Showing posts with label ohio health insurance. Show all posts
Showing posts with label ohio health insurance. Show all posts

Friday, October 15, 2010

Secondary Sources: Small Business Job Creation, Fiscal State of the Union ... - Wall Street Journal (blog)

A roundup of economic news from around the Web.

Small Business Job Creation: John Robertson looks at the connection between small businesses and job creation. “Economic research published last month by John Haltiwanger, Ron Jarmin, and Javier Miranda provides some compelling evidence on the relationship between firm size and job growth. It turns out that the age of a firm is important independent of its size. In particular, the paper finds no systematic relationship between net job growth rates and firm size after controlling for firm age? This finding doesn’t imply that firm size is irrelevant, but size matters mainly because, conditional on survival, young firms grow faster than older firms and tend to be small. In other words, because start-ups tend to be small, most of the truth to the popular perception that small businesses create the most jobs is driven by the contribution of start-ups to net job growth.”

Fiscal State of the Union: Len Burman says the president should be give an annual explanation of the fiscal health of the nation. “The problem with our fiscal challenges is that they aren?t news. We have a large unsustainable debt burden, just like we did yesterday and the day before and will have tomorrow. It?s news when we run exceptionally high deficits, as we have for the last couple of years, or when we achieve surpluses, as we did briefly at the end of the Clinton Administration. But there?s no event that captures the media?s and the public?s attention, and the problem will only grow worse as giant deficits become old news. There?s little chance for the media to educate the public about the debt and possible solutions. An annual Fiscal State of the Union Address would change that. There would be news coverage. There would be serious discussion of the causes, consequences, and possible remedies to the problem of too much debt. There would be pressure on the president to have some good news to announce as part of the speech, and enough media scrutiny to guarantee that it wasn?t just smoke and mirrors. There would be pressure on the opposition to put forward a coherent plan to do better than the president, not just warmed over rhetoric and platitudes.”

Economics of Lobbying: Jordi Blanes i Vidal, Mirko Draca and Christian Fons-Rosen examine how political connections are valued for lobbyists. “Lobbying in the US, as well as other democracies, is big business. This column investigates the extent to which former government officials ?cash in? on their political connections when working as lobbyists. It finds that once the politician for whom they worked leaves office, their revenue falls 20%, or $177,000 per year, suggesting that lobbyists are paid more for ?who they know? than ?what they know?.

Compiled by Phil Izzo


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Wednesday, October 13, 2010

VIDEO/PHOTOS The Alex Sink story: Humble start, business career, Florida governor? - Naples Daily News

Chief Financial Officer for the State of Florida and Democratic candidate for Florida governor Alex Sink, center, is swarmed by journalists asking questions about the race for governor as she leaves the Cabinet meeting Tuesday, September 28, 2010 in Tallahassee. Lexey Swall/Staff Photo by LEXEY SWALL // Buy this photo

Chief Financial Officer for the State of Florida and Democratic candidate for Florida governor Alex Sink, center, is swarmed by journalists asking questions about the race for governor as she leaves the Cabinet meeting Tuesday, September 28, 2010 in Tallahassee. Lexey Swall/Staff

Q & A with Alex Sink

“I never in my life thought I would be a candidate,” Sink said in an interview with the Daily News. “I’ve always been interested in policy and the political process, and I’ve just been one of those who have supported my favorite candidates.”

TALLAHASSEE — This candidate has humble beginnings.

Coming up from nothing, with a family that struggled to balance the checkbooks, finally reaching the top of the business world, now the candidate wants to be Florida’s next governor.

By now, a lot of voters probably recognize that narrative as belonging to Republican candidate Rick Scott, but it turns out his Democratic rival, Alex Sink, shares a similar story of hard work and hitting the big time.

But while Sink, 62, the state’s current Chief Financial Officer, is working to make herself visible through statewide television commercials, many people are still in the dark about who she is.

“In Florida, we generally don’t know much about Cabinet-level officials when they’re in office, except for the governor,” said Daniel Smith, a University of Florida political science professor who specializes in elections. “Alex Sink is a newcomer to politics. She’s not a newcomer to the political scene, however, with her husband having run for governor himself in 2002.”

Her husband, Bill McBride, a Tampa attorney, lost a bid for governor to Jeb Bush, who won a second term in 2002.

