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

Sunday, October 17, 2010

The Real Jobs Machine - Newsweek

If you’re interested in job creation—and who isn’t these days?—you should talk to someone like Morris Panner. In 1999, Panner and some others started a Boston software company called OpenAir. By 2008 they sold it for $31 million. The firm had then grown to about 50 workers. It turns out that entrepreneurship (essentially, the founding of new companies) is crucial to job creation. But as Panner’s experience suggests, success is often a slog.

What’s frustrating and perplexing about the present job dearth is that the U.S. economy has long been a phenomenal employment machine. Here’s the record: 83 million jobs added from 1960 to 2007, with only six years of declines (1961, 1975, 1982, 1991, 2002, 2003). Conventional analysis blames today’s poor performance (jobs are 7.6 million below their pre-recession peak) on weak demand. Because people aren’t buying, businesses aren’t hiring. Though true, this omits the vital role of entrepreneurship.

In any given year, employment may reflect the ups and downs of the business cycle. But over longer periods, almost all job growth comes from new businesses. The reason: high death rates among existing firms. Even successful firms succumb to threats: new competition or technologies; mature markets; the death of founders; shifting consumer tastes; poor management and unprofitability. A company founded today has an 80 percent chance of disappearing over the next quarter century, reports a study by Dane Stangler and Paul Kedrosky of the Kauffman Foundation.

True, some blue-chip firms—the Exxons and Procter & Gambles—endure. Four fifths of the Fortune 500 were founded before 1970. But they are exceptions, and many blue chips have died: Pan Am (once the premier international airline), Digital Equipment (once the second-largest computer maker), and Circuit City (once a leading consumer-electronics chain).

The debate over whether small or big firms create more jobs is misleading. The real distinction is between new and old. American workers are roughly split between firms with fewer or more than 500 employees. In healthy times, older companies of all sizes do create lots of jobs. But they also lose jobs, as some businesses shrink or vanish. On balance, job creation and destruction cancel. All the net job increases occur among startups, finds a study of the 1992–2005 period by economists John Haltiwanger of the University of Maryland and Ron Jarmin and Javier Miranda of the Census Bureau.

To be sure, entrepreneurship has a downside: booms and busts. Remember the dotcom “bubble.” But more damaging, says Panner, are widespread popular misconceptions about what it is and isn’t.

Start with the Blockbuster Myth: successful entrepreneurship creates huge enterprises à la Google that transform how we live. In reality, “most ventures don’t change the world,” says Panner. They’re unknown companies providing highly specialized goods and services, plus restaurants, auto-repair shops, and many other unromantic businesses. There are more than 500,000 startups annually. The number must be large to make an impact on the 155 million–person labor force.

Second is the Inspiration Myth: most startups spring from some epiphany suggesting a new product or technology. Wrong. Gee-whiz moments are few. Companies constantly change plans. OpenAir ditched its original idea, which didn’t draw customers. “You can’t do anything until you meet someone’s needs,” says Panner. Failure rates are high; half of new firms die within five years.

And finally, the Incentive Myth: it’s necessary to keep tax rates low, so entrepreneurs can reap huge rewards for their time, sweat, and money. Well, this may be true, but it misses a parallel truth: government disincentives to entrepreneurship. Panner, a registered Democrat, criticizes complex accounting, employment and health-care regulations imposed by federal and state agencies that consume scarce investment funds and time. There’s a bureaucratic bias, unintended perhaps, against startups.

It’s all about risk taking. The good news is that the entrepreneurial instinct seems powerful. Americans like to create; they’re ambitious; many want to be their “own bosses”; many crave fame and fortune. (Panner is already involved with a new startup; it has five employees.) The bad news is that venture capital for startups is scarce and that political leaders seem largely oblivious to burdensome government policies. This needs to be addressed. Entrepreneurship won’t instantly cure America’s job deficit, but without it, there will be no strong recovery.

