American Society of Employers (ASE) announces partnership with Verifi1 to provide dependent verification services to members

The American Society of Employers (ASE), one of the nation’s oldest and largest employer associations, is pleased to announce it is enhancing its member resources by partnering with Verifi1 to provide verification solutions, including dependent eligibility verification and life event reviews. The announcement was made by ASE CEO, Mary E. Corrado.

“ASE is proud to partner with Verifi1 and offer our members this unique service now available to employers of any size,” stated Mary E. Corrado, ASE President & CEO. “In the past this service was cost-prohibitive for small to mid-size employers. Verifi1 offers an affordable, reliable service that can save our members thousands of dollars.”

Verifi1 customizes the verification process to help companies of all sizes maximize their healthcare spend. Every dollar saved goes directly to the bottom line. Verifi1 finds an average of 3-8% ineligible dependents during the initial verification, and as much as 17% during ongoing verification programs. With an average amount saved per ineligible dependent exceeding $4,000, this can equate to hundreds of thousands of dollars in savings for the employer.

“Verifi1 is excited to partner with ASE to bring dependent eligibility verification services to their member companies. As a fellow Michigan based organization with national scope, Verifi1 knows that ASE provides their members the latest innovative solutions. We are pleased to be able to offer our unique health insurance cost containment and risk mitigation platform to ASE’s clients as a further value-added service,” stated Terry Niles, President, Verifi1.


About Verifi1
Verifi1 provides verification solutions and advanced document analysis. Their team has over 15 years of experience working with countless Fortune 500 companies. They understand the unique verification needs from business to business and are continually evolving to ensure those needs are being well taken care of. Learn more at http://www.verifi1.com/.

About the American Society of Employers (ASE) – a Centennial Organization
Celebrating 115 years, the American Society of Employers (ASE) is a not-for-profit trade association providing people-management information and services to Michigan employers. Since 1902, member organizations have relied on ASE to be their single, cost-effective source for information and support, helping to grow their bottom line by enhancing the effectiveness of their people. Learn more about ASE at www.aseonline.org.

American Society of Employers (ASE) Releases 2017 Healthcare Insurance Benefits Survey Findings

The American Society of Employers (ASE), one of the nation’s oldest and largest employer associations, has released its 2017 Healthcare Insurance Benefits Survey. The annual survey, covering Michigan employers, examines the premiums, deductibles, and co-pays of employer-sponsored health plans as well as wellness benefits and cost control measures.

Highlights of the ASE 2017 Healthcare Insurance Benefits Survey:
• Participants are reporting an average annual premium increase for the 2017 plan year of 5%. This adjustment represents the increase to premiums after plan design changes and is up slightly from 4.5% in 2016 and 4.25% in 2015. Projected increases for 2018 are anticipated to be flat at 5%.

• At 84%, the most widely used plan type among non-union organizations continue to be Preferred Provider Organization (PPO) plans, these plans offer employees greater provider options. Just 38% of surveyed non-union organizations offered a Health Maintenance Organization (HMO) plan.

• The median employer premium percentage among non-union organizations for PPO plans for employee only and employee plus family coverage has remained constant at 80% for both Consumer Driven Health Plans and Traditional plans.

• In 2017, the median in-network PPO plan deductible (in high deductible plans) for employee-only coverage among non-union organizations was $1,775, down from $1,875 in 2016. Median deductibles for employee plus family coverage decreased to $3,300 from $3,750 in 2016. In-network deductibles among traditional PPO plans increased for employee only and employee plus family coverage. Increases for those plan types were $100 and $200 for employee-only and employee plus family coverage respectively.

• More significant increases to plan deductibles (among PPO plans) were seen in out-of-network coverage. Increases to those deductibles were as high as $1,500 year-over-year, suggesting employers are making greater efforts to encourage plan participants to stay in-network where costs can be better managed.

• Median annual contributions to Health Savings Accounts were flat. Median employer contributions in non-union organizations for employee only coverage was $500 in 2017 and 2016. Similarly, median annual contributions to employee plus family coverage was $1,000. Contributions at the 75th percentile of all firms were $700 and $1,300 respectively for employee only and employee plus family coverage.

Employers continue to take steps to control costs:
• Most significantly, 48% of organizations surveyed have either implemented or plan to implement telemedicine services in 2017.

