Thoracic Surgeons Data Management Webinar
This content showcases the upcoming webinar by the Society of Thoracic Surgeons and Intermacs & Pedimacs featuring updates, introductions, and collaboration programs in data management for healthcare professionals.
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Presentation Transcript
Rethinking Employer Prevention Strategies to Improve Quality, Safety & Wellbeing August 22, 2023
Speakers Dr. Nicole Shaffer Senior Director of People Experience Pfizer Neil Goldfarb President & CEO Greater Philadelphia Business Coalition on Health Ginger Miller Scott Conard, MD National Alliance Medical Director Advisory Council Cristie Travis Co- CEO HealthcareTN Director of Health and Benefits Utz Quality Foods
Lets Set the Stage With the COVID-19 Public Health Emergency announcement in May, National Alliance, conducted a survey to better understand employer directions regarding: Current approaches/strategies as well as plans for coverage of immunizations, testing, and treatment Employee communications ACA litigation on preventive care The survey was distributed through National Alliance coalition members from the Greater Philadelphia Business Coalition on Health, the Midwest Business Group on Health, and the Washington Health Alliance with responses collected from April to May 2023 Today s session will include some key highlights from the survey and discuss with the panel key strategies employers can do to rethink their overall Prevention Strategies as they move into the next several months
Employer Comments on COVID Coverage We will cover immunizations at 100% and we cover blood tests at 100% so these will be included We will cover COVID over-the-counter tests, but limit reimbursable number per month and money per test We moved to normal plan provision for hospitalizations, office visits, etc. but continue to pay for vaccines and tests at 100% for 2023. We will review for 2024.
Changes with the Affordable Care Act Braidwood Management, Inc. v. Becerra ( Braidwood ) In September 2022, a federal district court judge in Texas issued a ruling that calls into question the requirement in the Affordable Care Act for plan sponsors to provide preventive services at no cost to plan enrollees. The judge found that members of one of the agencies making coverage recommendations, the U.S. Preventive Services Task Force (USPSTF), were not lawfully appointed under the Constitution because they do not require Senate confirmation. This ruling may allow but not require plan sponsors, including employers and plans selling on the Marketplaces, to adjust coverage of these preventive services, impose cost-sharing, and/or apply deductibles. In May 2023, the U.S. Court of Appeals for the Fifth Circuit issued a ruling that stays (pauses) the lower court s ruling, regarding group health plan coverage of preventive services. The stay means the ACA requirement that plans cover USPSTF-recommended items and services (with an A or B rating) is in effect until the Fifth Circuit rules on the merits of the case. Given the news on this ruling invalidating much of the Affordable Care Act's coverage of preventive care without cost-sharing: 72% expect to continue providing coverage for all preventive services at 100% 6% expect to be more selective 22% did not know how they would approach coverage for preventive care services
Moderator & Panelists Dr. Nicole Shaffer Senior Director of People Experience Pfizer Neil Goldfarb President & CEO Greater Philadelphia Business Coalition on Health Ginger Miller Scott Conard, MD National Alliance Medical Director Advisory Council Cristie Travis Co- CEO HealthcareTN Director of Health and Benefits Utz Quality Foods
Questions? Dr. Nicole Shaffer Senior Director of People Experience Pfizer Neil Goldfarb President & CEO Greater Philadelphia Business Coalition on Health Ginger Miller Scott Conard, MD National Alliance Medical Director Advisory Council Cristie Travis Co- CEO HealthcareTN Director of Health and Benefits Utz Quality Foods
