The Industry Impact of Medicare Drug Price Negotiations
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The Biden administration recently unveiled the first 10 prescription drugs subject to Medicare price negotiations. The Medicare Drug Price Negotiation Program—part of the Inflation Reduction Act (IRA)—is the Biden administration’s latest effort to combat rising health care costs. According to a Kaiser Family Foundation survey, more than 60% of the 65 million people on Medicare take prescription medication, and 25% take at least four prescriptions. Medicare drug price negotiation aims to lower out-of-pocket costs for millions of seniors and offer savings for taxpayers.
The first round of Medicare Part D drug negotiations will begin this year, with the new prices becoming effective in 2026. Over the next four years, Medicare plans to negotiate prices for up to 60 Part D and Part B drugs—and up to an additional 20 drugs every year after that. This article outlines the potential impacts of the Medicare Drug Price Negotiation Program on the health care industry.
Overview of Medicare Drug Price Negotiations
Under the IRA, the Medicare Drug Price Negotiation Program allows the federal government to negotiate directly with drug manufacturers to improve access to some of the costliest brand-name drugs. Many Medicare Part D enrollees depend on medications to treat life-threatening conditions, such as diabetes and heart failure, but may not be able to access them due to costs.
The following Medicare Part D drugs will be the first ones subject to these negotiations:
- Eliquis, for preventing and treating blood clots
- Jardiance, for treating diabetes and heart failure
- Xarelto, for preventing and treating blood clots; risk reduction for patients with coronary or peripheral artery disease
- Januvia, for treating diabetes
- Farxiga, for treating diabetes, heart failure and chronic kidney disease
- Entresto, for treating heart failure
- Enbrel, for treating rheumatoid arthritis, psoriasis and psoriatic arthritis
- Imbruvica, for treating blood cancers
- Stelara, for treating psoriasis, psoriatic arthritis, Crohn’s disease and ulcerative colitis
- Fiasp/Novolog, for treating diabetes
These 10 drugs are among the highest costs in total spending in Medicare Part D. In fact, Medicare enrollees taking these drugs paid a collective $3.4 billion in out-of-pocket costs in 2022 to obtain them. However, according to the Centers for Medicare and Medicaid Services’ (CMS) guidelines, if a biosimilar enters the market and finds substantial buyers, the agency will cancel or adjourn negotiations for the corresponding name-brand drug listed for negotiations. For example, two biosimilar versions of Stelara are set to launch in 2025. If they are successful, the CMS will no longer be able to negotiate a lower price for Stelara.
Pharmaceutical companies have until Oct. 2, 2023, to present data on these drugs to the CMS. The CMS will then make initial price offers in February 2024, which will start the negotiation process. Negotiations are scheduled to end in August 2024, with the new prices becoming effective in January 2026. However, several pharmaceutical companies have filed lawsuits to stop the Medicare Drug Price Negotiation Program. Some of these lawsuits argue that the IRA’s price negotiation process violates the U.S. Constitution by allowing the federal government to impose its preferred price unilaterally. According to legal experts, it’s unclear whether these lawsuits will be successful since Medicare is a voluntary program for drug companies. However, these lawsuits could delay the timing of Medicare drug negotiations.
Impact of Medicare Drug Price Negotiations
Medicare has been setting prices for services as well as physician and hospital payments but has not been allowed to be involved in pricing prescription drugs, which Medicare started covering in 2006. Therefore, allowing Medicare to negotiate drug prices could have a significant impact on the health care industry. While the first 10 drugs subject to price negotiations are used by only 9 million Medicare beneficiaries, the CMS plans to negotiate prices for 50 drugs by 2029. These 10 drugs include some of the most expensive for Medicare, costing a combined $50 billion in 2022; however, the impact of Medicare drug price negotiations may be slow at first but grow with time.
Short-term Impacts of Medicare Drug Price Negotiations
The initial impact of the Medicare Drug Price Negotiation Program may have muted financial impacts on manufacturers and the federal government, at least for the first round of negotiations, according to analysts. This is largely due to factors that impact the revenue and profits of the 10 drugs scheduled for negotiation. For example, many of these drugs currently face competition from other branded medications or patent expirations, which will allow generic alternatives to hit the market. Additionally, some of these drugs do not contribute significantly to pharmaceutical companies’ businesses, so any decline in drug sales may have little impact on a company’s overall business and profitability.
