Search
Advertisement
August 2020
M T W T F S S
« Sep    
 12
3456789
10111213141516
17181920212223
24252627282930
31  
Search
HealthInsurance.com Homepage
TopOfBlogs

Posts Tagged ‘Group’

Business Group Health Insurance

Most people will come to need some sort of eye care during their lives. Even if corrective lenses are not needed, it is good to get into the habit of regular eye checkups in order to spot problems as they arise and ensure lifelong eye health. Because the need for vision care is so important, eye vision coverage is a smart decision for anyone who wants to keep their eye health in mind without sacrificing their budgetary needs.

If you currently have an eye care provider and are seeking to change or obtain eye vision coverage from an insurance provider, check to make sure that your optometrist is covered by the eye vision coverage you are most interested in receiving.

Luckily, most healthcare professionals will try to make their services eligible in regards to multiple insurance providers. This helps to foster a greater freedom of choice for people who choose specific insurance plans based on their financial or healthcare needs.

The Internet can be a great place to search for eye vision coverage providers. Once you have narrowed down your options to a few choices, it would be wise to call and speak with representatives from each company and discuss your personal needs with this. This allows you to feel confident about the provider whom you ultimately choose.

The health of your eyes is too important to sacrifice due to the potentially high costs of seeing an eye care professional. Take advantage of the many eye vision coverage plans available today to ease the burden.

What Defines a Group in a Group Health Insurance Plan?

Many people think an individual health insurance plans means you have to be just one person in order to purchase a policy. However, individual plans include plans for individuals, and their family members. It is differentiated from a group health insurance plan, which is what a business or company uses for all of its employees.

For example, a large company will negotiate and contract with a large group health insurance plan provider, such as Blue Cross Blue Shield or Coventry, to provide group health insurance Georgia policies for all of their employees. Then, each employee will individually enroll in the group health insurance plan. The employer may subsidize the monthly premium costs, as part of the compensation package. Sometimes, the employer will pay for the monthly premium for their full-time employees, and possibly the employee will be responsible for the additional premium costs related to their family members’ enrollment in the group health insurance plan. Sometimes, however, the employer may subsidize the entire premium costs.

Although it is a huge benefit and perk of an employees’ compensation and salary package to have the ability to enroll in a group health insurance plan, group health insurance plans are higher priced than an individual health insurance plan. So, if you have to pay for your premiums, or those of your family members, out of pocket, then you may not be getting a good deal. In fact, you may be better off doing some comparison shopping in order to find a better value, or lower priced health insurance plan. It is rare that an employer would require that you join the group health insurance plan that is offered through your work. Therefore, you have the freedom to shop around and choose your own plan. If your employer does pay for your portion, but not the premium for your family members, then you can enrolled in the group health insurance plan for yourself, and find a different lower cost individual health insurance plan for your family. This would be a wise use of money.

The reason group health insurance plans are higher priced is a legitimate one. Insurance companies determine the risks involved in its particular pool of members and then estimate what the cost to them will be based on the health and medical conditions of its enrolled members. For individual health insurance policies, insurance carriers will deny enrollment to those considered high risk. Therefore, they can keep premiums for individual health insurance policies low, because they are not accepting high risk members. However, for group health insurance plans, insurance carriers are not legally allowed to deny coverage to any qualified member, which is to say, any employee of the company they have contracted with. Therefore, because they will have higher risk enrolled members in the group health insurance plan, the premiums for everybody will be higher. If you are one of those individuals who may be denied for an individual health insurance policy, because of a chronic health condition, or other high risk factors, such as being overweight, smoking, or advanced age, then this condition of group health insurance plans works in your favor.

A group health insurance plan may be a good option for you, but do not forget to compare with individual health insurance policies.

About Author
Sam Dicosta shares his knowledge on health insurance that makes you able to find the plans that best fits your needs. If you want to know about group health insurance,affordable health insurance georgia,wellpath north carolina visit www.cvty-healthinsurance.com.

When You Need Affordable Group Health Insurance

Most people get their affordable group health insurance through their place of employment. Many employers help offset the monthly premiums for their employees’ affordable group health insurance in order to make it more affordable. This is usually part of the employee’s compensation package, which often includes salary, bonuses, retirement plan contributions and affordable group health insurance.

What makes affordable group health insurance plans such a great option, if you can get them, is that insurance carriers have to approve your enrollment. Insurance companies typically will not approve the application for individual health insurance for individuals who are already ill, or who are in poor health. That is what makes it difficult to find affordable group health insurance. However, they are required by law to accept all group members into the health insurance plan. Therefore, for an individual who has a chronic illness, affordable group health insurance really is the best way for them to receive benefits. Those individuals may be denied coverage, or if they are approved at high rates, they may not be able to afford the high premiums charged by insurance companies. Therefore, affordable group health insurance is the only means for them to be approved for a policy.

