Stay at the forefront of thought leadership with news and analysis from award-winning journalists. Enjoy company features, CEO interviews, architectural reviews, technical project know-how and the latest innovations.Limited access to building.co.ukBreaking industry news as it happensBreaking, daily and weekly e-newsletters Subscribe now for unlimited access Get your free guest access SIGN UP TODAY To continue enjoying Building.co.uk, sign up for free guest accessExisting subscriber? LOGIN Subscribe to Building today and you will benefit from:Unlimited access to all stories including expert analysis and comment from industry leadersOur league tables, cost models and economics dataOur online archive of over 10,000 articlesBuilding magazine digital editionsBuilding magazine print editionsPrinted/digital supplementsSubscribe now for unlimited access.View our subscription options and join our community
Paul Freeman drove 600 miles last year to save himself — and his employer — thousands of dollars on his surgery.Freeman’s insurer covered his travel costs and the entire bill because a medical center in Oklahoma City could remove the loose cartilage in his knee for about 70 percent less than a hospital closer to Freeman’s Texhoma, Okla., home.Dr. Keith Smith, right, an anesthesiologist who started Surgery Center of Oklahoma, looks on as Dr. Don McGinnis, left, and physician’s assistant Steve Popielec, right, perform a surgery at the center in Oklahoma City, Thursday, Oct. 10, 2013. Through a website called Medibid, some patients who pay out of pocket for their care are soliciting doctors, hospitals and medical centers, including this one, to bid to perform non-emergency procedures. (AP Photo/Sue Ogrocki)At first, the community bank CEO hesitated because he thought the lower price would mean lower quality. But he knew if he didn’t make the roughly 10-hour roundtrip trek, he’d pay about $5,000 out of pocket.“You immediately think, ‘Oh they’re going to take me into a butcher shop and it’s going to be real scary,’” Freeman, 53, says, noting that instead he had a “wonderful experience.”People shop for deals on everything from cars to clothes to computers. Why not for health care, too?Insurers, employers and individuals are shopping around for health care as they try to tame rising health care costs. Companies are doing things like paying for workers to travel if they agree to have a surgery performed in another city where the cost is cheaper. They’re also providing online tools to help people search for better deals in their home market.And some patients are bargain-hunting on their own. Through a website called MediBid, people who pay out of pocket are soliciting doctors, hospitals and medical centers to bid to perform knee surgeries and other non-emergency procedures.Patients who shop for care represent a tiny slice of the roughly $2.7 trillion spent annually on health care in the U.S., said Devon Herrick, an economist who studies health care for the National Center for Policy Analysis. But he and other experts expect this trend to grow, especially as more companies offer insurance plans that require employees to pay thousands of dollars before most coverage starts. These so-called high-deductible plans also will be among the cheapest options available on the public exchanges set up as part of the health care overhaul to enable millions of uninsured people to shop for coverage.Advocates say all the shopping will help control medical spending.“We waste an enormous amount of money in this country by overpaying for health care,” says John Goodman, an economist and CEO of the National Center for Policy Analysis. “The only way to get rid of waste is to have people compete in a real marketplace.”Searching for health care deals is a big change for many patients who’re used to paying whatever their insurer didn’t. Just figuring out an appropriate price for a procedure can be difficult for the average person.Surgeries and other major procedures have different prices based on a variety of factors, including whether it’s performed in a big city where care can cost more or in a hospital. And the portion that patients pay can vary widely. A lot depends on the type of insurance coverage and other factors like the leverage a provider has in negotiating rates.For instance, a patient in Detroit with high-deductible health coverage provided by an employer could pay $920 or $2,791 out of pocket for a colonoscopy, according to research done by health care technology firm Castlight Health. Same patient. Same insurance coverage. Only difference: Where the procedure is performed.