Giving Health Care Reform a Big KISS

kissI agree that our health care system needs reform. I believe that everyone should be able to buy insurance, and that they shouldn’t have to take out a loan to do it. However, Congress, while stating they are acting in the best interest of our country, is saddling true reform with special interest. Do we really need a 2,000+ page bill to reform health care? No. Instead, reform needs a KISS – Keep It Simple Senators! What if we put a 5 page cap on the bill, and just focus on the real issues:

Access to healthcare. Mandate coverage for everyone (sorry twenty-somethings, you are not invincible). The insurance industry has said for years that if everyone is required to have coverage, then they will drop pre-existing condition clauses. It also alleviates the costs associated with adverse selection. Allow people to purchase individual polices when an employer-sponsored plan is not available.

Drive out costs associated with health care. Many health plans, both employer-sponsored and individual, are loaded with mandated benefits, such as behavioral health, substance abuse, maternity, etc., but does everyone really need these benefits? Not necessarily. Further, it is very expensive, and often cost-prohibitive, to administer a different plan in each state. Reform should address this issue, either by allowing individual purchasers to select a plan from any state (like 529 plans), and/or allow insurers to offer plans that meet federal minimum guidelines (e.g., Medicare A and B). This drives out administrative costs from the carriers, and offers individuals more options from which to select a plan that truly meets their needs, both in terms of benefits and costs.

Affordability. If the pool of insureds increases, adverse selection decreases, which drives down premiums. If the costs of administering the plan decreases, so do premiums (assuming free markets are allowed to work). Further, if people have the option to only purchase what they need, and individual purchasers can deduct their health care premiums, thus receiving the same benefits as employee contributions processed through a Section 125 plan, affordability starts to become a reality.

So in conclusion, let’s keep it simple and focus on feasible solutions to the real issues. The individual market is the best place to start.

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Winter Wonderland HR Carnival

HR-Carnival-1024x400It’s cold outside, so grab a cup of Irish Coffee and head on over to the Emerald Isle for the latest outing of the HR Carnival! Rowan Monahan’s Fortify Your Oasis has 25 posts from around the HR blogosphere for your reading pleasure, including our very own post, “Should Wellness Be a Choice?” So sit back, relax, and enjoy!

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Should Wellness Be a Choice?

iStock_000001359508XSmallWe’re all about the wellness here at the Precept Employee Benefits Blog. And why shouldn’t we be? Healthy lifestyles bear loads of good things – reduced costs to both employees and employers, reduced risk of disease, reduced stress, etc. The number of companies offering wellness programs is increasing all the time. I would venture to guess that 99.99% of those wellness programs are voluntary. Sure, there may be higher premiums for those who choose not to participate, but that’s their choice.

So, given that, what do we think about Lincoln University’s new rule that overweight students – BMI of 30 or higher – must take a fitness class in order to graduate? Lincoln University in Pennsylvania is a private school; just like a company, they should be able to create their own rules (within the boundaries of law, of course), right? Or is this going too far? Vote in the poll below, and let me know your thoughts in the comments.

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HR Carnival of Global Giving

HR-Carnival-1024x400Sorry for the late notice, but check out the latest HR Carnival over at The Human Race Horses. Not only are there over 80 posts of goodness awaiting you, but they’re giving $1 to charity for each post!

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Some Interesting Provisions in the Senate Health Care Bill

studentAn article posted yesterday on the Kaiser Health News website, “Seven Things You Didn’t Know Were In The Senate Health Bill,” highlights some of the “pet interests” that are included in the Senate Health Care Bill, which went into debate yesterday in the Senate.

You already know about the big-ticket items: the public option, abortion, taxing Cadillac plans, prescriptions drugs, etc. One of the most interesting things about these big plans, though, is the little things that get added to win one vote or another.

So what are the seven interesting things?

