Early Implementation of Pre-Existing Condition Insurance Plans: Providing an Interim Safety Net for the Uninsurable

Outlines enrollment trends and enrollee traits in a temporary program designed to provide affordable coverage to the uninsured with preexisting conditions, changes to structures and premiums, and estimated out-of-pocket costs by utilization and plan type

Recent Developments in Virginia Workers\u27 Compensation and Other Employment Laws

This survey covers Virginia court decisions affecting the employment relation directly or indirectly, including the Virginia Supreme Court, the Virginia Court of Appeals, and published decisions of various circuit courts. Because this subject area has not been included in earlier surveys of Virginia law, this survey covers the years 1985 and 1986. During this time, Virginia courts have interpreted the rights and duties of employers and employees under the workers\u27 compensation and unemployment compensation statutes; they have examined the remedies available under Virginia law for allegedly tortious conduct in the context of a labor dispute; they have reexamined the employment-at-will doctrine; and they have construed the authority of the Virginia Department of Labor and Industry to monitor compliance with the worker safety laws by inspecting the workplace. Because the Virginia General Assembly has not been as active in these areas, legislative developments are not featured but are noted when significant to the law under discussion

The Kansas Demonstration to Maintain Independence and Employment: Preventing or Forestalling Disability Among Participants in the Kansas High Risk Insurance Pool

Section 204 of TWWIIA authorized the development of another program targeted at disability prevention. Demonstrations to Maintain Independence and Employment (DMIEs) provide health care coverage to working people iwth potentially disabling conditions to test the hypothesis that providing health care and other supports can prevent or forestall the onset of full disability and eventual dependence on federal disability program

Historical Disability Outcomes of Enrollees in the Kansas High Risk Pool: A White Paper presented to CMS by the Kansas DMIE Project January, 2006

This white paper reports the historical rates of disability outcomes (e.g., transition to Social Security disability status) for people enrolled in Kansas' state high-risk health insurance pool.Centers for Medicare & Medicaid Services; Kansas Health Policy Authorit

The H-alpha Luminosity Function and Star Formation Rate Volume Density at z=0.8 from the NEWFIRM H-alpha Survey

[Abridged] We present new measurements of the H-alpha luminosity function (LF) and SFR volume density for galaxies at z~0.8. Our analysis is based on 1.18$\mu$m narrowband data from the NEWFIRM H-alpha Survey, a comprehensive program designed to capture deep samples of intermediate redshift emission-line galaxies using narrowband imaging in the near-infrared. The combination of depth ($\approx1.9\times10^{-17}$ erg s$^{-1}$ cm$^{-2}$ in H-alpha at 3$\sigma$) and areal coverage (0.82 deg$^2$) complements other recent H-alpha studies at similar redshifts, and enables us to minimize the impact of cosmic variance and place robust constraints on the shape of the LF. The present sample contains 818 NB118 excess objects, 394 of which are selected as H-alpha emitters. Optical spectroscopy has been obtained for 62% of the NB118 excess objects. Empirical optical broadband color classification is used to sort the remainder of the sample. A comparison of the LFs constructed for the four individual fields reveals significant cosmic variance, emphasizing that multiple, widely separated observations are required. The dust-corrected LF is well-described by a Schechter function with L*=10^{43.00\pm0.52} ergs s^{-1}, \phi*=10^{-3.20\pm0.54} Mpc^{-3}, and \alpha=-1.6\pm0.19. We compare our H-alpha LF and SFR density to those at z<1, and find a rise in the SFR density \propto(1+z)^{3.4}, which we attribute to significant L* evolution. Our H-alpha SFR density of 10^{-1.00\pm0.18} M_sun yr^{-1} Mpc^{-3} is consistent with UV and [O II] measurements at z~1. We discuss how these results compare to other H-alpha surveys at z~0.8, and find that the different methods used to determine survey completeness can lead to inconsistent results. This suggests that future surveys probing fainter luminosities are needed, and more rigorous methods of estimating the completeness should be adopted as standard procedure.Comment: 19 pages (emulate-ApJ format), 16 figures, 5 tables, published in ApJ. Modified to match ApJ versio

Hiring Manager Perceptions of the Emotional Intelligence Skills of Urban Community College Graduates