• 46% have increased, or plan to increase, employee education around plan features and costs.

• Other notable cost containment strategies include implementing or expanding wellness programs (31%), implementing a Consumer Driven Health Plan (30%), and making generic prescriptions mandatory (28%).

The ASE 2017 Healthcare Insurance Benefits Survey findings were announced by ASE President and CEO, Mary E. Corrado.

“Plan design changes as a means to control costs continue to be the norm. However, we are seeing strong evidence that employers are looking more long-term and are working to change the behaviors of their employees through increased education, wellness initiatives, and by implementing and offering consumer driven health plans,” stated Corrado. “It’s also interesting to see how technology is playing a role in healthcare cost control with the rise of telemedicine.”

Background information on the ASE 2017 Healthcare Insurance Benefits Survey:
• 236 organizations from across Michigan participated.

• Organizations with 50 to 499 employees nationally made up more than 56% of the survey sample, while organizations with more than 500 employees nationally represented nearly 27% of the sample. The remaining 17% of the sample come from organizations with fewer than 50 employees nationally.

• A variety of industries are represented, with manufacturing or goods producing organizations representing 50% of the survey sample. The remaining 50% are represented by trades and services organizations.

To obtain a copy of ASE’s 2017 Healthcare Insurance Benefits Survey, contact ASE’s Compensation and Benefits Surveys department at surveys@aseonline.org or 248.353.4500. This survey is available free of charge to ASE-member survey participants, $225 to ASE member non-participants, and $1,350 for non-members.


About the American Society of Employers (ASE) – a Centennial Organization
The American Society of Employers (ASE) is a not-for-profit trade association providing people-management information and services to Michigan employers. Since 1902, member organizations have relied on ASE to be their single, cost-effective source for information and support, helping to grow their bottom line by enhancing the effectiveness of their people. Learn more about ASE at www.aseonline.org.

Four Healthcare Attorneys Join Dickinson Wright’s Troy Office

Dickinson Wright PLLC is pleased to announce that Attorneys Gregory W. Moore, Peter J. Domas, Serene K. Zeni, and Alexandra A. Hall have joined the firm’s Troy office. They join the firm from Clark Hill PLC.

Gregory W. Moore joins the firm as a member and a co-leader of its Behavioral Health Care law group. Throughout his career, Mr. Moore has focused on representing and counseling providers of all types and sizes including: behavioral health care compliance, facilities and networks, behavioral health care information networks, medical groups, federally-qualified health centers, trade associations, nonprofit and for profit hospitals, as well as international and domestic medical tourism companies. He has been recognized as a thought leader and innovator when it comes to the integration of behavioral health care and physical medicine. With 25 years of experience serving clients in the industry, his practice covers the full spectrum of regulatory, transactional and litigation services. He counsels clients on payment reform and other health care reform matters, joint ventures, managed care, regulatory compliance, labor and employment matters, government investigations and qui tam litigation, as well as international collaboration and business ventures including cross-border health delivery.

Mr. Moore has achieved a prestigious AV rating by Martindale Hubbell and has been continuously selected by his peers as a Super Lawyer in Health Care Law as well as Labor and Employment Law. Greg was also selected by his peers as a Michigan Lawyers Weekly, Leader in the Law for 2016. He has lectured all around the globe on topics relevant to the health care industry with particular emphasis on health care reform, global health care delivery, and behavioral health care matters. He is a member of the American Health Lawyers Association and its Behavioral Health Task Force, the State Bar of Michigan, the Indiana Bar Association, and the American Bar Association. Mr. Moore received his B.A. from Indiana University-Bloomington and his J.D. from Indiana University Robert H. McKinney School of Law.

In January 2009, Greg along with his partner Russell A. Kolsrud, who is also joining Dickinson Wright in its Phoenix office, created a Behavioral Health Care Law Practice Group, the first of its kind in a national law firm. With more than 50 years of combined experience, Greg and Russ continue to guide their behavioral health care clients through the complicated and exciting changes brought about by the Affordable Care Act. They have been and continue to be leaders in educating and counseling clients as Parity and the integration of behavioral health and physical health take center stage.

