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This room contains pieces drawn from my experiences at Health Decisions. It offers practical advice for anyone involved in managing group health plan expenses.
From the present, this room contains articles and reports by others that I wanted to share. Reasons for sharing will vary, so expect a potpourri.
This room provides reference points and norms I have observed or documented that can be used by persons trying to get their bearings in the often confusing world of group health.
This room contains my views on the future of the US health care system. My intent is not to convince anyone, but to broaden the discussion beyond the political debate that passes for health reform in America.
This room contains recordings and trasncripts of conversations I've had with interesting people I have had the privilege of meeting. Some are friends, some professional acquantances; all have interesting perspectives worth sharing.
From the past, this room contains some of the talks and articles I have done that I thought were worth sharing.

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Getting the Most Out of Your Audit (Webinar) 

Thursday, January 29, 2015 3:53:00 PM Categories: Prior Presentations
If you’re planning to audit a self-funded health plan, this webinar is for you. Health Decisions has more than 25 years of experience auditing self-funded health plans. This free webinar shares our observations on what makes for a successful... read more

ACA Compliance Checklist - Are You Ready for 2015? (Webinar) 

Thursday, December 4, 2014 10:31:00 AM Categories: Prior Presentations
The one-year delay in Affordable Care Act compliance is over. What is in store for 2015 and beyond? How prepared are you? This webinar provides a checklist of steps you should have taken -- or will need to take -- to meet and maintain ACA... read more

Make Like the Texans! - Houston Chronicle article 

Tuesday, November 18, 2014 9:54:00 AM Categories: News and Views
According to this Houston Chronicle article, “the most popular money-saving option is for companies to conduct audits to make sure that every dependent listed on an employee's health plan is eligible for coverage.” Of the 150 Houston-area... read more

ACA: Boon and Bane for Brokers (Webinar) 

Wednesday, November 5, 2014 3:04:00 PM Categories: Prior Presentations
Some say the Affordable Care Act marginalizes the broker role. Others say ACA gives brokers new opportunities. Both are right. ACA elevates the broker advisory role. At the same time, it has introduced formidable new competitors. Ultimately, ... read more

Midsize employers lack confidence in ACA, benefit strategies - EBN article 

Monday, October 20, 2014 10:20:00 AM Categories: News and Views
The situation discussed in this Employee Benefit News article is very consistent with what we are seeing in ACA compliance self-assessments we are doing. Most employers are pleasantly surprised at how much of ACA they have done (and didn't know). ... read more

Notes from the Field: Employer Compliance - MI Health Answers article 

Thursday, October 16, 2014 2:30:00 PM Categories: News and Views
This article for MI Health Answers shows results from talking to various companies about what they're doing for ACA compliance. read more

Dependent eligibility audits growing in popularity to cut excessive costs - ebn article 

Wednesday, October 15, 2014 9:46:00 AM Categories: News and Views
Si commented on this Employee Benefit News article: After doing dependent audits for over 20 years, I can tell you that the "secret" to a successful audit is not how many people get removed but how high a response rate you get. Non-responses... read more

Open Enrollment Communications Must Move Beyond Status Quo - EBN article 

Thursday, October 9, 2014 4:56:00 PM Categories: News and Views
The author of this Employee Benefit Views article is right. Re-thinking open enrollment is long overdue. Actually, re-thinking all employee communications is long overdue. In addition to the new digital media, we have found two "old-fashioned"... read more

New ACA Cost Sharing Rules: Are Over and Under Payments Inevitable? (Webinar) 

Wednesday, September 24, 2014 11:04:00 AM Categories: Prior Presentations
The new cost sharing rules under the ACA will either help improve the most error-prone aspect of claim payment, or make a bad situation even worse. Which side will your plan fall on? That depends on how you handle these new cost sharing... read more

County Denied Tools to Trim Health Costs - Kaiser Health News article 

Monday, September 22, 2014 9:52:00 AM Categories: News and Views
This is the latest example of how employers (even large, public sector employers like Miami-Dade County) are being kept in the dark about what providers are actually getting paid (with public dollars, no less!). This “pay but don’t ask” approach... read more
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