Thursday, April 14, 2011

Bench Craft Company on the topic of insurance


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MLB leans toward extra replay for 2012, report says


Major League Baseball is leaning toward expanding replay for 2012 to include trapped balls and fair-or-foul rulings down the lines, a person familiar with the talks tells The Associated Press.


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ABC <b>News</b> Exclusive: Pat Tillman&#39;s Mom Wants General Stanley <b>...</b>

ABC News' Jake Tapper reports: President Obama named retired General Stanley McChrystal to co-chair a White House commission on military families this week, but according to perhaps the most prominent military family of the last decade, ...


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Great <b>news</b>: Working population percentage drops to three-decade <b>...</b>

Great news: Working population percentage drops to three-decade low.


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As rumors of a later-than-usual iPhone launch for 2011 persist, a new report reveals that the notoriously secretive Apple is being even more careful than usual when dealing with overseas suppliers.



"Apple is keeping its iPhone 5 cards extra close to the vest on this launch to avoid a falloff in iPhone 4 demand ahead of a refresh, especially given the February launch of the CDMA iPhone 4 with Verizon," Analyst Brian White with Ticonderoga Securities said in a note to investors on Friday. He believes that the iPhone 5 could still launch in June or July, as previous models have.



White noted that various rumors have pointed toward a launch later than June this year for the fifth-generation iPhone. One report from March alleged that Apple has not even begun ordering components for the anticipated "iPhone 5," and the device is slated to arrive in the company's 2012 fiscal year, which begins in late September.



And a third report alleged that Apple is working on a major revamp of iOS, its mobile operating system, for version 5.0. New features like cloud-based storage of music, photos and video are rumored to arrive in the update this fall, likely alongside new iPhone hardware.



But despite all of those reports, White isn't yet convinced that the iPhone 5 will be introduced later than its typical June or July timeframe.



"Although we do not have a smoking gun that definitively rules out a delayed autumn unveiling or one that supports a launch this summer, there is a pattern of activity in motion with the supply chain that makes us question a delayed launch," he said.



White also cited sources who indicated that iPad sales could reach up to 40 million units in calendar year 2011. And supply chain sources also indicated that disruption from the earthquake and tsunami disaster in Japan will actually end up benefitting Apple, as suppliers will "rush to support Apple at the expense of competitors."



The analyst already revealed earlier this week that Apple has been offering upfront cash payments to component suppliers in order to secure components in the wake of the disaster in Japan. Apple has apparently also been using a "three cover guarantee," referring to capacity, stock and price, to block out competitors and prevent them from building ample supply of devices.




China is a notoriously tough market for American brands. The last few years has seen tech giants like Google struggle to do business due to restrictive censorship and retail giants like Best Buy and Home Depot have found that heavy price competition makes it hard to gain a toehold. Yet, despite the conventional wisdom, Apple’s business in China is booming and it’s not lower prices but better presentation that’s driving their success.


The Chinese economy is having some of its best years ever due to the rising world demand for consumer electronics, much of which is manufactured in China’s city-sized factories. The Mercury News reports that this has led to the average Chinese citizen being more flush with cash than ever before and ready to spend it on what would previously be deemed as unaffordable luxury.


Paul French of Shanghai-based Access Asia indicates that the increase in middle class affluence is behind the increase in purchasing power. “There is now enough of an urban middle class with enough money to afford Apple products. Five years ago — or even two or three years ago — there weren’t enough of those people.”


Five years ago, Apple didn’t have a retail store in China, now it has four, including a stunning split-level glass and metal flagship store in Sanlitun, an area of Beijing known more for its nightlife than its retail outlets. Those stores aren’t barely surviving either, with $2.6 billion in revenue this year, four times what we saw last year from Apple in China. This should mean that Apple is fighting the price war well in China, offering its products for less than they can be purchased in the US, but that’s not actually true. In fact, Apple sells a comparatively specced 13-inch Macbook Air for $180 more in China than it does stateside.


This success seems to fly in the face of conventional wisdom, typically premium products have not sold well in cost conscious China. Some, like Piper Jaffray analyst Gene Munster, say that Apple will have to eventually compete on price or risk losing the Chinese consumer. “The iPhone is going to be huge in China. That’s a given.” he tells the Mercury News. “But if Apple wants it to flow out across China, it has to come up with lower price points.”


Yet Apple shows no signs of slowing down in the Chinese market, which is projected to account for 10 percent of Apple’s revenue within 5 years.


