, he says.

He uses Social Security as an example of why a per-head fee is not equitable. Currently, Social Security charges administrative costs as a percentage of income taken in. If it decided to charge all 325 million people in the Social Security Administration system a flat $50 fee, “every man, woman and child, firm or disabled, would be charged the same because we are providing that service,” Richardson says. “I don’t think anybody would consider that to be fair but that is what flat fee advocates are claiming in a retirement plan.”

He doesn’t believe fee issues will go away anytime soon, saying that he believes the overwhelming majority of vendors in the market are honest but many of the regulations are geared to those who may not be.

“So, the government has to be proactive, not reactive on this. The tendency is to say if people have more information, they are better informed. That is not necessarily true,” he says. “A lot of people have a hard time understanding that information. It is tough. When they are saying we need more and more disclosure, more and more information is not just helpful. Sometimes it is just noise to people.”

So when deciding how to assess the effectiveness of a plan administrative fee structure, TIAA Institute says plan sponsors must follow four standards: adequacy, meaning that total fees collected must cover the cost of features and services provided to plan participants; transparency, meaning that everyone can easily find information about the fee structure and how the fees are used to cover the cost of plan features and services; administrative ease, meaning the fee structure is not too complicated or costly for either the plan sponsors or plan vendors; and fairness, which ensures that administrative fee structures must provide horizontal and vertical equity.

Horizontal equity means that “participants with similar levels of assets pay similar levels of fees”; and vertical equity means that “participants with higher levels of assets pay at least the same proportion in fees as those with lower asset balances,” according to TIAA Institute.

The Institute says that an administrative fee structure charging a flat pro rata fee can meet all four standards.

“This fee structure will be transparent, can easily satisfy adequacy, and is simple to administer. The pro rata fee will be fair because similar participants pay the same level of fees and higher asset participants pay the same proportion of fees as low asset participants,” TIAA Institute finds.

“Our goal is to help plan sponsors make the best decision for their plan and their plan participants,” Richardson says.

He also cautions ERISA plans to keep these four standards in mind because not doing so could violate the “spirit of non-discrimination rules,” he adds. “It tilts benefits in favor of key and highly paid employees.”


Keep Employee Data Safe

Original post benefitspro.com

When a cyber breach occurs, lawsuits are usually not far behind. It’s a chain of events that has become de rigueur in the consumer realm when retailers experience a breach and it is bleeding over into the workplace, too.

Employees whose data is exposed are increasingly pointing the finger at failings in the technology employers use to secure their information and lapses in protocols that allow vulnerabilities to be exploited.

Who is responsible if your employees’ personal information is stolen on company time? Where does the company’s obligations begin and end under the duty of care laws? How might state and federal breach regulations impact an organization’s proactive and reactive data security efforts?

How a breach happens and how the company responds both play a major role in determining the potential legal ramifications. To mitigate the risks, it is critical for HR professionals to understand their responsibilities before a cyber criminal strikes.

Many employers aren’t even aware of either the enormous security risks their organizations face or the best strategies to protect the employee data they hold.

Ensuring that employers have access to the right tools and expertise to address data breach concerns is an important role for benefits managers and the brokers and agents who support them.

Know the risks, have a plan

Financial information is what comes to mind most frequently when businesses consider where breach risks exist, but that thinking is too narrow. It overlooks the incredible value inherent in employee data. Not only does financial information lurk within HR’s employment records in the form of salary histories and bank routing numbers used for automatic deposits, but standard consumer data is also present.

Full names, birth dates, addresses and social security numbers exist in every employee’s file. Health and benefit data may be present, too, such as carrier names, subscriber numbers, or details on beneficiaries and dependents. And where there’s smoke, there’s fire. The same servers and systems that host employee and customer data, likely hold data pertaining to trade secrets, M&As, business plans, and more. All the more reason to get your company’s cyber strategy in gear.

Adding complexity to the situation is the fact that employers must be concerned with two types of data breaches — those that are the result of a purposeful act, such as a hacker or a malicious insider, and those that occur by accident. Lost laptops and cell phones are just one common example where an inadvertent exposure could easily happen.

Each flavor of breach represents a different risk profile and each requires its own mitigation measures. A two-pronged approach to breach prevention that marries technology and best practices enables employers to address any existing security gaps while also providing improved protection for employee data.

