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Insurers mandated to suspend preauthorization requirements
The New York State Department of Financial Services (DFS) on Dec. 13 issued a letter directing insurers to suspend certain preauthorization and administrative requirements to help hospitals implement New York’s “surge and flex” protocol. The protocol — which mandates all hospitals to begin expanding their bed capacity to prepare for a COVID-19 surge — is part of […]
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The New York State Department of Financial Services (DFS) on Dec. 13 issued a letter directing insurers to suspend certain preauthorization and administrative requirements to help hospitals implement New York’s “surge and flex” protocol.
The protocol — which mandates all hospitals to begin expanding their bed capacity to prepare for a COVID-19 surge — is part of the winter COVID-19 plan that Gov. Andrew Cuomo recently announced, per the DFS website.
The DFS letter was “developed in collaboration with the insurance industry and hospitals,” the department added.
With the action, hospitals will be ready to “quickly” transfer patients between hospitals and, “when appropriate,” discharge patients to skilled-nursing facilities or their homes to increase bed capacity and balance patient load.
Similar regulatory relief was granted in March during the first COVID-19 surge in the state, the DFS noted.
“After what we saw in the spring, we know that preventing hospitals from becoming overwhelmed needs to remain a top priority moving forward. …This new guidance will help streamline hospitals’ ability to quickly transfer patients between facilities, increase bed capacity and balance patient load,” Cuomo said.
The letter directs insurers to suspend certain requirements for 60 days. They include preauthorization review for urgent or non-elective scheduled inpatient surgeries, hospital admissions and transfers between hospitals; for inpatient rehabilitation and home health-care services following an inpatient hospital admission; and for inpatient mental-health services following an inpatient hospital admission.
“A temporary suspension of preauthorization and other administrative requirements provides necessary flexibility for hospitals during this critical time to maintain sufficient hospital bed capacity,” Linda Lacewell, DFS superintendent, said. “We encourage insurance companies and hospitals to continue to work together to ensure that COVID-19 patients receive the care they need.”
The state reminds insurers that they are prohibited from denying emergency department and inpatient hospital treatment provided during the declared state of emergency for diagnosed or suspected COVID-19 cases “as not medically necessary on retrospective review.” In addition, hospitals should use their best efforts to continue to provide insurers with notifications, including information necessary for the insurer to assist in coordinating care and discharge planning of emergency hospital admissions.

New Yorkers can use new paid sick-leave benefits under new state law
New Yorkers can begin using sick-leave benefits under the state’s paid sick-leave law that took effect Jan. 1. The new law secures paid sick leave for workers at medium and large businesses and paid or unpaid leave for those at small businesses, depending on the employer’s net income, the office of Gov. Andrew Cuomo announced Dec. 29.
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New Yorkers can begin using sick-leave benefits under the state’s paid sick-leave law that took effect Jan. 1.
The new law secures paid sick leave for workers at medium and large businesses and paid or unpaid leave for those at small businesses, depending on the employer’s net income, the office of Gov. Andrew Cuomo announced Dec. 29.
Cuomo first discussed the measure during his 2020 State of the State address and lawmakers approved it as part of the 2021 state budget.
Under this law, New Yorkers can use guaranteed sick leave to recover from an illness themselves; care for a sick family member; or address safety needs if they or a family member are the victim of domestic violence, sexual assault, stalking, or human trafficking.
“This public-health crisis has put that need in even greater relief. Now, …we are expanding this fundamental right to all New Yorkers,” Cuomo said.
Earning sick leave
New Yorkers earn sick leave based on the hours they work, earning one hour of leave for every 30 hours they work, retroactive to Sept. 30, 2020. New York’s new guaranteed sick-leave law requires businesses to provide different levels of sick leave depending on their size.
Businesses with 100 or more employees must provide up to seven days (56 hours) of paid sick leave per year. Companies with five to 99 employees must provide up to five days (40 hours) of paid sick leave per year.