Serene K. Zeni joins the firm as of counsel. She represents health professionals and organizations to establish and maintain quality, risk management, and compliance programs in a variety of settings. Her clients seek her assistance in an array of matters whether it is simple contract review and negotiation to aiding an entrepreneur in the health field to establish and structure a new organization. Ms. Zeni also has extensive experience in administrative law matters whether it is defending a professional’s license against state prosecution or addressing controversies with state and federal agencies. While she concentrates her practice on health care, she also aids her clients in real estate transactions and estate planning. Ms. Zeni is a member of the American Health Lawyers Association; the Health Law Section, the Estate Planning Section, and the Real Estate Section of the State Bar of Michigan. She received her B.A. from the University of Michigan, her J.D. from Wayne State University Law School, and her LL.M. in Health Law and Policy from Loyola University School of Law.

Peter J. Domas joins the firm as of counsel. His practice is devoted to representing clients in the healthcare industry, and assisting them in navigating the complex statutory and regulatory environment unique to healthcare corporate, transactional, and litigation matters. He also counsels clients on the development and maintenance of effective internal compliance programs with a special focus on federal and state fraud and abuse laws, reimbursement regulations, and HIPAA. Mr. Domas is a member of the American Health Lawyers Association, the American College of Healthcare Executives, the Healthcare Financial Management Association-Eastern Michigan Chapter, and the State Bar of Michigan. He received his B.B.A from University of Michigan-Flint, M.S. from Walsh College, and his J.D. from University of Detroit Mercy School of Law.

Alexandra A. Hall joins the firm as an associate. She practices in all areas of health care law and represents a variety of health professionals and organizations. Ms. Hall advises clients on issues ranging from reimbursement, state and federal fraud and abuse laws, HIPAA, and licensure matters. Ms. Hall assists a variety of health care providers with complex statutory and regulatory issues, including the establishment of internal quality assurance and compliance plans. Ms. Hall also has significant experience in supporting health care providers with the Medicare appeals process. Ms. Hall is a member of the American Health Lawyers Association, the American Bar Association and the State Bar of Michigan. She received her B.A. from the University of Michigan – Ann Arbor and her J.D. from Loyola University Chicago School of Law with a Certificate in Health Law.

About Dickinson Wright PLLC
Dickinson Wright PLLC is a general practice business law firm with more than 400 attorneys among more than 40 practice areas. Headquartered in Detroit and founded in 1878, the firm has fifteen offices, including six in Michigan (Detroit, Troy, Ann Arbor, Lansing, Grand Rapids, and Saginaw) and eight other domestic offices in Columbus, Ohio; Lexington, Ky.; Nashville, Tenn. (2); Las Vegas, Nev.; Phoenix, Ariz.; Reno, Nev.; and Washington, D.C. The firm’s Canada office is located in Toronto.

The firm offers clients a distinctive combination of superb client service and exceptional quality. Dickinson Wright lawyers are known for delivering commercially-oriented advice on sophisticated transactions and have a remarkable record of wins in high-stakes litigation. Dickinson Wright lawyers are regularly cited by Chambers, Best Lawyers, Super Lawyers, and other leading independent law firm evaluating organizations.

American Society of Employers (ASE) 2015 Healthcare Insurance Benefits Survey Results Released

Livonia, Mich. —Dec. 28, 2015 — The American Society of Employers (ASE), one of the nation’s oldest and largest employer associations, has released its 2015 Healthcare Insurance Benefits Survey. The survey, covering Michigan employers, examines the premiums, deductibles and co-pays of employer-sponsored health plans as well as wellness benefit offerings.

Highlights of ASE 2015 Healthcare Insurance Benefits Survey:
• Among non-union firms, the average in-network PPO plan deductibles in standard health plans were $600 for single coverage and $1,200 for family coverage. In consumer-driven health plans (CDHPs), plans that typically combine high-deductible health insurance with tax-advantaged accounts, the average in-network deductible for employee coverage was $1,750 for single coverage and $3,500 for family coverage.
• Among non-union firms, the average employer premium percentage for single coverage was 80% for standard PPO plans and 82% for CDHPs.
• The majority of PPO plans (the more commonly used type of health plan) maintain a three-tiered price structure for prescription drugs. Specifically, 66% of standard PPO plans and 61% of CDHP plans maintain that structure. In those plans, employee costs for prescriptions were as high as $70 for non-preferred brand name drugs. (Note: preferred drugs are brand name drugs listed as approved drugs by the insurance company; non-preferred brand name drugs are not on the insurance company’s approved list/formulary.)
• Nearly half of the employers surveyed offer no wellness benefits. Of those that do, just 35% offer screening services such as biometric or clinical scans.

