Minggu, 11 Juli 2010

Healthcare Subsidy May Help Unemployed Cover Healthcare Cost at Crucial Time

Lawmakers are scrambling to work out the kinks in the Financial Stimulus Plan. One of the plans focus has been on consumer healthcare cost and ways to insure healthcare for families in this economic crisis. Recent reports say all the details are not yet known as the house and senate work to finalize the plan, but the outcome should be good and released as soon as the end of March. The purpose of the COBRA subsidy is to help many Americans who are losing employment maintain coverage. The plan will provide as much as 21.4 billion in COBRA healthcare subsidies.

What does this mean for you?

If your recently lost your job and have been unable to secure new employment you will most likely be required to accept COBRA to maintain your personal or family employment health coverage. According to the new bill the government will subsidize somewhere between 50-65% of the premium. The length of the subsidy plan will run from 9 months to as long as 18 months. However single filers and married filers will lose eligibility at incomes over $125,000 and $250,000 respectively. Also of worthy research is what many A rated health carriers have designed for this purpose is temporary health insurance or also known as short term medical coverage. Short Term Medical Insurance is a form of health insurance that is typically used for covering gaps on permanent health insurance coverage. Temporary Health Insurance can be anywhere from for 1 to 12 months and most Temporary plans can be renewed. Temporary heath insurance plans are a smart way to protect you or your family members during an unemployment period.

Even if you locate new employment you may face a waiting period from 90 to 120 days for employer benefits. The same carriers that provide group health plans provide short-term medical insurance and individual plans including: Well care, Aetna, United Healthcare- Golden Rule, Humana , Blue Cross Blue Shield and Assurant health. Consumers can obtain many of the same features and benefits offered with permanent health plans such as co-pays, prescription drugs, choosing doctors, deductible options, hospital benefits, ambulance services, surgeries and transplants.

These features and services as well as cost will vary from one insurer to the other and should be reviewed. One interesting fact is if you had creditable coverage from an employer in the last 12 months you can qualify for short term medical by simply applying and answering a few simple health questions. These two options are important to the American public as statistics estimate unemployment rate approaching 10% many will find that health care cost will be the first expense they will let slide.

Christopher Beard is a specialist in helping people with insurance planning strategies. He is the president of Trinity 1 Financial Group and works with clients with planning insurance strategies visit his site at http://www.trinity1financialgroup.com

Article Source: http://EzineArticles.com/?expert=Christopher_Beard

If You Live in Ohio, What Do You Do If You Lose Your Job?

If you live in Ohio and have recently lost your job...you're not alone. The state has lost more than 260,000 jobs since 2000, 4.8 percent of all employment. The hardest hit areas have been Trumbull County, losing 20.5 percent of its jobs, and Montgomery County, losing 14.1% of its jobs.

President Barack Obama's health care initiatives are now facing delay, when Tom Daschle, who was chosen to head the initiative, suddenly withdrew his nomination for health secretary. Health care reform has taken a back seat to more pressing concerns...such as the ailing economy and bailing out auto manufacturers and some financial institutions.

If you find yourself out of a job, between jobs, or your employer is reducing your hours, your health insurance may be affected. In many cases, your current coverage extends for a few months (or less), and then the search for an affordable Ohio health insurance plan begins.

Cobra is one option. Under this program, Ohio workers laid off from companies with 20 or more employees can extend their employee-provided health insurance for 18 months. Of course...premiums are often extremely expensive and unaffordable. And with the current recession and no end in sight, Cobra's premiums are not a viable health insurance option for many Ohioians.

However, if you have no significant medical issues, such as cancer, diabetes or heart disease, you may qualify for an individual Ohio health insurance policy. The application process is simple and physicals are rarely required. The most popular Ohio companies are Anthem Blue Cross, UnitedHealthCare, Medical Mutual and Aetna.

For example, in Franklin County, a nonsmoking family of four (Parents-Age 40 & Children-Ages 8 & 10), with no medical issues, can buy a "catastrophic health" plan for $120 per month. A "comprehensive" plan, which offers many more coverages, including preventative benefits, would cost between $230 and $300 per month, depending on the major medical deductible.

Naturally, rates will be substantially less if only one person is insured. Also, existing medical conditions can raise the rate. With your own policy, your coverage is portable, so you may keep the policy as long as you want. Also...with individual coverage, unlike group coverage, your rate is not affected by a large amount of unhealthy persons in the group.

For additional information, feel free to email service@ohioquotes.com or visit http://www.ohioquotes.com

Article Source: http://EzineArticles.com/?expert=Ed_Harris

Type 1 Diabetes and HMO Healthcare

Hello Ezine readers. So as many of you know, I am a Type 1 Diabetic. Last fall I was with PPO health insurance with Aetna and through an extraordinary amount of circumstances, was faced with almost $7,000 in deductibles alone. It was a nightmare.

After some calling around because I've only ever heard nightmares about HMO's, I was convinced to make the switch and give it a shot. Folks, if you have the choice between PPO or HMO and have ongoing health issues, I do NOT recommend HMO.

Here is what I've learned: From the start you must first pick a primary care physician from a list of approved doctors on your HMO website. I did my best to Google them and find out through their reviews and credentials who felt like the best match. That takes about two weeks for insurance to process. Once you have your approval you may then get yourself an appointment- another 1-3 weeks of waiting. Upon visiting my primary care physician I explained I needed regular visits with an endocrinologist to help manage diabetes with me. It was another three weeks before I was referred to Dr. Sawson Barakat in Tarzana and another week before I could see her and she was awful to me. I saw her and she refused to write a prescription for my insulin, handing me a bunch of free insulin that is not the kind I usually take. I told her the only problem was when I ran out I couldn't just go to the pharmacy, I'd have to get approval all over again, wait for an appt with her, then come in to get it and this was not a viable solution. She assured me I could just drop in for insulin any time.

So, six weeks later I was having a hard day, my insulin was not working and I was down to my last vial. The pharmacy, for legal reasons, could not call the doctor unless they had already had a prescription from her prior. Since she refused me a prescription when I first saw her, I called her begging her to call one in. Mind you my blood sugar was 490 and I had been taking shots all day. She said it was an office policy NOT to call the pharmacy, that they had to call her. 490 blood sugar by most standards is considered a medical emergency where you are in no condition to drive yourself to see your doctor who is 45 minutes away. But alas, she still refused. It was 36 hours of high blood sugar before I could convince a pharmacist to please call her.

Well that was six weeks ago and I've since requested another endocrinologist and have YET to receive approval thorugh insurance. So this entire time I've no reliable person I can go to for my insulin, test strips, or otherwise. All I can tell myself is I must be doing something wrong. But no, I've spoken with my Regal group representative who assures me this is the only way, that I myself cannot request another endocrinologist that my primary care physician must do it and that the delay is his fault.

If anyone has better resources let me know, but otherwise it's time to switch to PPO where I am treated like a human being and whose health comes before some ridiculous, power-struggle motivated policy that is against calling in prescriptions to a pharmacy in the case of a medical emergency.

My name is Dani Kelly. I work in Web Development, online marketing, Social Networking, Social Media, SEO, and more. But first and foremost, I am a writer; a journalist. I love to review our Los Angeles teams and am impassioned about finding the next artist to make it in our highly-critical pool of music fans. Check out my articles and get the latest reviews on how our teams have been doing, are doing, will be doing, etc.

Sometimes I play devils advocate, just to pose the questions. Sometimes I share with you my own, deeply personal view, and sometimes my work is entirely objective. My various writing styles will keep you guessing as to which ones. Have fun and I hope you enjoy some of my literary musings!

Article Source: http://EzineArticles.com/?expert=Dani_Kelly

The Healthcare Bottom-Line - Workers Pay More

A recently released study by the Kaiser Family Foundation examining trends in employer healthcare benefits recorded a 5% increase in healthcare premiums for 2008. Premiums for employer-provided plans now average $4,704 for a single-person and $12,680 for a family. These figures have increased by a staggering 119% since 1999. Yet, employers have not shouldered the entire burden of these rising costs. They have instead shifted costs off to their employees to the tune of a 117% increase in cost since 1999. Workers now pay, on average, $1,543 for single coverage and $3,354 for family coverage. Equally ominous is the fact that a broad survey of employers found that 40% of respondents expect to increase employee-contributions to all aspects of healthcare coverage in the coming year.

An even more frightening picture is painted when the numbers are examined more closely. The average payment made by a worker for a family plan has increased from $129 in 1999 to $280 in 2008. The squeeze on budgets also has a regional flavor with workers in the South paying a monthly charge of $313 for a family plan while workers in the Northeast are charged in average $246 (although a monthly charge for a single-plan of $75 for Northeast workers is the highest in the country). Employment sector and union status is another factor in the percentage a worker will be forced to pay with wholesale, retail and finance sector workers being asked to pay nearly 20% of single and nearly 30% of family premiums while federal/state/local government workers, who are generally represented by trade unions, pay only 12% for single and 21% for family.

Costs inside of plans have also increased sharply. Take for instance the charges by HMOs for visits to a physician's office. In 1999, 83% of plans charged a $10 co-pay or less. In 2008, nearly 70% of plans charge $15 or more. Things are even murkier when prescription drugs are considered. Tiering, or creating levels of cost for pharmaceuticals, was introduce en-masse in 2000. A scale of three tiers was employed initially. The first-tier cost of drugs has increased from $8 on average in 2000 to $10 in 2008. However, a fourth tier was introduced widely in 2004 priced at $59. This cost is now $75 and the third tier has increased from $29 in 2000 to $46 in 2008.

The end result of this squeeze is, not surprisingly, enormous profits for health insurance companies and serious pressure on the household budgets of workers. Health insurance giants Humana (18%), United Health (5%) and Aetna (8%) have all reported profit increases for the period from 2006 to 2008. CEOs for companies were well-rewarded with compensation packages which amounted to $10 million, $9 million and $23 million. Simultaneously, a 2005 study indicated that 50% of personal bankruptcy claims, more than 2 million, were based on debts incurred as a result of medical procedures. A correlation has also been made between healthcare and problems with housing including inability to pay rent or mortgage payments.

In sum, we see that healthcare is a serious class issue. The for-profit health system represents a serious financial drain on working-class households and is interlinked with, the now much publicized, problems in the home-loan mortgage markets. The creation of a single-payer national healthcare insurance is therefore the very definition of the term "bailout." The only difference, and this is a key difference in a society in which corporations monopolize political power, is that instead of the government purchasing worthless mortgage-backed securities, the entire society would be relieved of the financial stress of healthcare bills and psychological anxiety of a future where healthcare is not a guarantee.

Billy Wharton

[http://counterhegemonic.blogspot.com/]

Article Source: http://EzineArticles.com/?expert=Billy_Wharton


Aetna Dental Plan Review

Aetna is a popular name in the health care industry as they provide their members with great resources for various health care plans. They aim to serve the masses for all of their medical, pharmaceutical and other requirements. The product range is wide and features long-term care, behavioral, group-life and dental plans.

