September 27, 2019
– October 2019 – The Affordable Care Act (ACA) requires health insurance issuers to spend a minimum percentage of premium dollars on medical care and health care quality improvement, which is intended to lower the cost of care. This percentage is known as “medical loss ratio” (MLR). In the large group insurance market, the …
July 26, 2019
Finding Your Safety “Why”? 07/26/19 – Have you ever wondered why certain companies are wildly successful when their competitors are mediocre or perhaps even fail? One of the most profound factors that will determine the success or failure of a company is its ability to understand and articulate their “WHY.” All companies know …
July 19, 2019
San Antonio Paid Sick Leave Ordinance 07/19/19 – The City of San Antonio “Paid Sick Leave Ordinance” (pdf) is set to go into effect on August 1, 2019. This ordinance covers all private employers with six or more employees who perform, minimum, 80 hours of work within the city limits. For small employers …
June 26, 2019
Acrisure June Benefits Brief: Departments Release Final Rules Expanding Availability of HRAs 6/26/19 – On June 13, 2019, the Departments of Labor, Health and Human Services, and the Treasury (the Departments) released final rules that significantly expand the availability and versatility of health reimbursement arrangements (HRAs) for employers. This final rule is the …
June 4, 2019
Subcontractors, OSHA, and You 06/04/19 – The Occupational Safety and Health Administration (OSHA) has determined that everyone is responsible for safety under the current OSHA Field Operations Manual (FOM), “On multi-employer worksites, more than one employer may be cited for a hazardous condition that violates an OSHA standard.” (Multi-Employer Citation Policy). That is …
May 16, 2019
Exiting a PEO: A Checklist of Considerations 05/16/19 – Many small to mid-size companies look for solutions to outsource certain aspects of their businesses due to a multitude of financial and staffing related concerns. To meet this outsourcing need, professional employer organizations (PEOs) provide their clients with an entire workforce or human resources …
May 14, 2019
Dealing with a Surprise Bill after an Emergency Room Visit 05/14/19 – It has become common practice for emergency room physicians to be out-of-network. It has been estimated that one-half of all emergency room claims are out-of-network and one-in-three visits results in a “surprise bill.” [1] This situation has recently been brought to the …
April 23, 2019
Hospital Safety: A Enterprise Risk Management Translation April 23, 2019 – There are many people in the Healthcare world that would tell you, a hospital is the most regulated “industry” in the United States. Quite literally, they are overseen by just about every acronym agency in the US’s employ. As you can image, …
April 2, 2019
Risk Management: Part 2 of a Series – The Risk Analysis Process “People overestimate their ability to influence events that, in fact, are heavily determined by chance. We tend to be overconfident about the accuracy of our forecasts and risk assessments and far too narrow in our assessment of the range of outcomes that …
March 5, 2019
Risk Management: Part 1 of a Series “The essence of risk management lies in maximizing the areas where we have some control over the outcome while minimizing the areas where we have absolutely no control over the outcome.” – Peter L. Bernstein March 5, 2019 – Most of the businesses that I …