In addition, businesses with fewer than five employees, but a net income of more than $1 million, must provide up to five days (40 hours) of paid sick leave per year. Smaller businesses with fewer than five employees and a net income of less than $1 million must provide up to five days (40 hours) of unpaid sick leave. However, those already providing paid sick leave can continue to do so.
Prior to the law’s passage, about 1.3 million New Yorkers did not have access to paid sick leave, “forcing them” to either take unpaid leave and risk losing their jobs or show up to work while sick, potentially spreading communicable diseases to coworkers and the general public, Cuomo’s office said. Nearly one-in-four workers had reported being fired or being threatened with termination for taking sick time.
VIEWPOINT: From Employee To Entrepreneur: Becoming Your Own Boss in 2021
Maybe you have dreamed of launching your own business for years but couldn’t summon the nerve — or the capital — to pull it off. Perhaps 2020 proved disastrous to your career aspirations when the company you worked for downsized or shut down altogether — and out the door you went. Either way, 2021 could be
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Maybe you have dreamed of launching your own business for years but couldn’t summon the nerve — or the capital — to pull it off.
Perhaps 2020 proved disastrous to your career aspirations when the company you worked for downsized or shut down altogether — and out the door you went.
Either way, 2021 could be the time to ask yourself this question: Are you ready to go from employee to entrepreneur?
It’s an easy question to ask, but a more difficult one to answer.
Maybe for people who lost their job this year, it’s an easier call because they aren’t giving up something to make the move.
For them, this might be the perfect opportunity to finally give in to any entrepreneurial urges. But leaving full-time employment with its relative security, regular paycheck, predictable infrastructure, and perks is a different matter and requires a certain kind of courage.
After all, success is not guaranteed. About 20 percent of small businesses fail in their first year, and half succumb by year five, according to the Bureau of Labor Statistics.
But for those considering taking the plunge, here is my advice:
• Look before you leap. Starting a business requires a certain amount of risk, but that doesn’t mean you should be foolhardy. While I agree you have to commit to any endeavor for it to succeed, I’m also pragmatic enough to know that the risk must be balanced. Have a comfortable safety-net before you jump. Chances are that debt will outweigh income at the beginning. So, for those currently employed, take advantage of the income from your full-time position before you cut ties.
• Consider doing what you already know. For many entrepreneurs, success can be attributed to the fact they started a business in a field they were familiar with because they worked in it or already had expertise in it. They had seen their industry from the inside and acquired a keen understanding of both its potential and its constraints. That’s not true for everyone, but in the cases where it is true, it definitely can make for a more solid transition and increase the likelihood of success.
• Be adaptable. One thing that separates successful businesses from ones that fail is the ability to adapt to changing circumstances. Being adaptable doesn’t mean just introducing a new product to your realm of offerings. It requires constant attention to what’s going on in the world, analyzing your competitors, and most importantly, not getting too comfortable at the top of the pyramid. The business cycle is much like a StairMaster — once you get to the top, you have to keep climbing to stay up there.
Ultimately, though, the only way to truly find out whether a person can succeed as an entrepreneur is to do it, no matter how unsettling taking that first step might be.
Making the shift from the steady life of a full-time employee to the unpredictable world of entrepreneurship takes smarts, guts, and support. But you’ll never know if it’s right unless you embrace the risk.
Adam Witty, co-author with Rusty Shelton of “Authority Marketing: Your Blueprint to Build Thought Leadership That Grows Business, Attracts Opportunity, and Makes Competition Irrelevant,” is the CEO of Advantage/ForbesBooks (www.advantagefamily.com) which he started in 2005. The company helps busy professionals become the authority in their field through publishing and marketing.
VIEWPOINT: Ask Rusty: I’m 66. When Should I Claim Social Security?
