United Benefit Advisors Insight and Analysis Blog

Healthcare Cost Reduction: Community Paramedicine as a New Primary Care Delivery Model

Posted by: Peter Freska    Nov 17, 2015 12:00:00 PM

I recently read an article on what some say is the conventional wisdom of healthcare costs in the United States which, as a percent of gross domestic product, are higher than most other countries. The article works to demonstrate that the reason for the higher than average cost and the lack of “better” health outcomes in light of significantly higher spending is attributable to non-healthcare issues such as lack of access, especially for the poor. With the drive of healthcare reform to make sure the U.S. population is insured and address the shortage of primary care physicians increasing as high as 31,000 (“Physician Supply and Demand Through 2025: Key Findings,” Association of American Medical Colleges, April 1, 2015), where will people receive their primary care, and at what cost? What if there were a more efficient and cost effective way to deliver care to populations that lack access or don’t have the ability to easily access care.

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Topics: health care costs, Peter Freska, paramedicine, emergency medicine, paramedics, community paramedicine, EMT

Are Electronic Plan Documents ACA-Compliant?

Posted by: Peter Freska    Jul 1, 2015 12:35:21 PM

There is always something to be concerned about. Please read on.

Many have talked about the options for posting compliance documents online. It is interesting to note that posting documents on a company’s intranet is not enough. Especially in light of the new court decision (Thomas v. CIGNA Group Insurance, E.D.N.Y. (2013)), the topic is even more important. Historically, companies have mailed out hard copies of their compliance packets, Summary Plan Descriptions (SPDs), Summary of Benefits and Coverage (SBC), and Summary of Material Modifications (SMM). If this packet contains the Patient Protection and Affordable Care Act (PPACA) State Exchange notification, it also needs to go to new hires within 14 days.

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Topics: PPACA Affordable Care Act, summary of benefits and coverage, Peter Freska, The LBL Group, Summary of Material Modifications, compliance documents, Summary Plan Description

The Impact of PPACA - Changing Times

Posted by: Peter Freska    Jan 22, 2015 1:00:00 PM

There is still a divided public: “The public remains deeply divided. As of last month, more Americans viewed the law unfavorably (46%) than favorably (37%)—a shift from four years earlier, when respondents favored it 42% to 40%, according to a Kaiser Family Foundation poll … ’The fundamental impetus for the law was to lower the number of uninsured, and it has clearly done that,’ said Larry Levitt, a senior vice president at the Kaiser Family Foundation. ’But simply getting people insured doesn’t mean health care is affordable.’”  1

 

There is the Patient Protection and Affordable Care Act (PPACA) dismantling drive in Washington, D.C.: “(Bloomberg) – Republicans, newly in charge of the House and Senate, begin their campaign to dismantle PPACA with a vote this week to ease the law’s requirement that large employers give health insurance to full-time workers.”  2

 

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Topics: PPACA Affordable Care Act, Peter Freska

Top Health Care Statistics

Posted by: Peter Freska    Oct 30, 2014 11:01:00 AM

By: Peter Freska, MPH, CEBS, Benefits Advisor
The LBL Group
A UBA Partner Firm

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Topics: health plan survey, UBA, health care, Statistics, Peter Freska, Becker's Hospital Review, 100 Healthcare Statistics to Know