  1. Requiring employers to provide unpaid time to allow nursing mothers time to use a breast pump at work – now, 24 states (including the great employee-friendly state of California) already have laws that protect nursing mothers in the workplace; this new provision would require employers (over 50 employees) to provide a private location – other than a bathroom – to use a breast pump, and of course, the time to do so. Seems like such a common sense, decent thing to do for a returning mother, that it seems so sad that we require legislation to make it happen.
  2. Personal Responsibility Education for Adulthood Training – I would actually be glad to have my taxes go towards this program. Besides “innovative youth pregnancy prevention strategies,” the program would provide education to help teenagers transition to adulthood – covering topics such as relationship dynamics, self-esteem, dating, marriage, family interaction, goal setting, decision-making, stress management, and my personal favorite, financial literacy. Unfortunately, many of our under-funded and overcrowded high schools just can’t seem to  reach the students that need this kind of training most. Wouldn’t it be nice to have young adults learn these things before they reach the workplace? Children are our future, my friends.
  3. Retiree health benefits – both the House and Senate bills had similar provisions that would have the government paying for high-cost health claims for retirees who are under 65 and still get their insurance through their employers. Employers would then be required to use the savings to make the health plans more affordable for the retirees. This provision, which would cost $5 billion in the Senate bill and $10 billion in the House bill, gets big smiley faces all around from employer groups and labor unions. Sad faces abound, however, over another retiree provision – taxing companies on government subsidies for providing prescription coverage to Medicare-eligible retirees. The American Benefits Council and the AFL-CIO argue that companies may stop providing prescription drug coverage and will force retirees to get their coverage through Medicare, which would increase the cost for the government.
  4. Increasing payments for bone density scans for Medicare patients – increasing the payments would make it easier for Medicare patients to get access to bone density scanning that would presumably reduce the effects of osteoporosis. Seems like a good thing to me.
  5. Limiting cost of uninsured in the ER – seeing as how the health care bill is supposed to reduce the number of uninsured people to a negligible amount, it seems only fair that those who are uninsured not have to pay substantially more when they go to the ER. Doesn’t it?
  6. Non-profit Blue Cross and Blue Shield Health plans would have to act like non-profit companies – sounds about right to me. If you want to have high revenues, then wouldn’t that make you a for-profit company?
  7. Transparent drug pricing – the health bill wants pharmaceutical benefit managers – or PBMs to those in the know – to disclose all their hard work at getting discounts for drugs at retail pharmacies. PBMs don’t like it; they say that companies will now know what their competitors charge and will raise prices! It will decrease competition! In actuality, most companies already know what their competitors are charging. If they don’t, they will probably go out of business pretty quickly, unless they have a completely unique product that has hardly any competition, in which case they can charge whatever they want to for it *cough*iPod*cough*.

You’ve got to admit, it’s going to be pretty interesting to see what other little “pet interests” creep up in the health bill. Which one has you scratching your head the most?

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Carnival of HR – 25 Pieces of HR Awesomeness

HR-Carnival-1024x400

The latest Carnival of HR is up over at UpstartHR. Check out the 25 pieces of HR awesomeness posted – including the Bottom Line on Benefits, by our own Christine Mitchell!

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Breaking Benefit Change News Without Breaking Too Many Hearts

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Open Enrollment is oftentimes one of the busiest times of the year for an employer.  However, the economic downturn has made the process much more of an arduous endeavor this time around than in years past, as some companies have had to make the excruciating decision to drastically alter or even remove portions of their benefit packages in order to remain financially strong.  If your company falls into this unfortunate sector, then you know that conveying the information to the workforce is just as nerve wracking as the initial determination itself, if not more so.  Anger and disillusionment can easily drape your staff upon hearing the news that some of their benefits they have enjoyed in previous years are either skyrocketing in price or going away altogether.  However, if you properly prepare this necessary interoffice communication, you can make great strides to minimizing the malaise that will be poised to sweep through the office.