Moreover, Medicare Part D plans (prescription drug plans) and pharmacy benefits managers have already negotiated rebates for the first 10 drugs set for negotiation. Further, many of these drugs come with manufacturer discounts, decreasing their prices well below the list price. As a result, the negotiated prices for these first 10 drugs may not be significant or reduce what the federal government currently pays for them.
Long-term Impacts of Medicare Drug Price Negotiations
While the commercial impact of negotiations may be limited for the initial list of drugs, this could change in future rounds of negotiations. In 2028 and beyond, Medicare drug price negotiations will begin to target Medicare Part B drugs, which cover more specialized medications that are administered by health care providers rather than pharmacies. Many of these drugs offer fewer rebates than the ones currently listed for negotiation. Additionally, some of these drugs are biologics, which will likely have a more significant impact on drug companies because they are much more expensive and have a greater impact on the earnings and growth of these companies.
Pharmaceutical companies claim that the drug price negotiations will curb the development of new drugs. As a result, Medicare drug price negotiations may result in pharmaceutical companies altering their drug development strategies over time. However, according to the Congressional Budget Office’s estimates, only a few drugs would not be developed each year because of Medicare drug price negotiations.
Impact on Individuals
Due to the high costs of these prescriptions, many Americans are forced to choose between paying for vital medications or buying food and other necessities. While some individuals may save money on their prescriptions because of price negotiations, the Medicare Drug Price Negotiation Program aims to lower overall Medicare costs. By doing this, the Medicare program and taxpayers could see significant savings. Moreover, starting in 2025, the IRA will deliver further relief to Medicare beneficiaries by limiting their drug spending to $2,000.
However, the impact of drug price negotiations on individuals not receiving Medicare is currently unclear. Some experts believe that by reducing how much drug companies can charge Medicare beneficiaries, they will increase prices for privately insured individuals. Others believe that Medicare drug price negotiations may enable private health plans to negotiate for lower drug prices for the medications they cover. Additionally, Medicare drug price negotiations could incentivize pharmaceutical companies to lower listed gross prices for medications, which could lower out-of-pocket payments for privately insured individuals.
Employer Takeaway
Medicare drug price negotiations allow the federal government to negotiate prices for a limited number of drugs to lower out-of-pocket costs for millions of seniors and offer savings for taxpayers. While the drugs scheduled for negotiation are among the most expensive, it will likely be some time before the impact of these negotiations is seen. Even if the negotiated prices do not result in large savings for the federal government and taxpayers, Medicare beneficiaries may still experience some savings. The ultimate savings will likely depend on how successfully the federal government negotiates prices.
Contact us for more health care resources.
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Assessing the Viability of AI as a Self-diagnosis Tool
This article is from RISQ Consulting’s Zywave client portal, a resource available to all RISQ Consulting clients. Please contact your Benefits Consultant or Account Executive for more information or for help setting up your own login.
Artificial intelligence (AI) has created revolutionary advances across many industries. Now, it’s paving its way as a tool to self-diagnosis medical conditions or get answers to health-related questions. Self-diagnosis is a growing practice, as people’s primary access point for health care information has shifted from professionals to the internet. Especially when you’re having trouble getting an appointment, the internet has proven itself as a fast, easily accessible and free source of information. Given the internet’s popularity in answering some of your most urgent health-related questions, you may wonder how AI can help. Keep in mind that while AI is new and exciting, it’s not a replacement for professional health care.
This article explores the use of generative AI for medical self-diagnosis and its benefits, limitations and viability.
Generative AI for Health Care
Generative AI is a type of technology that produces text, images, audio or other content. With the introduction of AI chatbots, more people may be turning to them to answer their health-related questions. Some common tools used for this purpose include OpenAI’s ChatGPT and Google’s Med-PaLM. These types of large language model (LLM) chatbots can predict the next word in a sequence to answer questions in a human-like style.
