We at CMC Consulting are looking forward to 2018!! In anticipation of our continued growth we are looking for some amazing individuals to join our high-performing team. We are currently looking for an Employee Benefits Attorney, a Benefits Compliance Specialist, and a Professional Administrative Coordinator/Bookkeeper. We are happy to consider full or part-time positions and the ideal candidates must telecommute effectively, and must be energetic, positive, passionate, able to work independently with little oversight, and have the ability to pay attention to every last detail. Job Descriptions will be posted on the website shortly and in the meantime all cover letters & resumes can be directed to cori@corimcook.com.

Join CMC Consulting at the Self-Insured Institute of America 37th Annual National Education Conference and Expo in Phoenix, Arizona October 8-10, 2017!

The SIIA National Conference & Expo is the world’s largest event focused exclusively on the self-insurance/alternative risk transfer marketplace and typically attracts more than 1,700 attendees from around the United States and from a growing number of countries around the world.

The world’s largest self-insurance industry event will feature more than 40 educational sessions, a huge exhibit hall, and numerous networking opportunities to help you connect with senior executives from throughout the country and multiple countries around the world.

Cori will be speaking to attendees on Tuesday, October 10th in an educational session surrounding Reference Based Pricing.

For more information, click here!

Mark Your Calendar!
CMC Consulting, LLC July Webinar: ACA Management Tool®
July 20, 2016 11:00 am & 2:00 pm EDT
Register FREE! Click Here

The adoption and implementation of the Shared Responsibility for Employers Regarding Health Coverage, under section 4980H of the Internal Revenue Code, raised complex questions for employers:

“Are we an Applicable Large Employer?”
“How many hours are our variable hour employees working?”
“Are we required to offer Minimum Essential Coverage?”
“Who will be doing our reporting?”

The ACA Management Tool® provides employers with Tracking, Reporting and Analysis tools all in one easy to use package, giving them the Control and Knowledge they need to navigate the complex ACA maze. The ACA Management Tool® integrates easily with any type of scheduling, payroll, or HRIS software. It creates a business opportunity for Third Party Administrators (TPAs) to assist their employer clients with the necessary Tracking, Reporting and Analysis. TPAs can use the ACA Management Tool to enhance their existing client service offering, thus serving as a true partner in the collection of data, analytics, and filing requirements.

Whether the TPA maintains complete control or private labels the product for their client’s own use, once integrated, the TPA or the employer can quickly and easily determine if “Applicable Large Employer” status applies, monitor employee hours and determine which employees qualify for coverage, record offers of coverage & track responses, track dependent coverage information, provide reports with pertinent information automatically to designated staff, and generate the necessary IRS forms for reporting.

TRACKING:
Minimum Essential Coverage (MEC) forecasts, offers, and responses
Company & Individual Measurement Periods
New Hire Status & Eligibility

REPORTING:
Measurement Period Thresholds
Automated alerts for “at-risk” employees
Generate reports for employees and the IRS required under section 6055/6056

ANALYSIS:
Applicable Large Employer (ALE) status
Full-time employees & Full-time equivalents
Affordability of Minimum Essential Coverage (MEC)

CONTROL:
Establish customized employee categories: salaried, hourly, union, and/or by division
Customize Measurement Methods for each employee category (Look-back or Monthly)
Customize Standard Measurement Period for each Look-back Method employee category

KNOWLEDGE:
Gain insight into operating resources
Understand the Patient Protection and Affordable Care Act (PPACA)
Understand compliance status with section 4980H and forecast potential penalties

Please join us on Wednesday, July 20th at 11:00 am EDT (10:00/9:00/8:00) or 2:00 pm EDT (1:00/12:00/11:00) for an ACA Management Tool® webinar showcasing how you can make 2016 reporting seamless for your clients and develop a business opportunity to generate revenue for your bottom line.

Register FREE! Click Here

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Join us in Kalispell, MT for the Montana SHRM State Conference May 4-6! Cori will be presenting important topics including ACA Employer Reporting, Misclassification of Independent Contractors, Wellness Plans & Reimbursement Arrangements.

Click here for more information!

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TUESDAY, JUNE 28
2pm – 5pm
HOLIDAY INN BOZEMAN
5 BAXTER LANE

Join national experts and other leaders from public and private sectors to review the impacts of healthcare transparency for Montana businesses and consumers. Strategic insights from these experts – and discussions with peers from across the State – will help us design an action plan for Healthcare Transparency in Montana.

The Transparency Forum is free to attend and will cover:

  • What’s taking place on a national level
  • How physicians are incorporating it into their practice
  • Model price transparency legislation being adopted by states to illuminate cost and quality information for consumers

FORUM AGENDA

1:30 p.m. – Registration
2:00 p.m.The Montana Landscape, Jim Edwards, Leavitt Group
2:15 p.m.Unaccountable: What Hospitals Won’t Tell You & How Transparency Can Revolutionize Healthcare, Marty Makary, M.D., M.P.H., Johns Hopkins University
3:15 p.m. – Break
3:30 p.m.Transparency In Practice, Keith Smith, M.D., Surgery Center of Oklahoma and Nationally-Recognized Pioneer in Healthcare Transparency
4:30 p.m.Transparency Legislative Considerations, Cori Cook, JD, CMC Consulting
5:00 p.m. – Networking Reception

Please Join Us:
REGISTER HERE!

