Employees who have other employer-sponsored group health insurance may be eligible to enroll in the Opt-out program and receive a bi-weekly incentive payment. To enroll, you must also complete the NYS Health Insurance Opt-Out Form (PS-409).
42-day waiting period for health insurance. Enrollment after 42 days will result in a 5-pay period waiting period before such coverage becomes effective and health insurance contributions being deducted on a post-tax basis. Dental and vision benefits have a 28-day waiting period. To enroll in these benefits, you must enroll directly through your union as they administer these benefits.
56-day waiting period for health insurance, dental, and vision benefits. Enrollment after 56 days will result in a 5-pay period waiting period before such coverage becomes effective and health insurance contributions being deducted on a post-tax basis.
56-day waiting period for health insurance and vision benefits. Enrollment after 56 days will result in a 5-pay period waiting period before such coverage becomes effective and health insurance contributions being deducted on a post-tax basis. Dental coverage begins on the first day of the month following 6 full months of employment.
PEF, M/C, and NYSCOPBA employees who leave state service or change to CSEA or DC-37 negotiating units, health insurance coverage continues for 28 days from the last day of the last pay period in which they worked.
For CSEA and DC-37 employees who leave state service or change to PEF, M/C, or NYSCOPBA negotiating units, health insurance coverage continues 28 days from their last day worked as a CSEA or DC-37 employee.
VMG Health serves a large client base that continues to grow as new market participants enter the healthcare space. We have served our clients in many capacities from transaction advisory to expert witness testimony, but always as a trusted partner.
VMG Health is a leading, national, full-service healthcare strategy and transaction advisory firm providing solutions exclusively for the healthcare industry with a long-standing reputation of excellence in client service. Whether you need assistance with traditional transactions or emerging physician compensation models based on value and performance, VMG Health provides the expertise you can rely upon.
The 2024 New York State Executive Budget included a first-of-its-kind bill that would require certain physician practice and management services organization (MSO) transactions to undergo regulatory review and approval by the state Department of Health (DOH). Positing that the \"proliferation of large physician practices being managed by entities that are investor-backed\" is a \"phenomenon\" that \"may have a negative impact on patient care, health care costs, and ultimately access to services,\" the Legislature suggests that the lack of regulatory oversight has rendered the state unable to \"track or monitor the impact of these transactions on cost, quality, access, equity, and competition.\" Titled \"Review and Oversight of Material Transactions,\" new Article 45-A of the Public Health Law would address these concerns by adding a regulatory hurdle to both standard private practice mergers and acquisitions, as well as MSO and private-equity-backed transactions that, notwithstanding the statements in the legislative intent, look to lower costs by improving management and leveraging economies of scale, while ensuring provider autonomy at the patient care level.
Healthcare entities that engage in material transactions will need to submit a written notice and an application for consent with supporting documents to DOH at least 30 days prior to the target closing date. The transaction can be a single transaction or a series of related transactions that occur within a designated period of time or meet or exceed a financial threshold, in each case as determined by DOH pursuant to regulation. If DOH does not act on the application within the 30-day notice period, the transaction will be deemed approved.
In addition to submitting the names of the parties to the transaction and copies of any agreements governing the terms of such transaction, applicants will be required to, among other things, disclose any plans to eliminate or reduce services or participate in specific plan networks, identify the revenue generated at each practice location, and provide a brief description of the nature and purpose of the transaction, which will be used by DOH to assess the \"anticipated impact of the material transaction on cost, quality, access, health equity, and competition in the impacted markets.\"
In addition to the foregoing terms of review, DOH will also consider the financial wherewithal of the parties to the transaction, their character and competence, source of funding, and the fairness of the financial consideration. DOH may also, as a condition to approval, require the parties to make investments in their communities or contributions to state-controlled funds \"to preserve access or to otherwise mitigate the impact of the material transaction on the health care delivery system.\"
Notwithstanding its concise, 30-day review period, the regulatory review process is not unlike the certificate of need (CON) process that hospitals, ambulatory surgery centers, home healthcare and other licensed providers undergo. In this regard, the bill allows DOH to seek public comment, withhold approval \"if necessary to conduct a thorough examination and complete analysis of whether the transaction is consistent with the criteria established\" under the law and to retain actuaries and other professionals to assist in its analysis. In other words, for large or more complex transactions, the likelihood of receiving approval within 30 days appears to be remote.
If DOH does not approve a transaction or grants approval subject to conditions, it may refer the transaction to the state Attorney General (AG) so that it \"may, if appropriate, conduct an investigation into whether the health care entities have engaged in unfair competition of anticompetitive behavior, and if necessary, take steps to protect consumers in the health care services market.\"
Should it pass, the Review and Oversight of Material Transactions law is bound to have a significant impact on healthcare transactions in New York. Physicians and management services organizations, whether or not private-equity-backed, that have long enjoyed entering into business relationships without regulatory scrutiny will be obligated to undergo a detailed review process, including financial, character and competence review, all of which had previously been reserved to licensed entities. The fact that the legislative intent proffers a blanket assertion that investor-backed practices contribute significantly to cost inflation, and intimates that they negatively impact both access and health equity, should not go unnoticed by providers and investors who have experienced just the opposite, including successes that go beyond economic efficiencies and growth, such as improved care delivery and patient outcomes, broadening patient demographics, and greater engagement with payors and providers along the care continuum. For these and other reasons, we expect the bill to face formidable opposition.
The emergence of Web 2.0 technologies has already been influential in many industries, and Web 2.0 applications are now beginning to have an impact on health care. These new technologies offer a promising approach for shaping the future of modern health care, with the potential for opening up new opportunities for the health care industry as it struggles to deal with challenges including the need to cut costs, the increasing demand for health services and the increasing cost of medical technology. Social media such as social networking sites are attracting more individuals to online health communities, contributing to an increase in the productivity of modern health care and reducing transaction costs. This study therefore examines the potential effect of social technologies, particularly social media, on health care development by adopting a social support/transaction cost perspective. Viewed through the lens of Information Systems, social support and transaction cost theories indicate that social media, particularly online health communities, positively support health care development. The results show that individuals join online health communities to share and receive social support, and these social interactions provide both informational and emotional support.
California law requires the Attorney General's review and consent for any sale or transfer of a health care facility owned or operated by a nonprofit corporation. This requirement applies to health care facilities that are licensed to provide 24-hour care, such as general acute care hospitals and skilled nursing facilities. The review process includes a public meeting and, when necessary, preparation of an independent health care impact statement to evaluate whether the transaction may create a significant effect on the availability or accessibility of health care services to the affected community. The Attorney General's decision often requires the continuation of existing levels of charity care and community benefits, emergency services and other essential health care services. The Attorney General is required to consider any factors the Attorney General deems relevant including whether the agreement or transaction is in the public interest, is fair and reasonable to the nonprofit corporation, will result in private inurement, is at fair market value, involves any breach of trust, creates a significant effect on the availability or accessibility of health care services, and creates a significant effect on the availability and accessibility of cultural interests provided by the facility in the affected community. Members of the public, patients, employees, elected officials, health care and legal advocates,