Amid a shortage of health care workers, bots could help answer your questions. Initial tests by researchers so far suggest these AI programs are more accurate than a standard Google search.
The Pros
AI tools can potentially reduce medical costs for patients and health care providers. Here are some more potential benefits of using generative AI for medical self-diagnosis:
- Increased accessibility
- Quicker triaging
- Boosted health literacy
- Preserved anonymity
All of these factors contribute to an enhanced patient experience and improved engagement. Chatbots are also considered easier to use than online symptom checkers.
The Cons
While generative AI has great potential, it’s important to understand that there are also some limitations and pitfalls, including the following:
- False information
- Misinterpretation of information
- Ethical concerns (e.g., data privacy and bias)
- Risk of ignoring medical advice
Due to these risks, some LLM chatbots include disclaimers that they shouldn’t be used to diagnose serious conditions, provide instructions for curing conditions or manage life-threatening issues.
Using Generative AI in Medical Self-diagnosis
While generative AI tools may help you quickly answer health-related questions and self-diagnosis conditions, relying solely on them could be unsafe. Similar to their use in other applications, AI tools are meant to be complimentary and an additional source of information. They are great sources for general information and help simplify it so you can be an educated health care consumer.
Generative AI is not a replacement for medical advice from a professional, but it can be used to supplement professional medical advice. If you plan to use AI to answer your nonurgent health-related questions, consider the following best practices:
- Be aware of the potential ethical concerns of AI-driven health care, such as data privacy.
- Verify the AI information with trusted medical sources.
- Consult a health care professional for conclusive diagnoses and treatment plans.
The Future of AI-assisted Self-diagnosis
According to data from business consultant Accenture, health care AI applications could save up to $150 billion annually for the U.S. health care economy by 2026. AI offers numerous potential benefits, but it’s important to recognize the limitations and concerns associated with medical self-diagnosis. Health care providers will likely strive to harness AI’s power instead of solely relying on it. By layering AI into health care systems and making them user-friendly, providers can gain access to insights to provide better care.
AI is in the early stages of its development. However, as it advances, the future of medical self-diagnosis will likely involve even greater collaboration between AI developers and health care providers.
Summary
In today’s digital world, it’s easy to become overwhelmed when researching health-related information. Obtaining accurate health advice and information comes down to using all available sources but understanding their limitations. LLM chatbots could take provider-AI collaboration and diagnosis to the next level, but it has yet to be seen.
While generative AI is not meant to replace professional health care, it can be a good supplementary source and help you increase your health literacy and get answers quicker. Contact your doctor for the most accurate and personalized health care information and guidance.
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A Primer on QSEHRAs
This article is from RISQ Consulting’s Zywave client portal, a resource available to all RISQ Consulting clients. Please contact your Benefits Consultant or Account Executive for more information or for help setting up your own login.
Due to rising health care costs, small businesses often struggle to provide employees with affordable, high-quality benefits. In fact, many small businesses choose not to offer employee benefits because of cost constraints. Failing to offer health benefits can place small businesses at a disadvantage when it comes to attracting and retaining key talent compared to their larger counterparts. However, qualified small employer health reimbursement arrangements (QSEHRAs) offer small businesses the opportunity to provide employees with affordable, quality care.
A QSEHRA is a health reimbursement arrangement (HRA) that allows a small business to provide employees tax-free reimbursements for health insurance premiums and other qualifying health care expenses. Compared to traditional group health plans, QSEHRAs can offer small businesses more flexibility and affordability when administering health care benefits while tailoring benefits offerings to fit employee needs.
This article provides a general overview of QSEHRAs and outlines some considerations for employers to keep in mind when deciding whether to offer employees this coverage.
What Is a QSEHRA?
A QSEHRA is a health reimbursement arrangement for employers with fewer than 50 full-time employees. It allows qualifying small businesses without employer-sponsored group health benefits or any excepted benefits, such as dental and vision, to provide tax-free reimbursements to employees for eligible medical expenses. To qualify for tax-free reimbursements, employees must be enrolled in health plans that meet the minimum essential coverage (MEC) requirements outlined in the Affordable Care Act.
How Do QSEHRAs Work?
