Have you ever heard a colleague or friend say something along the lines of “I just feel so burned out”? Most likely, you have – more than once. In 2018, Gallup estimated 23 percent of employees feel burned out at work “very often or always,” and a further 44 percent reported feeling burned out “sometimes.” The modern-day definition of burnout, the state of emotional, physical and mental exhaustion caused by prolonged work stress, was first introduced in 1974. Since that time, burnout has received increased attention and media coverage and has grown in prominence as a workplace issue in recent years. The business impacts of burnout include increased health plan utilization, increased absences, job dissatisfaction and negative effects on productivity, such as increased decisional errors, diminished work quality, and decreased task and time management capabilities.
There is a lot of noise in the marketplace regarding referenced-based pricing (RBP) as a viable payment model for employer-sponsored health plans. RBP is a payment model that does not utilize a network of providers, but rather bases reimbursement for claims on a percentage of Medicare, which serves as the “reference” point. The advantage of RBP to an employer is clear as most employers see savings ranging from 20% – 40%. The RBP model can be applied across the board, or just for inpatient and outpatient facility charges. Continue reading
Sleep is a foundational element in determining one’s overall health and quality of life, with the average adult requiring at least seven hours of sleep per night for the best health and wellbeing. Even though most people know this, sleep is severely undervalued in our culture, as revealed in a 2013 Gallup poll which showed that 40% of Americans get less than 6 hours of sleep per night. What many people may not realize is that a lack of sleep leads to negative physical, mental and emotional consequences that have direct and meaningful implications in the workplace.
Last Friday, a federal judge ruled in Texas v. United States that the entirety of the Affordable Care Act (ACA) is invalid due to the reduction of the individual mandate penalty to $0 in the Tax Cuts and Jobs Act, which was passed at the end of 2017. The reduced penalty is scheduled to go into effect beginning in 2019. As I discussed during our webinar following the midterm elections, this ruling was not unexpected. The White House has stated that the law remains in place, pending appeal, so there is no substantive change at this time. This case is expected to eventually be heard by the Supreme Court and the constitutionally of the law will once again be determined by our nation’s highest court.
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