Smith points to polls showing that some voters don’t even know whether Sink is a man or a woman. Alex is short for Adelaide, and for the record, yes, she is a woman.

Not just that, but if elected, she would be Florida’s first-ever female governor.

“I never in my life thought I would be a candidate,” Sink said in an interview with the Daily News. “I’ve always been interested in policy and the political process, and I’ve just been one of those who have supported my favorite candidates.”

* * * * *

Alex Sink was born in Mount Airy, N.C., where she grew up on the family farm. The Sink family grew corn, tobacco and soybeans, and raised hogs and cattle — “whatever my dad could make money at,” Sink said.

She attended Wake Forest University, in Winston-Salem, N.C., majored in mathematics, and spent three years teaching in West African schools after graduation.

Together, those experiences of helping her father run the farm and teaching overseas became two of what she calls the most formative experiences of her young life.

Every month, she said, she sat with her father to write checks for the fertilizer bill, the gas bill, the machine shop bill.

Alex Sink Rick Scott Governor of Florida Alex Sink Rick Scott Governor of Florida

“Then, he would have me add up all of the checks we had written to make sure we had enough money in the bank,” she said. “I thought I was learning about farming, but what I was really learning, is I was learning about small business.”

Fast forward 40 years or so, and Sink was the bank.

After moving to Florida 26 years ago, she rose to the top position in Bank of America’s Florida operations. She retired from banking roughly 10 years ago, and settled with her family in Thonotosassa, a rural area outside Tampa.

As Chief Financial Officer of the state, she draws a $111,000 annual salary, and in December, she reported her net worth at $9.2 million.

Smith, at the University of Florida, said this part of Sink’s narrative might not ring so true with voters.

“You know, being a millionaire banker is not something that’s going to allow voters to feel warm and fuzzy toward,” Smith said.

Then again, Sink is going up against a self-made businessman who listed more than $200 million in assets at the outset of the campaign.

* * * * *

Sink said she finally considered a run as Chief Financial Officer when several friends approached her five years ago and told her Florida was in desperate need of someone “looking out for our money.”

Much like her rival, Scott, she said she saw problems with the political system in Florida, and wanted to jump in and fix things.

¦ CLICK HERE FOR RELATED PROFILE Rick Scott: Get to work as Florida governor or go home to Naples?

¦ VIDEO Transcript: Daily News interview of Florida governor candidate Rick Scott

Coming from the business world, Sink said she was more than a little surprised to see just how state government runs.

She recalls when a glitch was discovered in the state’s accounting department early in her tenure. She said she asked to see the department’s last audit, in order to find out if the glitch had been caught previously.

It turned out the department hadn’t undergone an audit in 10 years, Sink said.

“Well, coming from a financial background like I did, I was stunned,” she said. “I could not believe there had been so little oversight over a department that, you know, wrote so many checks every year.”

David Clark, who has worked extensively with Sink’s staff as a Cabinet aide in the Department of Environmental Protection, said Sink brings a CEO’s mentality to running the state’s finances. Meanwhile, she has brought together a staff with diverse backgrounds, said Clark, who is set to enter Officer Candidate School with the U.S. Army.

“The staff she has around her epitomize her,” Clark said. “She’s brought in many different types of people from not only the public, but the private sectors, many different realms of business, from finance to communications. She’s surrounded herself with a very diverse group of people and it’s worked well for her.”

Candidate for Florida governor Alex Sink addresses attendees during a town-hall style meeting at the Ritz Carlton in Sarasota, FL. on Thursday, June 17, 2010 at the Florida Society of Newspaper Editors/Florida Press Association annual conference. BRIAN BLANCO/Special to the Daily News Candidate for Florida governor Alex Sink addresses attendees during a town-hall style meeting at the Ritz Carlton in Sarasota, FL. on Thursday, June 17, 2010 at the Florida Society of Newspaper Editors/Florida Press Association annual conference. BRIAN BLANCO/Special to the Daily News

“She really does proscribe to that economic perspective, from the stimulus, health care, these higher taxes, she’s very much in line with Obama, (Speaker of the House Nancy) Pelosi, Washington Democrats,” Scott campaign spokesman Joe Kildea said.

