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Benefits quarterly最新文献

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COBRA notice violation. 违反COBRA通知。
Benefits quarterly
Pub Date : 2013-01-01
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引用次数: 0
Definition of disability. 残疾的定义。
Benefits quarterly
Pub Date : 2013-01-01
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引用次数: 0
Coleman v. Court of Appeals of Maryland, 132 S.Ct. 1327 (2012). 科尔曼诉马里兰州上诉法院，第132卷。1327(2012)。
Benefits quarterly
Pub Date : 2013-01-01
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引用次数: 0
Fortier v. Principal Life, 666 F3d 231 (4th Cir. 2012). 福捷诉信安人寿，666 F3d 231(2012年第4期)。
Benefits quarterly
Pub Date : 2013-01-01
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引用次数: 0
The power of data--from data mining to consumer pricing and quality-of-care tools. 数据的力量——从数据挖掘到消费者定价和医疗质量工具。
Benefits quarterly
Pub Date : 2013-01-01
Leah C Malof

Transparency tools, whether offered by carriers or third-party administrators, rely on adequate experience, by market and by service, to provide information to consumers about health care costs and quality of care. The opportunities for savings to individual consumers and to employer-sponsored health plans are clearly significant and possible if people will use the tools and act. This article reviews two studies showing a shift in consumer claims experience to less costly services afte the implementation of a transparency tool and when combined with a consumer-driven health plan. It also outlines best practices employers can implement to carefully craft interventions to engage and create value in the minds of health care consumers.

无论是由运营商还是第三方管理人员提供的透明度工具，都依赖于市场和服务方面的充分经验，向消费者提供有关医疗保健费用和医疗质量的信息。如果人们使用这些工具并采取行动，个人消费者和雇主赞助的健康计划节省的机会显然是巨大的，而且是可能的。本文回顾了两项研究，表明在实施透明度工具并与消费者驱动的健康计划相结合后，消费者索赔经验转向成本较低的服务。它还概述了雇主可以实施的最佳做法，以精心设计干预措施，在医疗保健消费者的心目中吸引和创造价值。
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引用次数: 0
Can private health care exchanges improve the U.S. health care system? 私人医疗保健交易所能改善美国的医疗保健系统吗?
Benefits quarterly
Pub Date : 2013-01-01
Tina Provancal

There are already a number of firms entering the active employee exchange marketplace, and the trend will continue as more employers show interest in this model. Private health exchanges will be a permanent and significant avenue for health care benefits delivery because they are dynamic, powerful and necessary for employers aiming to achieve lower, predictable health care costs. The emergence of efficient and effective health exchanges, combined with a responsibility to provide affordable health coverage, presents an opportunity for employers to take advantage of new options available to help manage costs and improve the health of their population in a way that leads to a workforce that is healthy, present and productive.

已经有许多公司进入了活跃的员工交换市场，随着越来越多的雇主对这种模式表现出兴趣，这种趋势将继续下去。私营医疗保险交易所将成为提供医疗保险福利的一个永久和重要的途径，因为它们是动态的、强大的，对于旨在实现更低、可预测的医疗保健成本的雇主来说是必要的。高效和有效的健康交流的出现，加上提供负担得起的健康保险的责任，为雇主提供了一个机会，可以利用现有的新选择来帮助管理成本和改善其人口的健康，从而形成一支健康、及时和富有成效的劳动力队伍。
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引用次数: 0
Federal government releases additional proposed regulations under the Affordable Care Act. 联邦政府根据《平价医疗法案》发布了额外的拟议法规。
Benefits quarterly
Pub Date : 2013-01-01
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引用次数: 0
Scibelli v. Prudential, 666 F3d 32 (1st Cir. 2012). Scibelli诉保诚集团案，666 F3d 32(2012年1月)。
Benefits quarterly
Pub Date : 2013-01-01
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引用次数: 0
Benefit denial fails ERISA's review requirement. 福利拒绝不符合ERISA的审查要求。
Benefits quarterly
Pub Date : 2013-01-01
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引用次数: 0
The employer's decision to provide health insurance under the health reform law. 雇主根据医疗改革法提供医疗保险的决定。
Benefits quarterly
Pub Date : 2013-01-01
Gaobo Pang, Mark J Warshawsky

This article considers the employer's decision to continue or to drop health insurance coverage for its workers under the provisions of the 2010 health reform law, on the presumption that the primary influence on that decision is what will produce a higher worker standard of living during working years and retirement. The authors incorporate the most recent empirical estimates of health care costs into their long-horizon, optimal savings consumption model for workers. Their results show that the employer sponsorship of health plans is valuable for maintaining a consistent and higher living standard over the life cycle for middle- and upper-income households considered here, whereas exchange-purchased and subsidized coverage is more beneficial for lower income households (roughly 4-6% of illustrative single workers and 15-22% of working families).

根据2010年《医疗改革法》的规定，雇主决定继续或放弃为其工人提供医疗保险，本文考虑的假设是，对该决定的主要影响是什么将提高工人在工作年限和退休期间的生活水平。作者将最新的医疗成本实证估计纳入了他们的长期、最优的工人储蓄消费模型。他们的研究结果表明，雇主赞助的健康计划对于在整个生命周期中为中高收入家庭维持一致和更高的生活水平是有价值的，而交换购买和补贴的保险对低收入家庭(大约4-6%的单身工人和15-22%的工薪家庭)更有利。
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引用次数: 0
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