Tag Archives: out-of-network

Final New York state budget needs to grow jobs and economy

As the Governor and New York State Legislature progress in final budget negotiations, The Business Council of New York State, Inc. is calling for a final state budget that boost jobs and New York’s economy.

“Job creation and economic growth are key to building strong communities in New York,” said Heather C. Briccetti, Esq., president and CEO of The Business Council of New York State, Inc. “Continuing to restrain spending, implementing broad-based tax reform and mandate relief need to be a priority for a final state budget.”

The Council also debuted a new ad, “Help New York’s economy grow,” focusing on how tax cuts will help improve New York’s economy. Watch the ad below.

[youtube height=”HEIGHT” width=”WIDTH”]http://www.youtube.com/watch?v=K5XYdVo6UeQ&feature=youtu.be[/youtube]

Business Council Vice President of Government Affairs Ken Pokalsky’s letter to the editor was published in the Albany Times Union. Read his letter that outlines how increasing taxes won’t help create jobs in New York how tax cuts would help create a more competitive economic climate to generate good-paying jobs and healthier communities.

A study earlier this year by The Public Policy Institute of New York State, Inc. (PPI), “Analysis of Economic Impacts of New York Corporate Income Tax Reform,” showed that when the tax reforms are fully adopted, major business and employment sectors will grow including construction, trades and business service sectors, manufacturing, and financial services.

Among the other issues of concern to The Business Council in a final state budget: Paid Family Leave, Out-of-Network Mandates, Energy Tax, Campaign Finance Reform, Brownfields, and education and tourism funding. Read more on The Business Council’s website.

A closer look at health plan provider networks

Last week, The New York State Conference of Blue Cross and Blue Shield Plans (NYSCOP) released an infographic titled, “A Closer Look at Health Plan Provider Networks,” which details the benefits and disadvantages of in-network and out-of-network health insurance coverage.

“Concerns related to affordable health care are being discussed by many families and small business owners across New York,” said Deborah Fasser, spokeswoman for NYSCOP. “One topic of particular concern is understanding your health plan’s doctor and hospital network.”

According to the NYSCOP analysis, when a provider is “in network” they agree to receive “payment in full” from the health plan; when a provider is not in a plan’s network, they are free to charge a consumer any amount they wish. This results in consumers paying more for coverage, and oftentimes not knowing the amount until care has already been provided.

Likewise, requiring plans to include an out-of-network benefit may not be in the best interest of the consumer as it will only increase costs.

“Required or “mandated” benefits always increase the cost of health insurance premiums,” said Fasser. “This is especially the case with out-of-network coverage. Forcing health plans to offer out-of-network benefits will increase health insurance premiums for all consumers by an estimated 28 percent. This is something the public should be aware of. ”

The Business Council continues to oppose health insurance mandates that drive up the cost of healthcare for all New Yorkers.  Ongoing efforts to mandate out-of-network coverage and payments would result in double-digit premium increases, a sever burden on employees and employers alike.