Aetna offers a number of dental insurance programs and products which cover both out and in-network plans. A member can expect huge savings from the dental savings plans. One of the popular Aetna dental plans is the "Dental Fund" which ensures cost effectiveness for the user.

There are several other options as well. You can expect to get a number of non-insurance dental programs as well. They can be availed by paying a minimum cost on yearly basis. These are discounted programs which is suitable for people from middle income groups. "Vital Savings" is one plan which is budget-friendly.

Many of the corporate employers select the dental programs from Aetna because they are excellent from all aspects. Those who availed these plans from their employers have only good things to talk about. There are numerous in-network dental surgeons and practicing dentists who prefer the Aetna dental plans.

A member can expect absolute flexibility from these plans at affordable cost which is the best feature of these insurance programs and products. The dental access network plans available from Aetna are specially designed for the families wherein they get to select from more than 68,000 dentists, all competent and experienced.

For the plans you can pay with easy installments on monthly basis which reduces the overall burden of the buyers. The individual plans can range from round about $8 to $80. The annual expenses can go up to about $100 for the family plans.

The special "dental access plans" from Aetna are not exactly similar to the regular dental insurances. Hence the price and total expenditure of these plans keep varying with the shops from where you purchase the medical products or services. If you would like to save on these plans you can refer to a service center that is cost-effective.

The various services included in the Aetna plans are cleaning for adults and children, bitewing x-rays, extraction of tooth, crowning, molar root canal treatment and overall routine check up for the denture and oral health. The fees and expense keep varying with the cities from where you are opting for the treatment. Hence the geographic region has an important role to play in the savings that you make from the Aetna dental plans.

The members are provided with an ID card showing which they can seek services from the dentists who are included in the dental programs. There is no guarantee that you will get in touch with a particular dentist. But there are many dental physicians and all of them have equal competence. Taking a dental insurance or plan from Aetna will be a great decision in itself which you will never repent.

Dental Plans is your source of all dental problems. For best Aetna Dental Plan packages, click on the links.

Article Source: http://EzineArticles.com/?expert=Yachika_Verma

Dental Insurance Plans Don't Have To Cost A Fortune

Your most likely already aware that many Americans do not have dental coverage. It's not that they don't want it it's the cost. Hey if it was free or low in cost then everyone would have it. Everyone needs dental insurance for several key reasons. Not all of them are health related but they all matter. We use or teeth to eat with and that is a must. There are also more vain reasons as well. Like it or not our teeth play a big role in how we look and they do make a first impression on people.

Although the aetna dental insurance is not exactly one of the cheapest in the market today, it does have a lot of advantages over other dental insurance. This company has been around for a long time. With all the mergers going on now a days and medical companies joining together you can be fairly certain the Aetna will still be around a few years down the road. Because of how old this company I they have a huge network of dentists so no matter were you live you are sure to find a local dentist that you like. If you already have a preferred dentist then you should check with them to make sure they accept the Aetna Dental plans before making a final decision.

Aetna Dental Plans vs the competition

Aside from prompt and reliable service, the company also offers secured account access to their clients online. This makes it very easy to manage your policy and they even have a live chat so getting help on the fly is not a problem. The electronic service of the company allows you to submit claims online. For your convenience, the company also allows you to make real-time eligibility inquiries on the status of your claims. The overall cost of the plan is a little high then some. For the price it's worth it but you should still shop around and check out several companies and compare plans before you sign up for anything.

For more information on finding the right dental plan for your needs check out our Dental Insurance website.

Article Source: http://EzineArticles.com/?expert=Jacob_Erdei

Medical Billing Audit - Why Should Providers Audit Payers?

A Sacramento-area surgeon couldn't schedule surgeries for more than six months because his contract was not loaded in the insurer's computer system. More than 200 of Dr. Watson's patients received letters indicating incorrectly that he was no longer participating in the network. Watson lost about 25 percent of these patients and was not paid for about eight months. Another insured spent eleven months trying to get claims paid for his family, including an autistic child. The insurer never specified what information was needed to make the denied claims eligible for payment.

Are these three isolated incidents or are they three symptoms of a growing problem with the entire provider's reimbursement system? The owners of health care practices easily recognize these painfully familiar symptoms. The better questions are: how are they related to the rising healthcare costs and what can a provider do to help?

In 2005, national healthcare costs rose 6.9 percent - twice the rate of inflation, reaching $2 trillion. National healthcare costs are predicted to double to $4 trillion by 2015. While key health care cost factors include aging US population, the arrival of new and expensive drugs and bio-tech devices, and the defensive medicine, the insurance costs alone stand out as a key contributor to rising healthcare costs. Exorbitant executive compensation became a hallmark of healthcare insurance industry, where William McGuire, CEO of UnitedHealth Group, has reportedly received over $500 million since 1992, more than $1 billion worth of options, a lump sum payout of $6.4 million upon leaving the company, and an annual pension of $5.1 million. But such compensation can be easily justified on Wall Street, when comparing it to outstanding insurance industry profits, such as 38 percent growth in earnings in the 3rd quarter of 2006.

The problem for any successful insurance company is how to make such growth sustainable? This question is difficult because the premium growth (68.4 percent) has disproportionally outpaced both inflation (16.4 percent) and workers earnings (18.2 percent) during the same period (2001-2006), making it impossible to continue to rise the premiums without losing major segments of insured population.

Without the ability to attract new clients or to further raise insurance premiums, cost reduction becomes the next most important approach to enhance profitability. Such cost reduction can be done in a variety of ways, which we conveniently divide into strategic and tactical or opportunistic approaches.

Strategic insurer's arsenal

The creation of an oligopsony through consolidation is the main weapon in the strategic arsenal of insurance companies. Oligopsony exists when providers significantly outnumber buyers, enabling them to dictate prices. Take for example, the PacifiCare's $9.2 billion merger with United Health Group Inc. in late 2005, which created a vast network of HMO and PPO plans covering more than 3 million Californians. Today, three plans alone (UnitedHealthcare, WellPoint and Aetna) cover 77.7 million insured lives. Oligopsony allows the systematic and continuous cost reduction without extra investment, e.g., annual cut of allowed rates (such as the average reimbursement for E&M allowable dropped 10 percent in 2006 and another 6.5 percent in 2007), payment suspension for specific procedures (such as EKG tests for routine physicals), offering "all or none" participation alternatives, or the creation of "tiered networks" that profile providers and incentivize patients to see lower cost providers.

Tactical insurer's weapons

Increasing billing process complexity and inventing new denial reasons through arcane terminology, disparate data formats, and modifications of CPT/ICD codes and medical necessity rules - these are all examples of tactical methods designed to increase providers costs for both billing and follow up and reduce the payments at the expense of practice owners. These methods need continuous investment in personnel training, better process management, and improved technology to keep them effective as the providers begin building more sophisticated systems to scrub and analyze claims and discover payment discrepancies and irregularities.

Provider's Response

Returning to the three incidents mentioned at the outset of this article, the joint Department of Managed Health Care and Insurance Department determined that these are not isolated cases. It analyzed 1.1 million paid claims from June 2005 to May 2007 that covered about 190,000 members in PacifiCare's HMO plans and PPO coverage [Gilbert Chan , "PacifiCare fined record $3.5 million," http://www.sacbee.com , January 30, 2008] and discovered 30 percent of the HMO claims wrongly denied and 29 percent of the disputes with doctors were handled incorrectly. PacifiCare paid out over $1 million and was fined additional $3.5 million.

In summary, providers need new and effective approaches to mobilize both legal and organizational talent to reverse their revenue decline. Legal methods battle market conditions like oligopsony while large-scale medical billing networks aggregate claim volumes and create resulting economies of scale to enable analytical discovery of under-payments.

Know any health care providers who complain about shrinking insurance payments and increasing audit risk? Help them learn winning Internet strategies for the modern payer-provider conflict by steering them to www.BillingDynamix.com - Billing Service and Practice Management Software for Physical Therapy and Rehab Offices, home of "Practicing Profitability - Billing Network Effect for Revenue Cycle Control in Healthcare Clinics and Chiropractic Offices: Collections, Audit Risk, SOAP Notes, Scheduling, Care Plans, and Coding" book by Yuval Lirov, PhD and inventor of patents in artificial intelligence and computer security.

Article Source: http://EzineArticles.com/?expert=Yuval_Lirov

For Employers Held Hostage by Managed Care Companies - A Plan of Escape

Despite healthcare reform debate, rising medical plan costs continue to pummel U.S. employers. Corporate health plan costs are projected to increase again this year by more than 6%*. Since 1999, costs have increased by 134%**, nearly five times the cumulative rate of inflation.

Ironically, during this same 10-year period, private health insurers posted record profits, while holding their employer-clients as hostages, feeding them only soaring costs, poor service, and lots of excuses.

But one major east coast company escaped the hostage situation and just celebrated its 8th straight year without a medical cost increase. In fact, while other companies reduced benefits to lessen crippling rate increases, this employer, whose medical plan covers 45,000 lives, actually enriched its benefits program. Today, its annual health plan costs per employee are 60% below the national average.

These astonishing results were achieved without a major insurance company's help. The employer simply eliminated the managed care middleman entirely and contracted directly with doctors and hospitals.

Cutting out the middleman is an age-old idea, but when it comes to employer health plans, insurance carriers still hold employers hostage. Large managed care networks, controlled by profit-bloated and increasingly monopolistic private insurers, have emerged as the only means of coverage for employers. They're also the dominant source of patient revenue for doctors and hospitals, so medical providers are held hostage, too. Consequently, the middleman controls both sides of the healthcare equation and effectively prevents buyer and seller from doing business directly with each other.

Though highly effective, direct contracting is still largely unknown to CEOs whose companies are held hostage. Whipsawed by relentless cost increases, their benefit departments still rely on profit-centric insurance companies for cost-containment strategies, most of which are based on conventional managed care networks and cost-shifting onto employees. As true hostages of the big carriers, employers have been effectively brainwashed into believing there's no viable alternative to the carrier's approach. They're convinced that if the big insurers like Blue Cross, United Healthcare, Cigna, and Aetna don't have the answers, no one does. But direct contracting proves otherwise.

Direct contracting creates a "win-win" business relationship between employer and medical provider, the true "buyer" and "seller" in the managed care equation. By cutting out the managed care middleman, the employer and provider eliminate the inherent disadvantages and financial shortcomings found in commercial managed care contracts. The direct agreement saves the employer money without shortchanging the medical provider. It creates a strong, stable, long-term, and mutually beneficial business relationship.