An employee with MEC can submit qualified medical expenses and supporting documents to their employer for reimbursement. Qualifying expenses typically include:
- Insurance premiums
- Coinsurance
- Copays
- Deductibles
- Prescription or over-the-counter drugs
The employer then provides tax-free reimbursements to the employee, up to a specified annual maximum amount. The IRS imposes annual maximums per employee, with separate limits for individual and family coverage. If an employee’s medical expenses do not reach the annual maximum reimbursement amount during the plan year, the employer may keep the remaining balance or roll it over for the following year. Employees may not receive cash payments for the difference if their expenses fail to reach the annual maximum amount.
QSEHRA Eligibility Requirements
The eligibility requirements for QSEHRAs differ for employers and employees.
Employer Eligibility Requirements
For employers to be eligible to offer a QSEHRA, they must meet the following requirements:
- Employ less than 50 full-time employees
- Not offer a group health plan, excepted benefits or a flexible spending account (FSA)
Employee Eligibility Requirements
Most employees of an eligible employer may qualify to participate in a QSEHRA. Even employees without MEC can still participate in their employer’s QSEHRA, but their medical reimbursements will be taxable. Additionally, employees with group health coverage through their spouse can participate in a QSEHRA, but their group health premiums cannot be reimbursed. However, employers can exclude certain categories of employees, including part-time and seasonal employees as well as employees younger than age 25.
Considerations for Offering a QSEHRA
QSEHRAs allow small businesses to offer employees health benefits without having to manage a group health plan. This can help small businesses avoid the potential downsides of traditional health insurance plans, such as expensive premiums, restrictive participation, contribution requirements and annual rate increases.
QSEHRAs can also benefit employers offering health benefits for the first time since these plans allow employers to control costs, provide flexibility and scale their benefits as their organization grows. They are often a good option for organizations with a remote and geographically disbursed workforce because small businesses may be unable to find a national carrier that provides high-quality, affordable health benefits. Additionally, QSEHRAs can offer employees more choice in how they spend their health care dollars than traditional health plans.
Summary
QSEHRAs offer a valuable solution for small businesses seeking to provide health benefits to their employees without incurring the costs typically associated with traditional group health plans. Leveraging the flexibility and tax advantages of QSEHRAs can help small businesses offer competitive benefits to attract and retain top talent while controlling costs.
Reach out to us today for more information on QSEHRAs.
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PSYCH 101 – Anxiety
This article is from RISQ Consulting’s Zywave client portal, a resource available to all RISQ Consulting clients. Please contact your Benefits Consultant or Account Executive for more information or for help setting up your own login.
Experiencing occasional anxiety is normal. However, if your feelings of anxiety are extreme, last for an extended period or interfere with your daily life, you may have an anxiety disorder. People with anxiety disorders frequently experience intense, excessive and persistent worry and fear about everyday situations.
Although often used interchangeably, anxiety is not the same as fear. According to the American Psychological Association (APA), anxiety is a future-oriented, long-acting response broadly focused on a diffuse threat. At the same time, fear is an appropriate, present-oriented and short-lived response to an identifiable and specific threat.
Keep in mind that anxiety also is not interchangeable with stress. Both are emotional responses, but stress is generally caused by an external trigger (e.g., a work deadline, conflict or chronic illness). These terms are often confused since anxiety leads to similar symptoms.
The National Institute of Mental Health estimates that 31% of Americans will experience an anxiety disorder during their lifetimes. There are several types of anxiety disorders, and having more than one simultaneously is possible. When excessive anxiousness lasts more than six months, it is then considered and treated as an anxiety disorder.
Here are some of the most common anxiety disorders:
- Generalized anxiety disorder (GAD) includes persistent and excessive anxiety and worry about activities or events that are often ordinary or routine. These stressful feelings can jump from topic to topic, occurring most days. GAD is diagnosed when a person worries excessively about various everyday problems for at least six months. Physical symptoms accompanying this condition include fatigue, headaches, irritability, nausea, frequent urination and hot flashes.