“You can be a highly educated consumer now and still not understand what bill is going to hit you,” says Dr. Giovanni Colella, CEO of Castlight, which designs an application that insurers or employers can give to patients to help them shop for health care based on price and quality.It’s also tough for patients to measure quality versus price. “You may find something (more expensive), but it doesn’t mean it’s better, safer, or more efficient,” says Arthur Caplan, a medical ethicist at NYU Langone Medical Center.Insurers and employers are encouraging workers to become more educated. They say quality is a priority when they ask patients if they want a better deal.Wal-Mart Stores Inc., the largest private U.S. employer, provides health coverage for 1.1 million employees and their dependents. It runs a voluntary Centers of Excellence program that sends people to one of six hospital systems around the U.S. for certain heart, spine and transplant surgeries at no cost to the patient.Wal-Mart spokesman Randy Hargrove says the program can save a patient between $5,000 and $10,000 in out-of-pocket costs, depending on their coverage. He says so far, dozens of patients have used the program that includes care providers at nationally-recognized places such as the Mayo Clinic.The retailer also recently said it would start offering no-cost knee and hip replacement surgeries for employees who travel to one of four U.S. hospital systems. Wal-Mart is doing this through a national Employers Centers of Excellence Network that it joined with other big companies like the home improvement chain Lowe’s.Premera Blue Cross Blue Shield, Alaska’s biggest health insurer, started a program in January that will pay expenses for some of its members to fly to Seattle for some procedures that come with huge price breaks. For instance, a knee surgery that costs $27,100 in Alaska can be performed for $13,000 in Seattle, according to the insurer.A Premera spokesman says only a couple of people have used the program so far, but the insurer expects use to pick up as it includes more members next year.Some patients are deal-hunting on their own. The website Medibid, which launched in 2010, connects patients who are paying out of pocket with doctors who bid to provide care. The website’s founders say they’ve helped about 1,800 people find care.Patients register with the site and pay either $25 per request or $4.95 a month for a year so they can post their medical needs on the site to solicit bids. Care providers, who register and pay fees of either $24.90 per month or about $250 annually, respond to patients with a bid.Tess St. Clair, Medibid’s chief operating officer, says the site helps people weigh their health care options: “The hardest thing for an American to do is ask the question, ‘How much will this cost?’ and get an answer.”
Neymar says Paris Saint-Germain’s decision to stop him playing the club’s four last games held him back in Tuesday’s defeat against Borussia Dortmund. “We’ve had a lot of discussions on that. I wanted to play, I was feeling well but the club were afraid, and in the end I’m the one suffering.” Neymar provoca un nuevo incendio en el PSG Upd. on 20/02/2020 at 10:35 CET “It was very difficult to play a match like this, intense, 90 minutes without stopping. It is different. Had I been in better shape, I would certainly have played better.” He added: “I understand the fear that the club was suffering from, because in the last two years I was not able to play in the round of 16. I respect the decision, but it cannot be like this, because the player ends up suffering. Neymar was making his first appearance in several weeks as he returned from injury, but he insisted his absence had not been his decision. 19/02/2020 The Brazilian scored PSG’s only goal of the game but it was not enough to stop them going down to a 2-1 loss in Germany in the Champions League round of 16 first-leg match. IN SPORT.ES “It’s hard not to play for four games,” Neymar said. “Unfortunately it was not my choice, it came from the club, the doctors; they’re the ones who made the decision, one that I did not like. Neymar was also injured at this stage of the season in the last two years, missing PSG’s eliminations at the hands of Real Madrid and Manchester United. SPORT.es
By RUSSELL BENNETT AT THE time Jay Ferriere joined the Pakenham Warriors Big V basketball side in 2012, he was…[To read the rest of this story Subscribe or Login to the Gazette Access Pass] Thanks for reading the Pakenham Berwick Gazette. Subscribe or Login to read the rest of this content with the Gazette Digital Access Pass subscription.