Dear Rusty: I’d like to get advice on when I should begin taking my Social Security benefit. I turned 66 in October 2020. Signed: Pondering Retirement Dear Pondering: Deciding when to claim your Social Security benefit is a personal choice which should consider several factors, most importantly: • Your need for the money at this time • Your
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Dear Rusty: I’d like to get advice on when I should begin taking my Social Security benefit. I turned 66 in October 2020. Signed: Pondering Retirement
Dear Pondering: Deciding when to claim your Social Security benefit is a personal choice which should consider several factors, most importantly:
• Your need for the money at this time
• Your current health and expected longevity
• Your marital status
Since you have already reached your full retirement age (FRA) for Social Security (SS) purposes, you are no longer subject to the “earnings test,” which limits how much you can earn. So, working won’t affect your monthly SS benefit amount in any way. But it could influence your decision on when to claim, because if working enables you to delay claiming Social Security until after your FRA, your benefit amount when you eventually claim will be higher.
In October 2020, you started earning Delayed Retirement Credits (DRCs) at the rate of 0.67 percent for each full month you delay past your FRA. That means that for each full year you delay claiming, your benefit will be 8 percent more. You can earn DRCs until you are 70, at which point your Social Security benefit would reach maximum and be 32 percent higher than it would be at your FRA. But delaying only makes sense if you don’t urgently need the money now, and if you expect to enjoy at least average longevity (which is about 84 for a man your age today). If you delay until age 70 to claim, your “breakeven age” (the age at which you will have collected the same amount of SS money as if you claim now) will be about 83. And if you live longer than that, you’ll continue to enjoy that higher SS benefit for the rest of your life, and you’ll collect more in cumulative lifetime benefits.
A higher benefit at an older age can be quite beneficial to offset inflation and is especially helpful if you’re married and your wife outlives you. If you are married and you predecease your wife, she will get 100 percent of the benefit you are receiving at your death, if that is more than her own benefit from her own lifetime work record and if she has reached her own FRA when she claims her widow’s benefit. So, for example, if you claim now at your FRA, your widow later will get your FRA amount when you pass away. But if you delay past your FRA to claim, when you die, your widow will get the higher benefit amount you are receiving because you delayed claiming. In other words, when you claim your Social Security benefits, if you are married, can affect the benefit your widow will get if you die first.
So, the bottom line is this: In deciding when to claim your Social Security you should consider your current financial needs, your health and expected longevity, and your marital status. Carefully evaluating the above factors will help you to decide the best age at which to claim your Social Security benefits.
Russell Gloor is a certified Social Security advisor with the Association of Mature American Citizens (AMAC). The 2.3 million member AMAC says it is a senior advocacy organization. Send your questions to: SSadvisor@amacfoundation.org
Author note: This article is intended for information purposes only and does not represent legal or financial guidance. It presents the opinions and interpretations of the AMAC Foundation’s staff, trained and accredited by the National Social Security Association (NSSA). The NSSA and the AMAC Foundation and its staff are not affiliated with or endorsed by the Social Security Administration or any other governmental entity.
VIEWPOINT: Who’s the New Boss? How to Avoid Succession-Planning Mistakes
Many corporations have endured a rough 2020 that included the designations of top executives at some major brands. Will their replacements be ready? It’s a fair question, especially if the new company leader is promoted from within. Studies show many senior leaders don’t think their firms to properly educate and prepare future leaders for succession. If
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Many corporations have endured a rough 2020 that included the designations of top executives at some major brands. Will their replacements be ready? It’s a fair question, especially if the new company leader is promoted from within. Studies show many senior leaders don’t think their firms to properly educate and prepare future leaders for succession.
If an organization has no pipeline of leaders ready to take over senior-leadership positions, then a lack of succession planning can be catastrophic for even the most enduring company.
Many companies don’t find the development of leaders significant until they are readying for succession planning, embarking on a new venture, or weathering storms that threaten their viability. This reactive approach is risky because development takes time.
It’s time for CEOs, senior leaders, and heads of HR to modernize their leadership development because of the ever-evolving business world, which is especially volatile now.
