On September 11, Tony spoke to SCHRMA during their monthly luncheon, presenting on several current topics affecting Ohio’s HR professionals, such as education, healthcare, employment laws, unemployment fund solvency and drug-free workplaces. He also previewed the upcoming mid-term election and the possible ways it may affect Ohio.
5. z
132nd General
Assembly (2017-2018)
HB98
Law gives employers, along with
universities, trade schools, and
military recruiters, the opportunity to
present career information twice a
year to high school students
12. z
Federal Taxes v. Expenditures
47%
34%
9%
9%
1%
Individual Income Tax
Payroll Taxes
Corporate Income Tax
Customs Duties and Excise Taxes
Other
13. z
Federal Expenditures
Social Security
24%
Supplimental
Security
Income
2%
Civilian Federal
Retirement
3%
Medicare
15%
Medicaid
10%
ACC Subsidies
1%
National Security
15%
Veterans
5%
Interest
6%
Refundable credits
2%
Transporation
2%
Education
2%
Food Stamps
2%
Justice
1%
Housing Assistance
1%
Foreign Aid & Int'l Affairs
1%
Other
8%
14. A Consumer Centric Model
Member
One ID Card
One Phone Number
One Website | One App
Provider
Care and Medical Management
• Care coordination and navigation
• Condition Management – i.e. Diabetes
• Case Management
• Concurrent/Retrospective review
• Discharge planning
• Maternity management
• Behavioral Health – UM/CM/
Care management
Member Services
• Member customer services and
advocacy
• Provider selection, cost transparency
and steerage
• Appeals
• Referrals to point solutions and other
client resources Pharmacy Services
• Member pharmacy questions
• Pharmacy clinical review
• Mail order pharmacy questions
CLAIMS PAYER/
PROVIDER NETWORK
NICHE POINT SOLUTIONS
Provider Services
• Provider customer service
• Benefits eligibility
• Prior authorization/Pre-certification (UM)
• Medical necessity review
Integrated Services
OTHER CLIENT BENEFITS
17. z
“The General Assembly declares its intent in enacting
section 4112.054 of the Revised Code pursuant to this
act that employers will be encouraged to implement
meaningful anti-discrimination policies and foster a
work environment that is fair and tolerant.
The General Assembly further declares its intent that
human resource professionals should have the first
opportunity to resolve personnel complaints and
rectify detrimental workplace behavior before such
issues result in costly litigation.”
26. On March 31, 2017 President
Trump signed HJ Res 42
disallowing US DOL adopted
regulations that limited drug
testing of UI claimants by
state UI agencies
46. Tony Fiore
Of Counsel, Kegler Brown
Director, Government Affairs, Ohio SHRM
afiore@keglerbrown.com
keglerbrown.com/fiore
614-462-5428
@TonyFioreEsq