更多 Forward 60 seconds Galway Bay FM Sport Tuam AC will be holding their annual 8Km Road Race around the town and environs of Tuam on the 15th of January on what will be a flat and fast course. Galway Bay FM Sport Tuam Athletics Club Hosts Annual 8K On January 15th Galway Bay FM Sport Tuam Athletics Club Hosts Annual 8K On January 15th Currently Playing Back 15 seconds Forward 60 seconds Audio Playerhttps://s3-eu-west-1.amazonaws.com/sports.podcast/BURKE+FYI.mp300:0000:0000:00Use Up/Down Arrow keys to increase or decrease volume. Back 15 seconds print WhatsApp Facebook Twitter Email Tuam Athletics Club Hosts Annual 8K On January 15th Chairman of Tuam AC Padraic Burke has been speaking to John Mulligan about the event
The Sun deals Son ban confirmed as Tottenham fail with appeal to overturn red card 3 Sarri then locked his stars in the dressing room following the match for clear-the-air talks.The Italian manager was stopped by angry Chelsea supporters who waited outside the stadium to make their feelings known, as shown in a video posted by The Sun. Boxing Day fixtures: All nine Premier League games live on talkSPORT Maurizio Sarri was confronted by angry Chelsea fans no dice LATEST PREMIER LEAGUE NEWS REVEALED Oxlade-Chamberlain suffers another setback as Klopp confirms serious injury Chelsea suffered their worst league defeat since 1996 Where Ancelotti ranks with every Premier League boss for trophies won tense Green reveals how he confronted Sarri after Chelsea’s 6-0 defeat at Man City He said sorry a number of times to the fans before leaving on good terms.The Chelsea manager was booed during the match for substituting new loan striker Gonzalo Higuain when his side were trailing 2-0. gameday cracker REVEALED huge blow Fans were less than impressed when Sarri substituted Higuain shining Which teams do the best on Boxing Day in the Premier League era? This led to chants of ‘you don’t know what you’re doing’ from a section of the visiting support.The defeat at Bournemouth was their heaviest in the Premier League since 1996 and saw Chelsea drop out of the Champions League places.They have the chance to bounce back this weekend as strugglers Huddersfield Town visit Stamford Bridge. Irate Chelsea fans who confronted Maurizio Sarri after the Blues’ drubbing at Bournemouth received an apology from their manager.Chelsea were thrashed 4-0 by the Cherries on Wednesday in their Premier League clash at the Vitality Stadium. One told the 60-year-old the performance was “disgusting” and called it the “worst performance he has ever seen”.While the Blues boss was also questioned on whether he had it in him to motivate the under-performing players.Sarri did not shy away from the complaints, though, and listened to what the fans had to say. 3 3 Man United transfer news live: Haaland ‘wants a change’, two players off in January Premier League Team of the Season so far, including Liverpool and Leicester stars
Share This!June is here! Welcome to summer in Florida. It’s a wild ride!Luckily, it’s just like that wildest ride in the wilderness, Big Thunder Mountain Railroad: if you’ve been on this ride a few times, it becomes a predictable (in a good way). You know where the big drops and the great views are. It’s our newbie friends who aren’t always sure what to expect the first time they queue up in the Florida sun. So, from thunderstorms to hurricane season, let’s talk all things summer!First, this week’s forecast. As June begins, a predictable summertime pattern begins to emerge, right on time. Humidity and heat will rule the mornings and middays, with temperatures spiking in the mid-90s, before afternoon sea breezes collide sometime after noon to produce some spotty thunderstorms. After storms push through, humidity will return for an overnight cooling into the upper 70s. Highs will remain above-average, with temperatures hitting 94-96 degrees in late afternoon, but days with storm coverage will be a little cooler.At the ParksSince the rainy season is still sputtering to a start and truly deep moisture isn’t in control yet, we will probably still see some very hot days with late evening storms, or even storms after sunset. This is a little against the typical mid-afternoon pattern. These storms can be really surprising when they roll up while you’re waiting for fireworks and dump some tropical downpours on you! They can also cause outdoor attractions to go down and stay down until after park close.With that in mind, keep a close eye on a good radar app if you’re saving some favorites for after dark. The storms can develop from nothing to something so quickly that just watching for approaching lightning might not help you beat them to the punch.Late evening storms drench Disney’s Boardwalk, July 2016 – a summer with a lot of hot days and late storms.Over the past few summers, I’ve observed a trend for these evening storms after a steamy, sunny day that just doesn’t want to cloud