Employer-owned networks are comprised of doctors and hospitals that provide medical care according to the employer's health plan. For instance, the east-coast employer mentioned earlier has direct contracts in place with more than 10,000 physicians and 80 hospitals across 15 states. Direct agreements give employees and dependents easy access to medical care, while paying those providers quickly, fairly, and without administrative hassle.

Direct contracting bears no resemblance to the complex, adversarial, and financially disadvantageous network agreements forced upon medical providers by insurance companies. Direct networks truly unite physicians and employers in the goal of providing accessible and affordable medical care to employees, without the obstacles and costs found in commercial PPO networks.

As an alternative to HMOs, PPOs, and other commercial managed care approaches, direct contracting is a proven solution for employers who are desperate for relief from soaring costs. For employers held hostage by insurance carriers, direct contracting is a bold plan of escape. However, for such a plan to work, it requires strong executive-level leadership and a willingness to take risks along the way. But for those companies that do, the rewards of freedom from the carriers can mean huge savings, happier employees, and better control over future health plan costs.

* According to Towers Perrin's 2009 Health Care Cost Survey, the average corporate health benefit expenditure in 2009 will be $9,660 per employee--an increase of 6% over 2008 figures.

** Kaiser Family Foundation Employer Health Benefits 2009 Annual Survey.

Howard "A.J." Lester is president of A.J. Lester & Associates, Inc, a leading employee benefits consulting firm based in Houston, TX that helps major employers reduce health plan costs by developing directly contracted medical provider networks as an alternative to commercial PPOs. Since 1994, A.J. Lester has developed direct provider networks for well-known national employers across 35 states, negotiating agreements with nearly 80,000 physicians and over 800 hospitals on behalf of clients. A.J. Lester & Associates has helped its clients save tens of millions of dollars on their health benefit programs.

Article Source: http://EzineArticles.com/?expert=A.J._Lester

Our "Sicko" Society

As a regular commentator on the state of Disaster Preparedness and corporate healthcare responsibility in the United States as well as an ardent defender of healthcare professionals, their needs and their very lives, I was both honored and a bit taken back when asked by several medial journals to attend and review Michael Moore's documentary "Sicko". I was the immediate recipient of much ribbing from colleagues, even receiving a prescription, just 32 milligrams of Zofran to be taken immediately before the movie; this from an oncologist who reminded me that Zofran is the drug of choice in preventing chemotherapy related nausea and vomiting, "if it can handle chemo, it can handle Michael Moore."

By total coincidence and an ironic twist of fate, I served federal jury duty the day I saw the movie and took an oath to hear all evidence before me without prejudice or preconception. Having being released from jury service by noon, I girded myself in that oath and drove to the theater. Plopping down my $7.50 for the ticket and $10 for popcorn and a large water bottle, I strode in air conditioned comfort to theater 8. The theater itself was virtually abandoned, despite the fact that I had chosen to attend the movie at Walt Disney World's Downtown Disney AMC Theatre at the height of tourist season. I had expected the theater to not only be full but to be filled with people who are ardent supporters of Mr. Moore and his films. I must admit I would not be among them. Quite to the contrary, I had not seen a Michael Moore film in a number of years. I do enjoy the occasional documentary and own a copy of Super-Size Me which I still recommend to patients, but Mr. Moore's story telling style is, well let's say it is not to my taste.

Within the first moments I found myself confronted with an uncomfortable fact, Mr. Moore's movie was attacking the same Heavily Mangled-care Organizations (HMO's) that were in large part the very reason that I had left private to practice. Everything that Mr. Moore said about such large organizations as Aetna, Cigna, Humana and Kaiser were true. Of course in invertible Michael Moore fashion he told only one side of the story, paying only passing homage to the fact that five-sixth of the US population do in fact have healthcare coverage and that out of 300 million people in the United States, most of whom have Internet access, he received fewer than 80,000 replies to his solicitation for healthcare horror stories. Still, Mr. Moore was actually making sense.

Unfortunately, also in an inevitable Michael Moore fashion, he quickly snatched defeat from the jaws of victory. The totally incomprehensible detour to a cold war era campaign by the American Medical Association to speak specifically against the evils of socialists and communists in medicine was juxtaposed against the Clinton era's attempt at Universal Health Care. Mr. Moore seems to have missed the fact that now New York Senator Hillary Rodham Clinton stated emphatically throughout her term as chair of National Healthcare Committee that Universal Health Care was not a socialized healthcare system.

Mr. Moore also seems to have forgotten the historical context in which the American Medical Association launched its anti-socialist campaign in those early days of the cold war. Communist fears gripped the nation for over twenty years and every "respectable" professional or fraternal organization "did its part" to combat the so-called Red Menace. The American Medical Association's campaign against socialist medicine was a political statement against socialism and communism not against Universal Health Care.

Although I am a physician I do have the unique perspective of not being a member of the American Medical Association. In fact, at the same time that the American Medical Association was actively attacking socialists and communists in healthcare; they were also attacking my profession of osteopathic medicine and therefore if anyone would support Mr. Moore's attack on the American Medical Association it should be me, a member of the American Osteopathic Association. Just as I swore earlier in the day to objectively hear the case against the defendant in federal court I must now objectively evaluate the arguments made by Mr. Moore and in the case of the American Medical Association Mr. Moore's arguments fall far short of any form of reality.

Returning to the main theme of the movie (corporate greed as the oppressor of the people) Mr. Moore next attacked the profits and policies of the pharmaceutical industry. The donations to prominent congressional members and others in government were enlightening and even entertaining in their presentation, but there was no new news here. The Food and Drug Administration and even Congress itself has decried these practices for years.

Mr. Moore then took a brief trip around the existing Socialized Medicine Programs in Canada, Great Britain and France. He went to great lengths to describe their advantages, speaking to Americans who thought that they benefited from a socialized medicine system in which they had no need for insurance and no need to pay copay's. He also spoke with fully satisfied individuals living in Canada and Great Britain.

Mr. Moore's interview with one British doctor was quite enlightening. On screen I met a physician whose entire education had been paid for by his government and his government was generous enough to pay him a salary equal as a family practitioner equal to what I make as an emergency department physician. Although, I am board certified in family practice as well as emergency medicine, I never made as much in US dollar equivalents as this young man makes now. This London doctor lives in a four-bedroom home worth twice as much as my home and drives a car worth four times as much as my car. He has these benefits not because a socialized medicine system works better or even pays better but because he was the beneficiary of socialized education through graduate school. I labor under student loan payments that almost equal my mortgage payment and will do so for a thirty-year period of time. If I had the benefits of free education, I too could live in a home worth over a million dollars, although I would still drive my Saturn because quite frankly I like it.

Mr. Moore's tour then took an unusual direction clearly designed to draw publicity rather than make any specific point. Mr. Moore took several 9/11 survivors and delivered them to Cuba in order to receive treatment for 9/11 related injuries and illnesses. Mr. Moore claims he did this because he had found an American "socialized medicine" system at Guantanamo Bay, Cuba and just wanted 9/11 heroes to receive the same medical benefits as Al Qaeda. Why not take these heroes to a state prison in Florida? The almost every state correctional institution in the United States, inmates receive the same or better care than the detainees at Guantanamo Bay. Again Michael Moore missed the mark.

I find it curious that while in Canada, a country that is accustomed to American film makers and quite frankly Americans sneaking across the border to obtain free healthcare, Mr. Moore and his would be American patient for the Canadian system found it necessary to flee Canadian police at two separate clinics in order to avoid arrest, yet in Cuba, a country well known world-wide to embrace its tourists but to be highly suspicious of those with professional movie making equipment, Mr. Moore appeared to never encounter a police officer. In fact Mr. Moore was allowed to photograph throughout the state-run Havana Hospital, the very same hospital where Cuban leader Fidel Castro received his recent medical care. Further Mr. Moore was miraculously permitted to photograph in and around a Havana fire station, exchanging gifts and even souvenir badges with fire brigade members. I find it equally interesting that these badges were conveniently available.

Mr. Moore, who appears throughout the movie, to this point, to be very upfront with the challenges and special arrangements made in the production of his film seems to leave out the fact that he doubtless had special dispensation from the Cuban government allowing both for his film making and the care of Americans on Cuban soil.

Despite these glaring inconsistencies, I was thrilled when the Cuban doctors began to touch on the issue of the relationship between the system and the healthcare professional. I thought that Mr. Moore was finally going to disclose American Healthcare's greatest shame, the total annihilation of the nurturing relationship between healthcare professionals and their corporate masters. But alas, Michael Moore again shied away from the issue... why?!

An interesting conversation took place recently between a 45 year nursing veteran and her family. The topic of the day was the nursing shortage and the veteran nurse surprised all by announcing, "There is no nursing shortage, there is a hospital nursing shortage."

She went on to explain that in the home health and non-institutional nursing fields, there is an adequate supply of nurses willing to work for employers who respect and value their services. According to this nurse who had worked in hospitals for much of her career, the problem today is that hospitals and other institutions see nurses and other professionals as replaceable rather than precious.

"No nurse my age is going to work for some young supervisor who believes that you manage people by threatening them or their license. There are too many jobs out there to deal with that nonsense."

This veteran nurse struck on the key factor in any employee shortage, the relationship between employer and employee.

Healthcare has become a split marketplace with institutional care (hospitals and nursing homes) separated from non-institutional care. Nurses are gravitating to non-institutional care despite lower pay because of the factors that Intuit and others have come to appreciate. Employees care more about the relationships than the money. Veteran nurses remember being respected and appreciated for long hours and selfless dedication. It was not expected or required, it was given freely and accepted graciously. Even in a "materialistic society" people want to be loved and cared for, respected and valued.

There is no nursing shortage, there is a relationship shortage. This is the true problem with corporate healthcare in America.

All and all I will say that Mr. Moore's film was an honest review of the current state of the Heavily Mangled-care in the United States. Greedy insurance companies take from doctors in the form of Malpractice Coverage. They take some patients in the form of health coverage; they raise profits through denials of care, restrictive practices, penalties against physicians who place patient care and safety ahead of performance numbers and by seeking to exclude those who most need insurance.

Sadly, the majority of Mr. Moore's movie missed the point. American healthcare will not be served by the conversion to a socialized medicine system. Quite to the contrary most of the equipments seen in background of Mr. Moore's movie was invented, designed, manufactured, or funded by the America's private healthcare industry. American healthcare would be best served by rebuilding relationships with the most valuable resource in healthcare, the healthcare provider. All those Mr. Moore interviewed told stories of having a favorable relationship with a system which they respected and which respected them. Regardless of whether you are a healthcare professional or a healthcare consumer, the basis of the process of healthcare is a relationship based on mutual respect, the system delivering that healthcare must live by that standard as well.

Socialized medical systems certainly have their advantages for citizens of countries willing to live with different freedoms and different lifestyles than we prefer in America. A better system is out there, we need only have the resolve to find it.