- Panic disorder involves repeated attacks of terror, known as panic attacks, usually accompanied by a pounding heart, sweating, dizziness and weakness. During these attacks, a person may flush or feel chilled, their hands may tingle or feel numb, and nausea or chest pain may occur. Panic attacks usually produce a sense of unreality, a feeling of impending doom or a fear of losing control. They can occur at any time, even during sleep. Some people who experience panic attacks become so fearful that they refuse to leave home. When the condition progresses this far, it is called agoraphobia—a fear of open spaces.
- Social anxiety disorder is diagnosed when individuals become overwhelmingly anxious and excessively self-conscious in everyday social situations. People with this phobia have an intense, persistent and chronic fear of being watched and judged by others and doing things that will embarrass them. They may worry for days or even weeks before a dreaded situation. Many individuals with social phobia realize that their fear is unwarranted but are still unable to overcome it.
- A specific phobia is an intense and irrational fear of something that poses little or no threat, such as heights, escalators, dogs, spiders, closed-in places or water. Similar to social anxiety disorder, individuals understand these fears are irrational, but feel powerless to stop them. The causes of specific phobias are not well-understood, but symptoms usually appear in childhood or adolescence and continue into adulthood.
The causes of anxiety disorders aren’t fully understood. For example, life experiences can trigger anxiety disorders in people already prone to anxiety. Inherited traits may increase a person’s chance of developing an anxiety disorder or anxiety could result from a medical condition that needs treatment. The APA notes that women are more likely to experience anxiety disorders than men.
In general, anxiety disorders are treated with medication, therapy or both. Before treatment begins, a doctor must conduct a careful diagnostic evaluation to determine whether an anxiety disorder or a physical problem causes a person’s symptoms. Sometimes alcoholism, depression or other coexisting conditions strongly affect an individual, and treating their anxiety disorder must wait until those conditions are controlled. Those with anxiety disorders usually try several different treatments or combinations of treatments before finding the one that works for them.
Anxiety looks and feels different for everyone, so it’s important to understand how anxiety can present itself. Common symptoms of anxiety include the following:
- Anxious thoughts that are difficult to control
- Fatigue
- Irritability
- Restlessness
- Sleep problems, such as difficulty falling or staying asleep
- Trouble concentrating
- Unexplained aches and pains
Anxiety may not go away on its own and can worsen if left untreated. Many people will experience an anxiety disorder at some point in their lives, and, fortunately, they are very treatable. If you feel like you’re worrying too much and these feelings are interfering with your work, relationships or other aspects of your life, contact your doctor or a mental health professional.
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28% of Employers Consider Covering FDA-approved Weight Loss Drugs
This article is from RISQ Consulting’s Zywave client portal, a resource available to all RISQ Consulting clients. Please contact your Benefits Consultant or Account Executive for more information or for help setting up your own login.
An annual report by pharmacy benefit consulting company Pharmaceutical Strategies Group (PSG) found that 43% of employers currently cover FDA-approved weight loss medications, while 28% are considering doing so in the next one to two years.
The report surveyed over 150 employers and health plans. Smaller and larger employers are nearly equally likely to be currently covering these medications (42% and 40%, respectively); however, small employers are less likely to be considering this coverage compared to larger employers (20% and 36%, respectively). Many employers are familiar with popular weight loss drugs, such as Wegovy and Mounjaro, and an increasing number of health plans are starting to cover FDA-approved weight loss drugs in response to employee desires.
Although the American Medical Association recognized obesity as a disease in 2013, employers are divided on whether it’s a lifestyle condition that should not be covered (24%) or a chronic condition that should be treated (21%), according to the PSG report. The top reason employers decided not to cover FDA-approved weight loss drugs was because they consider the medications to be lifestyle drugs. Other reasons employers excluded weight loss drugs include:
- The medications are too expensive, often costing more than $10,000 per individual per year.
- There are concerns that the medications may not lead to long-term weight loss.
- The medications would need to be taken for an indefinite duration.
Regarding employers who cover FDA-approved weight loss drugs, the report found that 22% of employers require employees to participate in a lifestyle modification program in order to be eligible for the drugs. For 20% of employers, participation in such programs is voluntary. Of employers who cover weight loss medications, only 16% currently measure the outcomes of these drugs. However, 36% plan on implementing such measures in the future. The report also found that 50% of employers who measured outcomes of weight loss medication were somewhat or very satisfied versus 20% who were dissatisfied.
