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Employer, benefits groups lobby IRS for changes to Cadillac tax

By: Matt Dunning

Published May 20, 2015 - 1:21pm CST

Employer advocates and benefits consultants this week asked the Internal Revenue Service to delay implementation of the federal health care reform law's so-called “Cadillac tax” on high cost health care plans, due to take effect in 2018.

Social media posts put brakes on man's chronic fatigue fraud

Published May 20, 2015 - 9:56am CST

An insurance cheat who claimed that illness had stopped him working was caught out by his social media posts detailing his hobby of modifying fast cars and driving them on the roads and racetracks of Cyprus.

Employers find savings, service in telemedicine

By: Bill Kenealy

Published May 19, 2015 - 3:02pm CST

MINNEAPOLIS — Though still a relatively new technology, telemedicine is becoming a more viable option for companies looking to temper health care spending, speakers said Tuesday at World At Work’s Total Rewards 2015 Conference and Exhibition in Minneapolis.

Employer advocacy group calls for Cadillac tax leniency

By: Matt Dunning

Published May 18, 2015 - 2:55pm CST

The ERISA Industry Committee has asked federal regulators to take into consideration the “unfortunate” and “unnecessary” frustrations it says employers will face as a result of the 40% excise tax on high-value group health care plans, due to take effect in 2018 under the health care reform law.

Benefit consultant urges Cadillac tax delay

By: Jerry Geisel

Published May 18, 2015 - 1:18pm CST

The effective date of a health care reform law provision that will impose, starting in 2018, a 40% excise tax on group health care premiums that exceed $10,200 for single coverage and $27,500 for family coverage should be delayed, a benefit consultant is recommending.

Pharmacy benefit manager acquires Medicare compliance unit

By: Sheena Harrison

Published May 18, 2015 - 11:44am CST

Helios, a Memphis, Tennessee-based pharmacy benefit management and settlement services firm, has acquired Ringler Medicare Solutions Inc., a Medicare Secondary Payer compliance unit, the companies announced in a statement.

Risk of losing cash can motivate smokers to quit, but there's a catch

By: Andis Robeznieks, Modern Healthcare

Published May 15, 2015 - 10:44am CST

A new study comparing the effectiveness of smoking cessation strategies offers some insight on human behavior but little clear-cut guidance for employers and policymakers.

Multipronged approach urged for employee diabetes care

By: Shelby Livingston

Published May 14, 2015 - 1:29pm CST

Employers should consider patient-centered medical homes, on-site primary care clinics, pharmacist-led care, convenience clinics and centers of excellence when tackling diabetes in the workplace, according to a report by the Northeast Business Group on Health.

Employers stick with offering health plans

By: Jerry Geisel

Published May 14, 2015 - 12:48pm CST

Virtually all employers offering group health care plans say they will continue to provide coverage next year, according to a new survey.

'At-will' worker who delayed reporting injury can't fight firing

By: Sheena Harrison

Published May 13, 2015 - 12:39pm CST

A worker who was fired from his job for waiting to properly report a work injury can’t move forward with a wrongful termination lawsuit against his employer, a Mississippi appellate court ruled Tuesday.

California bill aims for fairness in women's disability claims

By: Sheena Harrison

Published May 12, 2015 - 11:34am CST

A California bill would prevent medical conditions that primarily affect women from being considered preexisting conditions when determining workers compensation permanent disability benefits.

Time, successes boosting health law's popularity

By: Jerry Geisel

Published May 12, 2015 - 11:07am CST

When it comes to public support of the health care reform law, the passage of time and favorable developments can make a big difference.

Health care reform law gaining popularity

By: Jerry Geisel

Published May 11, 2015 - 11:54am CST

Regardless of political affiliation, opposition to the 2010 health care reform law has dropped, according to a new survey.

New Medicare Secondary Payer appeals process may prove costly

By: Sheena Harrison

Published May 10, 2015 - 6:00am CST

A new Medicare Secondary Payer appeals process for workers compensation and liability claims will allow payers to challenge reimbursement demands they believe are incorrect, but appeal costs could be greater than any potential savings.

Defined contribution health care pairs with self-insurance

By: Joseph Berardo Jr.

Published May 10, 2015 - 6:00am CST

New health care plan models brought about by the health care reform law are challenging employers to find options to rein in costs. Joseph Berardo Jr., CEO of health care services company MagnaCare, discusses how self-insuring health care and moving toward a defined contribution model can help curb spending.

Employees stick with health exchange insurers, plans

By: Jerry Geisel

Published May 06, 2015 - 1:39pm CST

Most employees receiving health insurance coverage through private exchanges stay with the same plan and insurer during open enrollment, according to a new analysis released Wednesday.

Worker due comp benefits for partial leg amputation in crash

By: Stephanie Goldberg

Published May 06, 2015 - 1:29pm CST

A truck driver whose leg was partially amputated after he sustained injuries in a crash was an employee, not an independent contractor, and is entitled to workers compensation benefits, an Illinois appellate court has ruled.

Legislators reveal fallback plans from Supreme Court's premium subsidy ruling

By: Jerry Geisel

Published May 06, 2015 - 10:26am CST

Elected state and federal lawmakers already are drawing up contingency plans in case the U.S. Supreme Court overturns rules allowing premium subsidies to eligible individuals obtaining coverage in the federal health insurance exchange.

Health care reform stabilization program underfunded: Report

By: Matt Dunning

Published May 06, 2015 - 9:38am CST

Underfunding of the federal health care reform law's temporary “risk corridor program” could lead to increased volatility in the health insurance industry, Standard & Poor's Financial Services L.L.C. said in an analysis.

IRS sets 2016 health savings account contribution limits

By: Jerry Geisel

Published May 05, 2015 - 10:10am CST

The maximum contributions that can be made to health savings accounts in 2016 will increase $100 for families, but remain unchanged for individuals.

Mercer launches value-based employer health care tools

By: Matt Dunning

Published May 04, 2015 - 3:08pm CST

Mercer L.L.C. on Monday said it has launched a suite of online and mobile tools designed to help employers provide value-based health care to their employees.

Ruling could lead Pennsylvania to create health care exchange

By: Jerry Geisel

Published May 04, 2015 - 2:39pm CST

Pennsylvania officials intend to set up a state health insurance exchange if the U.S. Supreme Court strikes down IRS rules that authorize federal premium subsidies to lower-income uninsured individuals obtaining coverage in the federal exchange.

MRSA infection leads to impairment, return to work ruling

By: Stephanie Goldberg

Published May 04, 2015 - 2:04pm CST

A Tennessee maintenance technician who developed methicillin-resistant Staphylococcus aureus, a drug-resistant staph infection, from a work-related injury is entitled to a 7% impairment rating and was denied a “meaningful return to work."

Worker gets comp benefits despite irregular opioid prescription use

By: Sheena Harrison

Published May 04, 2015 - 12:11pm CST

A New York employer can't discontinue workers compensation indemnity benefits for an injured worker whose urine drug tests showed that the man was not taking an opioid medication regularly, a New York appellate court has ruled.

Hospital CEOs expect health exchange subsidies to be upheld

By: Michael Sandler, Modern Healthcare

Published May 04, 2015 - 10:42am CST

Health care chiefs overwhelmingly predict the U.S. Supreme Court will rule in favor of the government in the King v. Burwell case, which threatens health insurance subsidies in states that don't run their own exchanges, results of a new survey say.

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