Mr. Moore also falls significantly short in failing to make note of the reasons that so many Americans require so much healthcare. Even a man with only a high school diploma such as Mr. Moore must ask himself if five-sixth of the United States population have health insurance, then why do individuals in other countries live longer than we do. Perhaps it is because we also have an excess of food, an excess of cars, an excess of conveniences. United States longevity for it's citizens and disease rates among its most vulnerable are so high not only because people put off necessary healthcare for fear of incurring debt, but because they chose instead to indulge in fast foods which are too high in salt and fat, drive rather than walk or bicycle for short errands, play video games rather than exercise, and finally watch movies about what others do rather than going out and doing something themselves.

As I watched the corpulent Michael Moore striding down the streets of London and France being passed by much thinner Europeans, I could not help but be struck by the fact that it is not our healthcare system, but our societal values that are truly "Sicko." It is time we all put down our popcorn, take our water bottles and go outside to exercise with our children.

Dr. Maurice A. Ramirez is the founder and president of the consulting firm High Alert, LLC.. He serves on expert panels for pandemic preparedness and healthcare surge planning with Congressional and Cabinet Members. Board certified in multiple specialties, Dr. Ramirez is Founding Chairperson of the American Board of Disaster Medicine and serves the nation as a Senior Physician-Federal Medical Officer in the National Disaster Medical System. Dr. Ramirez has a new book: You Can Survive Anything, Anywhere, Every Time. His website is http://www.High-Alert.com

Article Source: http://EzineArticles.com/?expert=Maurice_Ramirez

Three Warning Signs That Our Country is in Real Trouble

Countries and systems don't fail overnight. There are warning signs. Red flags precede any kind of a decline.

Usually, these warning signs are dismissed as temporary obstacles on the road to unending success as we go whistling past the graveyard. Until one day the bottom falls out without any apparent warning. The red flags were always there - it's just that nobody paid attention.

This first warning sign is a systematic decline in values to the extent that human suffering and inequities mean less than money. The scramble for money has already become so intense that physicians refuse to see sick people if their insurance isn't quite right (doesn't pay enough) such as Medicare, and even includes large companies like such as Aetna, and United Health Care if they try to control costs too closely.

This insensitivity is called greed. Money rules the game, and all pretenses of caring for our fellow men and women go out the window. Even though the insensitivity is rationalized by the "tongue in cheek" argument that the more money there is, the better off poor people will be, this has proven to be a huge fallacy. The rich get richer and the poor get poorer until the system crashes. The latest financial crash and "recovery" is a sign that this kind of greed mentality has taken root at an intractable level; all the old abuses are coming back, and fast! Ponzi schemes eventually fail, and gamblers can never get enough.

And it will worsen. Greed is already permeating society at every level. Why is it that our companies in this country, unlike other countries where health care costs are spread evenly throughout the populace, are stuck contributing up to seventy-five percent of the health care cost? This is killing them as greed increases medical costs two or three times that of wages. How could anyone blame small and large companies when they replace full time workers with part time workers to avoid offering health insurance, or how could we blame them for not offering health insurance at all?

Greed will continue to grow with the health care industry at every level - doctors, hospitals, insurance companies - and as the back-breaking costs to the employers increase, they will have no alternative other than to cease and desist in all health care contributions to employees, which means that the health care industry will eventually price itself into oblivion.

All these cross-currents can be readily seen the current fractionalized health care debate where money and institutions are considered more important than the well being of all Americans. It is all playing out perfectly regarding this first warning sign of greed, and greed will certainly be a major contributing factor to the eventual fall of the system as we know it. Money and influence rule the lives of the common man and woman now, rather than compassion and caring. And historically, that was a sure sign of any cultures eventual decline.

The second warning sign is hatred. If you look back over the history of our country, never has there been such openly expressed hatred toward those with dissenting opinions. It has deteriorated to the point that the president is no longer respected, cannot even civilly talk to school children without a violent reaction from the other side. This all indicates a deep and intractable hatred that is festering and will eventually ruin the country. This is a national Hatfield's and McCoy's. Can actual violence be the next move? Apparently; when men in congress can outspokenly call each other liars, violence can't be too far off.

And the third warning sign is our delusion regarding who we are as Americans. The world has an opinion of who we are, but our own opinions of who we vary dramatically from outsiders who can objectively see what we are. While we see ourselves as fiercely independent, which is a consolation that results from a run of exceptionally good luck for a young (200 + years) country, the world at large sees us as arrogant, egotistical, spoiled, greedy, and insensitive to the world at large and even our fellow citizens, where America is living off of the world's back by borrowing money that we will never be able to pay back, in order for us to live rich and famous lifestyles far beyond the means of other countries.

But there is still time to save ourselves. Greed to get what we want regardless of everyone else - hatred of anyone who disagrees with us as if we know it all - and delusion about who and what we truly have become can all be cured. The problem is that the cure will entail a complete failure of the system before anything or anyone will change. This is the way we seem to run things here, complete ignorance to what is going on until it is too late - because no one can tell us what to do, and we refuse to take any advice. Are we fiercely independent? Or fiercely stupid?

Open mindedness and considering all alternatives would be the way to change things without an eventual failure of the system, but that probably won't happen. Large egos, closed mindedness, stubbornness - all will prevail if history has any relevance. So, as the oil filter company says, "You can pay me now or pay me later," we can start to set things right before they collapse and get back to our original values as a country, which were humility, hard work, freedom, consent and dissent, equality and equity, due process, toleration, privacy, the common good, and cooperation and compassion for each other, or we can continue down a road of selfish greed, hatred and delusion.

Whatever we decide - it must begin with the person reading this article.

anagarika eddie is a meditation teacher at:

http://www.dhammarocksprings.org/ and author of "A Year to Enlightenment"

His 30 years of meditation experience has taken him across four continents including two stopovers in Thailand where he practiced in the remote northeast forests as an ordained Theravada Buddhist monk.

Article Source: http://EzineArticles.com/?expert=Anagarika_Eddie

Jumat, 09 Juli 2010

Is US Medicare Coverage in the Philippines Possible?

Between 2007 and 2008, rumors and reports came out that U.S. Medicare coverage in the Philippines is possible. Generally, U.S. Medicare coverage is limited to all 50 states. Has Medicare gone portable at last? This article explores the truth behind the talks.

A Look Back

Sources estimate that out of the 4 million legally staying Filipinos in America in 2008, approximately 80 percent hold U.S. citizenship and a number are covered by Medicare.

Medicare is America's federal health insurance program. It was first created in 1965 to benefit citizens aged 65 and older. In 1972, the program was revised, allowing younger people with Lou Gehrig's disease, permanent disabilities and end-stage renal health complications to enroll.

Understanding the Structure

Medicare is a collective term that may include a number of plans:

* original Medicare that provides hospital insurance and medical insurance
* Medicare Advantage that provides both basic and extra healthcare services, as offered by private health maintenance organizations (HMOs) and
* prescription drug plans that may or may not be tied to a Medicare Advantage plan

Additionally, there are Medigap plans to supplement what original Medicare does not cover. They are offered by private insurance companies.

The current policies are lettered C to J. However, in a fact sheet released by the Department of Health and Human Services of the U.S., new Medigap plans M and N will replace plans H, I, E and J starting June 1 of this year.

Off-Shore Medicare Coverage in Theory

Under the original plan, the circumstances that allow Medicare portability are limited. Coverage outside America is permitted whenever a foreign hospital is nearer than any other hospital on American soil. In rare emergency cases, those traveling "without unreasonable delay" through Canada may also avail of off-shore coverage - provided again that the Canadian hospital is much closer than an American hospital.

In March 2010, the Department of Foreign Affairs of the Philippines confirmed that under the original Medicare plan:

"... Residents of Guam and Saipan... are allowed to seek medical treatment... on emergency cases, availing of their Medicare benefits in Philippine medical facilities, due to the proximity of the Philippines vis-a-vis Hawaii, the nearest US state."

This development is credited to the efforts of Madeleine Bordallo, congresswoman of Guam, and of Roberto Romulo, former Department of Foreign Affairs secretary, who lobbied that Philippine hospitals be allowed to issue Medicare reimbursements.

Off-Shore Medicare Coverage in Practice

My Philippine Retirement made a round of phone calls to check whether hospitals in the Philippines have already reimbursed Medicare benefits under the original plan. There were no recorded cases yet, the staff said. In fact, majority of the hospitals appeared to be unaware of "U.S. Medicare."

They did supply the following list of honored international health insurance plans, some of which have tie-ups with Medicare Advantage plans:

LIST A.International Health Insurances Honored in Selected Luzon-Based Philippine Hospitals as of March 2010

* (Allianz) Worldwide Care - Asian Hospital
* AETNA - Asian Hospital
* AETNA Global Benefit - Makati Medical Center
* Alliance - Asian Hospital
* Blue Cross International - Asian Hospital
* Blue Shield - Asian Hospital
* Calvo's - St. Luke's Hospital
* CIGNA - Asian Hospital
* GMC Services - Makati Medical Center
* HTH World Wide - Makati Medical Center
* IMA - Makati Medical Center
* IMG - Asian Hospital
* International Health Insurance of Denmark - Makati Medical Center
* International SOS - Makati Medical Center
* Net Care - Asian Hospital, Makati Medical Center
* Pacific International - Asian Hospital
* Prestige International - Makati Medical Center
* StayWell - St. Luke's Hospital
* TakeCare - Asian Hospital
* TieCare - Asian Hospital, Makati Medical Center
* Vanbreda International - Asian Hospital, Makati Medical Center
* William Russel - Asian Hospital

Availment of insurance benefits varies by health maintenance organization (HMO), insurance plan and servicing hospital. The insured must inquire about their Medicare Advantage benefits by HMO or plan name. Specific concerns may be sent to the respective customer care and credit/billing departments of the hospital.

LIST B. Contact Information of Selected Philippine-Based Hospitals that Honor International Health Insurances with Possible Medicare Advantage Tie-Ups

* Asian Hospital and Medical Center: info@asianhospital.com * +63 (2) 771-9000/ +63 (2) 876-5838
* Makati Medical Center: sales@makatimed.net.ph * +63 (2) 870-3000/ +63 (2) 870-3008
* St. Luke's Hospital: info@stluke.com.ph * +63 (2) 723-0101/ +63 (2) 723-0301

Impact on Philippine Retirement Decisions

The affordability of healthcare services in the Philippines is somewhat let down by the "pay-as-you-go" system, but a recent turn of events are changing the way potential retirees view the minor "cash first" inconvenience.

One such development is the direction that Medicare portability is headed. Statistical trends indicate that by 2011, Medicare expenditures will soon exceed the revenues generated from the trust fund. This can be prevented when cheaper off-shore facilities are used to deliver the same-quality healthcare services offered in the U.S., experts explain.