Deploying technology tools to safeguard sensitive information assets is one part of a comprehensive data security strategy that keeps employers in line with duty of care laws and other breach regulations.

Firms have a range of solutions to choose from and they should tailor their approach based on their network and infrastructure architecture, the information types that are vulnerable to exposure, the volume of data that must be protected, resource availability — from funding to staffing — and any regulatory guidelines or compliance mandates that must be considered.

Encryption is a perfect example of a technology that is relatively simple, but still enormously effective when it comes to securing employee data. Free and low-cost encryption platforms are available which can help to protect confidential information from unauthorized access even if a hardware item (thumb drive, laptop, etc.) falls into the wrong hands.

Other technology tools may also be appropriate depending on the employer’s needs, including firewalls, mobile device management software, and multi-factor authentication to protect access to more sensitive systems.

Security best practices are the second half of a successful data protection strategy. These protocols largely deal with the ways humans interact with the organization’s information and they also cover what to do in the event of a breach. Employers will want to manage network and data access in a way to limits who is able to view and change employee information.

Methodologies for storing, processing, analyzing, archiving, and destroying employee data should be documented in detail and anyone responsible for those tasks must be trained on the organization’s security practices.

An incident response plan is another best practice employers should include under the data security umbrella. This doesn’t need to an exhaustive plan, but it should outline the steps employees are to take if they suspect a breach has occurred — everything from blocking access to compromised servers to contacting the company’s privacy or information security employee or consultant. (Don’t have one? Here’s why you should.)

A strong plan can significantly limit the potential harm that is likely to fall upon any employee whose data was exposed. And as risks evolve, so should the incident response plan – it should be a living, breathing part of a comprehensive cyber strategy with routine reviews.

Retain the right expertise

Another concern often faced by employers, particularly those smaller organizations where internal resources are lean, is that they don’t have good insight into the evolving cyber threat environment and the latest data protection strategies.

Efforts to craft, deploy, and maintain an effective privacy and security program are made more difficult when industry expertise is lacking. Without a strong understanding of where security vulnerabilities exist, or which new threat vectors are likely to be of concern, employers could find themselves directing their limited resources in too many directions and without much effect.

Because many breach scenarios involve little or no technology — hard copies of completed enrollment forms accidentally left in a shared conference room, for example — simply turning responsibility for data privacy over to the IT function isn’t going to work. It’s important that employers are able to seek guidance from someone experienced in data protection in all its forms.

Continuously educate the front line

Employees themselves may pose potential security challenges, so continuous training is essential to protect a company’s own data and that of its customers. Companies should consider implementing educational sessions about new scams and privacy and security refreshers as part of their annual compliance training.

By partnering with employees to help protect their data, the organization can maximize its technology investment and ensure that everyone is committed to the company’s culture of security.

Social engineering schemes are increasingly popular among hackers, effectively turning the workforce into either an employer’s first line of defense or its greatest weakness.

The most recent spoof comes courtesy of a company’s top executive — or so the scammer wants you to think. An employee will receive a request from the CEO — either by way of a hacked email account or an email address that closely resembles the real thing — to cough up documents, usually W-2s. With a few clicks, countless data about a company’s employees has been exposed.

Rather than quickly react, employees should be trained that if they see something, say something.

Identity management

Along with taking appropriate security measures internally, employers may also consider offering identity-related benefits to their employees. These packages bring a powerful suite of tools to the table that provide workers with proactive education and reactive support. Informational resources teach individuals how to spot corrupt websites and suspicious e-mail links.

They give details on what to look for when conducting annual credit report reviews. And workers concerned their personal data may have been exposed — whether at work or through a health care provider, retailer or other avenue — have access to identity theft experts able to help them navigate the resolution process.

The fraud team can assist them in replacing important documents that may have been lost due to theft, fire or flood. They can even monitor known black market websites to see if an employee’s stolen data is being used fraudulently.

Together, these strategies give employers a way to keep employees’ information safe while providing workers with assurances that they’ll have the support they need if the worst should happen.


There’s the Wage Gap, and Then There’s the Sleep Gap

Original post lifehealthpro.com

More than half of men say worrying about money costs them sleep. Nearly 70 percent of women say the same.

That gap increased eight percentage points over the past year, according to a new survey by CreditCards.com. It makes sense, since women really do have more to worry about when it comes to money. Lower earnings means less in savings and Social Security benefits to fund longer lifespans.