When asked, locals said that in a country where the people like to try products out before they purchase them, Apple is doing the best job of presenting those products. Apple’s retail stores offer the Chinese consumer a chance to test the products in a beautiful and visually stimulating atmosphere and those efforts are paying off with big sales numbers. This kind of attention to the senses and emotions of the consumer wasn’t pioneered by Apple of course, but they are one of the first major companies to bring that kind of experience to China’s city centers in a big way.


This difference in the way that the products are presented is doing its job in separating Apple’s products from the rest of the pack almost everywhere that its retail stores are located, but nowhere is that effect felt more than in China. A country where consumers are hungry for polished products presented in a stimulating atmosphere and they finally have the cash to afford them.



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It’s not such a wonderful time to be a doctor, patient, hospital, health plan or pharma company, but judging by the quality and quantity of entries received for this edition of the HWR, it’s a wonderful time to be a wonk.


A couple weeks ago CMS released draft rules for Accountable Care Organizations. Several bloggers weighed in on that development:



  • Mark McClellan and Elliott Fisher at Health Affairs provide some historical context and argue that “those who care deeply about health care reform all have a common interest in the success of ACOs as a way of avoiding more classic fee-for-service payment cuts to providers.”

  • On a more downbeat note, The Road to Health concludes, “Dr. Berwick and his colleagues at CMS appear to have taken the ACO concept and made it into a financial program that only delusional practice administrators, or physician organizations bent on financial self-destruction, could love.”

  • The Healthcare IT Guy expects ACOs to be “far more lucrative and disruptive than Meaningful Use and likely to yield more patient quality improvements.”

  • GE Healthcare puts the emphasis on ACO change management challenges: “Healthcare executives and management teams are left to focus on preparing their organizations for a cultural shift of seismic proportions.”

  • HealthBlawg reviews the proposed rules and produces 8 takeaways. #2: “This is the Frankenstein regulation: A Medicare beneficiary must sit on the board of the ACO, CMS must approve all marketing materials before they are used.”


In the midst of the battle over funding the 2011 budget, House Budget Chairman Paul Ryan came out with a plan to radically restructure Medicare and Medicaid starting in 2012:



  • The Apothecary likes much of what he sees and thinks the proposal may force Democrats to devise a credible plan of their own

  • John C. Goodman’s Health Policy Blog contrasts PPACA and the Ryan plan. “Obviously, the path we are on leads to an impossible place. So the only question is whether we are going to get off the current path in a planned, orderly way or whether we are going to let unplanned chaos do the trick.”

  • Wright on Health is less impressed and wonders, “if Rep. Ryan is so adamant about reducing the deficit, why is he cutting taxes for the wealthy and cutting programs for the poor and the elderly?”

  • Managed Care Matters is decidedly unswayed. “If you were looking for real solutions to the health cost problem, you’re going to be sorely disappointed… Unfortunately, he’s fallen into the same trap his Democratic colleagues did with their version of health reform – the Ryan plan does little to address costs.”

  • The Incidental Economist takes issue with Ryan’s plan to convert Medicaid to block grants and cut spending. “Should Medicaid be cut back, more people will be uninsured. Contrary to what some wish you to believe, those who become uninsured will suffer worse health outcomes”


As if the ACO rules and Ryan plan weren’t enough, there’s more on Medicare in the blogosphere:



  • The Covert Rationing Blog –always good for a lighthearted pick me up– “asserts that we are one giant step closer to the day when it will become illegal for all Americans to spend their own money on their own healthcare.”

  • Dr. Liberty discusses CMS’s deliberations on whether to pay for Provenge, a pricey prostate drug. “Decisions are made on the basis of politics, and the drive is to cover everything, leading to higher costs.”


Amid all the federal policy blogging, there’s still some room for technology talk:



  • Healthcare Talent Transformation has had it with Health Net’s repeated goof up’s leading to loss of confidential data. Although it may seem like there’s not much the average person can do, the blog argues, “You can make an impact on the security of your sensitive data by conducting due diligence when it comes to your insurance provider.”

  • The Healthcare Blog offers a video collage of the new Kaiser Permanente Center for Total Health. “The Center is  a pretty fascinating place–part tech and idea showcase and part meeting room. Certainly no other health care organization that I’m aware of has spent so much on a place designed to stimulate the imagination and enhance conversation–under the nose of the folks on Capitol Hill.”