The ASE 2015 Healthcare Insurance Benefits Survey findings were announced by ASE President and CEO, Mary E. Corrado.

“The cost of healthcare continues to be a substantial investment for employers. However, despite those costs, employers still see the benefits of competitive health plans in the recruitment of talent” Corrado said. “Half of those surveyed indicate that they promote their healthcare benefits to a ‘great extent’ to job applicants. This survey serves as a resource employers can use to ensure they are effectively competing in the marketplace.”

Background information on the ASE 2015 Healthcare Insurance Benefits Survey:
• 202 organizations from across Michigan participated.
• Organizations with 50 to 499 employees nationally made up more than 62% of the survey sample, while organizations with more than 500 employees nationally represented nearly 22% of the sample. The remaining 16% of the sample come from organizations with fewer than 50 employees nationally.
• A variety of industries are represented, with manufacturing or goods producing organizations representing 52% of the survey sample. The remaining 48% are represented by trades and services organizations.

To obtain a copy of ASE’s 2015 Healthcare Insurance Benefits Survey, contact ASE’s Compensation and Benefits Surveys department at surveys@aseonline.org or 248.353.4500. This survey is available free of charge to ASE member participants, and is $1,350 for non-members.

About the American Society of Employers (ASE) – a Centennial Organization
The American Society of Employers (ASE) is a not-for-profit trade association providing people-management information and services to Michigan employers. Since 1902, member organizations have relied on ASE to be their single, cost-effective source for information and support, helping to grow their bottom line by enhancing the effectiveness of their people. Learn more about ASE at www.aseonline.org.

Millennial Engagement in Health

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Jonathan So, Senior Director of Health Care Initiatives, recently served on the panel focused on Millennial Engagement in Health and Wellness in the workplace at the 2015 Employer Healthcare & Benefits Congress in Orlando.  The session, which was was moderated by Vic Villanueva of the ROC Group, centered on the opportunities and challenges in engaging Millennial employees (those born between 1980 and 2000) in their health and wellness benefits. Jonathan’s comments centered on the need to get this population engaged as they will represent 50% of the workforce by 2020 and have no established behavioral patters when it comes to interacting with the health care system.

In  one question centered on busting stereotypes regarding millennials, So said, “I think that many regard millennials as not being loyal to their employer. So a lot of employers don’t want to invest in their young talent who may leave for another job at any time.  I actually think that this generation is one of the most loyal.  If you gain their trust and give them opportunities to grow, they will run through walls for you.  They are your biggest and loudest champions, but they can also be your most vocal detractors. They smell inauthenticity immediately and you can lose them just like that.  Its a population you need to win over every day.”

Another question was in regards to busting health care myths.  So said, “The need to get a CEO involved in health are is a huge myth.  Millennials couldn’t care less about whether the CEO is participating in the walking program. The people who need to be involved is the frontline managers because they are the ones who operationalize the culture in your organization.  They are the key to the success or failure of any initiative.  This is especially important with millennials because the oldest millennials are now 35.  They are or will represent most of an organizations front line supervisors within the next few years and if they are jaded, everyone else will be too.”

Jonathan managed to snap a selfie with the panel just before they exited.

To learn more about the Employer Healthcare and Benefits Congress, you can follow this link: http://www.employerhealthcarecongress.com/

If you would like to share your experiences with millennial engagement at your organization, contact Jonathan So at jso@detroitchamber.com

Dickinson Wright to Host Healthcare Seminar in Troy

TROY, Mich., September 21, 2015 – Dickinson Wright PLLC is pleased to announce that the firm will host “PSST! – Physician Strategies & Success Tools” on Friday, October 2, 2015 in Troy, Mich.

