Roy L. Lamphier
  • Male
  • Pleasant Ridge, MI
  • United States
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Roy L. Lamphier's Page

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Roy L. Lamphier posted a blog post

PPACA Spotlight: Public vs. Private Exchanges

As the Patient Protection and Affordable Care Act (PPACA) goes into effect, consumers are going to have more health insurance choices than ever. With open enrollment in the health insurance exchanges just six months away, there’s still plenty of confusion over how the exchanges will operate and what they’ll have to offer. One point of confusion seems to be private vs. public exchanges. Here’s a basic primer that should help.What are Public Exchanges?Under the new law, public exchanges (SHOP)…See More
Apr 3
Roy L. Lamphier posted a blog post

PPACA Growing Pains: Key Questions and Evolving Answers for Michigan Employers

With healthcare reform firing on all cylinders in January 2014, many Michigan employers still have a lot of decisions to make in 2013. Below are some of the key questions and evolving answers for health care issues you may be grappling with:Q: How will existing health plans be affected by PPACA?A: If your plan was in place on March 23, 2010 when PPACA was enacted, you have a “grandfathered” plan that will be subject to some of the new regulations but exempt from others. Beginning in 2014,…See More
Mar 22
Roy L. Lamphier joined B4B Connect's group
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Purchasers Network

The Purchasers Network is dedicated to providing buyers with material on cutting edge procurement tools and resources to improve efficiency. It also serves as a community where purchasers can speak to each other.See More
Mar 19
Roy L. Lamphier liked B4B Connect's group Purchasers Network
Mar 19
Roy L. Lamphier posted a blog post

PPACA Update: What’s ahead for those with preexisting conditions?

According to the Congressional Budget Office, an estimated four million people in the U.S. have preexisting conditions that have prevented them from obtaining health insurance. That was the impetus behind the Pre-Existing Condition Plan (PCIP), created by the Patient Protection and Affordable Care Act (PPACA).The program was created to provide temporary health insurance coverage – including primary and specialty care, hospital care, and prescription drugs – to those who have preexisting…See More
Mar 15
Roy L. Lamphier posted a blog post

Magic Cures: Private Exchanges and Defined Contribution (but for who?)

It seems everywhere I turn in the health insurance scene, I’m hearing about private exchanges and defined contribution as some magic elixir to what ills the health insurance marketplace.  Here’s the trouble, neither do anything about absolute costs. If you’re new to the scene or a little confused, let me provide some insight.Insurance exchanges (now referred to as marketplaces) as proposed by the Affordable Care Act (ACA) are supposed to act as Expedia or Travelocity like consumer websites…See More
Mar 12
Roy L. Lamphier posted a blog post

Rx for your bottom line: Relieving the pain of prescription drug costs

With prescription drug abuse as the fastest growing drug issue in the U.S., it seems we’re a nation of pill poppers. It’s an epidemic that touches every level of society. And it can have a huge impact on both your healthcare costs and your workers’ compensation costs. After all, when prescription drug utilization rises among your employees, costs naturally rise with it.The impact on your healthcare costsPrescription drugs are a double-edged sword. On one hand, they provide the most effective…See More
Mar 8
Roy L. Lamphier posted a blog post

Effective Rate Review Puts Lid on Rising Premiums

According to an analysis by the Department of Health and Human Services, up to 50 percent of non-elderly Americans have some type of pre-existing health condition. Unfortunately in most states, medically-impaired consumers can be faced with a denial of individual health insurance coverage, charged with substantially high rates, or have benefits for specific health conditions excluded from their policy.More often than not, insurance companies have been allowed to increase premiums at will —…See More
Mar 1
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Feb 27
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Feb 27
Roy L. Lamphier posted a blog post

2013 Tax-Time Health Care Update

If you’re like most business owners, you like to take advantage of every deduction and tax break available. To help you stay informed, here’s a quick update on health care and IRS medical tax law changes that you should know about:The Small Business IRS Tax Credit: For tax years 2010 through 2013, the maximum credit is 35 percent for small business employers and 25 percent for small tax exempt employers such as charities. In January of 2014, these rates will increase to 50 percent and 35…See More
Feb 22
Roy L. Lamphier posted a blog post

PPACA Update: Four New Notifications Just Released

While the Obama Administration continues to dot the I’s and cross the T’s on the Patient Protection and Affordable Care Act, there will continue to be a constant flux of important details that business owners and individuals need to be aware of now, and moving into 2014. Just recently, the Administration released four new updates on the employee notification rule, individual mandate, exchange applications, and IRS affordability rule. 1.    Employee Exchange Notification Under the PPACA, there…See More
Feb 15
David Creen joined Roy L. Lamphier's group
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Detroit Regional Business Group on Health