The most important thing you can do in light of the potential onslaught is to be sure the communication with your staff over this matter comes across as empathetic, and not just sympathetic.  In other words, meet their mindset as much as possible.  Make certain each memo, e-mail, and newsletter that addresses benefit changes avoids sounding generically corporate and communicates at the staff’s level.  This approach will help to answer a great deal of the workforce’s “why” questions before they get a chance to be asked. 

You can achieve this by pulling back on using blanket statements and revealing an appropriate level of reasoning behind the decision instead.  For example, phrases like “in these tough economic times” have been so overused as the de facto, near clichéd way to signal that bad financial news is afoot that they have become rather cold, impersonal expressions.  Your employees know that everyone is a wading through treacherous monetary waters; a shopworn statement that merely states the obvious will most likely make you look aloof and unaffected in the eyes of your staff.   The better way to inform your staff about the benefit changes would be to provide as much concrete data to the workforce as you feel comfortable sharing.  Just simply stating the ways the economic downturn have affected the company goes a long way than just reiterating a hodgepodge of “times are tough” rhetoric.   You don’t have to open your books or other private ledgers to accomplish this; merely giving innocuous explanations on how the economy has affected you as an employer will actively demonstrate to your employees that you have felt the pinch of the economy every bit as they have.  Moreover, it enhances the element of equality and camaraderie to decisions that otherwise may look a bit feudalistic. 

Additionally, as you share this information with your workforce, do not try and sugarcoat the situation by beginning your announcement with flowery statements of employee appreciation.  On paper, an opening salvo speaking of how the company cares about its staff looks like a good strategy.  However, the reality is such leadoff phraseology may backfire, because your workforce may interpret it as a bait-and-switch of sorts, which could foster feelings of disingenuousness.  Instead, your best bet is to save the words of compassion until after the news has been broken and the facts and data associated with it have been laid out.  Once this foundation has been established, then you can (and should) build up spires of benevolence. 

Of course, there will be grumblings amongst the workforce no matter how you break the bad tidings.  However, following these guidelines can go a long way into keeping such complaints low, which in turn will lessen any dip in office morale.  It will also help reinforce and strengthen bonds between you and your staff, which can ultimately serve you quite handsomely once the economy recovers.

What do you think?  Would following these guidelines help stem the flow of negative vibes throughout the office?  What tactics have you deployed in informing your workforce about tough decisions regarding benefit changes?

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Bottom Line on Benefits: Knowledge is Power

benefitsPaperworkDuring this uncertain time for health care in America, and as we look to the future for viable solutions for employers, employees and their dependents, we encourage you to take this opportunity to help us help you educate your employee population on this very important subject of Employee Benefits. One of the largest benefits you provide for your employees is access to some kind of health care program. So many times, we experience a situation when an employee does not fully understand their benefit package. The normal attitude is that they don’t really consider all the options until they actually need to use the benefit. By that time, it is sometimes too late.

There are many tools that can be used to educate your employees. For example, if you are using an online enrollment system, encourage your employees to utilize the site and review the information available to them. Many employers want to make the enrollment process “easy” for their employees and tell them that they don’t need to worry about anything if they don’t want to make any changes. I think this is a disservice, because those employers are encouraging them not to be interested in this subject. 

The subject of “insurance” awareness is similar to “tax code” or “investment” awareness. Most people throw up their hands at the mere mention of these subjects, feeling that they are too complicated to understand and they will deal with it when and if they have to. I say to be forewarned is to be fore-armed. The time to know the best place to take your child for emergency treatment of a broken arm is not when it happens. You should know which facilities are in your network and whether it is best to go the Emergency Room of a hospital (probably not), an Urgent Care Facility, or your doctor’s office.

We need to have more informed consumers of health care. They need to be educated in fraud and abuse tactics so that they can be instrumental in containing health care costs. If they have had a recent array of testing done by a doctor, they should know that sometimes these test results can be shared with a second doctor and not have them repeated. We have all heard the term “second opinion,” but how often do people actually get one? Do employees realize that sometimes the best place for treatment may not be in their own community? There are facilities that have been designated as “Centers of Care” for specific conditions or procedures. 