Robert Samuelson is also the author of The Great Inflation and Its Aftermath: The Past and Future of American Affluence and Untruth: Why the Conventional Wisdom Is (Almost Always) Wrong.

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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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Progress Being Made on 'Green' Health Center - Inside INdiana Business (press release)

September 30, 2010

News Release

INDIANAPOLIS - More than 30 contractors, architects, and city officials will get a preview of the latest in green infrastructure techniques being used in the construction of the Near-Eastside?s new HealthNet People?s Health & Dental Center when the first completed phase ? a 9,000 sq. ft. permeable paver parking lot ? opens at 10 a.m. on Friday, October 1, 2010 at 2340 E. 10th St.

The highlight will be at 11 a.m. when officials simulate a flash flood to demonstrate how the permeable paver parking lot works. A water truck will dump more than 4,000 gallons of water on the lot in a matter of 15 minutes ? equivalent to 9 inches of rain ? and is expected to produce no run-off.

The new center serves as a demonstration project for the City of Indianapolis? Office of Sustainability in its use of green building techniques and materials, many of which haven?t been tested in this climate area before. As an innovative stormwater management strategy, permeable pavers allow water from rain or snowmelt to flow through the pavers, into a stone base, and then filter into the soil below. This eliminates stormwater runoff and protects nearby surface waters from stormwater pollution.

From 10 a.m. to noon, representatives from the engineering and design community will be on hand to answer questions about the center?s energy-efficient heating, ventilating and air-conditioning system and comprehensive storm water management system, which includes the parking lot composed of permeable pavers, a bioswale and an energy efficient roof. Event participants include City of Indianapolis Office of Sustainability, Belgard Environmental, Axis Architects, Halstead Architects, Roger Ward Engineering, Inc., EMHT, John Oberlies Consulting Engineers, Inc.

Thanks to capital campaign donors and $5.3 million in federal stimulus funds, the $6.6 million environmentally ?green? health center serving the uninsured and underinsured will create jobs and set a new standard for patient care, delivering 42,000 patient visits per year. Scheduled to open in early 2011, the health center is located along the East 10th Street business corridor, which is already undergoing many improvements as a part of the 2012 Super Bowl Legacy Project.

###

Since 1968, HealthNet (www.indyhealthnet.org) has been a mainstay in the Indianapolis community. Through its network of five community-based health centers, an OB/GYN care center, a pediatric and adolescent care center, and eight school-based clinics, HealthNet annually serves over 50,000 individuals and families. Many of them are uninsured or underinsured and live below the federal poverty level. HealthNet services include: primary and preventive health care; OB-GYN support and coaching for expectant mothers; Healthy Families and Better Indy Babies; dental services; Homeless Initiative Program; counseling, outreach and social service programs. HealthNet?s health centers include Martindale-Brightwood Health & Dental Center, People?s Health & Dental Center, Southeast Health & Dental Center, Southwest Health & Dental Center, Barrington Health Center, the Care Center at the Tower, the Pediatric and Adolescent Care Center and the Maternal-Fetal Medicine Center.


Source: HealthNet Inc.


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Tuesday, October 12, 2010

How to find home health aide job listings - Helium

You can find home health aide job listings. 

One good place to find these job listings is at monster.com.  Go to their website.  Type in "home health aide" - for type of work that you are looking for.  Type in the city and state or zip code -where you want the work to be located.  Press "enter."  A list of the available home health aide jobs will appear.  Either submit your resume and cover letter electronically to the companies, or apply in person.

Another good place to find home health aide jobs is at careerbuilder.com.  Go to their website.  Type in "home health aide" - for type of work that you are searching for.  Type in the city and state or the zip code - where you want the work to be located.  Press "enter."  A list of available home health aide jobs will appear.  You can submit your resume and a cover letter electronically to the company, or apply in person.