Many employers are concerned about providing affordable group health insurance for their employees. Their concerns are partly related to making sure they attract reliable and trustworthy employees by providing affordable group health insurance coverage for the employees and their families. Another concern stems from the financial burden that affordable group health insurance premiums put on a business. Many business owners have to pay for workers’ compensation insurance, which is a federal requirement. The high cost of workers’ compensation insurance often makes it challenging to find the financial resources to provide affordable group health insurance benefits for employees.

Employers Hunt Down Affordable Group Health Insurance Bargains

There are many large insurance carriers who sell affordable group health insurance plans, specifically to small businesses, as well as to large companies. A small business is any business with two or more employees. This could include husband and wife too. Insurance companies have special divisions that specifically sell to employers looking for affordable group health insurance plans for themselves and their employees. It is possible to get information about affordable group health insurance from the insurance companies’ web sites, or by calling them up for rates and quotes. Sometimes, it may be possible to get an insurance broker to help business owners find the most affordable group health insurance plans available to them.

Each state has its own regulations and rules regarding restrictions on affordable group health insurance for businesses. Therefore, it is important that business owners have a human resources agent, or other representative, to research the possible affordable group health insurance plans, and to make sure that they are getting a good deal.

Employers recognize that having affordable group health insurance is an important benefit for most employees, especially if they have chronic illnesses, or are in poor health. Most employers are willing to help cover some of the health insurance premium costs, if they are able to do so. It is still a bargain to receive affordable group health insurance through one’s work.

About Author
Sam Dicosta shares his knowledge on health insurance that makes you able to find the plans that best fits your needs. If you want to know about affordable group health insurance, Individual Health Insurance Quotes, Medical Insurance, Aetna Family Health Insurance visit www.usa-healthinsurance.com

You Want Affordable Group Health Insurance?

Looking for great affordable group health insurance for your small business or company? You are a conscientious business owner, and you want to be wise with your money. You are also a considerate business owner, and you want to provide affordable group health insurance for the healthcare needs of your employees. You know how important it is for people to have affordable group health insurance in the event that an unexpected illness or injury occurs. You also feel that your small business is part of you, and your employees are part of your family. You want to help provide them with affordable group health insurance and medical care. However, you think that it may be impossible to find affordable group health insurance.

The costs of being a business owner are high. Workers’ compensation insurance needs to be paid. Business taxes are high. The economy is struggling. It is important to keep an eye on the bottom line, and not go overboard with expenses. An affordable group health insurance plan is a necessity. You are also aware that, although like most business owners, you would like to pay the monthly premium on affordable group health insurance for all of your employees’ and their families, it may not be feasible. However, you know that your employees are willing to pay a portion of their premiums themselves, if it’s an excellent affordable group health insurance plan. Your employees are educated and knowledgeable, and they know that having affordable group health insurance is an invaluable part of their employment and compensation package.

In fact, for some of your employees, who may have a pre-existing medical condition or are currently in poor health, it would be almost impossible for them to get an individual policy. Therefore, being able to enroll in an affordable group health insurance plan, as part of the company group, is the only way they could even get health insurance. This is the most significant advantage of a small business affordable group health insurance plan.

Can your small business qualify for affordable group health insurance rates?

Most large insurance carriers have departments or divisions that are specifically geared towards helping you, the small business owner, find affordable group health insurance. In fact, a business with two or more employees, even if they are related, qualifies as a small business and is able to get small business affordable group health insurance rates. So don’t think that you need to have a huge corporation in order to provide affordable group health insurance for you and your employees. And there are tax breaks when you do subsidize your employees’ premiums. Be sure to check with your tax consultant for ideas on deductions and itemizing business expenses.

So, do your research, investigate different plans and rates for affordable group health insurance. Discuss with your employees what portion of the premiums they are able to pay. Discuss with your accounting department to determine what portion of affordable group health insurance premiums you are able to subsidize. Many companies pay for the employees’ premium, and the employee is then responsible to pay for the premium for the additional family members that are also enrolling in the affordable group health insurance plan. This seems like a fair system.

