Delaware's Public Employees' Retirement System: A Complete and Transparent Accounting

2013 ◽  
Author(s):  
Eileen Norcross
Keyword(s):  
Public Employees ◽  
Retirement System ◽  
System A

Victory Island Public Employees' Retirement System

2011 ◽  
Vol 14 (1) ◽  
pp. 71-87 ◽  
Author(s):  
Charles Wurtzebach ◽  
John McMahan
Keyword(s):  
Public Employees ◽  
Retirement System

scholarly journals Reference-Based Benefits for Colonoscopy and Arthroscopy: Large Differences in Patient Payments Across Procedures but Similar Behavioral Responses

2018 ◽  
Vol 77 (3) ◽  
pp. 261-273 ◽  
Author(s):  
Timothy T. Brown ◽  
Chaoran Guo ◽  
Christopher Whaley
Keyword(s):  
Cost Sharing ◽  
Lower Cost ◽  
Claims Data ◽  
Ambulatory Surgery ◽  
Public Employees ◽  
Ambulatory Surgery Centers ◽  
Retirement System ◽  
Outpatient Procedures ◽  
Out Of Pocket Payments ◽  
Surgery Center

This study examines how reference-based benefits (RBB) affect patient out-of-pocket payments across outpatient procedures. The California Public Employees’ Retirement System (CalPERS) implemented RBB asymmetrically for outpatient procedures in 2012, only applying RBB to outpatient procedures performed in a hospital outpatient department (HOPD), and not applying RBB to outpatient procedures performed in a lower cost ambulatory surgery center. Using claims data (2009-2013) on arthroscopy and colonoscopy services, we found that for colonoscopy, CalPERS patients paid an average of 63.9% ( p < .01) more for HOPDs than ambulatory surgery centers in 2012. For arthroscopy, no statistically different cost sharing was found on average. However, high-priced HOPDs were 17.3% and 17.9% less likely to be chosen by CalPERS patients in 2012 for colonoscopy and arthroscopy, respectively. These magnitudes increased in 2013 to 25.2% and 24.2% less, respectively. Overall, responsiveness to RBB with regard to the most expensive HOPDs was similar despite varying cost sharing by procedure.

Pensions for Public Employees

1921 ◽  
Vol 15 (3) ◽  
pp. 350-365
Author(s):  
Milton Conover
Keyword(s):  
The United States ◽  
Public Employees ◽  
Public Officials ◽  
Private Pensions ◽  
Service Employees ◽  
Retirement System ◽  
Leave Of Absence ◽  
Recent Activity ◽  
British Colonial ◽  
Canadian Provinces

During 1918–20 twenty-four states enacted some form of pension legislation for public officials and employees. Congress established a retirement system for civil service employees. Various Canadian provinces, several British colonial governments, and a few European states legislated in favor of civil pensions.In the United States this recent activity is the culmination of a half century of agitation, experimentation and controversy in the matter of civil pensions, whether national, state, county or municipal. Private pensions in various American industries have doubtless favorably influenced the development of government pensions.This development has resulted in the use of many conflicting definitions of the term “pension.” Due to some aversion to that word, many confusing substitute terms have been used such as: retirement system, vocational insurance, deferred pay, indefinite leave of absence, retiring salary, graduated bonus, gratuity, annuity, superannuation allowance, service relief, old age assurance, provident fund, actuarial equivalent, and public officers' guarantee fund. As used in this article the term civil pension is intended to imply a regular allowance granted to a person for that person's maintenance or the maintenance of one or more persons dependent on the pensioner, that allowance being usually paid in consideration of the pensioner's meritorious services to the grantee; but it may be granted as a deferred wage or salary, as an annuity or as a form of regularly paid charity without reference to any consideration of gratuity, of wages, or of deferred dividends.

The New Hampshire Retirement System: A Look Backward and Forward

2018 ◽  
Author(s):  
Jean-Pierre Aubry ◽  
Caroline Crawford
Keyword(s):  
New Hampshire ◽  
Retirement System ◽  
System A

CALPERS TELLS 18 HEALTH-CARE PROVIDERS IT EXPECTS A 5% ROLLBACK IN PREMIUMS

PEDIATRICS ◽  
1994 ◽  
Vol 93 (3) ◽  
pp. A50-A50
Author(s):  
J. F. L.
Keyword(s):  
Magnetic Resonance Imaging ◽  
Health Care ◽  
Health Care Providers ◽  
Public Employees ◽  
Care Providers ◽  
Resonance Imaging ◽  
Invasive Procedures ◽  
Retirement System ◽  
And Performance ◽  
Care Costs

In it most aggressive swipe at health-care costs to date, the huge California Public Employees' Retirement System served notice that it expects health-care providers to agree to a 5% rollback in health-care premiums for 900,000 public employee families ... Calpers, which manages one of the country's largest groups of insured individuals and is often cited as a model of health-care reform, told 18 managed-care companies that it expects the 5% rollback to be effective in the 1994-95 contract year, which begins August 1 ... Providers expressed surprise and muted alarm at the depth of the cutback proposed ... The 5% target was based on numerous studies, not only of individual HMO fiscal data, but also on Rand Corp. studies showing the persistence of waste and overutilization in health care which documented excessive Caesarean deliveries, overuse of magnetic resonance imaging scans, overprescribing of drugs, and performance of unnecessary surgery when less invasive procedures would suffice.

Randomized Controlled Trial of Cost Reductions from a Health Education Program: The California Public Employees' Retirement System (PERS) Study

1994 ◽  
Vol 8 (3) ◽  
pp. 216-223 ◽  
Author(s):  
James F. Fries ◽  
Harry Harrington ◽  
Robert Edwards ◽  
Louis A. Kent ◽  
Nancy Richardson
Keyword(s):  
Health Promotion ◽  
Health Risk ◽  
Health Risks ◽  
Claims Data ◽  
Self Report ◽  
Medical Utilization ◽  
Control Group ◽  
Public Employees ◽  
Retirement System ◽  
Blue Shield

Purpose. This study evaluated the cost trend reduction from a health promotion program. Design. A randomized 12-month trial comparing claims data was conducted. Additional studies, utilizing quasi-experimental designs, analyzed changes in health habits and changes in costs estimated by self-report. Subjects. All active California Public Employees' Retirement System (PERS) employees (21,170), non-Medicare eligible retirees (8,316), and retirees with Medical Supplement coverage (25,416) administered by Blue Shield of California were included. Intervention. The program consisted of mailed health risk assessments at six- or 12-month intervals, with individualized reports and recommendation letters sent to participants emphasizing and encouraging change, self-management materials emphasizing self-care when appropriate, and quarterly newsletters. Passive participants received printed materials only. Measures. Health risks were based upon self-report; summary scores were computed by modified Framingham algorithms. Self-report cost data were estimated from reported doctor visits, hospital days, and days sick or confined to home. Claims data were those paid by Blue Shield of California. Results. The program was associated with: 1) reduction in health risk scores at 12 months, (p<.001), 2) reduction of subject reported medical utilization from baseline (p<.05), and 3) decrease in claims cost growth relative to controls (p=.03). Annual claims costs were approximately $3.2 to $8.0 million less than expected had costs for the experimental participants increased at the same rate as the control group. Discussion. Results suggest that appropriately designed health promotion programs can reduce health risks and at the same time reduce the medical care claims cost trend.

California Public Employees’ Retirement System (CalPERS) – die Aktivisten

2008 ◽  
pp. 135-142 ◽  
Author(s):  
Norbert Kuls
Keyword(s):  
Public Employees ◽  
Retirement System
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