Nursing home reform: its legislative history and economic impact upon nursing homes

This article presents a legislative history of Subtitle C of the Omnibus Budget Reconciliation Act of 1987 (OBRA '87). It articulates the philosophy behind the act and describes the economic and organizational impact on the nursing home industry. Additionally, data from Connecticut nursing homes are analyzed to determine the factors that affect the costs of complying with OBRA.     

Controlling characteristics of group insureds: risk rating

Employers seek to manage risk in their group health and life insurance plans through wellness programs and certain hiring practices. In both cases, the Americans with Disabilities Act may ultimately affect the use of these forms of risk rating on the grounds that they are discriminatory.     

Wellness programs: complying with the Americans with Disabilities Act (ADA)

Employers that offer wellness programs must be careful to comply with the guidelines of ADA. As the dollar amounts involved in these programs and the number of participants increase, so does the risk of lawsuits.     

Health care costs in workers' compensation

Although the costs of both the medical and indemnity components of workers' compensation have increased substantially in the past several years, the costs of medical benefits grew far more dramatically.     

Labor Department regulations for Family and Medical Leave Act

Interim regulations issued by the Department of Labor provide employers with significant guidance on compliance with the Family and Medical Leave Act.     

Is this the right time to come out? Case study

In this fictional case study, Adam Lawson is a promising young associate at Kirkham McDowell Securities, a St. Louis underwriting and financial advisory firm. Recently, Adam helped to bring in an extremely lucrative deal, and soon he and a few other associates will be honored for their efforts at the firm's silver anniversary dinner. George Campbell, vice president in mergers and acquisitions, is caught unprepared when Adam tells him that, after serious reflection, he has decided to bring his partner, Robert Collins, to the banquet. George is one of Adam's biggest supporters at the firm, and he personally has no problem with Adam being gay. But it is one thing for Adam to come out of the closet at the office. It is quite another to do so at a public company-client event. After all, Kirkham McDowell's client roster includes some very conservative companies--one of the country's largest defense contractors, for example. George is concerned with how Adam's openness about his sexual orientation will play with their clients and, as a result, how senior management will react. Adam has not come to George for permission to bring Robert to the dinner. But clearly Adam wants some sort of response. George has never faced sexual diversity issues in the workplace before, and there is no company policy to guide him. Just how negative an effect could Robert have on Adam's career with the firm and the firm's relationship with its clients? Isn't it possible that even the firm's most conservative clients will simply decide that Adam's choice of guest is a personal matter--not a business one?(ABSTRACT TRUNCATED AT 250 WORDS)     

Companies hate the health plan

After a close look at President Clinton's proposal, many employers conclude they'd be stuck paying for a huge new entitlement they could not afford.