About Author
Sam Dicosta shares his knowledge on health insurance that makes you able to find the plans that best fits your needs. If you want to know about affordable group health insurance, Individual Health Insurance Quotes, Medical Insurance, Aetna Family Health Insurance visit www.usa-healthinsurance.com

Does Your Practice Qualify as a Group Practice Under Federal Stark Law

The Federal Stark law prohibits physicians from referring Medicare/Medicaid beneficiaries to an entity in which they (or an immediate family member) have a financial relationship for designated health services (“DHS”), unless an exception applies. DHS include: clinical lab; physical therapy; occupational therapy; radiology (including, MRI, CAT scans, and ultrasounds); radiation therapy and supplies; DME and supplies; parenteral and enteral nutrients, equipment and supplies; prosthetics, orthotics, and prosthetic devices and supplies; home health services; outpatient prescription drugs; and inpatient and outpatient hospitalization services. In addition, physicians should also be mindful that the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule to amend the Stark regulations effective January 1, 2006 to include diagnostic and therapeutic nuclear medicine, including PET scans, to the list of DHS.

Physicians must keep in mind that they cannot ignore Stark, as nearly every financial relationship between physicians and entities that furnish designated health services (“DHS”) implicate the law. Violations of the Stark law have substantial consequences for all parties involved, regardless of the intent of the parties. Sanctions include denial of payment for DHS claims, civil monetary penalties ($15,000 for each claim submitted plus two times the reimbursement claimed), and exclusion from Medicare and Medicaid. In addition, parties who enter into circumvention schemes are subject to a civil monetary penalty of up to $100,000 per scheme.

Group practices are well advised to document their compliance with Stark. Documentation supporting compliance is particularly important in today’s health care environment, which has had an increase in Federal False Claims litigation and investigations stemming from Qui Tam whistleblowers utilizing technical violations of the Stark law as a predicate for False Claims Act violations.

Application of Stark in the Group Practice Setting

Many common financial relationships can trigger the need for a Stark analysis. This article, however, will focus on Stark’s applicability in the group practice context as Stark applies to referrals of DHS within a group practice. For example, if a physician practice provides services such as physical therapy, clinical lab, x-rays, and/or ultrasounds, within the practice, Stark will be implicated. Once the prohibition is triggered, the relationship(s) must then fall within a Stark exception.

The in-office ancillary services exception has been arguably the single most important exception in the Stark law. This exception is designed to protect the in-office provision of certain DHS that are genuinely ancillary to the medical services provided by the practice. In order for a physician practice that provides DHS to protect its referrals under the in-office ancillary services exception, the physicians must first qualify for the group practice definition. The group practice definition is not an exception to Stark in and of itself, but any “group” of physicians that want to take advantage of the in-office ancillary services exception must be structured to meet the group practice definition.

The Group Practice Definition

Under Stark, a group practice is a physician practice that meets the following conditions:

Single Legal Entity.

The group practice must consist of a single legal entity operating primarily for the purpose of being a physician group practice in any organizational form recognized by the State in which the group practice achieves its legal status.

Physicians.

The group practice must have at least two physicians who are members of the group (whether employees, or direct or indirect owners). Stark defines a member of the group as a direct or indirect owner of a group practice (including a physician whose interest is held by his or her individual professional corporation or by another entity), a physician employee of the group practice, a locum tenens physician, or an on-call physician while the physician is providing on call services for members of the practice. An independent contractor is not a member of the group.

Range of Care.

Each physician who is a member of the group, must furnish substantially the full range of patient care services that the physician routinely furnishes, including medical care, consultation, diagnosis, and treatment, through the joint use of shared office space, facilities, equipment, and personnel.

Services Furnished by Group Practice Members.

Substantially all of the patient care services of the physicians who are members of the group (that is, at least 75% of the total patient care services of the group practice members) must be furnished through the group and billed under a billing number assigned to the group, and the amounts received must be treated as receipts of the group. Patient care services must be measured by one of the following:

  • The total time each member spends on patient care services documented by any reasonable means (for example, time cards and appointment schedules.)
  • Any alternative measure that is reasonable, fixed in advance of the performance of the services being measured, uniformly applied over time, verifiable, and documented.

Distribution of Expenses and Income.

The overhead expenses of, and income from, the practice must be distributed according to methods that are determined before the receipt of payment for the services giving rise to the overhead expense or producing the income.

Unified Business.

The group practice must be a unified business having at least the following features:

Centralized decision making by a body representative of the group practice that maintains effective control over the group’s assets and liabilities; and

Consolidated billing, accounting, and financial reporting.

Volume or Value of Referrals.

No physician who is member of the group practice directly or indirectly receives compensation based on the volume or value of referrals except as provided under the specialty rules for productivity and profit shares.

Physician-Patient Encounters.

Members of the group must personally conduct no less than 75 percent of the physician-patient encounters of the group practice.

