Stay up-to-date on the companies, people and issues that impact businesses in Syracuse, Central New York and beyond.
Cuomo signs bill giving Onondaga County design-build authority on amphitheater project
GEDDES — Onondaga County can now have the same company design and build the Onondaga Lake Amphitheater to meet “an aggressive construction schedule.” Gov. Andrew Cuomo on Sept. 15 signed legislation granting the design-build authority that Onondaga County had requested, Cuomo’s office said in a news release. Crews will build the Onondaga Lake Amphitheater, a […]
Become a Central New York Business Journal subscriber and get immediate access to all of our subscriber-only content and much more.
Click here to purchase a paywall bypass link for this article.
GEDDES — Onondaga County can now have the same company design and build the Onondaga Lake Amphitheater to meet “an aggressive construction schedule.”
Gov. Andrew Cuomo on Sept. 15 signed legislation granting the design-build authority that Onondaga County had requested, Cuomo’s office said in a news release.
Crews will build the Onondaga Lake Amphitheater, a new performing arts center, on the western shore of the lake in the town of Geddes.
“Building this performance-arts space on Onondaga Lake will showcase the area’s natural strengths and create a new destination to draw more tourism, create jobs, and spur economic activity,” Cuomo contended in the news release. “By granting this project design-build authority, the amphitheater will be able to be built faster, cheaper, and more efficiently.”
The project is part of the Onondaga Lake Revitalization program, for which Cuomo and Onondaga County Executive Joanie Mahoney announced details at the Solvay-Geddes Community Youth Center on Jan. 29.
The program’s first phase includes projects totaling more than $100 million with $30 million in funding from New York, along with resources from the federal government and local funds that include a portion of casino payments from the Oneida Indian Nation, Cuomo’s office said.
New York State Assemblyman William Magnarelli (D–Syracuse) and New York state Sen. David Valesky (D–Oneida) sponsored the bill on behalf of Onondaga County.
“In addition to allowing a design-build concept which saves money and increases efficiency, the legislation guarantees fair wages and encourages the use of MWBE contractors,” Valesky said in the news release.
MWBE is short for Minority and Women-owned Business Enterprise.
Cuomo in the current state budget proposed $30 million in state funding to support economic development and infrastructure improvements for the communities surrounding Onondaga Lake, according to his office.
The improvements include brownfield-remediation projects, infrastructure investments to encourage new housing and business opportunities, and enhancements to the Onondaga lakefront that will increase access and provide new recreational opportunities, the office added.

SU’s newest building honors Dineen family legacy
SYRACUSE — The Syracuse University (SU) College of Law provided Carolyn Bareham Dineen and Robert Emmet Dineen, Sr. “one of the most important opportunities in their lives.” One of their daughters, Carolyn Dineen King, a senior judge in the U.S. Court of Appeals for the Fifth Circuit in Houston, Texas, made the comment as she
Become a Central New York Business Journal subscriber and get immediate access to all of our subscriber-only content and much more.
Click here to purchase a paywall bypass link for this article.
SYRACUSE — The Syracuse University (SU) College of Law provided Carolyn Bareham Dineen and Robert Emmet Dineen, Sr. “one of the most important opportunities in their lives.”
One of their daughters, Carolyn Dineen King, a senior judge in the U.S. Court of Appeals for the Fifth Circuit in Houston, Texas, made the comment as she spoke during the Sept. 12 formal opening ceremony for SU’s newest building.
“The opportunity to build a fulfilling, successful, and happy, professional life,” Dineen King said as she continued her remarks.
Robert Dineen, Sr. earned a certificate of law, instead of a law degree, when he graduated from the College of Law in 1924, according to an SU website providing details about Dineen Hall and the Dineen family.
He grew up in a neighborhood close to the west side of campus “largely made up of Irish immigrants,” the website says. The neighborhood was known as “The Swamp,” the site adds.
After law school, Robert Dineen, Sr. worked as a claims adjuster for insurance companies throughout upstate New York and Canada.
He eventually became a partner in the Syracuse law firm of Bond Schoeneck & King PLLC and later served as superintendant of insurance in New York and then president and CEO of Northwestern Mutual Life, the website says.
Northwestern Mutual Life is now headquartered in Milwaukee, Wisc.
Carolyn Bareham Dineen graduated from the law school in 1932. She grew up in Rochester and was one of only two women in her law school graduating class, according to the SU website.
She earned a bachelor’s degree from William Smith College and later, a master’s degree from Columbia University.
Dineen also worked as a newspaper columnist to put herself through law school “when her father refused to assist, as he did not believe that women should be lawyers,” according to the SU website.