At the same time, said state Rep. Alan Williams, D-Tallahassee, Sink has been able to bridge the gap between Republicans and Democrats. It is something he has seen firsthand, particularly through his work as a ranking member on the Government Operations and Appropriations Committee, he said. It would be an important skill, given the fact that Sink would be working with a Republican-controlled Legislature, if elected.

“On a number of occasions, CFO Sink brought proposals to the table that Republicans supported,” he said.

It is this sensibility — an eye for business and a dexterity in state politics — that Sink promises to bring to bear if she is elected governor.

However, it is Sink’s experience in state government that Scott’s campaign wants to use against her. While it is hard to describe Sink as a career politician — a label that doomed Florida Attorney General Bill McCollum, Scott’s opponent in the Republican primary — the Scott campaign is trying to tag her as a longtime insider who is in lock-step with President Barack Obama.

“She really does proscribe to that economic perspective, from the stimulus, health care, these higher taxes, she’s very much in line with Obama, (Speaker of the House Nancy) Pelosi, Washington Democrats,” Scott campaign spokesman Joe Kildea said.

In order to connect with independents and moderates, the Scott campaign believes Sink is trying to distance herself from Obama. She skipped a joint appearance with him at an August fundraiser in Miami. A pledge on her website to “work with President Obama’s administration” on Everglades restoration was changed to “Alex will provide the strong leadership that’s needed to expedite federal approval of restoration projects,” the St. Petersburg Times reported.

Republican gubernatorial candidate Bill McCollum, left, and Democratic gubernatorial candidate Alex Sink, attend the opening day ceremonies of the Florida Legislature, Tuesday, March 2, 2010, in Tallahassee, Fla. McCollum is Florida Attorney General and Sink is Florida's chief financial officer. AP Photo/ Phil Coale

Republican gubernatorial candidate Bill McCollum, left, and Democratic gubernatorial candidate Alex Sink, attend the opening day ceremonies of the Florida Legislature, Tuesday, March 2, 2010, in Tallahassee, Fla. McCollum is Florida Attorney General and Sink is Florida's chief financial officer.

Sink has tried to turn around those efforts by Scott’s campaign, firing back with her own commercial accusing Scott of being fixated on Obama.

“You know what I’m doing? I’m running to be the governor of the state of Florida,” she said in an interview. “And so, that’s why when you look on my website, there’s nothing intentional (about the absence of Obama.) ... Florida desperately needs a governor that’s going to attack our Florida challenges, and think about Florida solutions as opposed to a candidate who seems to be obsessed just by Washington.”

* * * * *

Meanwhile, Sink’s campaign wants to frame her as one of the good guys who already came into state government as an outsider, and managed to shake things up.

They tout accomplishments such as her office’s shut-down of an annuity fraud scam that returned more than $1.2 million to seniors. As part of the same Safeguard Our Seniors initiative, she pushed for the passage of bipartisan legislation that would increase penalties for people convicted of annuity fraud.

And having a spouse who ran for state office — the same state office she is seeking — has some benefits, too.

Democrat gubernatorial hopeful Alex Sink, left, and her husband Bill McBride walk in the rain after voting in the state primary election Tuesday morning, Aug 24, 2010 in Thonotosassa, Fla. (AP Photo/Steve Nesius) Democrat gubernatorial hopeful Alex Sink, left, and her husband Bill McBride walk in the rain after voting in the state primary election Tuesday morning, Aug 24, 2010 in Thonotosassa, Fla. (AP Photo/Steve Nesius)

“Neither of us had ever run for office, and we sort of created that (2002) campaign at our kitchen table, literally,” her husband said. “Alex was very involved in that campaign. She saw the mistakes — and the good things, too.”

But, McBride also paints his wife as a systematic planner, and someone who makes things happen for herself.

“Her style is very collaborative,” he said. “She seeks a lot of information and a lot of opinions. A lot of collaborative people like that aren’t decisive. But, once she gets all of that information, she’ll make a decision and she’ll move forward.”

At the same time, Sink is still getting the hang of the politics game, it seems. While adept at taking questions in a structured setting, she falters a bit more amid a gaggle of reporters following a Cabinet meeting or press conference. She is still learning the political art of walking and talking, dealing with an onslaught of questions while being ferried from meeting to meeting.