Special Rules for Productivity Bonuses and Profit Shares

The special rules for productivity bonuses and profit shares allow a physician who is in the group practice to be paid a share of overall profits of the group or a productivity bonus based on services that he/she has personally performed (including services “incident to” those personally performed services), provided that the share or bonus is not determined in any manner that is directly related to the volume or value of referrals of DHS by the physician. CMS now takes the position that diagnostic-testing services cannot be billed as “incident to” but practices that provide physical therapy can, however, bill physical therapy services as “incident to” services (provided that all of the “incident to” requirements are met).

The Stark regulations specifically set forth examples of formulas that will be deemed not to relate directly to the volume or value of referrals. For example, a group’s profits will be deemed not to relate directly to the volume or value of referrals if revenues derived from DHS are distributed based on the distribution of the group practice’s revenue attributed to services that are not DHS payable by any Federal health care program or private payer.

Documentation of Compliance

Group practices that choose to take advantage of the special treatment that the Stark law affords them must be prepared to demonstrate compliance with the regulations. In this regard, if requested by the Secretary, group practices are required to provide documentation of the total time each member spends on patient care services, and to maintain documentation supporting compliance with the “substantially all” test. The “substantially all” test is intended to guarantee that the group practice members are providing a substantial amount of their services through the group. Groups can document compliance by any reasonable means, including without limitation, time cards, appointment schedules, personal diaries, or other reasonable means that are fixed in advance of the performance of the services being measured, uniformly applied over time, and verifiable. Groups are also required to document, in writing, a new member’s employment with, or ownership or investment in, the group practice before the new relationship commences.

The In-Office Ancillary Services Exception

In order for a group of physicians to provide DHS within the practice, including without limitation, clinical laboratory, physical therapy, x-rays, and ultrasounds, the group must first meet all of the requirements of the group practice definition. If the group practice definition is met, the group is then eligible to utilize the in-office ancillary services exception to protect its in-office DHS referrals. The in-office ancillary exception exempts services personally provided by the referring physician, a physician who is a member of the same group practice as the referring physician, an individual that is supervised by the referring physician, or if the referring physician is in a group practice, by another physician in the group practice, provided that the supervision complies with all of the Medicare payment and coverage rules for the services. In addition, the exception contains a location and a billing requirement.

Conclusion

This article is intended as only a brief summary of the Stark II Phase II Final Regulations in connection with the in-office provision of DHS within the group practice context. Physicians and groups that provide DHS should also be mindful that many other common financial relationships may also trigger Stark, including, without limitation, (1) lease agreements for space and equipment; (2) medical director agreements; and (3) physician employment contracts with group practices and hospitals.

http://www.racattorneys.com

Andrew Wachler PhotoAbout Author
Wachler & Associates, P.C., is a law firm providing healthcare legal services to healthcare providers, suppliers and entities nationwide. Since 1980, the attorneys of Wachler & Associates, P.C., have successfully defended thousands of Medicare, Medicaid and other third party payor audits.

Top Five Tips For Saving Money on Group Health Insurance

As health insurance costs continue to rise by double digits, the increase in premiums is the highest for tiny businesses that offer group health insurance plans. According to the Commonwealth Fund, a Unusual York-based health advocacy group, the health insurance costs for petite businesses are roughly 18% higher than those of sizable business. This is leaving more and more businesses with a choice between two evils: pass on the rate hikes to their employees or do away with the serve altogether. These 5 major tips will go along arrangement toward helping you place money on your health insurance costs. Cutback on coverages This is one of the fastest ways to lop down the cost. You can also offer supplemental insurance to screen any gaps in coverage on the main health policy. Accidental and sickness policies for instance, are relatively affordable and can be combined with a higher deductible health opinion. Offer health savings memoir and high deductible plans By combining Health savings accounts (HSAs) and a high-deductible health insurance plans, you will potentially chop your puny business health insurance costs while giving your employees tax breaks.

HSAs are tax-sheltered accounts that can be conventional toward paying medical expenses, including the insurance deductible. High-deductible health insurance plans have mauch lower premiums than managed care health plans. By combining these two plans, you will set money while retaining primary coverage for your employees. Join a group health insurance plan When you retract in bulk, the product’s costs comes down. Shrimp group health insurance view shroud 2-50 employees and the larger the group, the lower the premiums will be. If you are running a petite firm with less than ten employees, you can partner with other businesses to enlarge your group health insurance thought and lower your rates. Create a health-conscious work ethic and environment

*Limit smoking at work and then work to gradually eliminate it through incentives and health programs.

*Offer healthy drinks at the vending machine.