Leaders often weren’t ready to assume higher roles before the pandemic, and now it’s a bigger problem in terms of succession. A rapidly changing time, such as now, is a good reason to focus on succession to ensure the chances of a company’s long-term survival.
The common mistakes businesses make in their succession plans are:
• They start too late. Even when companies realize they will have a void in their leadership roles, they wait too long to get the succession process started. They may know people are retiring in two years, but they need to start their planning well before then. It takes three to five years to do it right.
• They only consider the CEO role in their succession conversation. When companies do a thorough evaluation of their people, looking not only at their present performance but also gauging their future, they might discover they don’t have the right kinds of people in the right roles. Companies that win think strategically and have a people plan to address those gaps. I recommend an overall development plan for the organization’s leaders as a whole and for individuals, and a succession plan for all key roles — not just for the CEO or C-Suite.
• The succession plan and development plan aren’t shared with leaders. Many companies worry that if their plans are known by the individuals slotted for upcoming senior roles, other people, not chosen, will leave. Having outlined all roles with expectations will help others aspire to gain the knowledge and skills they need, because then they know what is required at the next level.
• Decisions are made subjectively by the top leadership team. It is tough to create a succession plan without objective data about the future open roles and the employees that could potentially fit those roles with the right development.
Prepared leaders who are stepping into higher roles have never been more important than they are now. They are more adept during unforeseen disruptions and are able to pull their teams together. They can recraft a new, realistic, strategic direction quickly.
Jennifer Mackin (www.jennifermackin.com) is a ForbesBooks author of “Leaders Deserve Better: A Leadership Development Revolution,” and a leader of two consulting firms — CEO of Oliver Group, Inc. and president and partner of Leadership Pipeline Institute US.
OPINION: Why COVID-19 Vaccines Won’t Restore Small Biz Overnight
Vaccines for COVID-19 recently began being distributed and administered. The Wall Street Journal states it will take until sometime in March to vaccinate the first 100 million individuals with the highest priority of getting the vaccine. That would leave well over 200 million Americans still in need of the vaccine as we head into spring. The
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Vaccines for COVID-19 recently began being distributed and administered. The Wall Street Journal states it will take until sometime in March to vaccinate the first 100 million individuals with the highest priority of getting the vaccine. That would leave well over 200 million Americans still in need of the vaccine as we head into spring.
The stock market is doing very well — an unbelievable achievement never seen before — even though millions of people have lost their jobs. The stock market is based on the theory of expectation, and what it is telling us is that with vaccines, the economy will begin to turn around and will be much better going forward.
But let’s look at this through the eyes of small businesses. Outside of government, companies with less than $7 million in sales and fewer than 500 employees are widely considered small businesses by the U.S. Small Business Administration. And the expectation for small businesses to return to what we considered normal pre-pandemic is not going happen anytime soon.
Here’s why. Multiple states have banned indoor dining at what remaining restaurants are still open. As of Dec. 1, nearly 17 percent of U.S. restaurants were “closed permanently or long-term,” according to a study by the National Restaurant Association. That percentage amounts to more than 110,000 service-industry businesses across the country.
As of the end of September, the number of businesses that had closed totaled about 170,000. And since that time, the total has possibly exceeded 200,000; it’s hard to determine how many people have been affected. In November, the U.S. had 10.7 million unemployed persons [almost 5 million more than in February, before the pandemic.] However, this number only tracks the number of people who are unemployed. It doesn’t record the people who are not drawing unemployment benefits and are out of work. So, in reality the number is higher than the 10.7 million.
With businesses closing and laying people off, no jobs for people to replace what they lost, and no income for the owners of the businesses, vaccines or not, we won’t have enough people working to turn the economy around. It will take most of 2021 to [widely distribute the vaccines to all the people who want them], but many of the unemployed still will have no jobs to go to after they get vaccinated.
The economists tell us there will be a surge in business once vaccines have been administered to the public, but the numbers tell us differently. And here is the biggest kicker of all that many economists have not figured into the equation — people’s habits have changed over the past year.