Another development is the health reform bill on patient protection and affordable care that U.S. President Barack Obama signed in March 2010. The current reform permits off-shore coverage and insurance of people with pre-existing health conditions. There will also be a minimum annual tax penalty of $695 for those who are unable to secure health insurance - now no longer just an option but a requirement.

Many U.S. tax payers are anxious that the latest health reform will come with a steeper price tag. "I'm anticipating my insurance premium (monthly payments) to increase from $100... to more than $500," fears Terry who works for the federal government and hopes to retire in 2020.

Lesser take-home pay (and savings) combined with the fact that U.S. Medicare coverage in the Philippines is possible (mostly through Medicare Advantage plans) is prompting former Filipinos like Terry to reconsider the Philippines as a good place to get cheap but decent healthcare - yet the "best bang" for dollar earnings.*

Tracy Lim is a freelance writer for My Philippine Retirement. This article has been reprinted with permission from: http://www.myphilippineretirement.com - an information hub that caters to the retirement concerns of foreign nationals and Filipino returnees.

Copyright 2009 myphilippineretirement.com All rights reserved.

Article Source: http://EzineArticles.com/?expert=Tracy_L.

St Joseph's Hospital of Atlanta and United Healthcare of Georgia Negotiating PPO Contracts

St Joseph's Hospital in Atlanta, Georgia and United Healthcare are nearing the deadline for negotiating a new contract. This article will offer an explanation of some of the dynamics behind negotiations between Georgia health insurance companies and medical providers.

In addition to the currently ongoing negotiations between Aetna and Wellstar, there is a problem brewing between St. Joe and UHC. According to the Friday, July 31, 2009 edition of the Atlanta Journal Constitution, a hospital spokesman is quoted as saying UHC had "all but walked away from the table".

Roger Rollman, UHC spokesman, denied the company had pulled back from talks. "We haven't closed any doors," he said. "We've provided St. Joseph's with multiple scenarios of increasing reimbursement and in each instance they'd come back and respond to us that this is what it's got to be. It's a take it or leave it and that's not negotiations." He declined to specify the percentage increase being sought but said it was in the "double digits."

Sources tell me St. Joe wanted 24%.

That's a hefty increase in anyone's book.

So what happens if United HealthCare in Georgia (or any other carrier) caves and agrees to the increase? And what happens to UHC policyholders covered by PPO and HMO plans if negotiations collapse.

If UHC agree's to their demands that means patients who are treated at St. Joe, both currently and in the future, will have to be charged a higher premium to cover the higher costs. Of course UHC has no way of knowing who will need treatment specifically at St. Joe in the future so the cost estimate will be added to total claims and spread out over all UHC insureds in Georgia.

That in itself is not so bad. But what about the domino effect?

If St. Joe get's a big raise, what is to stop Wellstar, Tenet, Piedmont, Northside, Emory and others doing likewise? And why stop in Atlanta? How about the rest of the state?

No one seems to question if hospitals and doctors need more revenue. The only question is, how much is reasonable and then passing it on in the form of higher premiums.

Health insurance premiums rise in direct proportion to the underlying cost of health care. If the cost of health care jumps 24% in one year the premiums must follow.

No one wants that.

What happens to UHC policyholders if negotiations fail?

Not as much as you might imagine, but there will be an impact. Keep in mind that, many times the negotiations go to the 11th hour. Occasionally the contract will be allowed to expire and a new one will be inked within a week or so. Rarely do both parties pick up their bat and ball and go home.

St. Joe is a center of excellence, is ranked in the top 50 of hospitals in the United States, and is the only hospital in Georgia to receive that designation. Many employee's and their dependents who are covered through the Georgia Merit System have their claims adjudicated by UHC, so there is a strong tie between St. Joe and UHC. Some 8500 patients, perhaps many of them Merit System covered participants, are treated by St. Joe and their affiliated clinics.

If this union dissolves, even for just a few days, this does not mean insureds of UHC can no longer receive treatment at St. Joe or their clinics. What is does mean is that St. Joe would be considered a non-par (out of network) facility. As such, claims submitted by St. Joe would be adjudicated and paid at the "going rate" for par providers and the patient would be responsible for the balance.

When a claim is submitted by a par provider, the claim is adjudicated and repriced (discounted) to reflect the agreed upon amount for the procedure. An EOB (explanation of benefits) is generated and provided to the insured and the provider. The EOB lists the procedure, the billed amount, the adjusted amount (reflecting the "discount"), the amount paid by the patient (if any) and the amount paid by the carrier.

Any (adjudicated and approved) remaining balance can legally be collected by the medical provider. Anything excess of that cannot UNLESS the bill is for a procedure that is not allowed under the health insurance policy. An example would be where a doctor order's an MRI as part of a breast examination and the MRI is beyond the scope of what is considered medically necessary under the terms of the health insurance policy.

As a non-par provider, St. Joe would be able to charge patients whatever they wish, over and above the amount offered to other providers for the same procedure, and the patient is obligated to pay that difference. They are no longer protected by a legal contract that limits the amount a provider can charge, and collect, for services rendered.

Other than the possible loss of patients covered by UHC, there really is little incentive to bargain in good faith towards a resolution. If they fail to come to terms with UHC the patient loses and St. Joe can charge (and attempt to collect) whatever the market will bear.

Failing to reach an agreement will really benefit no one. Each party comes away with a black eye (although in most cases like this the public brands the insurance carrier as the bad guy). UHC "loses" a prominent Atlanta hospital. St. Joe "loses" access to at least some future business from UHC insureds.

Of course the patient is caught in the middle of all this and loses more than anyone.

My hope and belief is that there will be a happy ending although the road may be bumpy along the way.

Let Georgia Insurance Shop be your primary resource for information on health insurance and rates in Atlanta and throughout the state. Our Resource page and FAQ section provide valuable information from http://georgiainsuranceshop.com.

Article Source: http://EzineArticles.com/?expert=Bob_Vineyard

EHR Adoption - New Jersey Experiments With EHR to Cut Physicians' Paper Work

Can billing offices save time and money in insurance payments through EHRs?

Last month, five national health insurance plans along with the two largest plan industry groups announced that they will be launching a groundbreaking initiative in New Jersey to cut insurance paperwork for physicians' offices.

If it's successful, the initiative will be the first experiment in EHR adoption to cut down on chasing insurance money, what providers say is the biggest time and money drain on their practices.

According to a New York Times article about the initiative, the five plans - Aetna, AmeriHealth New Jersey, Cigna, Horizon Blue Cross Blue Shield of New Jersey, and United Healthcare represent about 95 percent of privately insured patients in New Jersey.

The plans are collaborating with two industry groups, America's Health Insurance Plans (AHIP) and the Blue Cross Blue Shield Association (BCBSA), and are using a multi-payer web portal developed by NaviNet, Insurer Connect.

According to AHIP, five physician groups are also collaborating on the project, namely, the Medical Society of New Jersey; New Jersey Academy of Family Physicians; New Jersey Association of Osteopathic Physicians and Surgeons; New Jersey Medical Group Management Association; and Partners in Care, Corp.

The health plans will provide the portal service to 50,000 providers at zero cost, and NaviNet says it will offer them one place where they can, in real-time: check eligibility and benefit information; submit and inquire about claims; and check referral and authorization submissions.

A probable twist in the system is that the individual plans still have to feed the site information, and not all the plans provide the same level of electronic health data, according to the Times. This means that doctors will still be obtaining different levels of individual EHR info from different subsections of the NaviNet portal.

However, provider groups are hopeful. Leaders at the New Jersey Academy of Family Physicians, one of the collaborating physician groups, continue to state their concern that administrative responsibility on physicians grow every year, but they affirm that this initiative is at least a step in the right direction.

A study put out late in 2009 by the Center for Studying Health System Change and referenced on the NJAFP's web site found a gap between policymakers' expectations of and practitioners' experience with EHR. According to the study, what's really required to make EHR work is to reform payment policies to address coordination of care, even within a single providers' office, but certainly among practices.

Provides free weekly newswire of healthcare information and offers advanced Learning Opportunities about EHR adoption for health care IT industry.

Article Source: http://EzineArticles.com/?expert=Jaun_Paul

Laser Eye Surgery Costs

All of the fees involved with Laser eye surgery are certainly not an irrelevant number determined on from any surgeons. They are simply determined in accordance to a lot of components, which includes a doctor's working experience, geographic location, and costs. Therefore exactly how much does Lasik amount to, and how much associated with this particular expense is usually taken care of by health insurance?

Generally, individuals may possibly expect to spend five hundred dollars to two thousand five hundred dollars for each eye. Why can Lasik cost that much? Considering it costs hard earned cash to carryout surgical treatment. In eye clinics, the final LASIK eye laser surgery pricing relies upon on just how much the medical expert has needed to work on medical staff charges, anesthesia, non reusable surgery products, laser repair, medical malpractice insurance coverage, and much more. Specialists have got to advertise to lure business, thus marketing and advertising costs are included in as well. Additionally, individuals must be expecting pre-surgery tests and have-surgery check-ups for a year after their own surgery. Their own Laser eye surgery rate include all of these examinations.

Generally there are usually additional things which could double the actual LASIK eye laser surgery cost. For instance, subjects that have intense sight problems could need special Lasik. This possibility constitutes a three dimensional map of the area of this cornea, helping the Rk surgery doctor to offer custom-made re-shaping to get highest result.

People normally wonder if the LASIK eye laser surgery expense changes by country. It will tend to be more over-priced around big towns due to higher living costs connected to these kinds of areas. Your doctor's level of expertise and practical experience will have an effect on the cost of surgery. Clinical professionals that are greatly sought-after will charge much more than their lesser-established counterparts. However, really low prices might point out a fresh medical expert or an assembly-line procedure for Lasik. Select a affordable clinic, but avoid cheaper LASIK at any expense. You do not need to sacrifice your vision for money.

Exactly how much of that Laser surgery fee will be covered by insurance coverage? However, a large number of American insurance coverage firms think of Lasik to remain "not scientifically fundamental". As a result, the surgical procedures are not generally protected by insurance coverage. Some student insurance plans, such as Aetna, are already known to take care of the price of Lasik for university students.

Even though your current plan isn't going to include the procedure, there are still some measures you can take to offset your Eye laser surgery cost. As an example, check if your employer will partner with a eye-sight center to acquire discounted prices with regard to their workers. If your job give you a overall health spending or adaptive spending account, put cash into it month after month for you to utilize it to finance your Laser eye operation. Finally, if you qualify, many Rk surgery laser centers offer their very own financing. A person could obtain the medical procedures with no down payment and deferred interest charges, which makes it less expensive.

Even though the majority US residents need to pay for their own Laser eye surgical treatment, they think the effects are worth the cost. Would you decide to proceed with Lasik, budget one thousand dollars to 5 thousand for both eyes and don't depend upon insurance.