AbstractEmotional intelligence (EI) skills are an important factor in the successful entry in the labor market of the fresh graduates of urban community colleges. Even though previous studies provided substantial evidence to the importance of these skills, these studies also recognized a lack of preparedness for the newly community college graduates and add to the voices of local business communities who manifest concern in this regard. The purpose of this basic qualitative research project was to explore local hiring manager perceptions of the EI skills of community college graduates they have hired for knowledge work roles. Goleman’s theory of EI guided the two research questions, which asked which EI skills hiring managers consider essential for professional success in knowledge work, and, respectively, what are local hiring managers perceptions of EI skill gaps of community college graduates they have employed as knowledge workers. Thematic analysis of interviews with eight purposively sampled hiring managers revealed core themes that emerged from the data analysis: (a) situational awareness, (b) communication for relationship management, (c) assertiveness in knowledge work, (d) generational understanding of EI, and (e) EI coaching for professional success. The findings were used to design a 3-day online EI professional development seminar, which could create positive social change by bridging the communication gap between college administrators and employers and could also serve as a supplemental tool for community colleges to equip graduates with essential EI skills necessary for knowledge work roles

Health Care Behaviors and Decision-Making Processes Among Enrollees In A State High Risk Insurance Pool: Focus Group Findings

Purpose-To better understand the relationship between health insurance coverage and health care behaviors of persons with potentially disabling conditions enrolled in a state high risk insurance pool. Approach or Design-Six focus groups with risk pool enrollees in two sites. Setting-Suburban areas in the state of Kansas. Participants-Forty-two individuals ages 29 to 62 years, all with potentially disabling physical or mental health conditions. Method-Qualitative analysis of focus group transcripts using pile sorting and theme identification. Results-High premiums and deductibles limit participants’ ability to afford basic health services and access to prescription medications despite their middle-class socioeconomic status. Participants report delaying or forgoing needed medical care due to lack of coverage and/or out-of-pocket costs. They employ numerous and potentially dangerous strategies to minimize costs, especially for prescription medications. Some report “saving up” needed procedures until their total costs will exceed that year’s deductible. Conclusion-Individuals in the risk pool were making medical decisions on the basis of cost rather than need. Many shared stories of medical complications as a result of delayed care and most expressed stress related to the difficulty of making decisions about their care and use of prescribed medications. The individual, nongroup insurance market, with its higher out-of-pocket costs, may not meet the needs of people with chronic health conditions.Kansas Health Policy Authority, U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (11-P-92389/7-01

Unintended Consequences: The Potential Impact of Medicare Part D on Dual Eligibles with Disabilities in Medicaid Work Incentive Programs

Common sense suggests that a safety net is required for situations in which enrollees are unable to obtain critical or life-sustaining medications. Such situations can arise when either the drug is not on formulary and/or is being used off-label and the appeals process has been exhausted, or when patients cannot afford the co-payments for the numerous medications they need. Given the vulnerability of this population, immediate action is needed to address these issues in the short time remaining before Part D is implemented

Transition to Medicare Part D: An Early Snapshot of Barriers Experienced by Younger Dual Eligibles With Disabilities

Transition to Medicare Part D affected not only 35.4 million elderly enrollees but also 6.4 million younger enrollees with disabilities, 2.5 million of whom have low incomes and previously obtained medications through Medicaid. Because Part D was conceived primarily as a benefit for elders, we sought to examine its effects on a dually eligible, younger group of beneficiaries who have significantly different, more expensive, and often unstable health conditions

Preventing Disability Among Working Participants in Kansas’ High-risk Insurance Pool: Implications for Health Reform

Health conditions that prevent individuals from working full time can restrict their access to health insurance. For people living in the 35 states that offer high-risk pools, coverage is available but premiums are 125–200% of standard rates. Additionally, high cost-sharing means enrollees often defer needed care because they must pay large amounts out of pocket. Lack of access may lead to poor health outcomes and disability. The Kansas DMIE investigated whether improving insurance coverage for such a group would improve their health status and reduce their risk of transition to full Social Security disability. Half of the 508 participants received enhanced benefits and nurse case management, the other half received usual risk pool coverage. Outcomes were measured through telephone surveys, focus groups, and claims analysis. Utilization of services increased and health status stabilized for the intervention group, while health status of the control group significantly declined. These findings have broad implications because some plans to be offered under the Patient Protection and Affordable Care Act of 2010 (P.L. 111–148) have similarly high out-of-pocket costs. Considering the long-term cost of full disability, providing adequate health insurance benefits for individuals at high risk of disability may be cost effective.Kansas Health Policy Authority, U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (no. 11-P-92389/7-01)