She went on to serve as a lawyer the Syracuse law firm of Costello, Cooney & Fearon PLLC.
The Dineen family says it provided the naming gift for the venue to honor the legacy of their parents.
Robert Dineen, Jr. in April 2010 announced that his family would provide a $15 million naming gift to the College of Law for the project.
Dineen, Jr. is a retired partner, formerly with New York City–based Shearman & Sterling, LLP, a member of the SU board of trustees, and the College of Law’s board of advisors, the SU website says.
Besides Carolyn Dineen King and Robert Dineen, Jr., the Dineens had another daughter, Kathryn Dineen Wriston, who also became an attorney.
Opening events
SU’s College of Law formally opened Dineen Hall with a series of grand-opening events involving students, faculty, alumni, friends, and the legal community.
The new hall becomes the sixth venue to serve as home to the College of Law, Marc Malfitano, chairman of the college’s board of advisors, said to begin his remarks during the Sept. 12 ceremony.
SU hosted the event in a covered tent outside the entrance to Dineen Hall at 950 Irving Ave., with the street blocked on either side to accommodate the nearly hour-long ceremony.
Richard Gluckman, a graduate of the SU School of Architecture and a principal with New York City–based Gluckman Mayner Architects, served as the lead architect on the project and spoke during the Sept. 12 grand opening.
“Our consultants, especially the engineers, bought in early and collaborated on the design of a high-performance building that achieved LEED gold [status],” Gluckman said.
The 200,000-square-foot Dineen Hall is Leadership in Energy and Environmental Design (LEED) Gold-certified, SU said.
Hueber-Breuer Construction Co., Inc. of Syracuse was the general contractor on the project.
Dineen Hall is situated on a site just west of the college’s former buildings, E.I. White Hall and Winifred MacNaughton Hall, SU said in a news release. It’s also located across Irving Avenue from the Carrier Dome.
White and MacNaughton Halls have been repurposed for other campus academic and programmatic use, according to SU.
The formal opening was part of a series of activities on Sept. 12 to acknowledge the new law school’s opening.
Theodore McKee, chief judge of the third circuit court of appeals and a 1975 College of Law graduate, presided over the day’s events.
McKee delivered an inaugural address in the building’s Melanie Gray Ceremonial Courtroom, a 300-seat auditorium for advocacy competitions, the judiciary and lecturers, according to the SU news release.
Several circuit-court judges also gathered for a “Conversation from the Bench,” including McKee, Dineen King, James Graves, Jr., Rosemary Pooler, and Thomas Reavley.
The judges discussed legal issues such as the state of judicial independence and judicial legitimacy “in an age of partisan gridlock and political polarization,” according to the release.
Contact Reinhardt at ereinhardt@cnybj.com
Makerspace offers hands on-training for Syracuse creatives
SYRACUSE — Inventors, tinkers, and creative types in Syracuse now have a place where they can come together to make anything from anything. The Syracuse Arts Learning & Technology (SALT) Makerspace — an open community lab that provides equipment and space for woodworking, metalworking, and 3D design and modeling — held a grand-opening event on
Become a Central New York Business Journal subscriber and get immediate access to all of our subscriber-only content and much more.
Click here to purchase a paywall bypass link for this article.
SYRACUSE — Inventors, tinkers, and creative types in Syracuse now have a place where they can come together to make anything from anything.
The Syracuse Arts Learning & Technology (SALT) Makerspace — an open community lab that provides equipment and space for woodworking, metalworking, and 3D design and modeling — held a grand-opening event on Sept. 11. More than 150 people attended the ceremony at the facility located inside the Delavan Center on West Fayette Street.
The SALT Makerspace had a soft opening in August while some of the final renovations on the space were completed.
“It’s exciting to see this is a realty I can share with the city of Syracuse, with the people I’ve met, and the people I will meet,” says Michael Giannattasio, executive director.
Instead of a typical ribbon cutting, Giannattasio used an oxy acetylene torch to cut a chain to formally declare the facility open and demonstrate the kind of work done there.
The SALT Makerspace will offer memberships, workshops, and storage-space rentals. Membership rates range from $50 for a two-day pass to $1,100 for a full-year membership.
Giannattasio says 16 people had signed up for memberships as of opening night.
A project two years in the making, the 2,300-square-foot facility is divided into a “dirty” and a “clean” workspace. The 1,600-square-foot dirty space houses the metal and wood-shop tools. Down the hall, the 700-square-foot clean space houses the computer lab and 3D prototyping and printing tools.