Lasik surgery specialist

Article Source: http://EzineArticles.com/?expert=Thomas_Murray_Q_Bastianeli

EECP - Enhanced External Counterpulsation

EECP is an enhanced external counterpulsation. It is cost effective, non invasive, non surgical, non pharmaceutical, out patient therapy for Angina, Heart attack and heart failure patients. It is FDA (USA) and NHS (UK) approved.

How is EECP Performed?

During EECP Patient lies on bed of machine. Three or five electrodes are applied to the chest to record a constant ECG.

A Plethysmograph is applied to index finger to record a tracing that represents blood pressure and oxygen saturation.

Set of 3-4 cuffs is wrapped around the calves, thighs and buttocks. EECP system uses an ECG signal to electronically synchronize inflation and deflation of the cuffs.

What is duration of treatment?

Duration for chronic angina and heart failure patients is 35 hours usually one hour per day, five days a week. Some patients choose a 2-hour per day regimen, which reduces the time of completion of treatment. The duration of treatment and interval of rest will depend on the patient's condition, how much diastolic augmentation is obtained, tolerance of patient and the indications for application of EECP.

What is Mechanism of EECP?

Clinical studies indicate that EECP treatment may create a 'natural' bypass of blocked arteries. There are basically two mechanisms involved in this therapy. When we produce diastolic augmentation, this results in opening of lot of inactive blood vessels in heart which helps in bypass the blocked channels. Moreover, this treatment encourages blood vessels to form new small vessels i.e colletrals. These channels or collaterals may eventually become permanent pathways to the heart muscle that was previously deprived of blood flow and adequate oxygen.

What are indications of EECP?

Angina patients who are not relieved by medicine, patients who dont want to have bypass surgery, patients who are contraindicated for bypass or angioplasty like kidney failure, liver failure, severe COPD cases, Diffuse diabetes disease, very old age, patients of Syndrome X, i.e microvessel disease, ischaemic and dilated cardiomyopathy patients all can go for EECP.

What are contraindications of EECP?

Severe aortic regurgitation and aortic stenosis, deep vein thrombosis, pregnancy, very high blood pressure and severe peripheral vascular disease are contraindications for EECP

Side Effects of EECP

EECP has no side effects except little skin bruises specially when patient is not wearing proper skin pants during treatment. In contrast to angioplasty or bypass, it is completely safe procedure with no major risk to patient.

Benefits to the patient

After EECP, patient can walk longer distance without feeling chest pain or breathlessness. Patient's quality of life improves remarkably. He can take part in daily activities. Above all, patients medicine also decreases, there is less need to take sub lingual nitrates. After treatment heart failure patients don't have to take high quantity of diuretics.

EECP results verification.

Before and after treatment we perform ECG, Echocardiography, TMT test and Stress thallium scan. All these tests verify the results of EECP. In ECG there is mark decrease in ST segment depression or other ischaemic changes, there is increase in Ejection fraction in Echo, TMT test shows that patient can walk longer distance without chest pain, and stress thallium test also shows that there is less or no more ischaemia in heart.

What is Cost of EECP?

The charge for EECP is approximately one third that of angioplasty and one sixth the cost of coronary artery bypass surgery. In Pakistan EECP charges are US $ 2400 at Dr. Armughan EECP heart Clinic Sialkot.

Insurance & Medicare Coverage

In USA, over 120 insurers are covering EECP. EECP has been covered locally by Paramount, John Hancock, Senior Sense, Paramount Elite, Workman's Comp, HMO Health Ohio, Messa, Acordia, Access, Envirosource, EV Benefits, First Health, Harrington Benefits, Fortis, Gallagher Benefits, NGS American, United Health Care, Health Alliance Plan, Medical Mutual, Anthem, most Blue Cross/Blue Shield plans, Aetna, Family Health Plan,and Fountainhead. Pre-authorization is required for FHP, Paramount, Senior Sense, Paramount Elite, and HMO Health Ohio patients. Medicare and Medicaid cover EECP in patients with class 3 or class 4 angina (chest Pain) who are not good candidates for bypass surgery (CABG)

For more detail, testimonials of EECP and video on EECP please visit EECP

Article Source: http://EzineArticles.com/?expert=Armughan_Riaz

Don't Procrastinate - Varicose Vein Removal - Look Good For an Important Occasion!

Here are a few facts:
Millions of women suffer with the painful embarrassment of swollen blood vessels on their hands or legs. These veins are usually red or purple in color. They begin to bulge if blood is not able to flow easily through them. I am writing this article for you to understand there is no need for you to hide them with clothing anymore.

First of all, these particular veins do not play an important part to your normal circulation. In fact, they actually make circulation more difficult, so it is more than okay to remove them. Also, varicose veins and spider veins need to be treated as soon as possible to prevent anymore twisting or ulcers within the legs can occur. Upon removal, it will help your skin look younger and healthier.

Spider Vein Removal can literally change your life. Begin the process of vein removal and gain the confidence you once had. Gorgeous Vein-Free Legs at any age are a real possibility now. No long recovery period is needed. No need to take off work! This in itself gives you no reason to procrastinate along with the fact that these veins actually hinder circulation.

Varicose vein removal can be an in-office procedure. Most insurances cover it when it is medically needed. Here are some you can check if you'd like:

a. All Blue Cross and Blue Shields
b. Aetna
c. Health America
d. Health Assurance
e. Cigna
f. Medicare
g. Gateway
h. Unison, United Health Care

Advanced Vein Center located in Pittsburgh specializes in helping patients with Varicose Vein Removal, including Spider Veins, Sclerotherapy, Compression Therapy and even Scar Removal. If you need some answers to any questions, do a search on varicose vein removal Pittsburgh -- or simply visit their site at http://www.spiderandvaricoseveintreatment.com.

Jenn Stevens

Article Source: http://EzineArticles.com/?expert=Jenn_Stevens

What is Medicare Advantage?

Another perplexing area for individuals who are about to qualify for Medicare is the set of programs called Medicare Advantage Plans. Often times these programs are referred to as Part C. Medicare Advantage plans are approved by Medicare and provided by contract through private insurers. Household names like Aetna, Anthem Blue Cross, Blue Shield, HealthNet, Secure Horizons, Kaiser, and United HealthCare are some of the companies that provide these types of plans. When enrolling in an Advantage program, the Medicare beneficiary is actually trading their Original Medicare coverage for these plans. They must also continue to pay their Part B Medical premiums.

What do these plans cover?

Advantage Plans must provide your Part A (hospital insurance) and Part B (medical insurance) benefits, including emergency and urgent care. The only major benefit area not covered by Advantage Plans would be hospice. Hospice is still covered by Original Medicare and must be obtained through a Medicare certified hospice facility.

Many Advantage Plans do offer additional benefits which would include things like dental, vision, hearing, gym memberships as well as other health and wellness programs. Most advantage plans do include prescription drug coverage (sometimes referred as Medicare Part D).

Advantage Plans generally fall under the generic category of managed care plans. Usually they are HMO (health maintenance organizations) or PPO (preferred provider organizations). There is also a third type of plan called a Preferred Fee for Service program (PFFS).

HMO's do require that the member select a primary care physician from those participating in the plan. That primary care physician is then charged with supervising your medical care which would include referrals to a specialist and admission to the hospital. With an HMO, an individual can only use doctors, hospitals, and other facilities that are contracted with the HMO.

The PPO offers participants more choice. They can elect to use providers of medical care that are contracted with the health plan or any physician or hospital. Normally, PPO's have deductibles, coinsurance and copays to pay for covered Medicare eligible services.

Private Fee for Service plans may allow the plan member to use any doctor or Medicare approved hospital. You are not required to choose a primary care physician or wait for referrals to specialists. However, unlike Original Medicare, you may find that some doctors or hospitals may decline to treat you based on the reimbursement the PFFS plan is willing to provide for covered services.

What does an Advantage Plan Cost?

Each month the Medicare Advantage program receives a fixed amount from CMS (Centers for Medicare& Medicaid Services) to provide your care. The Advantage plan is then responsible for paying your doctors, hospital, lab facilities, and other providers of care. Even though the plan does receive a payment to provide you with care, they are permitted to charge you a monthly premium and additional out of pocket expenses. The out of pocket expenses can take the form of copays for doctor's office visits, coinsurance for days in the hospital, or an annual deductible for prescription drugs.

As mentioned previously, the member is still responsible for paying their monthly Part B premiums.

How and when can I join an Advantage plan?

An individual can enroll in an Advantage plan if they have both Part A and Part B of Medicare and live in an where a plan is available. Many plans only cover certain geographic regions in a state and you must live in that area to enroll.

You can join a plan when you first become eligible for Medicare. The initial enrollment period for a newly eligible individual is the three months prior to the month you turn age 65 and the three months following your birthday month. Thereafter, there is an annual open enrollment period where an individual may change plans. Historically, the annual open enrollment period commences on November 15th of each year with enrollment closing on December 31st. Coverage in the new plan would be effective January 1st. 2010 is bringing some changes to the annual open enrollment period. It will commence a bit earlier and close prior to the Christmas holidays.

Special open enrollment periods are available to individuals who move out of the plans service area or should the plan cease to offer benefits in your geographic region.

Medicare Advantage Plans and Health Reform

Advantage Plans have cost the federal government more than traditional Medicare. As part of the HealthCare Reform package signed into law on March 23, 2010, the federal will start to reduce the subsidies for these plans beginning in 2012.

This will probably result in higher premiums being charged or a reduction in the benefits offered. However, these plans will not be able to reduce the benefits that an individual would normally received through Medicare.

For more details on Medicare Advantage plans, visit Medicare's website or consult with your local insurance agent.

Edward Walden, CLU, RHU, REBC

Article Source: http://EzineArticles.com/?expert=Edward_Walden

Human Resource Information System - HRIS

Human Resource Information Systems

The purpose of this paper is to identify other companies who have faced similar human resources issues in regards to information technology. Through benchmarking different companies we can learn how other companies have handled certain human resources issues related to information technology, information systems, new technology, and data security. An overall analysis has been completed using research on IBM Europe, Ameriprise Financial, Terasen Pipelines, Shaw’s Supermarkets, CS Stars LLC, IBM, WORKSource Inc., and Toshiba America Medical Systems, Inc. This paper also includes eight synopses of companies facing similar issue to those in the reading.

New Technology

With the changing world and constant new technology that is available, managers need to be aware of the technology that will increase effectiveness in their company. Human resource information systems (HRIS) have increasingly transformed since it was first introduced at General Electric in the 1950s. HRIS has gone from a basic process to convert manual information keeping systems into computerized systems, to the HRIS systems that are used today. Human resource professionals began to see the possibility of new applications for the computer. The idea was to integrate many of the different human resource functions. The result was the third generation of the computerized HRIS, a feature-rich, broad-based, self-contained HRIS. The third generation took systems far beyond being mere data repositories and created tools with which human resource professionals could do much more (Byars, 2004).

