The Business Group Blog was created to share and discuss information about challenges and solutions to the health care benefits issues that large employers face today and tomorrow — such as controlling health care costs, reforming the health care delivery system, and engaging employees in their health and benefits — and will provide insight into national health policy issues. We hope you find this information useful and will consider subscribing to the blog and sharing any thoughts or ideas with us at firstname.lastname@example.org.
You can help the Business Group by supporting The Health Care Payment Learning and Action Network (LAN), an initiative launched by the Department of Health and Human Services in 2015 to align stakeholders across sectors in moving payment from traditional fee-for-service (FFS) methods to ones linked to quality and alternative payment models (APMs). The LAN’s next initiative will focus on providing support and resources to drive improvement in maternity care outcomes via episode payments.
Patient (or “copay”) assistance programs and coupons present a bit of a double-edged sword. While they help facilitate payment for certain drugs, they also complicate the payment process immensely. Both help patients ultimately gain access to expensive drugs that otherwise may not be affordable. However, the intention behind each approach differs considerably, as does the overall impact.
Despite great progress on HIV/AIDS-related research, advocacy, and workplace initiatives, very little attention has historically been focused globally on HIV/AIDS and insurance coverage, particularly in the private market. Private insurance is important because it can improve employees’ access to effective HIV testing and treatment.
Recently, the IRS extended “good faith” transition relief, which protects employers from ACA employer reporting penalties for an additional year, provided they make good faith efforts to comply. We expect that agencies regulating employers and their health plans--DOL, HHS, IRS, and EEOC--will continue to issue guidance on the ACA, tax, and other compliance topics in the coming months.
Before designing a wellness promotion program, you should have a clear image of your target group. Who is the intended audience of the specific initiatives you’re planning on implementing? This will help you and the program developers feel connected to your audience as real people, not just as a group of employees with given demographic characteristics.
November 16 is World Chronic Obstructive Pulmonary Disease (COPD) Day
Chronic obstructive pulmonary disease (COPD) refers to progressive, incurable lung diseases (e.g., emphysema, chronic bronchitis, refractory asthma, etc.). Symptoms include difficulty breathing, shortness of breath, chronic cough, wheezing, and chest tightness. The main risk factors for COPD include tobacco smoking, indoor or outdoor air pollution, or exposure to occupational dusts and chemicals.
The Department of Health and Human Services (HHS) launched the Health Care Payment and Learning and Action Network (LAN) in 2015 to align stakeholders across sectors in moving payment from traditional fee-for-service (FFS) methods to one linked to quality via alternative payment models (APMs). The LAN is an unprecedented collaboration of stakeholders from the private, public, and non-profit sectors whose goal is to transform the nation’s health system by supporting health care value over volume.