  • Meaningful HIT News features a podcast with mHealth Initiative’s Peter Waegemann, who’s shifted over from EMRs to ride the mobile wave

  • Healthcare Economist delves into new papers that, “examined how to develop accurate algorithms to account for cancer stage in studies using claims data.”


It was encouraging to receive a couple submissions about  journalism:



  • Disease Care Management Blog asks, “Is the kerfuffle over National Public Radio (NPR) the long delayed comeuppance for liberal bias run amok, or a narrow-minded attack on the inconvenient truths from journalistic excellence?” The blog reaches into the world of medicine and discusses of “framing” and its impact on patient decision making to provide an answer

  • HealthNews ReviewBlog cites, “daily evidence of the need for improvement in health care journalism – especially when we see examples like hype of a tiny, preliminary study of strawberries for esophageal cancer.”


We always have room in the Health Wonk Review for some posts on medical ethics:



  • Nuts for Healthcare looks at the pharma industry and concludes, “Doctors need to take a more definitive stand against the specter of industry influence. A good target? Industry sponsorship of continuing medical education.”

  • Health Care Renewal is concerned that so-called government run programs are more private than we think. “The majority of Medicaid has been out-sourced to private health care insurance companies… We need to have some real discussions about the rise of corporatism in US health care, in other aspects of US society and around the world.”


And finally, a few odds and ends



  • Workers’ Comp Insider provides resources for employers concerned about radiation exposure

  • Colorado Health Insurance Insider chronicles the decline of bipartisanship in the creation of a health insurance exchange for that state. “Healthcare reform has become such a polarized topic that it’s difficult for lawmakers to have any stance other than for it or against it.  Even though the health insurance exchanges would be marketplaces that sell private health insurance, the word ‘exchange’ has been thrown around so much during the reform debates that many opponents of the PPACA see it as synonymous with ‘ObamaCare.’”

  • Last week I went to a health care direct to consumer marketing conference to see former TimeWarner CEO Jerry Levin interviewed by OrganizedWisdom CEO Steve Krein. I also shared my thoughts in the video clip below



Thanks for reading the Health Wonk Review! The Incidental Economist hosts the next edition.



class="dropcap">Bill Thomas used to be a climate change skeptic, not believing that humans could have influenced the dramatic atmospheric shift, but two weeks in the woods — and chats with scientists — changed his mind.

“I remember vividly that first day with Dr. Jess Parker; he showed us a chart of CO2 levels increasing about the time of the industrial revolution,” says Thomas, who works for HSBC bank and participated in a 2007 Climate Champions training program. There, a personal epiphany led to a job title change — the former relationship manager for HSBC Technical Services is now group head of HSBC Technology and Services Sustainability.

Teaching employees the science behind green corporate values and how to make their workplaces sustainable isn’t just for “green” show — done right, it’s good business strategy.

“There seems to be a huge growth of interest among companies to not just keep the environmental initiatives within a subset of employees, but to make it a pervasive part of the corporate culture,” says Krista Badiane, who manages the business and environment program at the National Environmental Education Foundation.  And unlike broad, mandated rules — such as carbon caps — companies that create their own initiatives take ownership and credit for sustainable changes, which may well go beyond what laws would have dictated.

By cultivating current workers’ energy-saving ideas and environmental passions, companies can save resources, energy and money as well as boost their eco-friendly reputation. The key is to help employees learn why sustainability matters — for instance, unless it’s slowed, climate change could alter global landscapes and increase natural disasters in our lifetimes. And if employees realize what’s at stake, they’ll find ways to save resources at work — as well as at home.

Worker to Citizen Scientist/> In a patch of woods in Edgewater, Md., bordering Smithsonian Environmental Research Center campus buildings, HSBC technology managers are intently straightening a measuring tape wrapped around a mature oak. Phil Clarke, from Portland, Ore., leans in and meticulously gets a reading of its diameter: 94.8 inches. During this weeklong Sustainability Leader training, he’s learning what scientists do and what shape the planet is in. He knows that the measurements taken today — even though what they reveal won’t be known for awhile — will help guide decisions that will keep our world sound for future generations.

His employer, HSBC bank — a global financial services company with 300,000 employees working in 8,000 offices and pre-tax profits topping $11 billion — decided to go carbon neutral in 2005. For the past three years, HSBC bank has partnered with EarthWatch Institute for an international study on climate change’s effects on tree growth, as well as a program that trains employees around the world in sustainability. When workers return to the office after their forest immersion, they find ways to integrate newly learned sustainability lessons in their spheres of influence.