Many companies have seen a need to transform the way Human Resource operations are performed in order to keep up with new technology and increasing numbers of employees. Terasen Pipelines moved its headquarters from Vancouver to Calgary to be closer to the oil and realized a major growth in employees. In the past recording keeping was done on paper and with spreadsheets. Mangers at Terasen realized that there was a need to change to a more computerized system and looked into different HRIS vendors. By making the move to a HRIS system, Terasen is able to keep more accurate records as well as better prepare for future growth. Another company that saw the benefits of keeping up with new technology is WORKSource Inc. To meet the challenge of handling 100 new employees, WORKSource Inc. acquired Web-based technology programs from GHG Corp. like electronic pay stub, electronic timesheet software, time-off system, and human resource information system (“Tips,” 2006). By adapting these new programs, WORKSource was able to reduce waste and cost.

The Internet is an increasingly popular way to recruit applicants, research technologies and perform other essential functions in business. Delivering human resource services online (eHR) supports more efficient collection, storage, distribution, and exchange of data (Friesen, 2003). An intranet is a type of network used by companies to share information to people within the organization. An intranet connects people to people and people to information and knowledge within the organization; it serves as an “information hub” for the entire organization. Most organizations set up intranets primarily for employees, but they can extend to business partners and even customers with appropriate security clearance (Byars & Rue, 2004).

Applications of HRIS

The efficiency of HRIS, the systems are able to produce more effective and faster outcomes than can be done on paper. Some of the many applications of HRIS are: Clerical applications, applicant search expenditures, risk management, training management, training experiences, financial planning, turnover analysis, succession planning, flexible-benefits administration, compliance with government regulations, attendance reporting and analysis, human resource planning, accident reporting and prevention and strategic planning. With the many different applications of HRIS, it is difficult to understand how the programs benefit companies without looking at companies that have already benefited from such programs.

One such company is IBM. IBM has a paperless online enrollment plan for all of its employees. Not only has the online enrollment saved the company 1.2 million per year on printing and mailing costs, the employees enjoy working with the online plan. "Since we began offering online enrollment, we've learned that employees want web access," Donnelly [Senior Communications Specialist] says, so they can log on at home rather than through the company intranet. So the company has been working to put in place a web-based enrollment system that employees and retirees can access from anywhere (Huering, 2003). By utilizing the flexible-benefits application HRIS has to offer, IBM was able to cut costs and give employees the freedom to discover their benefits on their own time and pace.

Another company that has taken advantage of HRIS applications is Shaw’s Supermarkets. In order for Shaw’s to better manage its workforce, the company decided it was time to centralize the HR operations. After looking at different options, Shaw’s decided to implement an Employee Self Service (ESS) system. The use of self-service applications creates a positive situation for HR. ESS gives HR more time to focus on strategic issues, such as workforce management, succession planning, and compensation management, while at the same time improving service to employees and managers, and ensuring that their data is accurate. With this solution, employees have online access to forms, training material, benefits information and other payroll related information (Koven, 2002). By giving employees access to their personal information and the ability to update or change their information as needed, HR was given more time to focus on other issues. Understanding the different applications HRIS has to offer will give companies the chance to increase employee efficiency and reduce costs.

Measuring the Effectiveness of HRIS

The evaluation should determine whether or not the HRIS has performed up to its expectations and if the HRIS is being used to its full advantage (Byars & Rue, 2004). One of the most significant challenges faced by public personnel executives today is measuring the performance of their human resources information system (HRIS) In order to justify the value-added contribution of the HRIS to accomplishing the organization's mission (Hagood & Friedman, 2002). Implementing an HRIS program may seem a necessary stem for a company, but unless it will be an effective tool for HR operations, it will not help increase efficiency and may hinder it instead.

One company that implemented a HRIS system is Toshiba America Medical Systems, Inc. (TAMS). TAMS put all employee benefits information online and created an open enrollment option when TAMS changed healthcare providers. Almost immediately upon rolling out the UltiPro portal [new HRIS technology] to employees, TAMS began seeing improvements, with an estimated 70% increase in open enrollment efficiency (Wojcik, 2004). By determining the efficiency of the new program, TAMS was able to realize the benefits of the new HRIS system.

Security of HRIS

The privacy of employee information has become a major issue in recent years. With identity theft becoming a common problem, employees are becoming more sensitive about who sees their personal information, and the security it is kept in. By making sure employee information that is kept in the HRIS is relevant to the company and making sure there is limited access (password protection) to such information, companies can make its employees more secure with the safety of their information. Whether electronic or paper, employee files deserve to be treated with great care. Establishing security and end-user privileges calls for a balance of incorporating, HR policy, system knowledge and day-to-day operations (O’Connell, 1994).

One company that faced a major security issue was CS Stars, LLC. CS Stars lost track of one of its computers that contained personal information that included names, addresses and social security numbers of workers compensation benefits. The bigger problem was that CS Stars failed to notify the affected consumers and employees about the missing computer. Though the computer was retrieved and no information seemed to have been harmed, many employees lost their sense of security with the company. New York's Information Security Breach and Notification Law, effective in December 2005, requires businesses that maintain computerized data which includes private information to notify the owner of the information of any breach of the security of the system immediately following discovery, if the private information was, or is reasonably believed to have been, acquired by a person without valid authorization (Cadrain, 2007).

Another company that experienced a breach in security is Ameriprise Financial. In late 2005, a computer that contained personal information on clients and employees was stolen. Because many of the employees at Ameriprise take their computers between work and home, the company determined there was a need to put more security into those computers. Ameriprise made sure all employees had the new security suite installed on their computers. By responding quickly to the need for more security, Ameriprise made sure all information is being kept secure. Making sure employees information is kept as secure as possible there will be more trust in the company and the HR employees working with that information.

Conclusion

IBM, Terasen Pipeline, CS Stars LCC, and Toshiba America Medical Systems, Inc. are good examples of companies facing issues similar to human resources information technology and human resources information systems. All of these companies know the importance of new technology, human resources information systems, and data security. The remainder of this paper provides synopses of more companies facing human resources issues, how the company responded to the issues, and the outcomes of the company’s responses.

Companies Benchmarked

IBM Europe

The Situation:

IBM is a global organization offering research, software, hardware, IT consulting, business and management consulting, ring and financing. It employs around 340,000 people, speaking 165 languages across 75 countries, and serving clients in 174 countries. In January 2007, IBM established a separate “new media” function within its corporate communication department. IBM main goal is to educate, support, and promote programs that utilize social media. IBM Europe decided to expand internal communication by blogging guidelines. The recognition was that blogging was already happening among IBMers, just in an unregulated way. In a similar way, institutionalizing a function to deal specifically with new media is not a corporate move, or establishing from scratch. It’s a response to the issues already emerging in the company. Now that those technologies are here, people are using them, they’re growing and there here to stay-we’re just going to put some structure around them so that we can try to optimize their use.” The users decide what technologies they want to use and how they want to use them. That main idea is that IBM understands that they must remember to respect the fact that social media are social. IBM had the need to connect its 340,000 global employees more effectively.

The Response:

IBM’s intent around social media has now been officially formalized. From January 22 2007, the company established a separate “new media” function within its corporate communication department. “Its remit: To act as expert consultants inside and outside IBM on issues relating to blogs, wikis, RSS and other social media applications. The main idea is to educate, support and promote programs that utilize these tools. IBM has a history of being a t the forefront of technology based corporate communication. From the multimedia brainstorming “WorldJam” that made news headlines back in 2001 in which 50,000 employees worldwide joined a real time, online idea-sharing session about the company’s direction. IMB has always prepared itself to use breakthrough technologies to establish a two-way dialogue with its employees. The need for social media was necessary and could no longer wait.

The Outcome:

In the last few years IBM has been recognized as being the vanguard of social-media use: IBM was on of the first Fortune 500 companies to get behind collaborative wikis, published internal blogging guidelines as far back as 2003, and is now moving fast beyond RSS and podcasts into videocasting and “virtual world” technologies like Second Life. The intranet search facility extends to all areas of the site, including new media aspects. When an employee logs onto their portal an executes a key word search, the results they get back not only come from the main intranet pages, but include results from IBM forums, wikis, blogs and podcast/videocasts tags. IMB has an understanding that employees are no longer staying in a company their entire lives. It’s just not like that any more. In Belgium for example over 50 percent of 2,300 employees have been there fewer than five years. The company has come to the conclusion that with an increasingly young and mobile workforce, the likelihood is that an employee population full of a younger generation, for whom these tools are part and parcel of life, is not that far away. In years to come IBM will have to deal with employee base for which blogging is just the natural way to interact over a web platform. IBM has created centralized platforms for most tools that fall under its remit, which includes wikis. For Philippe Borremans, new media lead Europe for IBM, has the potential business applications of a wiki cover two broad benefits: Collaborating and knowledge sharing. IBM has scored some notable successes on both fronts in the near 5000 wiki pages now up and running in the organization. The company has been a huge pick-up in interest in podcasting over the last 18 months writing can seem such a technical skill, whereas people feel they can talk more freely than they can write. One of the most consistently popular IBM podcasts, with over 20,000 downloads a week.

Ameriprise Financial

The Situation:

The Department of Justice survey estimates that 3.6 million U.S. households were victims of identity theft in 2004. Trafficking in personal date goes beyond U.S. borders: the New York Times reports that stolen financial information is often distributed among participants of online trading boards, and the buyers are frequently located in Russia, Ukraine, and the Middle East. One reason clients are concerned about data security is the widespread publicity generated by breaches at financial services firm. In late December 2205, an Ameriprise Financial employee’s laptop that contained unencrypted data on approximately 230,000 customers and advisors was stolen from a car. Other financial services firm, including Citigroup and Bank of America, also acknowledge large-scale customer data losses in 2005. President of NCS, Rita Dew, a compliance consulting firm in Delray Beach, Florida, says that the Securities and Exchange Commission requires investment advisors to have policies and procedures that address the administrative, technical, and physical safeguards related to client records and information.

The Response:

Ameriprise Financial had to fight back and had to implement “layers of protection.” It is important for employees who their primary business computer, and employees regularly transport the computer between home, office, and meeting sites. The vulnerability of this arrangement and the need for a safety software program is much needed.