People are not buying as many clothes as they used to because they have nowhere to go. There is little dining, virtually no entertainment, and no gatherings, so there is no need to buy new clothes. Fuel sales are down because people are not commuting to work like they used to do. Any business or venue that needs a gathering of people to remain in business is either closed or ignored due to government restrictions.
It’s obvious that small businesses are not going to return to pre-pandemic levels with so many businesses closed in such a short time period. We are looking at 2022 at the earliest before the idea of normalcy begins to occur. And when the economy does begin to turn around, some of our favorite businesses we used to visit will be gone. Businesses cannot survive as long as the states keep changing the rules, which creates volatility in the marketplace. Entrepreneurs and investors seek opportunities but shun regulation and volatility, which can disrupt the flow of business. We eventually will see a surge in small businesses opening, but until then, small businesses are on a declining slope.
Terry Monroe (www.terrymonroe.com) is founder and president of American Business Brokers & Advisors (ABBA) and author of “Hidden Wealth: The Secret to Getting Top Dollar for Your Business” with ForbesBooks. Monroe has been in the business of establishing, operating, and selling businesses for more than 35 years.
OPINION: ‘Decline of the West’ talk is exaggerated
Pundits have been commenting on the “Decline of the West” since the German philosopher Oswald Spengler published a book by that title in 1918. The Western world may not be as dominant as it once was, but its decline has been exaggerated. The West, as we usually refer to it, is more a concept than
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Pundits have been commenting on the “Decline of the West” since the German philosopher Oswald Spengler published a book by that title in 1918. The Western world may not be as dominant as it once was, but its decline has been exaggerated.
The West, as we usually refer to it, is more a concept than a geographical region. We use the term to refer to a group of advanced industrial nations, united by shared values including democratic governance, constitutional norms, the rule of law, and civil liberties. Usually focused on the United States, Canada, and Western Europe, the term often expands to include Eastern Europe, Australia, and New Zealand. Other countries, such as Japan and South Korea, have similar values and economic systems but are not usually considered part of the West.
One face of the West is the G7 organization — made up of Canada, France, Germany, Italy, Japan, the United Kingdom, and the U.S., some of the world’s major economies — which has become a platform to coordinate economic and trade policies.
Western prominence dates back centuries. The climate and geography of the trans-Atlantic world provided a lot of advantages: deep-water ports, rich land for agricultural production, and raw materials to build the world’s strongest economic systems.
Although the collapse of the West has been often predicted, it has proved resilient, re-inventing itself, and displaying a remarkable capacity for survival, even dominance.
The U.S. began to move to the forefront of the West around the time of World War I. After World War II, the international order was set in place for more than 40 years. The world was divided into competing spheres: the Communist Bloc, centered in the Soviet Union; and the Western Bloc, led by the United States and committed to free markets and democratic governance.
That bipolar system collapsed with the breakup of the USSR. New actors emerged to contend for influence. The West was challenged by the Islamic State and other forces. European nations merged to create a single market and a borderless alliance in the European Union, with Germany its most powerful member. Other regional powers like India, Russia, and China stepped up.
But these powers faced challenges, including enormous debt, aging populations, and a reliance on immigration to meet economic needs. Frustration arose over limits to their powers, and questions arose about the capitalistic systems as the predominant model of governance.
Even so, power and influence may have shifted from the West, but the United States and its allies still retain powerful positions in the world.
First, the U.S. and Europe dominate international organizations like the G7, the World Bank, and the World Economic Forum — giving them an outsized influence over the global economy. Second, the United States is in a class by itself for military might. The U.S. and its allies account for about 70 percent of total military spending. Their power is simply unmatched.
China is now emerging as a major power and economy, even with a repressive political system. It has lifted millions out of poverty and seeks to expand its influence, but the combined economic and political strength of the West far outpaces China. The West has the best universities and the most educated people, who are leading the way in research, innovation, and technology. It has vast stores of natural resources, including metals and minerals, agricultural land, fisheries, and timber.