Even though employers can put limitations on weight loss medications coverage, such as cost or duration of treatment limits, only 14% have done so.
Employer Takeaway
The popularity of weight loss drugs has reached a fever pitch in the United States, with more employees inquiring with employers about these medications. As a result, employers are faced with the difficult decision of whether to cover these expensive medications.
The PSG report shows that employer responses to the rise of weight loss medications differ. Understanding these trends can help employers decide what’s best for their organizations and their benefits plans.
Contact RISQ Consulting for more employee benefits resources.
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How Technology Can Boost Workplace Safety
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More than 14 people per day died while doing their jobs in 2016, highlighting the need for safety and procedural enhancements in the workplace. Employers are starting to embrace new technology in an effort to improve worker safety, including the following:
- Exoskeletons—Workers can wear exoskeletons to transfer weight from repetitive tasks and use less energy when moving objects. The result is a reduced risk of injuries as well as increased strength, dexterity and productivity.
- Virtual reality—This technology replicates physical environments and presents training opportunities for employees. It also allows workers to simulate hazardous tasks and identify safety needs. More benefits are expected as technology matures.
- Wearables—Wearable devices offer real-time monitoring of workers’ vital signs and can alert workers to the presence of environmental dangers. They can also cut health care costs by reducing health risks such as respiratory problems, cancer, dermatitis and hearing damage. An added bonus to employers is that wearables can provide an idea of what may have caused an employee’s injury before filing a workers’ compensation claim.
- Hand-held mobile devices—Although the use of mobile devices can be a distraction and safety liability, there are useful apps that detect safety hazards, log safety incidents, track OSHA requirements and even determine when the heat index is too high on job sites. The key to improving worker safety with hand-held mobile devices is using them responsibly.
- Drones—Sending drones into high-hazard areas instead of humans helps safely assess damage and plan emergency response.
INCORPORATING DATA SCIENCE
Aside from new devices, data science has enabled companies to analyze photos from job sites and then scan them for safety hazards, using an algorithm that correlates those images with their accident records.
Although the technology still needs some fine-tuning, companies can use such algorithms to rate project risks. As a result, the technology could prove extremely helpful in detecting elevated threats and then intervening with safety briefings.
TIME TO GET ON THE CLOUD
By using the cloud, companies have been able to completely overhaul the way they interact with each other and with their workers. The cloud consists of multiple networks of servers that allow apps to be accessed anywhere through the internet instead of confined to a particular computer or network.
Businesses that have projects and crews in multiple locations especially appreciate the benefits of the cloud, since it is efficient and allows for the seamless transfer of information and monitoring of workers’ safety.
SUCCESSFULLY DEPLOYING NEW TECHNOLOGY
New technology can be a waste of money if it is not deployed properly. It’s easy to get caught up in the “wow factor” of technology and lose sight of what the intended improvements are. Without a plan in place for deployment, this technological investment may be wasted.
Before seeking out new technology, consider ways to improve workplace processes. After improving these processes, it is easier to identify gaps that new technology can address. No amount of technology will help if it is processes that need to be fixed.
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Heat-related Illnesses
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Heat-related illnesses can cause serious conditions or death as a person’s natural cooling mechanisms may not be able to keep up with the temperature. It’s essential for workers in the agriculture sector to be familiar with the signs and symptoms of heat illnesses and techniques to prevent them, especially during the hot summer months.
Types of Heat-related Illnesses
In addition to sunburns and heat rash, there are several types of heat-related illnesses, including:
- Heat cramps—These consist of muscle pain or spasms. Heavy sweating may also occur. Individuals suffering from heat cramps must stop physical activity, move to a cool place, and hydrate with water or a sports drink. Medical personnel should be contacted if the cramps last more than one hour or if the affected individual is on a low-sodium diet or has heart problems.