You can also find home health aide job listings in your local newspaper.  Go to the classified section.  Look under the jobs listing.  Look in the health positions available section.  When home health aide jobs are advertised there, they will state how you can apply for the advertised positions. 

You can also contact home health care agencies in the area where you want to work.  Call and ask human resources if they have an opening for a home health aide.    Nowadays, there are many home health care agencies.  Many of those agencies utilize the services of home health aides. 

Another good way - is to list your own advertisement in the local newspaper - where you want to work.  You can be a self-employed, home health aide worker.  List your advertisement in the newspaper.  Write a short, professional advertisement - stating your qualifications and your services.  Also, list your telephone number, so that people - who are interested in obtaining your services - can contact you. 

These days, there are many home health aide positions available.  This trend will continue for many years to come.  With many people in the U.S. reaching retirement age and living longer lives, home health aides are in demand.  You can work for an agency; or you can be a self-employed, home health aide.   

Learn more about this author, DLayne Lawson.

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Sunday, October 3, 2010

Faxton St. Luke's focuses on future of seniors - Utica Observer Dispatch

Faxton St. Luke’s Healthcare has received a $31.3 million state grant to improve its long-term-care services with a focus on keeping more seniors in the community and out of nursing homes.

The state grant is the largest in the hospital’s history, officials said. It is the second largest of the $150 million in grants announced by the state last week.

The grant will be used to:

ä Renovate St. Luke’s Home so that the inpatient acute rehabilitation unit can be moved from the hospital’s Faxton campus to the nursing home. This will make the Faxton campus a strictly outpatient facility.

ä Construct a new building on the St. Luke’s Home site to house Faxton’s community-based long-term-care services, including an expanded adult day health program, the Visiting Nurse Association and Senior Network Health, which provide medical services and case management to seniors in their homes. The new building will be connected to the nursing home.

ä Add an eight-station outpatient dialysis unit to the new building for use by patients in the nursing home and community members, alleviating a countywide shortage of dialysis units.

These projects will expand care options for area seniors and their families, said Lori Calabrese, Faxton’s grant writer.

“It’s really finding alternatives to having a senior citizen in an adult facility such as a nursing home,” she said. “It’s trying to keep seniors in their homes and let them age in place with all these different services. We’re changing the face of long-term care.”

Project planning started Friday, the day after the grant was announced, and construction should be completed within two years, officials said.

Seniors age 85 and older are the fastest growing group in the state, increasing by 25.5 percent between 1990 and 2000, according to Calabrese. The number of seniors age 75 and older rose 15.4 percent during the same period, she said. In Oneida County, seniors make up 16.3 percent of the population, according to Calabrese.

“We are very excited about the opportunity that this grant provides our community,” said Steven J. Brown, Faxton’s senior vice president and chief operating officer. “With a growing number of people age 65 and older in Oneida County, in the near future we will see a greater need for health care services. Through this transformational (grant), we will make efficient and effective changes to our system to meet their needs.”

Currently, patients at St. Luke’s Home have to be transported to another facility for dialysis, but that will change once the new building is built. “Just imagine a frail elderly individual in the dead of winter having to be loaded into a van to be taken somewhere else for dialysis treatment. So this is huge,” Calabrese said.

The new building also will allow Faxton’s adult day health program -- which provides a safe and social daytime environment for frail seniors, often while a caregiver works -- to expand by at least 10 slots, Calabrese said.

The other services in the new building — Visiting Nurses and Senior Network Health – provide seniors with health-care services, such as registered nurses, home health aides and physical therapists, in their homes.

And Senior Network Health provides clients in Oneida and Herkimer counties with a care plan and lines up services, including ones Faxton does not provide, such as eye exams, housekeeping services, durable medical equipment and nonemergency transportation.

The grant was awarded by the state Department of Health and the Dormitory Authority of New York State through Phase 20 of the Health Care Efficiency and Affordability Law of New York State, or HEAL NY, and the Federal-State Reform Partnership.


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