"In general, people tend to lose sleep over things that feel out of their control," said Matt Schulz, senior industry analyst for CreditCards.com, part of the Bankrate Online Network. To him, the findings suggest you should "do whatever you can to take more control of your financial situation, whether it's just learning more, being more involved in your family's financial decisions, or starting a side gig."

The survey asked whether saving for retirement, paying for education, paying health-care or insurance bills, making the monthly rent or mortgage, and paying credit card debt were keeping people up at night.  The poll, conducted by Princeton Survey Research Associates International, took a nationally representative sample of 1,000 adults.

The biggest fear cutting into a good night’s sleep is not having saved enough for retirement. The gender gap is narrower here than overall — 44 percent of women vs. 35 percent of men. All together, some 56 percent of men are losing sleep over money, compared with the 70 percent finding for women. In 2010, women received $12,000, on average, in Social Security benefits, a third less than a man’s average benefit of $17,856. At age 65 and older, women were 80 percent more likely than men to be impoverished, according to a study by the National Institute on Retirement Security.

Yet you can see worrying about retirement savings as a luxury, in a way, if it means you can meet your monthly bills. That's the most common sleep-stealing worry for people 30 or older with a college degree and an annual household income of $75,000 or more. Heath-care and insurance bills are the second-biggest sleep killer for women. For men, it's educational expenses. Those are a particular worry for millennials; 45 percent of people between ages 18 and 29 rank them as their worst anxiety. Among respondents between 30 and 49, a third said they lose sleep over educational costs. One of them is CreditCards.com's Schulz, who is 44 and has a son headed to college in about a decade. "In five years," he said, "you could see educational expenses being No. 1, or very close to No. 1, when we do this survey again."


How to Navigate a Consolidating Wellness Market

Original post benefitnews.com

The corporate wellness industry is growing up. And with maturity comes mergers, acquisitions and a flurry of opportunities that can lead to advances in technology and innovation.

Eventually.

Today, the landscape is confusing. Especially for HR and benefits buyers charged with navigating it. Here’s why:

● Large wellness providers are merging with each other to get bigger.
● Aggressive funding rounds are pressuring companies to innovate and grow quickly to meet investor expectations.
● Large wellness providers are acquiring niche solutions to market.
● Providers are building functionalities that go beyond traditional wellness program capabilities.

Corporate wellness certainly isn’t the first HR category to see wild fluctuation periods. All technology markets move through cyclical waves of change, which follow a surprisingly consistent cadence:

A period of initial growth. Companies launch to compete with one another with similar solution sets, vying for popularity and mind- and market-share.
A period of growth stymies. Growth hits a standstill due to economic conditions or market saturation.
A period of consolidation. Larger players acquire market-share and technology enhancements through partnerships and mergers.

The HR world saw this cycle play out with integrated talent management systems in the early 2000s.

Back then, many different providers sold recruiting, performance management and learning technologies. Hundreds in each category competed with one another, and dozens attracted significant funding to try to dominate the market.

In 2007, the talent management market hit its peak. Companies consolidated, some went out of business, and eventually, we were left with a few dominant providers — SAP, Oracle and IBM.

What did these leaders do right during the industry’s tremendous growth cycle? They mastered their core platform capability before moving on to the next stage of an integrated platform.

So SuccessFactors, now a part of SAP, hitched its wagon to performance management and built a complete vision before expanding its talent management offering. Taleo (now with Oracle) and Kenexa (now with IBM) did the same with recruiting and learning, respectively.

Other talent management providers jumped on the integration bandwagon too early. They tried to cover everything ─ but weren’t good at anything. They couldn’t differentiate themselves in a crowded, shrinking market. Most were shut down or acquired.

I don’t know if corporate wellness will follow this exact path. But the history of enterprise technology indicates an inevitable tipping point. Here are my predictions for what’s to come:

1. Consolidation isn’t going away. It’s clear we’re in a phase of consolidation. Larger companies and private equity buyout firms are acquiring smaller companies, and we expect even more mergers and acquisitions to close the capabilities gap across wellness solutions.