- Heat exhaustion—This can occur when an individual doesn’t intake enough fluids during hot weather. Signs of this illness include heavy sweating, dizziness, headache, fainting, weakness or tiredness, cramps and nausea or vomiting. An affected person may also exhibit cold, pale and clammy skin and a fast or weak pulse. If an individual displays the symptoms of heat exhaustion, they need to sip water, loosen their clothes and move to a cool place while cool, wet cloths are placed on their body. Medical personnel must be called immediately if the person is vomiting or if their symptoms worsen or last longer than one hour.
- Heat stroke—If heat exhaustion is not treated, it can lead to heat stroke, a medical emergency that can cause permanent disability or death. Symptoms of heat stroke include hot, dry, red or damp skin and a body temperature of 103 degrees Fahrenheit or higher, as well as headache, dizziness, confusion, nausea and dizziness. The affected individual may also have a fast, strong pulse and may be passing out. If these signs are present, 911 must be called immediately and the person needs to be moved to a cooler location. Cool cloths or a cool bath can also help lower their body temperature. Due to their altered state of consciousness during a heat stroke, it may not be safe for them to drink liquid.
Heat Illness Prevention Tips
There are several techniques to help prevent the above heat-related illnesses, including the following:
- Ease into work and follow the 20% rule. According to OSHA, nearly 3 out of 4 heat illness fatalities occur during the first week of work. Easing into work allows workers to build a tolerance to heat. The 20% rule allows for needed acclimatization by permitting no more than 20% of the first day’s shift to be at full intensity in the heat. The time at full intensity then may not be increased by more than 20% a day until the workers are used to the hot conditions.
- Hydrate. Workers need to hydrate before their shift and continue to drink water or electrolyte-rich beverages even when they are not thirsty. Alcoholic and caffeinated drinks should be avoided.
- Rest. It is vital for employees to take breaks from the heat in cool or shady locations.
- Dress appropriately. Wearing proper attire, such as light-colored, breathable and loose-fitting clothing, can help reduce heat-related risks.
Knowing proper first aid and when to call emergency personnel can also improve safety. For more information, contact us today.
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Staying Healthy And Safe During Wildfires
This article is from RISQ Consulting’s Zywave client portal, a resource available to all RISQ Consulting clients. Please contact your Benefits Consultant or Account Executive for more information or for help setting up your own login.
In many parts of the United States, the risk of wildfires begins early spring and continues into the fall. Being prepared for fire activity is crucial if you live in a wildfire-prone area. Wildfires can be a serious threat to lives and property—and smoke pollution can affect your health. According to the Environmental Protection Agency (EPA), wildfire smoke mostly consists of fine inhalable particles known as PM2.5, which is of greatest concern to public health. Air pollution from large wildfires can be widespread and linger over other states or countries.
This article highlights strategies for staying healthy and safe amid wildfires.
Health and Safety Measures
When wildfires create smoky conditions, everyone needs to reduce their exposure to the smoke. Wildfire smoke irritates your eyes, nose, throat and lungs. It can make it hard to breathe and make you cough or wheeze.
Consider the following tips for protecting you and your family during a wildfire:
- Follow guidance from local and state officials. Pay attention to emergency alerts for information and instructions, and listen to authorities for guidance on evacuating your home and when it’s safe to return.
- Keep smoke outside. Staying indoors is highly recommended for reducing exposure to smoke pollution, but contaminants can make their way inside. To protect yourself, you should:
- Choose a room you can easily close off from the outside air in your home. It could be helpful to use a portable air cleaner or filter to maintain clean air in the designated room or space. A quality heating, ventilating and air conditioning system with air filters can also help remove particles from the air.
- Keep all doors and windows shut in your vehicle and put the air on the recirculate setting.
- Wear a fitted N95 mask. The EPA recommends using a particulate respirator labeled NIOSH, N95 or P100. Two straps above and below your ears will create a good seal. Masks only protect against particles, so experts advise staying indoors on poor air-quality days.
- Protect pets. Smoke can also irritate your pet’s eyes and respiratory tract. Animals with heart or lung disease and older pets are especially at risk from smoke and should be watched closely.
- Track wildfires. Be prepared for wildfires and smoke pollution by tracking fires near you. For example, the National Oceanic and Atmospheric Administration’s fire weather outlook website maps fire watches and warnings.