*Offer incentives to employees to enroll in weight-loss programs.

*Provide workshops relating to safety both at work and at home.

*Institute a policy of zero-tolerance for any drug or alcohol abuse.

*Offer low-calorie food and drinks at company events to do away with the pizza and beer. Make the most of all the available tax incentives There are a number of tax benefits provided to dinky business owners who offer health insurance to their employees. For example, you may be able to deduct the chubby amount of your group health insurance premiums, which may in turn nick your payroll tax. By implementing these tips, you will go along blueprint toward providing your employees with a quality group health insurance belief at a reasonable, cost effective rate to you and your business.

About Author
AllenHealthInsurance.com – Allen Health Insurance provides health insurance to Allen area. For FREE HEALTH INSURANCE QUOTES, visit us online now!

Enabling Lifelong Connections in Group Counseling

Whereas psychologically picturing the arrangement of counseling courses people usually think the trainer and the client, in a seated position in an office that has agreeable décor. Though a large number therapy courses certainly a similar imaginable quality, the coming up of collective counseling is making a profound influence on this basic, and very conventional, notion.

Group therapy is not dissimilar from the conventional therapy procedures in its goal or faith, the only unlikeness is that it involves a group of human beings. Few cluster therapy conference may include two or three human beings, whilst not the same people can involve several. Group therapy can be held in workplaces, at dispensaries, and also outdoors; the core faithfulness to giving powerful and positive change to a count of participants unchanged.

Additionally the traditional mode of carrying on training classes, Group therapy sessions has dual higher benefits. The first advantage of cluster counseling is that it aids to build ties. It has been seen that articulating brainwork and feelings out loud, to an cluster who is non-opinionated, has a positive impact on the mental and mental health. The secondary advantage of cluster group counseling is to do with listening. In traditional therapy courses, clients mainly do not pay attention of others who are passing through alike things. Cluster therapy gives encouragement to the clients by letting them to know that client are not the only one passing by a patchy phase.

These highly prized benefits might also lead to a lifetime of aid for those who engage in cluster counseling. While mental treatment in conventional is pointed at giving enduring and powerful alteration, group counseling acquires this motive a little extra with the chance to build bonding accords with clients in a secluded setting. Whilst some collective counseling sessions may dissuade outside contact with clients, counselors fully support the making of lasting relationships, and holding unit-digit or many familial spirit spirits by which to touch soul from time to time can be of great aid in maintaining the advantages of the training itself. Although cluster counseling has much creating in points of approach and specific counseling in its years to come, it has so far shown itself as a beneficial step forward in the building of healthy and powerful therapy processes.

About Author
Each city has some good therapists facilitating group-based therapy meetings. Spread out and feel your healing process more powerfully by seeing the recovery courses taken by the client.

Join The Healing With Group Psychotherapy

With increasing issues about a range of mental health worries, Group Therapy has been gaining wide attention in the recent times. The modern remedial experience is making a noticeable shift from the long-established outlook about therapy, which typically involved a unison by probing conversation between a clients and the therapist. This shift in the regular view is significantly contributed to the novel concept of Group Therapy wherein, the clients benefit by working as a unit and as a result, realize the numerous options of overcoming ordinary fears. There are numerous ways that lots of group therapy clients experience a personal gain through collaborative sessions, but one of the greatest resource of cure may come from the ability to be part of the resolution for other individuals.

In fact, lots of individuals enjoy the part of having to meet supportive group members who are enthusiastic and mentally relieved to share their private anxieties about matters of clash faced by them. Quite often it turns out that listeners are less receptive to the experiences meted out by their group member. The knack of listening can be greatly honed in group therapy activities, where demonstrating serenity, perception, and values for the person talking are encouraged and regularly flourish. Being able to provide an intuitive thought or comment or to communicate a sense of friendship or common concern can guide clients feel that they are contributing to the healing process, a mind-set that is inclined to engender a great deal of positive vigor and impetus.

The very idea of modern positive therapy envisions mutual participation by which, the clients no more depend entirely upon mental health practitioners but rather take up considerable active roles intended towards their own recovery. Group therapy takes this appealing principle to the subsequent level, helping beneficiaries not only to take active roles in their personal journey towards better mental health and prosperity, but also to take part in the journey of others, as well. Though having a long way to travel towards establishing itself as a core remedial essentiality, this appealing principle is bound to reach out to innumerable therapy seekers, offering them great results.

About Author
If you’re taking into account a course of healing process with therapy, get to know more about group therapy. From time to time healing is bigger in numbers.

Social Widgets powered by AB-WebLog.com.