An initiative of the Detroit Regional Chamber, the Detroit Regional Business Group on Health (DRBGH) is a collaborative of businesses interested in lowering cost and raising quality for greater value for their health care investment. The Chamber partners with numerous groups to maximize knowledge and effectiveness, including:Greater Detroit Area Health Council (GDAHC)Automotive Industry Action Groups (AIAG)Health Care Value Task ForceSee More
Feb 5
Prereeta Tripathi joined Roy L. Lamphier's group
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Detroit Regional Business Group on Health

An initiative of the Detroit Regional Chamber, the Detroit Regional Business Group on Health (DRBGH) is a collaborative of businesses interested in lowering cost and raising quality for greater value for their health care investment. The Chamber partners with numerous groups to maximize knowledge and effectiveness, including:Greater Detroit Area Health Council (GDAHC)Automotive Industry Action Groups (AIAG)Health Care Value Task ForceSee More
Feb 4
Roy L. Lamphier's blog post was featured

Three Ways to Reduce Health Care Sticker Shock in 2013

This year, employees will cover an ever larger share of their medical costs. For 2013, average health care costs per employee are projected to jump to $11,188 according to a recent Aon Hewitt Analysis.Consistent with the previous two years, employees will be asked to contribute 21 percent of the total health care premium, which equates to $2,385 for 2013. However, average employee out-of-pocket costs are expected to…See More
Jan 25
Roy L. Lamphier posted a blog post

The PPACA and the Small Business Owner: Five Considerations

While the Patient Protection and Affordable Care Act (PPACA) will affect all working Americans, it will have an even greater impact on business owners.Under health reform, size matters. The act requires companies with 50 or more full-time employees to offer medical insurance coverage or pay a penalty. While many small employers ponder whether to play or pay, they should carefully evaluate the considerations below.Special Considerations for the Small Business OwnerThe required coverage mix might…See More
Jan 18

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Detroit Regional Chamber

Detroit Regional Business Group on Health

A purchaser's perspective on healthcare focused on lower costs, higher quality resulting in greater health value per dollar spent.

Roy L. Lamphier's Blog

PPACA Spotlight: Public vs. Private Exchanges

Posted on April 3, 2013 at 11:40am 0 Comments

As the Patient Protection and Affordable Care Act (PPACA) goes into effect, consumers are going to have more health insurance choices than ever. With open enrollment in the health insurance exchanges just six months away, there’s still plenty of confusion over how the exchanges will operate and what they’ll have to offer. One point of confusion seems to be private vs. public exchanges. Here’s a basic primer that should help.

What are Public Exchanges?

Under the new law,…

Continue

PPACA Growing Pains: Key Questions and Evolving Answers for Michigan Employers

Posted on March 22, 2013 at 7:00am 0 Comments

With healthcare reform firing on all cylinders in January 2014, many Michigan employers still have a lot of decisions to make in 2013. Below are some of the key questions and evolving answers for health care issues you may be grappling with:

Q: How will existing health plans be affected by PPACA?

A: If your plan was in place on March 23, 2010 when PPACA was enacted, you have a “grandfathered” plan that will be subject to some of the new regulations but exempt from…

Continue

PPACA Update: What’s ahead for those with preexisting conditions?

Posted on March 15, 2013 at 7:30am 0 Comments

According to the Congressional Budget Office, an estimated four million people in the U.S. have preexisting conditions that have prevented them from obtaining health insurance. That was the impetus behind the Pre-Existing Condition Plan (PCIP), created by the Patient Protection and Affordable Care Act (PPACA).

The program was created to provide temporary health insurance coverage – including primary and specialty care, hospital care, and prescription drugs – to those who have…

Continue

Magic Cures: Private Exchanges and Defined Contribution (but for who?)

Posted on March 12, 2013 at 11:00pm 1 Comment

It seems everywhere I turn in the health insurance scene, I’m hearing about private exchanges and defined contribution as some magic elixir to what ills the health insurance marketplace.  Here’s the trouble, neither do anything about absolute costs. 

If you’re new to the scene or a little confused, let me provide some insight.

Insurance exchanges (now referred to as marketplaces) as proposed by the Affordable Care Act (ACA) are supposed to act as Expedia or Travelocity like…

Continue

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