2. The pressure’s on for heavily venture-capital-backed firms. Investors see a ticking clock in front of them. Many want their payoff, and they want it fast. The period of market consolidation doesn’t last forever — and the opportunity to quickly expand to get bought is often made at the expense of product stability, support and internal innovation. Exit pressure increases later in the life of a venture fund as well (for all but the most long-term investors).

3. Providers will jump into unfamiliar waters. Companies with niche offerings will try new things. Recognition providers might add well-being and learning services, and performance companies might try to add analytics tools. But merging different companies, cultures, customer-facing teams and approaches can be difficult and time-consuming, and potentially confusing for employees. Even when providers acquire companies that already specialize in purely complementary capabilities, the devil is in the details. Every acquisition takes time to integrate, and every new feature set takes time to develop.

4. Buyers will be frustrated with all of it. If you’re looking for stability and measured outcomes, then the wrong provider can be a nightmare of new account representatives, technology change and product difficulties. Corporate wellness as a category has room to grow into solutions that embrace the whole employee. Choose wisely.

Three things to focus on
It’s not an easy time to choose a long-term wellness partner. But buyers can take precautions to avoid getting swept into the carnage of acquisitions and consolidations. Here are some best practices to follow when you’re purchasing technology in an unsteady environment:

1. Prioritize your needs as an organization. What major issue is your organization trying to solve? In a crowded market, many challenges and solutions exist ─ but you need to prioritize what’s critical to your success. What is your company trying to achieve in the market? What key capabilities do you need to meet your overarching business goals? What features aren’t as important?

2. Address those needs. This seems obvious, but broader platforms often lure buyers into making decisions that compromise on critical areas. The solution you choose should have excellent bench strength in your highest priority area. For instance, if your main goal is improving employee well-being (and related outcomes), look for a partner that specializes in it ─ not a benefits provider with one small well-being feature.

3. Consider integration capabilities instead of a one-size-fits-all. One positive development of the consolidation phase? Companies want to make it easy for you to connect with different services. This means you don’t need a provider that does everything. Choose the (integration-ready) one you love ─ and tailor it to meet your own unique needs.

Choose technologies that meet your core needs rather than finding a provider that claims to do it all. If it seems too good to be true, it probably is. Focus on what’s important to your organization:

● What’s going to improve your employee experience the most?
● Who has the capabilities and people to guide you to your desired outcomes?
● What do you need right now, and what can you wait a few years for?

You are the only one who can answer these questions for your organization. When you do, you’ll find the corporate wellness provider that aligns best with your business strategy – and your employees’ needs.


Hearing and Vision Being Tied into Wellness Programs

Originalpost benefitnews.com

Medical experts have long argued that poor oral hygiene and neglected vision care can undermine overall physical health. The same thinking is now being applied to hearing loss, which is reportedly on the rise and taking a toll on employee productivity, emphasizing a need for more advisers and their clients to consider the inclusion of hearing and vision health with wellness programming.

Advisers “can make sure their clients are aware that healthy senses are often missing from traditional wellness strategies,” says Brad Volkmer, president and CEO of EPIC Hearing Healthcare, “and they can bring solutions to help clients integrate areas like hearing and vision health into their wellness offerings.”

As many as 30% of working Americans suspect they have hearing loss, but have not sought treatment and admit it has affected their work performance, according to a 2013 EPIC Hearing Healthcare survey of 1,500 U.S. employees.

This seems to be one area that worksite health and wellness has overlooked. A 2015 EPIC survey of 518 benefits professionals, for example, found that only 8% of employers integrate hearing health into their wellness programs. Most of those respondents (86%) said they were willing to take action if they knew that untreated hearing loss was hurting employee job performance.

As many as one-fifth of Americans 12 years or older have hearing loss so severe that it may make communication difficult, according to a Johns Hopkins study published in the Archives of Internal Medicine. Researchers estimate that 30 million Americans, or 12.7% of the population, have hearing loss in both ears, and about 48 million, or 20.3%, have hearing loss in at least one ear. What’s surprising is that 65% of people with hearing loss are actually younger than age 65, notes the Better Hearing Institute.