And, not least, Western governments have proven to be stable, able to absorb economic and political shocks better than authoritarian regimes. In just one indicator of wealth and stability, Western currencies, especially the U.S. dollar, continue to be favored by economies around the world.
Perhaps the most important reason for the West’s continued influence is the appeal of its values and norms. Its support for democracy, human rights, and the rule of law is a beacon for people everywhere who aspire to a better life. The authoritarian model has its achievements, but while nothing’s preordained, the West’s record of resilience is impressive.
Lee Hamilton, 89, is a senior advisor for the Indiana University (IU) Center on Representative Government, distinguished scholar at IU Hamilton Lugar School of Global and International Studies, and professor of practice at the IU O’Neill School of Public and Environmental Affairs. Hamilton, a Democrat, was a member of the U.S. House of Representatives for 34 years (1965-1999), representing a district in south central Indiana.

Bell & Spina Architects-Planners
SCOTT JECEN has joined the Syracuse office of Bell & Spina Architects-Planners as intern architect/architectural designer. He has more than eight years of experience in the metal-building industry, working in quality control, safety, and continuous improvement, where he became OSHA-30 certified. Jecen is a certified installer of standing-seam roofing and insulated metal wall and roof-panel
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SCOTT JECEN has joined the Syracuse office of Bell & Spina Architects-Planners as intern architect/architectural designer. He has more than eight years of experience in the metal-building industry, working in quality control, safety, and continuous improvement, where he became OSHA-30 certified. Jecen is a certified installer of standing-seam roofing and insulated metal wall and roof-panel systems. He holds a bachelor’s degree in architectural design and building from SUNY Delhi.
NICK DESANTIS has also joined the Syracuse office of Bell & Spina Architects-Planners as a project manager. He has more than 25 years of experience in architectural project management/construction management. DeSantis is a member of National Council of Architectural Registration Board (NCARB), associate member of the American Institute of Architects, and is OSHA-10 certified.
DIANA ELLIOTT has also joined Bell & Spina’s Syracuse office as a project architect/manager. She has more than 11 years of experience in architecture, building science, and engineering in the research and development sector. Elliott holds a bachelor’s degree in architecture from Roger Williams University in Bristol, Rhode Island, and a master’s degree in sustainable engineering: renewable energy systems & the environment from the University of Strathclyde in Scotland.
Murphy and Nolan, Inc. — a distributor of metal bar and tubing products that has offices located in Syracuse, Buffalo, and Rochester — has made the following personnel changes. ERICA M. REENERS has been named VP of procurement and administration. She started part time in the credit department more than 20 years ago and has
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Murphy and Nolan, Inc. — a distributor of metal bar and tubing products that has offices located in Syracuse, Buffalo, and Rochester — has made the following personnel changes.
ERICA M. REENERS has been named VP of procurement and administration. She started part time in the credit department more than 20 years ago and has since held multiple positions in sales and administration, most recently as director of purchasing and administration.
THOMAS P. ROSS has taken over as VP of sales and marketing. He has been with the company for more than 15 years and began his career as an intern before moving on to inside sales, account management, and most recently as director of sales operations.
MICHAEL C. FEGLEY has been named director of materials management at the Mohawk Valley Health System (MVHS). Fegley previously held positions in materials management at SUNY Upstate Medical University in Syracuse, at Erie County Medical Center in Buffalo, and at Crouse Hospital in Syracuse. Fegley earned his bachelor’s degree in business management from SUNY Empire
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MICHAEL C. FEGLEY has been named director of materials management at the Mohawk Valley Health System (MVHS). Fegley previously held positions in materials management at SUNY Upstate Medical University in Syracuse, at Erie County Medical Center in Buffalo, and at Crouse Hospital in Syracuse. Fegley earned his bachelor’s degree in business management from SUNY Empire State College in Syracuse.
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