Archive for December, 2009

Taking a closer look at the manager’s amendment to the healthcare bill

December 23, 2009 Leave a comment

The final Senate Healthcare Bill was released earlier this week with a Manager’s Amendment. Taking a glass half full look at the amendment, a number of the changes have been identified as employer-friendly, such as the elimination of a public plan option, stronger penalties for non-compliance with the individual mandate (designed as motivation to find health insurance coverage) and a $600 penalty for employers who impose a waiting period for health coverage of longer than 60 days, replacing the 30 day limit contained in the original version. Read more…

Ask the Experts: The advantages of a group excess program

December 18, 2009 Leave a comment

A Group Excess Liability program is a master umbrella policy issued to the sponsoring organization or employer that provides additional coverage to participants.

CNA study reinforces need for strong risk management strategies

December 14, 2009 Leave a comment

CNA HealthPro Insurance just announced the results of their latest annual survey titled Reducing Risk in a Changing Industry: CNA HealthPro Aging Services Claims Analysis 2004-2008. One interesting aspect of this study is CNA’s ability to break down claims information between the for-profit and the not-for-profit health care sectors. Some of the results make sense but some are quite surprising. So, it is not very surprising that claim frequency overall is lower in the not-for-profit sector. But, why, for example, are patient falls (the greatest source of claims at nursing homes) almost 20% more likely in not-for-profit settings? Are there some risk management techniques that the for-profit sector can teach the not-for-profit sector here? This study certainly confirms some historical trends and highlights the need to sound fundamental risk management strategies.

Health care reform negotiations continue

December 11, 2009 Leave a comment

It looked as though Senate Democratic health care negotiators agreed this week to replace a government-run insurance option with a scaled-back non-profit plan. The government-run plan, one of the biggest hurdles in the health care overhaul, would be replaced by a plan operated by private insurers but administered by the Office of Personnel Management, which supervises health coverage for federal workers.

Now, in an effort to get a bill passed before Christmas, a group of ten Democratic Senators offered to take a “public option” off the table in exchange for a substantial expansion of Medicare. Read more…

Update on medical liability trends

December 2, 2009 Leave a comment

Medical liability insurance premiums have eased nationwide for the fourth consecutive year, according to the annual Medical Liability Monitor survey. 58% of premiums had no change, up from 50% in 2008, another 36% of premiums fell, down from 43% last year. This is a continuation of the positive trend that we have seen over the past few years. There is still enough capacity in the market to foster price competition. For the coming year, we do not see this changing dramatically. While these trends are encouraging Read more…