- Monitor your local air quality. Websites, including the EPA’s gov, can explain which air quality levels may be hazardous and how much outdoor activity you should engage in. Apps reporting on local air quality are also available.
- Pay attention to health symptoms. Children and people with asthma, chronic obstructive pulmonary disease or heart disease need to be especially careful about breathing wildfire smoke. Older adults and pregnant people are also more likely to get sick if they breathe in wildfire smoke.
For More Information
During wildfire season, it’s important to monitor wildfires that may be happening in or around the country to best protect your health and safety.
Monitor local authorities for updates, and contact your health care provider with further questions about how wildfires can impact your health.
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Strategies for Identifying and Resolving Gaps in Benefits Offerings
This article is from RISQ Consulting’s Zywave client portal, a resource available to all RISQ Consulting clients. Please contact your Benefits Consultant or Account Executive for more information or for help setting up your own login.
In today’s competitive employment landscape, many organizations recognize that employees are their most valuable asset. To attract and retain top talent, employers must go beyond competitive salaries and create holistic and meaningful employee benefits packages that address diverse workforce needs.
Understanding and addressing any gaps in employee benefits is crucial for employers who aim to create an engaged, supported and satisfied workforce. Well-rounded benefits packages often translate to enhanced employee well-being, boosted retention rates and a positive work culture.
This article highlights proactive steps employers can take to assess and identify gaps in employee benefits offerings.
Employer Considerations
Identifying gaps in benefits offerings can be a complex task, as it requires a careful assessment of employee preferences, trends and organizational resources. Consider the followings strategies for identifying and addressing these gaps:
- Review existing benefits. Start by reviewing the current employee benefits package. While taking inventory of benefits, organizations should assess if they offer the basics (e.g., health insurance, sick and family leave) or anything unique compared to competitors or other employers in their industry. This is also a good time to review benefits utilization to better understand if there are any benefits that employees do not or rarely use.
- Analyze employee demographics and specific needs. Demographics, such as age, gender and marital status, can influence employees’ preferred benefits. Recognize that those needs can shift over time, so this is an ongoing exercise.
- Gather employee feedback. Conduct surveys, focus groups or collect feedback through other methods to gather information and opinions directly from employees. Employers could inquire about employee satisfaction with existing benefits, what they value most and if there are any benefits they feel are missing from their package or that could be improved.
- Benchmark against industry standards. Research industry standards and best practices to understand what benefits competitors, and similar or local organizations provide. This can help employers identify any gaps in their offerings compared to competitors.
- Explore emerging trends and employee preferences. Stay informed about employee benefits trends. Current trends include flexible work arrangements, mental health support and student loan assistance. This is also the time to consider employee feedback results and reported preferred benefits.
- Prioritize benefits based on budget and resources. While employers may be faced with a long list of attractive or preferred benefits, the reality is that they must also consider organizational finances and resources to determine the feasibility of new or different offerings. It may be helpful to prioritize the benefits that would have the most significant impact on employee satisfaction and overall well-being.
- Communicate changes effectively. Employers should ensure clear and effective communication with employees when introducing or modifying benefits. Education is critical to utilization, so employers should clearly describe any changes, provide their rationale and explain how benefits changes align with employee feedback, emerging trends or organizational goals.
- Monitor and reassess. Benefits needs and preferences change over time, so it’s important for employers to regularly monitor the utilization and effectiveness of offerings. If drastic changes were made, checking in with some employees to gauge their feedback could be worthwhile. Lastly, keep the conversation going with employees to keep a pulse on their preferred benefits and reassess available options to ensure they meet evolving needs.
Summary
Savvy employers continually evaluate their existing benefits, gather employee feedback, benchmark against industry standards and strategically address any identified gaps. By periodically reassessing benefits offerings, employers can ensure they remain competitive in the labor market and meet the evolving needs of the workforce.
By taking a proactive approach to understanding needs and preferences, organizations can create benefits packages that truly support current and prospective employees. This concerted effort can lead to increased workplace engagement and satisfaction, and, ultimately, organizational success.
Contact RISQ Consulting for additional employee benefits guidance.
- Published in Blog