over. Eventually, even if the atmosphere isn’t particularly ripe for rainfall, all that searing heat just makes our swampland boil over into storms. It’s simply too hot to not rain. And that actually does make sense, in a Florida sort of way. For a full rundown on the rainy season pattern and what makes Florida tick, check out last week’s post.Here comes Hurricane Season!June, every TV meteorologist loves to remind us, is the beginning of hurricane season. But it’s the beginning of hurricane season the same way June 21st is the official first day of summer: it’s already hot by June 21st and we’re all generally in agreement that it’s been summer for a long time. Tropical systems can, and do, form outside of hurricane season. Still, it’s a good opportunity to review how hurricanes and tropical storms can affect your Disney vacation.Afternoon storms tower over the Seven Seas Lagoon.Seasonality: Late summer (August-October) is prime time for tropical systems. The Gulf of Mexico, the Caribbean Sea, and the Atlantic Ocean are all bathtub-warm by August, and warm water feeds tropical systems. Strength of Storms: The National Weather Service has established language for storms at each level of the Saffir-Simpson scale, which measures hurricane strength according to sustained winds at the storm’s core. When you’re dealing with a tropical system, you’re almost never dealing with the storm’s core, although we’ve had some brushes here in Central Florida. We can talk about those as needed later, but for now, here are some tips on what different storm levels can mean for your vacation, based on storms in recent history:Tropical Depressions, Waves, and Invests: These are big clusters of showers and thunderstorms at various stages of pre-storm development. If there’s a tropical depression heading towards your vacation, pack an extra pair of shoes—that way one pair can dry while you’re enjoying the parks. Basically: it’s going to rain. The rain may come in short, furious squalls with gusty winds, separated by long periods of showers or just gray weather. As a Floridian, I consider these storms a day or two of a break from the heat, and take the opportunity to have some fun in the rain.Tropical Storms: Ranging from a cluster of storms with some vaguely implied center to a tightly wrapped storm that’s almost at hurricane status, there’s a wide range of potential for tropical storm impacts. But for our purposes here, they generally cause rainy and windy weather for a day or two, with some embedded thunderstorms from time to time. As a Floridian, I tend to consider most tropical storms another break from the same-old same-old. They can cause flooding and problems for many people, but if you’re staying at Walt Disney World Resort, the most concern you’ll have is flight delays or cancellations from heavy weather sitting over the airport—and that can happen most days of summer, anyway.Hurricanes: A hurricane can be a lot of things, especially to a vacation. Erratic movers which fluctuate rapidly in strength, a hurricane can make the Orlando weather outlook change from washout to sunny and back to washout in just a few forecast cycles. Not only that, but everyone’s comfort level is different with hurricanes. It’s a uniquely personal thing to plan for. Parks do close for hurricane conditions, although they will reopen as soon as they’ve been cleared for safety, usually while the raindrops are still falling. You’ll have to wait it out at your resort. At Value and Moderate resorts, where doors open directly outside, guests are asked to stay in their rooms during the worst of the storm, which could get tiresome. At Deluxe resorts, campus-style properties like the Grand Floridian Resort have building lockdowns, meaning you won’t be able to go to the lobby building during the storm. In recent hurricanes, we’ve seen people lose a full park day to a lockdown or a park closure during the storm itself.But it’s important to note: every storm is different, and we can’t predict the way storms might affect you or your vacation. These are just observations based on storm behavior and WDW’s policies over the past few years.If you’re considering cancelling your trip due to a storm, you’ll want to be aware of the official Hurricane Warning should the National Weather Service post one. The official Hurricane Warning is what triggers Walt Disney World’s hurricane policy, and this specific cancellation policy applies to reservations before, during, and after a hurricane. You can find that policy at the Disney World website here.Will tropical systems affect us this year at Walt Disney World? Almost certainly. From tropical depressions to hurricanes, the only question is how much rain will fall, how hard the wind will blow, and how long the heavy weather will stick around. If the past is anything to go on, even a hurricane can’t keep the Magic Kingdom closed very long.Got any weather questions? Let us know in the comments.
