February 2016 Volume 18 Issue 2
Providing Current Information on

Health Insurance Industry Issues and Legislation

Employers' Wellness Program Stick Affirmed By Federal Judge
A Federal Judge in Wisconsin has ruled employees must undergo health screenings
and enroll in wellness programs sponsored by their employers. Importantly, the
Affordable Care Act allows employers to levy heavy fines on people who choose not
to enroll and participate. So do employers now continue to use carrots or the stick to
get employees to participate in their wellness programs?
ACOs, The Next Generation Is Here
353 Participating Health Systems generated a combined net program savings of
$411 million in 2014. 121 more ACOs are participating in the program in 2016.
These include 21 Next Generation ACOs who have chosen to assume greater
levels of financial risk but will have the opportunity to reap greater financial
Large and Small Employer Coverage, Rates and Costs Vary Substantially
The latest Kaiser/HRET Survey of Employer-Sponsored Health Benefits brief
focuses on the differences for employers and employees. It provides a clear
picture of just how great the variations are. The brief provides comparisons
nationally and regionally on a wide range of measures.
Online Sites Helping Consumers Save Big Bucks on Generic Drugs
An estimated 90% of prescriptions dispensed in the U.S. are for generic drugs.
Retails prices, even within the same market, vary widely. Now, two new websites
are bringing transparency to retail prices and driving down consumers' out-ofpocket
Three Star Preferred Provider Program Additions
Accuvance Diagnostics Laboratory
Paterson, NJ 07503

Brian Curtis, MD
Kennewick, WA 99336

Cardina Eye Clinic
Durham, NC 27707

Del Sol Centro Medico Familiar
Houston, TX 77017

Digestive Center Associates
Austin, TX 78715

Eric Schertzer, MD
Plantation, FL 33324

Eugene McCabe, Jr., MD
Saint Charles, MO 63301

Firefly Diagnostics
Heath, OH 43056

Joanna Kling, M. Ed.
Urbana, IL 61801
Mann Eye Institute
Humble, TX 77338

Michelle Bailleaux-Rago
Buffalo Grove, IL 60089

Pediatric Associates
Columbus, OH 43213

Recovery First Medical Group, Inc.
Fort Pierce, FL 34981

Saint Francis Hospital, Inc.
Tulsa, OK 74170

Sean Rotolo, MD
Lansdowne, VA 20176

Shilpa Rege, MD
Macon, GA 31217

UTC Laboratories
Metairie, LA 70002

Welfast Health
Nederland, TX 77662