The Outcome:

Employees who are transporting lab tops should install the Steganos Security Suite on their computer. This software allows employees to create an encrypted virtual drive on the laptop that serves as data storage safe. Employees stores all client related data and tax preparation software database on the encrypted drive, which employees has set up with one gigabyte of storage space. The best thing is that when an employee turns off the computer the information is stored “safe”, the software automatically encrypts the virtual drive’s data. The software also generates encrypted backup files, which employees store on CDs in a fireproof safe. This should keep the data secure if any employee’s laptop is stolen or if the drive is removed from the laptop. Other financial advisors are relying on encryption both in and out of the office. Other programs that are being used to protect client’s information are RAID Level 1 system to store data on the drives that are encrypted with WinMagic’s SecureDocs software. Encryption ensures that anyone who steals the computer will be absolutely unable to read the data, even by connecting it to another computer as a “slave drive. This has given many financial advisors the greatest peace of mind.

Terasen Pipelines

The Situation:

Terasen Pipelines is a subsidiary of Terasen Inc. located in Vancouver, Canada and is located in several provinces and U.S. states. In 2001 the company changed its headquarters to Calgary to be closer to the oil. With the big move, the company went through a growth spurt. With the company in many different locations and the growing numbers of employees, the HR department saw a need to find a new system to keep more accurate records.

The Response:

In the past Terasen had kept records on paper and with spreadsheets and with the growth of the company, this system does not work as well as in the past. In order to compensate for future growth, Terasen began to look into HRIS companies to help with the HR operations. After researching different companies, Hewitt’s application service provider model with eCyborg was found to be the right fit.

The Outcome:

Although there was difficulty adapting to a new way of recordkeeping, Terasen was able to find a system that will help support the current and future growth of the company. Fortunately, some of the HR staff had experience working with an HRIS and were able to help their colleagues imagine new processes, as aided by a system. One theme often voiced throughout this process was: "You guys don't know how hard we're working when we can make it so much easier with a system that could do a lot of this for us. You don't always have to run to the cabinet for the employee file just to get basic information. It can all be at your fingertips." (Vu, 2005). In order to help Terasen ease the HR burden of implementing a new HR system, the management of Terasen was convinced to look for a vendor to help implement and maintain a HRIS system. This system has helped Terasen better prepare for current and future growth.

Shaw’s Supermarkets

The Situation:

Shaw’s Supermarkets is the second largest supermarket chain in New England. With a workforce of 30,000 located at 180 stores throughout six states, Shaw's HR staff is responsible for managing employees' personal data. Their employee mix includes approximately 70 percent part-time employees, consisting of students, senior citizens, second-job part-timers, and career part-timers. One third of the workforce is made up of union associates, and Shaw's staff oversees the company's involvement with three unions and six separate contracts (Koven, 2002). In order to help manage the workforce, the HR staff became interested in centralizing its HR operations.

The Response:

In order to centralize HR operations Shaw’s decided to implement an ESS (employee self-service) solution. The use of self-service applications creates a positive situation for HR. ESS gives HR more time to focus on strategic issues, such as workforce management, succession planning, and compensation management, while at the same time improving service to employees and managers, and ensuring that their data is accurate. With this solution, employees have online access to forms, training material, benefits information and other payroll related information.

The Outcome:

Shaw’s has had positive feedback since implementing the ESS solution. "The reaction from our employees has been extremely positive," Penney, VP of Compensation and Benefits, says. "We even had a significant increase in our medical coverage costs, and it was almost a non-issue because the online enrollment featured the plan choices, the employee cost, and the company subsidy. An employee self-service application makes it very easy for them to understand their contributions and coverage options. I received several e-mails from employees saying this was a great change and how easy ESS was, which the case is not often when employees are selecting their benefit options." (Koven, 2002). By giving the employees more access to their information they are able to see the benefit choices available to them. Employees are also able to update their information online, which helps reduce the paperwork of the past. Shaw’s has also seen improvement in productivity because employees are updating information at home, not during work hours.

CS Stars, LLC

The Situation:
New York Attorney General Andrew Cuomo has announced that New York State has reached its first settlement with a company charged with failing to notify consumers and others that their personal data had gone missing. Cuomo’s office, which enforces the state’s 2005 Information Security Breach and Notification Law, charged CS STARS LLC, a Chicago-based claims management company, with failing to give notice that it had lost track of a computer containing data on 540,000 New Yorkers’ workers’ comp claims.

The Response:

The owner of the lost data, which had been in the custody of CS STARS, was the New York Special Funds Conservation Committee, an organization that assists in providing workers’ comp benefits under the state’s workers' comp law. On May 9, 2006, a CS STARS employee noticed that a computer was missing that held personal information, including the names, addresses, and Social Security numbers of recipients of workers’ compensation benefits. But CS Stars waited until June 29, 2006, to notify Special Funds and the FBI of the security breach. Because the FBI declared that notice to consumers might impede its investigation, CS STARS waited until July 8, 2006, to send notices to the 540,000 New Yorkers affected by the breach. On July 25, 2006, the FBI determined an employee, of a cleaning contractor, had stolen the computer, and the missing computer was located and recovered. In addition, the FBI found that the data on the missing computer had not been improperly accessed.

The Outcome:

New York's Information Security Breach and Notification Law, effective in December 2005, requires businesses that maintain computerized data which includes private information to notify the owner of the information of any breach of the security of the system immediately following discovery, if the private information was, or is reasonably believed to have been, acquired by a person without valid authorization. The law affects not only businesses in their dealings with their customers, but employers in their role as custodians of employees’ personal data. (Cadrain)

Without admitting to any violation of law, CS STARS agreed to comply with the law and ensure that proper notifications will be made in the event of any future breach. The company also agreed to implement more extensive practices relating to the security of private information. CS STARS will pay the Attorney General’s office $60,000 for costs related to this investigation. (Cadrain)

IBM

The Situation:

IBM's paperless online enrollment system, introduced in 1999, has proved to be a winner for both the company's 135,000 active U.S. employees and the company, according to Cathleen Donnelly, senior communications specialist at company headquarters in Armonk, N.Y. The company saves $1.2 million per year on printing and mailing costs alone, Donnelly says, and the employees’ can take advantage of a variety of technologies to learn about issues, research program information and access decision support tools from their desktop computers. (Heuring, 2002)

The Response:

One of those tools, a personal medical cost estimator, enables employees to calculate potential out-of-pocket health care expenses under each of the plan options available to them, Donnelly says. Employees log in personally and are greeted by name and with important information regarding their benefits enrollment, such as the deadlines and when changes take effect. They automatically get access to health plans that are available to them, and the calculator lets them compare estimated benefit amounts for each plan.

"Employees can select the health care services they expect to use in a particular year, estimate expected frequency of use, and calculate potential costs under each plan option," Donnelly says. "The feedback that we've received from employees tells us that this tool has really helped them to make a comparison between plans based on how they consume medical services." The calculator shows both IBM's costs and the employee's. (Heuring, 2002)

The Outcome:

"Since we began offering online enrollment, we've learned that employees want web access," Donnelly says, so they can log on at home rather than through the company intranet. So the company has been working to put in place a web-based enrollment system that employees and retirees can access from anywhere.

Employees can get summary information on the plans, drill down into very specific details and follow links to the health care providers for research. Donnelly says the system has received high marks for convenience because employees can "get in and out quickly."

WORKSource Inc.

The Situation:

To meet the challenge of handling 100 new employees, WORKSource Inc. acquired Web-based technology programs from GHG Corp. like electronic paystub, electronic timesheet software, time-off system, and human resource information system (“Tips,” 2006). These tools enabled CEO Judith Hahn to handling payroll procedures efficiently and effectively.

The Response:

WORKSource has eight workforce centers, with approximately 108 employees, located throughout a six-county region. Previously, payroll, benefits, and human resources for those employees were processed and managed by a Professional Employer Organization. The company also has 52 administrative staff in its headquarters office. When the contract with the PEO terminated on June 30, 2006, those 108 employees were immediately moved to the payroll of WORKSource, which meant Hahn’s workload more than doubled effective July 2006 (“Tips,” 2006).

Hahn, in an interview with PMR, said she relied on LEAN to help get a handle on what needed to change for her to manage the increased workload. Two years earlier, Hahn’s CEO had introduced her to LEAN, a Japanese management concept of eliminating wasteful steps and motion when completing processes. “I began to read as much as possible about LEAN and joined an HR LEAN focus group” (“Tips,” 2006).

The Outcome:

Mastering the concepts of LEAN led Hahn to develop and apply her own acronym of “REASON” to her department’s payroll and HR processes. Review the process: map payroll tasks from start to finish. Eliminate waste: determine how to complete a payroll task most efficiently without unnecessary steps. Analyze alternatives: research and evaluate the applicability of new technology. Sell innovations to management: document the return on investment of each innovation. Open the lines of communication: communicate openly—and often—with all stakeholders, including employees and top management. Never allow negativity: make change simple and fun. Give employees plenty of encouragement and time to learn (“Tips,” 2006). Judith Hahn was able to implement the right human resource functions using information systems.

Toshiba America Medical Systems Inc.

The Situation:

Lynda Morvik, director of benefits and human resources information systems at Tustin, California-based Toshiba America Medical Systems Inc. (TAMS), thought it would make sense to add a benefits communication component to it. By having all the benefit information online, the TAMS employee handbook would also be a living document, enabling Morvik to make changes when necessary. Such was the case halfway through the project, when TAMS changed health care plans from Aetna Inc. to United Health Group Inc (Wojcik, 2004).

The Response:

TAMS, an independent group company of Toshiba Corporation and a global leading provider of diagnostic medical imaging systems and comprehensive medical solutions, such as CT, X-ray, ultrasound, nuclear medicine, MRI, and information systems, had been using a payroll service bureau and an in-house solution for HR that didn't include easy-to-use consolidated reporting or an employee portal. After evaluating UltiPro alongside several enterprise resource vendors, TAMS selected Ultimate Software's offering and went live in September 2002 after an on-time and on-budget implementation. Almost immediately upon rolling out the UltiPro portal to employees, TAMS began seeing improvements, with an estimated 70% increase in open enrollment efficiency (Wojcik, 2004).

The Outcome:

In an effort to expand the usage of the Web beyond the benefits enrollment process, TAMS has posted a library of documents and forms on its HR portal, including the benefits handbook, which garnered a 2004 Apex Award for publication excellence. That same year, Business Insurance magazine also gave TAMS the Electronic Benefit Communication (EBC) award for outstanding achievement in communicating employee benefits programs over the Web. To continue elevating its use of Ultimate Software's HRMS/payroll solution, TAMS modified the UltiPro portal to meet the imaging company's unique needs (Wojcik, 2004). It was completely integrated with several proprietary applications created to address compensation and performance management issues so that TAMS employees have a central location for comprehensive workforce and payroll information from a Web browser that they can access with a single sign-on (Wojcik, 2004).

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Steven Brown, MBA is a loving husband and father of two boys. He enjoys his time with his family by providing a strong family foundation of Christian Faith. After completing his Bachelors degree, Steven wanted to further his ability to teach and share to others his mindset that they can do anything if they would believe in themselves.

Article Source: http://EzineArticles.com/?expert=Steven_Phillip_Brown