Human resources professionals, today is World Mental Health Day.Let’s chat.I recently had an experience at an event where I got the opportunity to have extended sit-down conversations with HR professionals about what is keeping them up at night in terms of their workplace processes. As an HR practitioner for years, I’ve been there. The long days that turn into long nights, the weekdays that turn into working weekends, the 24/7 connected world that we live in. You can’t turn it off, you’re always on, and oftentimes taking care of others’ problems at work, and beyond.Let’s face it: as HR professionals we all act as counselors at times for our employees, and the topics we are asked to council on often go well beyond the scope of the workplace. It’s heavy stuff. I kept a box of tissues prominently on my desk and had to swap it out more frequently than I care to admit. Mostly it was the employees who used them. After they left my office, or in quiet times while reflecting on hard conversations, sometimes it was me.As I reflect on my experience meeting with HR folks from all industries, something struck me sharply and compelled me to convey a thought to be sure you know–or maybe just to remind you: you are not alone in your HR struggles.ACA compliance, HIPAA regulations, employee relations issues, onboarding, terminations, recruitment, retirement, skills shortages—all the moments that matter for employees are things that keep you up at night because they are complex and oftentimes difficult to navigate. This is true whether you are an HR department of one, or you work for a large company with several HR employees.Maybe you feel like you are the only one who doesn’t have it all figured out. Good news! I’m here to tell you you’re not alone. As HR practitioners we are all in this together—a largely unspoken (until SHRM conferences!) kinship of sorts, one that when we can get together and talk, there are moments that make us say, “I thought I was the only one.” It comforting to then realize you’re not!As I sat with these professionals from all HR walks of life, I sensed that they took solace in the fact that “I’ve been there too,” and could empathize with what they were feeling and experiencing in their HR careers, and their everyday work life. They were also intrigued by what technology could do to help them find the right balance for their companies and make it easier on them.There are solutions out there to help you, the HR professional, take care of you, take stress away, and be more productive. Consider this your call to action to be good to yourself simply by asking for what it is you need to do your job better, taking some time off, unplugging, or doing whatever it is to find your Zen.Your future self will thank you.
Top Reasons to Go With Managed WordPress Hosting Related Posts richard macmanus Why Tech Companies Need Simpler Terms of Servic… Tags:#Product Reviews#web Today Six Apart is officially making its Movable Type publishing platform open source, just under four months after the launch of Movable Type 4 and six months after the open sourcing announcement in June. This means that as of today, MT users can freely modify, redistribute, and use Movable Type for any purpose they choose. Importantly, it also means that Six Apart has finally removed the one major advantage that WordPress has had over Movable Type – that it is open source. I’m sure representatives of both companies will argue that they still have advantages over the other (in fact, they usually do so in the Read/WriteWeb comments!). But given Movable Type’s history – MT was once the darling of early adopter bloggers, but when Six Apart introduced licensing fees the tide quickly turned towards WordPress – the open sourcing is both a necessary and welcome move by Six Apart.MTOS (Movable Type Open Source) is an open source project that will consist of a GPL-licensed version of Movable Type 4.0 and resources for the community of Movable Type developers. It was originally slated for Q3 release, but was pushed back to Q4 – today to be exact. The main points:MTOS has every feature in Movable Type 4.0, along with several new minor improvements and bug fixes.All plugins, themes, templates, designs, and APIs that work with MT4 work with MTOS.MTOS has built-in support for an unlimited number of blogs, an unlimited number of authors, and sign-in with OpenID.Six Apart will be adding additional paid benefits for paid users of Movable Type in the future, with benefits like improved technical support and custom add-ons such as plugins or themes.You can download MTOS at movabletype.org and find out how to contribute to the MTOS project and the MT community.MTOS support is provided by other members of the community. You can buy a standard paid license for one of the existing Movable Type products if you’d like professional support directly from Six Apart.In a blog post, Six Apart’s Anil Dash says that the open sourcing of MT is all about “freedom”. No doubt aware that Movable Type has some work to do to position itself as an open source publishing system, Dash claims that there is “a tradition of openness that Movable Type has embodied for over six years”. He notes that “there’s always been a free (as in beer) version of Movable Type” and “from TrackBack to Atom to OpenID, we’ve always released standalone open-source implementations of the key technologies that we’ve created or popularized with Movable Type.”Those are good points by Dash, but really the open sourcing was forced on them by WordPress’ success over the past 2-3 years. I’m glad to see Movable Type finally out in the open, because it’s the system we use here at RWW (although we also use WordPress on some of our network blogs). In the end, the users will win when there are two quality open source publishing platforms available! A Web Developer’s New Best Friend is the AI Wai… 8 Best WordPress Hosting Solutions on the Market