The attitude of “I don’t have to worry, the insurance will pay for it” needs to stop. People need to be educated to assume responsibility and participate in managing their health care. There is no such thing as a “free lunch.” You will pay for it now or later in the form of increased premiums or other costs.

The bottom line is: encourage your employees to be educated in their entire employee benefit package. Don’t offer short cuts; keep them involved. Knowledge is power. In the long run, they can help contain your costs by becoming responsible, knowledgeable consumers of health care.

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Carnival of HR, Halloween Style

BXP35173Just in time for Halloween, a trick-or-treat bag full of HR blog posts over at HR Bartender! Along with those goodies, the HR Bartender serves up all your favorite drinks (because that’s what bartenders do, of course!). Favorite drink of our own Precept blogger Lexi: a nice cup of hot tea, which goes along well with her post on preventing colds and flus. So, check it out! But please, enjoy responsibly.

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Preventing Cold and Flu Outbreaks in the Workplace: The Best Defense is a Good Offense

sneezing correct wayWe all know that washing our hands and getting a flu shot are the best defenses in preventing colds and flu. But in all honesty, people need to be reminded, so you need to communicate. So, communication becomes a top priority in defending the company from the cold and flu season. And you know what they say: the best defense is a good offence.

So, how do we get a good offence? We create a strategy, or a plan of attack, so to speak.

Step 1: Encourage employees to get flu shots. You can’t turn around without being reminded that the swine flu pandemic is nigh; it’s the new apocalypse. Half of your workforce will all be out sick at the same time! Millions of people will die! We should all rush out and get the swine flu vaccine! Well, should that last one become available, it’s probably not a bad idea to get one. But the regular flu shot is important, too, and there are concerns about flu vaccine shortages, so you should get one sooner rather than later.

http://www.findaflushot.com/news_calculator.php lets you calculate the potential cost of the flu to your company. I did a quick calculation on it, and found that the cost of an employer providing flu shots is far less than the cost of lost work days due to employees calling in sick.

No, the seasonal flu vaccine won’t prevent you from contracting H1N1, but it may keep you from getting both the seasonal flu and H1N1 at the same time. For anyone who has had to endure a bout of the flu, I’m sure you don’t even want to imagine having two different flu bugs raging through your system at the same time.

Step 2: Remind employees of the easiest ways to prevent getting sick, such as the proper way to sneeze (into your elbow, not your hand!) and the right way to wash their hands (EVERY time they go to the bathroom, no excuses! Always use soap and water, scrubbing for about 20-30 seconds). Certain fun employee activities may need to be altered: pot lucks are a great way to spread germs. Big bowls of chips where everyone digs in with bare hands? You can guarantee several of those chip-takers have not washed their hands in awhile. Encourage employees to practice sanitary food sharing by making sure that no one touches any food that they aren’t going to consume themselves.

Step 3: Re-communicate your sick policy, which you may want to re-think if you end up with a large number of people coming to work sick. Many health professionals are suggesting that people stay home at the onset of symptoms through 24-48 hours after a fever has broken naturally (no help from acetaminophen or ibuprofen). A lot of companies’ busiest seasons are around this time of year, so many employees may feel that they need to come in. You should be working with your managers to communicate the necessity for those with colds or flu (or any other infectious diseases, like pink eye) to STAY HOME. A few days of resting will get them through their sickness faster, and will also prevent the spread of disease to other employees. Please don’t go this route. Forcing employees to stay home when they’re sick and then punishing them for doing so seems like such a bad idea.

To summarize:

  1. Encourage employees to get flu shots: Check!
  2. Remind employees of the easiest ways to prevent getting sick: Check!
  3. Re-communicate sick policy: Check!

And now we’re ready to tackle the cold and flu season!

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