The seminar will feature attorneys from Dickinson Wright’s healthcare practice group and topics will include: legal issues and practical considerations in healthcare contracting; ACOs, Super Groups and clinical integration structures; pros and cons of hospital employment; and direct primary care and concierge medicine. Attendees may be eligible for Continuing Education Units pending with the Health Care Compliance Association

Below are the details of the seminar:

“PSST! – Physician Strategies & Success Tools

Date: Friday, October 2, 2015
Time: 8:00 a.m. Registration & Continental Breakfast
8:30 – 11:00 a.m. Seminar
Location: Bank of America Building
2600 West Big Beaver Road Troy, MI 48084

If you are interested in attending the seminar or to learn more, please contact Mellissa Boyd at 313-223-3125 or at mboyd@dickinsonwright.com.

About Dickinson Wright PLLC
Dickinson Wright PLLC is a general practice business law firm with more than 400 attorneys among more than 40 practice areas. Headquartered in Detroit and founded in 1878, the firm has fifteen offices, including six in Michigan (Detroit, Troy, Ann Arbor, Lansing, Grand Rapids, and Saginaw) and eight other domestic offices (Columbus, Ohio; Lexington, Ky.; Nashville, Tenn.; Las Vegas, Nev.; Reno, Nev.; Phoenix, Ariz.; and Washington, D.C.), and a Canadian office located in Toronto.

Dickinson Wright’s healthcare practice group includes more than 35 practicing lawyers with the expertise and experience to provide sophisticated, cost-effective legal services to healthcare industry clients. The group’s comprehensive services include regulatory/compliance, antitrust, governance and employment; transactional; financial; development & facilities acquisitions; intellectual property; information technology; and litigation

The firm offers clients a distinctive combination of superb client service and exceptional quality. Dickinson Wright lawyers are known for delivering commercially-oriented advice and are regularly cited by Chambers, Best Lawyers, Super Lawyers and other leading independent law firm evaluating organizations.

Physicians Organization welcomes new CPT code 99490 to reimburse physician-led, non-face to face clinical care for elderly patients with multiple chronic conditions

Rochester, Mich. – Feb. 19, 2015 –MedNetOne Health Solutions (MNOHS), a Michigan-based healthcare management organization serving the infrastructure and clinical support needs of private practice physicians and behavioral health specialists, is taking extra steps to ensure its physician members are using the new CPT code 99490 to obtain the appropriate reimbursement when they or a member of their clinical team provide non face-to-face care in the category of Chronic Care Management (CCM) services.

CMM and chronic care monitoring are an increasing focus for Centers for Medicare & Medicaid Services (CMS) as the growing Medicare population seeks treatment for multiple chronic conditions, according to Ewa Matuszewski, CEO of MNOHS.

“Effective January 1, CMS began reimbursing physicians on a per-beneficiary, per-month payment of $40.39 for non-face to face CCM services provided to patients with two or more significant chronic conditions,” Matuszewski said. “We want to make sure our physician members start getting reimbursed for these services, many of whom have been offering the services for years without being properly reimbursed. The introduction of CPT code 99490 rightly changes that.”

Covered CMM services under code 99490 which require the physician practice to have a functioning electronic medical records system, are defined as at least 20 minutes of clinical time directed by a physician or other qualified health care professional where the patient’s chronic conditions will likely last for 12 months or until the patient’s death. Such services are comprehensive and may include, but are not limited to, development and assessment of a patient’s care plan; ensuring the patient’s timely receipt of preventive care services; and medication reconciliation, with a review of adherence and potential medication interactions. Matuszewski says the new code represents a turning point of sorts in health care.

“The added significance of code 99490 is it recognizes that many types of care provided to the elderly population with multiple chronic conditions are best handled by clinicians such as dietitians, nurses, social workers or behavioral health specialists working as part of a team under the direction of a physician,” Matuszewski said. “Primary care physicians are increasingly looking at team based care as the most effective way to provide high quality, comprehensive care and CMS is responding.”

MedNetOne has created a toolkit to train and educate its members on the proper use of CPT 99490 and is also providing on-site instruction when members of its own clinical teams visit physician members.

“CPT 99490 is long overdue and, when submitted correctly, gives physicians the reimbursement they earn for the complex treatment they and their clinical teams provide to their seriously, chronically ill geriatric patients.”