EPIC offers a hearing-health wellness program called “Listen Hear! Live Well” that can be integrated into an employer’s existing wellness effort or offered on a stand-alone basis. Among the company’s suggested tips for producers when talking with employer clients about the importance of treating hearing loss and maintaining healthy senses:

  1. Integrate hearing, vision and oral health into health education. The hope is that through these efforts, employers can help erase any stigma associated with hearing loss and quell employee fears about being poorly perceived by their employer. Content for company wellness newsletters, brochures, videos, presentations, advice hotlines, etc., is available free of charge through some programs.
  2. Check healthy senses through screenings. This can be done at employee health fairs and events with the help of local audiologists, optometrists and dentists who may be willing to offer complimentary screenings and deliver educational presentations.
  3. Make incentives accessible. Employers can offer incentives and discounts to employees who complete vision and hearing exams in order to promote preventive care. For example, those who participate in four educational activities in EPIC’sListen Hear! program can earn a discount on hearing treatments.
  4. Minimize financial barriers to care. Employers can elect to cover healthy senses through ancillary benefits and the use of various savings vehicles to help ease out-of-pocket expenses. An HSA or FSA can be used to help pay for hearing aids, eyeglasses or contact lenses. Without such assistance, these costs can be staggering. Hearing aids, for example, cost on average about $1,500, but can be as high as $3,000 to $5,000, according to the National Institutes of Health. Also, more than one-third of people surveyed in 2014 by Wakefield Research on behalf of National Vision, Inc. said did not see their eye doctor that year because they couldn’t afford the visit.

5 Trends Driving Change in Health Care

Original post benefitspro.com

All around the country, brokers ask where the industry is going.

They want to know if other states are seeing the same changes they are; and, of course, they want to know about the great solutions that are popping up elsewhere. We feel the sands shifting, and are looking for solid footing.

Here are five trends that I believe will drive much of the industry change in the future:

1. No end in sight for medical cost increases

Is this worthy of being prediction number one? Well, it's the driver of most of the other trends, so it's appropriate. While the good news is that the percentage increase is less than it was 10 years ago, it's still many times the rate of inflation. And the “compounding interest” plays out every week with American families

  • 2016 individual rate increases averaged 10 percent over 2015.
  • 81 percent of employers will raise out-of-pocket costs within the next couple of years.

2. Carriers consolidate

The power is concentrating into fewer places. While we’ve seen some hospital plans develop or merge with regional health plans, the real news is the shrinkage.

  • The five largest health insurance companies are reducing to three. Aetna (#3) buys Humana (#5), and Anthem (#2) absorbs Cigna (#4).
  • Assurant sold off their medical insurance business last year.
  • 22 of 23 PPACA-created co-ops lost money, and half closed. So that didn't create real alternatives.

3. Less plan options

As plan costs rise, increased mandates and compliance rules push off opportunities for innovative approaches to plan design. We keep hoping to find them as we scout around the U.S., but too often, we see signs of less medical plan options. For example:

  • In Texas, a state that doesn't exactly embrace HMOs, BCBS of TX dropped all individual PPOs and moved everyone to their HMO.
  • In Alaska, Moda Health's retreat from the market leaves only one individual medical plan serving the whole state.
  • In a kind-of-related turn, many carriers (such as UnitedHealthcare, Humana, Cigna, and Oscar) now limit which plans they will pay brokers to sell. This is another way to drive members into specific plan designs.

4. Shrinking access to physicians

Driven by rate increases, a common carrier response is to reduce the size of the physician network. By driving the same number of members to a much smaller number of physicians and hospitals, the carrier can negotiate much better rates. Back in the 1990s, this was common. Now, we see this is a growing trend in about half the states. Another side of the access issue is that there just won't be enough doctors:

  • The Association of American Medical Colleges latest survey reveals that by 2025, the U.S. will be short 46,000-90,000 physicians. And nothing is being done to increase the number of medical school graduates.

5. Pharmacy cost increases skyrocket — again

Prior to 2010, the pharmaceutical industry was the whipping-boy for trend increases. Have you noticed the silence on this topic for the past few years? Driven by major drugs moving to generics, Rx spending increases were low in recent years.

However, there are no more good trends in drugs turning generic on the horizon. And all we see on the horizon are amazingly expensive “specialty drugs.” It's what has driven prices to rise in the past year or so. And there's no end in sight for this trend. One VP of pharmacy for a major carrier predicted, “By 2025, up to 40 percent of the medical plan cost will be drugs.”

So where does this leave us as an industry? If these are the trends, then how should we respond? What solutions should carriers develop? What strategies can be used to best round out future plan designs?


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