Clarke and the other HSBC technology services managers from around North America — key decision-makers hand picked for the training — earn the title of Sustainability Leader. A larger two-week program trains HSBC employees from all levels — from cashier to marketing staffer — to become Climate Champions.

Such citizen science training helps corporate employees understand the mechanics of science — that systems are complex, and that there are no easy answers. “You learn what a critical state the world is actually in,” says Annette Fasolino of HSBC’s payment operations division in Buffalo, N.Y.

Having that up-close experience with scientists and ecosystems helps employees better grasp how climate change is impacting, and may impact, the world. “Many of these people go back and question their decisions, and make sure they’re making the most sustainable decisions,” says Thomas.

Cultivating the Grassroots/> Though the partnership between HSBC and EarthWatch is unique, other companies are also looking to their staff for sustainable solutions. “There’s no one best program for a company to educate their employees,” Badiane says.

Some companies or groups of motivated employees organize green teams, which promote eco-friendly changes and teach colleagues sustainable alternatives. Initiatives range from banning disposable utensils in the lunchroom to redesigning an operating system to save raw materials. “Ideally, you’re getting some new ideas out of your employees,” says Deborah Fleischer, president of Green Impact, a sustainability consulting service.

Businesses also use social media sites such as Yammer — a private social network for companies — or online training to generate sustainable ideas.

Other companies dangle a carrot — awards and incentives — to get workers to make sustainable choices. Yogurt maker Stonyfield tied facility energy savings (based on energy use per ton of product) to employee bonuses. In this way, the company reduced energy use by more than 22 percent, according to a NEEF report.

To engage workers of all levels, eBay employed competition: a Big Green Idea Contest. To enter, employees identified ways the company could meet greenhouse gas reduction goals; then, employees voted on the top ideas. One idea, the eBay Box — simple, eco-friendly packaging that’s meant to be reused for eBay shipments — has become a useful tool that saves money and resources.

Unfortunately, some companies’ efforts are no more than greenwashing stunts to appear eco-friendly and keep up with their competition. Producing disposable trinkets with “green” logos or launching environmental-focused public relations initiatives while pushing pollution limits does not jive with true sustainability. The companies mentioned here, however, offer genuine solutions that leave a lighter footprint.

Two Kinds of Green/> Such engagement can yield significant savings: One North American HSBC Climate Champion noticed that co-workers weren’t shutting down their PCs every night, wasting energy. Now, NightWatchman software automatically shuts down more than 6 million computers left on. During fiscal year 2010 in North America, the software coupled with an awareness program saved 4 million kilowatts per year of electricity and about 900 metric tons of carbon dioxide, which shaved $332,000 on energy bills.

At defense contractor Lockheed Martin, a Camden, Ark., building uses a software system to control lighting and air conditioning, leading to more than $200,000 in reduced costs and savings of 2,332 metric tons of carbon dioxide annually, according to the NEEF report. And at drugmaker Genetech,  green teams slashed the use of bottled water, saving the company $200,000 a year by using filtered water machines paired with reusable bottles, according to a white paper by Fleischer, “Green Teams: Engaging Employees in Sustainability.”

But benefits to a company can’t always be calculated in dollars.

“By creating an engaged employee base, we’re really putting it into hearts and minds of employees, and that’s going to be much more powerful and long-term than saying ‘you must turn off your PC,’” says Sharon Walck, senior vice president of sustainability at HSBC North America.

Investing in and teaching sustainable values to workers also boosts retention, according to NEEF, which is extremely important to large corporations. The foundation says losing and replacing a good employee can cost a company between 70 percent and 200 percent of that employee’s annual salary.

And, Badiane says, “employees who are motivated want to work for a company that has the same values.”

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Big Media Falls for GE <b>News</b> Hoax (Cont&#39;d) - Giovanni Rodriguez <b>...</b>

The Week takes a short look at what yesterday's GE news hoax may have actually accomplished: --"It was a glimpse of an ideal world." Idea here is that the fake storyline might have helped people imagine a world where businesses "biggest ...


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Daily Kos: Fox <b>News</b> ties suicide to Obama speech

But with the other option being to talk about the Republican plan to abolish Medicare, apparently politicizing this young man's death looked a whole lot better to Fox News. Pathetic. (h/t Balloon Juice) ...


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