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health insurance

CMS Releases 2016 National Health Expenditure Figures

In 2016, overall national health spending increased 4.3% following 5.8% growth in 2015, according to a study by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). Following Affordable Care Act (ACA) coverage expansion and significant retail prescription drug spending growth in 2014 and 2015, says CMS, healthcare spending growth […]


ACA in Flux, But Employer Plans Hold Steady

In contrast to the turmoil in the individual health plan market, employer health plan sponsors extended their run of low annual cost increases in 2017, according to a new survey of 2,481 public and private employers with at least 10 employees.


Ask the Expert: Rules for Sending a Sick Employee Home

If an employee comes to work sick (as in the flu, fever, vomiting, etc.), do we have the right to send that employee home and make them use their Paid Time Off (PTO)? Or are we obligated to paying a sick employee if we decide to send them home?


ACA Repeal Could Lead to 32 Million More Uninsured Americans by 2026, CBO Reports

In late 2015 and early 2016, the Congressional Budget Office (CBO) and the staff of the Joint Committee on Taxation (JCT) estimated the budgetary effects of H.R. 3762, the Restoring Americans’ Healthcare Freedom Reconciliation Act of 2015, which would repeal portions of the Affordable Care Act (ACA)—eliminating, in two steps, the law’s mandate penalties and […]


ADA Accommodations: Is Speed Essential to the Interactive Process?

by Peyton S. Irby, Jr. A recent decision by the U.S. 5th Circuit Court of Appeals—which covers Louisiana, Mississippi, and Texas—discussed a scenario in which an employer moved fairly slowly in engaging in the interactive process and providing reasonable accommodations. Let’s see what happened.


Do Your Training Programs Leverage Your Best Source of Company Knowledge?

You might have invested in a learning management system and a wide array of cutting-edge training programs. But, if your organization is like companies in a recent survey, you might be overlooking one of the most valuable training resources at your disposal—your employees, that is.


Don’t Get Left Behind by New California Employment Laws

By Joel Kane, Sedgwick, LLP The California Legislature is constantly enacting new laws, many of which address relatively narrow issues. In some instances, however, there’s still a significant impact on employers, especially in industries that are being targeted by the legislation.


New California Regs Address Violence in the Healthcare Industry

California healthcare employers will soon have a new regulation to comply with. On December 8, 2016, the state’s Office of Administrative Law approved new Section 3342 of the General Industry Safety Orders, Workplace Violence Prevention in Health Care. The standard takes effect on April 1, 2017.


Is California Employer Liable for Motorist’s Carpooling Injury?

The California Court of Appeal recently considered whether an employer may be held liable for a third party’s injuries resulting from an auto accident caused by an employee who was carpooling with his supervisor and coworkers from the jobsite after the end of their shift.


Provider Fraud, Treatment Delays Targeted in New California Workers’ Comp Laws

In California, a worker can seek treatment for a work-related illness or injury that’s expected to be covered under the employer’s workers’ compensation policy. To be paid for services performed for claims that aren’t yet finalized, the healthcare provider can file a lien (a claim for payment) against the employee’s workers’ compensation benefits claim. Unfortunately, […]