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The Supreme Court issued a ruling today, Montanile v. Board of Trustees of the National Elevator Industry Health Benefit Plan, holding that equitable relief was not available to the Plan after Montanile received a third party settlement and depleted the funds on non-traceable items.  SCOTUS approved theft?

This case is an important reminder that plan language, active plan involvement, and timeliness are essential to the Plan’s right to third party recovery and to preserving Plan assets?  Will this force Plan’s to Subrogate?

Read the full opinion here, and reach out to CMC Consulting, LLC if you have questions!

 

The Employee Benefits Paralegal provides compliance and technical support. This individual will be responsible for reviewing, researching, and preparing guidance for various regulatory issues; drafting plan documents, summary plan descriptions and related documents; conducting non-discrimination testing; preparing reporting for the IRS and the Department of Labor; and preparing supporting forms and documentation for the proper operation and administration of employee benefit plans. This individual will also be responsible for assisting with ensuring clients are staying apprised of and in compliance with ERISA, PPACA, HIPAA, COBRA and various other State and Federal regulatory and employment matters.

The ideal candidate will have exceptional organizational, research, writing, leadership, business and client relationship skills, and will need to possess a high work ethic and be able to work independently with minimal supervision and a high attention to detail. A bachelor’s degree is preferred, and a minimum of four years of applicable experience is required.

The position is a full-time or part-time position with the ability to telecommute and maintain flexible hours. To apply, please forward a cover letter and resume to cori@www.corimcook.com.

The Employee Benefits Compliance Officer provides senior level compliance and technical support. This individual will be responsible for reviewing and researching regulatory issues, developing and executing compliance strategies, and assisting in the business development and retention process. This individual will also be responsible for assisting with ensuring clients are staying apprised of and in compliance with ERISA, PPACA, HIPAA, COBRA and various other State and Federal regulatory and employment matters.

The ideal candidate will have exceptional organizational, research, writing, leadership, business and client relationship skills, and will need to possess a high work ethic and be able to work independently with minimal supervision and a high attention to detail. A minimum of three years of applicable experience is required and although not essential, a legal background is preferred.

The position is a full-time position with the ability to telecommute and maintain flexible hours. To apply, please forward a cover letter and resume to cori@www.corimcook.com.

 

By Patrick B. McGuigan

The Free Market Medical Association held its first national conference Friday, September 26 and Saturday, September 27 in Oklahoma City.

Organizers said the conference was intended to provide “insightful best practice recommendations and a call to action to keep expanding access and use of free market medicine.”

The theme was “Thinkers, Doers, and Users: Forecasts, ideas, and how to create a free market health care practice — How to practice free market medicine and how use free market care to save money and get better results.”

Dr Keith Smith

Dr Keith Smith

Advocacy of free market health care is the longtime passion of Dr. Keith Smith, co-founder of the Surgery Center of Oklahoma. The center began to post fixed prices for common medical procedures years ago, and has provoked widespread admiration within the medical profession for efficiency, reasonable cost and frequent support for those who are less fortunate.

At the Surgery Center, Dr. Keith Smith and Dr. Steve Lantier have established an operational structure and market-oriented billing as explicit alternatives to the third-party payer systems that now dominate U.S. health care.

The center posts online an up-front price for medical procedures in diverse areas of practice, including orthopedics, ear/nose/throat, general surgery, urology, ophthalmology, foot and ankle, and reconstructive plastics. In all, a total of 112 procedures are listed.

This year, the center has been highlighted in local news reports, including for The City Sentinel and www.CapitolBeatOK, for an historic “provider services agreement” with the Oklahoma County government. The accord saved taxpayers nearly $600,000 in its first five months of operation.

Dr. Smith is a board-certified anesthesiologist, and is medical director and managing partner sat the Surgery Center. In addition to Smith, Jay Kempton – also an Oklahoman – addressed his work over the past two decades with state employees determined to make health benefits for workers more affordable and efficient.

Other speakers included entrepreneur Charlie Sauer, a founder of Entrepreneurs for Growth. Dr. Cori Cook was another presenter, focusing on specialized advisory and legal services for administrators, providers, employers, attorneys, associations and carriers.

Ralph Weber, another speaker, is one of the country’s best known health care policy consultants, pressing for better access, transparency and value in delivery of health care. Also participating in the conference was Lee S. Gross, a co-founder of Epiphany Health.

The conference included other speakers, as well, and a focus on direct pay, healthcare leadership, the free market boom, “green lights and red lights,” the rationale for price transparency, changes in the ways Americans are buying health care, and the spike in “self-financing” for health care coverage.