At a press conference inside a Tallahassee job placement firm Tuesday, Sink arrived on a tight schedule between meetings to talk up her plan for tax breaks to new businesses and strengthening education to create more competent graduates. Workforce Plus, a job placement firm, sits in a run-down strip mall two miles outside downtown Tallahassee, where job applicants looking for work line the waiting room chairs.

Sink bypassed the job seekers without a word or a handshake, heading for the room with the television cameras and Republican state Sen. Alex Villalobos, who endorsed Sink the day before. She talked up her plans, before heading back out the door, again passing by the people she is promising to help.

But in an election season in which both candidates admit jobs are the top issue, and polls vary on whether Sink or Scott is ahead, every vote is going to count. It is a race that could turn out to be a matter of who you know, or rather, how well you know a candidate.

* * * *

Staff writer Ryan Mills contributed to this report

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Sunday, October 10, 2010

Bound Brook nursing home in bitter fight with labor union - myCentralJersy.com

BOUND BROOK — Somerset Valley Nursing and Rehabilitation Center's parent company and a health-care workers union are embroiled in a battle before the National Labor Relations Board.

The union, 1199SEIU United Healthcare Workers East, has filed several National Labor Relations Board complaints against the nursing home, which is owned by Care One, New Jersey's second largest nursing-home company.

The union's charges include that the nursing home owners interfered with the union election, which was held Sept. 2, and "illegally terminated" four employees and disciplined others who supported the union.

Care One spokesman Peter J. Ward said his company filed a complaint with the National Labor Relations Board alleging campaign misconduct against the union asking for a new election.

"We are vigorously defending the union's baseless allegations and pursuing justice for our employees at the center," Ward said.

United Healthcare Workers East attorney Ellen Dichner said the employees want their jobs back.

"These are all people who had very good employee records until after Sept. 2," Dichner said.

The union filed the first labor charge on Aug. 31 stating that the employees had been unlawfully interrogated.

On Sept. 10 other batch of complaints including that Care One summoned the police to remove a union representative standing on the driveway of the property.

Complaints the union filed Sept. 21 alleged that the company fired two more union supporters and issued disciplinary notices.

Dichner said there reasons were for minor infractions that hadn't been mentioned prior to Sept. 2. For example, one employee was suddenly written up for being a minute or two late 112 times since January, Dichner said.

Shannon Napolitano was dismissed from her position as a Licensed Practical Nurse following the union election.

Napolitano worked at Somerset for two years and for the Care One chain of nursing homes for five years.


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Tuesday, October 5, 2010

Blue Cross tests 'medical home' model - Omaha World-Herald

Improving patient care and curbing rising health care costs are among the goals of an effort Blue Cross and Blue Shield of Nebraska is launching on Friday.

The six-month trial program involves primary care doctors, clinics and patients in nine Nebraska cities including Omaha, Lincoln and Kearney.

The program is intended to test the effectiveness of the “medical home” model. Under that model, a primary care doctor is established as the main provider and coordinator of a patient's health care needs, said Dr. Bill Minier, vice president and chief medical officer for Blue Cross.

The primary care doctor not only will provide routine exams, but also will coordinate the care that patients receive from outside specialists, he said.

The goal is for the primary care doctor to ensure that the patient is getting necessary care and that needed tests and follow-up exams are not falling through the cracks.

The medical home model is an idea that has received attention during the health care reform debate as a way to strengthen doctor-patient relationships.

The primary care doctors will use an Internet program that creates medical checklists that are tailored for each patient. The checklist will help the primary care doctor know, for example, if it's time for a certain immunization or preventive screen such as a mammogram.

The pilot effort will focus on 1,200 diabetic patients but providers can use the Internet program for all their patients.

After the program ends, it will be evaluated based on a number of factors, including days spent in the hospital, emergency room visits and adherence to medications.

Minier said the medical home approach can curb costs by keeping patients out of the hospital and out of the emergency room.

Medical providers in the pilot program will be eligible to receive incentive payments totalling $3,000 to $5,000 from Blue Cross based on how well their patients' diabetes is managed, Minier said.

Other communities involved are Auburn, Geneva, Grand Island, Lexington, Nebraska City and West Point.

The Blue Cross medical home program is endorsed by such groups as the Nebraska Academy of Family Physicians and the Nebraska Medical Association.


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