About MedNetOne Health Solutions:
MedNetOne Health Solutions (MNOHS), a leader in advancing the development and implementation of the Patient-Centered Medial Home (PCMH), is a health care management organization for primary and specialty care physicians and behavioral health specialists that provides administrative infrastructure and clinical support and programming to develop and sustain high performing, patient-centric practices while meeting government healthcare reform mandates. Learn more at http://www.mednetone.net.

Health Care Lawyer to Join Dykema’s Bloomfield Hills Office

HEALTH CARE ATTORNEY DONNA O’CONNOR JOINS DYKEMA’S BLOOMFIELD HILLS OFFICE

Detroit – February 9, 2015 – Dykema, a leading national law firm, today announced the addition of Donna A. O’Connor to its Health Care Practice Group as senior counsel in the firm’s Bloomfield Hills office. She joins Dykema after spending more than seven years working in-house for Detroit Medical Center, which was acquired by Vanguard Health Systems in 2011 and Tenet Healthcare Corporation in 2013.

In her previous roles with Tenet and Vanguard, O’Connor served as vice president and regional compliance officer, where she led the compliance program operations and initiatives across the eight-hospital Detroit Medical Center region. She supervised compliance professionals and staff responsible for hotline operations, investigations, auditing, monitoring and reporting.

Before the Tenet and Vanguard acquisitions, O’Connor was senior vice president legal affairs, assistant general counsel and assistant secretary of the Detroit Medical Center. In this role, she led a team of attorneys and staff providing operational, transactional and regulatory legal services for the organization. Her team focused on physician compensation and transactions, regulatory matters, Medicare and Medicaid regulation, merger and acquisition due diligence and post-acquisition integration, real estate, information privacy and security and patient care issues. O’Connor also served as senior counsel for Henry Ford Health System.

“Donna brings a unique combination of experience in creating and implementing compliance plans, handling internal investigations, and representing health care providers in a full-range of corporate and regulatory matters,” said Maria Abrahamsen, Leader of Dykema’s Health Care Practice Group. “We are extremely pleased that she has joined our Health Care practice.”

O’Connor received a J.D. from Wayne State University Law School, and a B.A., with high distinction, from the University of Michigan-Dearborn.

About Dykema

Dykema serves business entities worldwide on a wide range of complex legal issues. Dykema lawyers and other professionals in 12 U.S. offices work in close partnership with clients – from start-ups to Fortune 100 companies – to deliver outstanding results, unparalleled service and exceptional value in every engagement. To learn more, visit www.dykema.com and follow Dykema on Twitter at http://twitter.com/Dykema.

MedNetOne Health Solutions CEO to serve as panelist at Feb. 10 Inforum event

Rochester, Mich. – Jan. 28, 2015 – Ewa Matuszewski, CEO of MedNetOne Health Solutions (MNOHS), a Michigan-based healthcare management organization serving the infrastructure and clinical support needs of private practice physicians and behavioral health specialists, will serve as a panelist at Inforum’s “What will health care delivery look like in the future?” event on Feb. 10. The event will examine the future of the health care industry and how health care organizations should embrace scientific, technological, consumer and social trends to change the way health care is delivered.

Matuszewski, a frequent speaker on innovative primary care and chronic care initiatives who regularly consults with medical societies and local, state, national and international health care organizations, will speak from the provider perspective on the panel.

“What will health care delivery look like in the future?” will be held on Tuesday, Feb. 10 from 7:30 to 9:30 a.m. at the American Center in Southfield, Mich. Tickets are $30 for non-members, $20 for Inforum members and include a continental breakfast. To learn more about the event and to register, click here.

About Inforum Michigan
Inforum is the leading professional organization focused on creating strategic connections and accelerating careers for women throughout Michigan and the Midwest. Inforum has offices in Detroit and Grand Rapids with operations in Kalamazoo, Lansing and Saginaw. Inforum was founded as the Women’s Economic Club in 1962. Learn more at https://www.inforummichigan.org/home.

About MedNetOne Health Solutions:
MedNetOne Health Solutions (MNOHS), a leader in advancing the development and implementation of the Patient-Centered Medial Home (PCMH), is a health care management organization for primary and specialty care physicians and behavioral health specialists that provides administrative infrastructure and clinical support and programming to develop and sustain high performing, patient-centric practices while meeting government healthcare reform mandates. Learn more at http://www.mednetone.net.