Upcoming workshops include woodworking skills, welding for women, and screen-printing and prototyping. Workshops will be taught by skilled technicians from Syracuse and surrounding areas.
The overall project costs upwards of $50,000, Giannattasio estimates.
The Tech Garden in downtown Syracuse contributed $29,000 toward the effort, while another $14,000 came from private donors. Additionally, Giannattasio says he has invested more than $10,000 of his own money to fund the project.
The SALT Makerspace will eventually operate as a 501(c)(3) nonprofit, though the paperwork is still in process, Giannattasio says. In the meantime, the neighboring Redhouse Arts Center is acting as the makerspace’s fiscal sponsor.
A California native, Giannattasio, 31, earned a bachelor’s degree from California State University Chico and master’s of fine arts degree in sculpture from Syracuse University. He has taught sculpture and industrial design courses at Syracuse University, but has put his teaching career on hold to focus on the makerspace project.
“I never saw myself in this position until I was in this position,” says Giannattasio.
The concept of a makerspace developed in the 1990s to provide space for like-minded creative people to be able to learn, create and share, according to a news release from the SALT Makerspace. Since then, more than 1,100 makerspaces have been launched worldwide.
Contact Collins at ncollins@cnybj.com
N.Y. manufacturing index jumps to nearly 5-year high
New York manufacturers say they are seeing their strongest business conditions in almost five years. The Federal Reserve Bank of New York reported Sept. 15 that its Empire State Manufacturing Survey general business-conditions index rose nearly 13 points to 27.5 in September, its highest level since late 2009. That easily beat analysts’ average expectations of
Become a Central New York Business Journal subscriber and get immediate access to all of our subscriber-only content and much more.
Click here to purchase a paywall bypass link for this article.
New York manufacturers say they are seeing their strongest business conditions in almost five years.
The Federal Reserve Bank of New York reported Sept. 15 that its Empire State Manufacturing Survey general business-conditions index rose nearly 13 points to 27.5 in September, its highest level since late 2009. That easily beat analysts’ average expectations of an index reading of 16.0, according to Yahoo Finance data.
The September figure is up from the August index reading of 14.7, which was down more than 11 points from July’s reading of 25.9.
“We’re at a multi-year high … in the general-business conditions [index], so [that] would suggest that we’re headed in the right direction,” says Randall Wolken, president of the DeWitt–based Manufacturers Association of Central New York (MACNY).
Wolken spoke with the Business Journal News Network on Sept. 16.
The New York Fed’s survey found that 46 percent of respondents reported that conditions had improved in September, while 18 percent said that conditions had worsened.
The new-orders index moved up three points to 16.9 in September, and the shipments index advanced two points to 27.1, according to the latest survey.
“The reality is they’re [manufacturers are] producing more and they’re shipping more and that bodes well,” says Wolken.
The survey also showed that the unfilled-orders index dropped three points to -10.9, suggesting that fewer orders remained unfilled over the month.
The delivery-time index was “little changed” at -5.4, and the inventories index rose seven points to -7.6, which indicated a decline in inventory levels for a third consecutive month, according to the New York Fed.
The prices-paid index was “slightly lower” this month, falling three points to 23.9, a sign that input-price increases were “somewhat less widespread.”
The prices-received index, however, jumped nine points to 17.4, indicating a “pickup in the pace” of selling-price increases, the New York Fed reported.
The index for number of employees fell 10 points to 3.3, and the average-workweek index dropped five points to 3.3, but they still indicate growth in those indicators because they are above zero.
“These [index readings for new orders, shipments, and employment] are all very positive signs for continued growth in the manufacturing sector,” says Wolken.
In addition to reporting strong current conditions, New York manufacturers are also indicating that the next six months will be bright.
Indexes for the six-month outlook conveyed a “high degree of optimism” about future business conditions, the New York Fed said in its survey report.
Wolken points to the increases in the indexes measuring new orders and shipments as potential factors influencing the optimistic outlook among manufacturers.
“I think it’s one reason they have a positive general outlook for the next six months because those indicators would suggest that they’ll have strong production need,” he says.
The index for future general-business conditions was unchanged from last month at 46.7.
The future new-orders index fell five points to 45.6, and the future shipments index declined seven points to 47.5.
Though both of these indexes were somewhat below their August levels, they remained “high by historical standards,” according to the New York Fed.
The index for expected number of employees dipped to 14.1, and the future average-workweek index was 5.4.
The capital-expenditures index fell five points to 13.0, and the technology-spending index edged down three points to 9.8.
The New York Fed distributes the Empire State Manufacturing Survey on the first day of each month to the same pool of about 200 manufacturing executives in New York.
On average, about 100 executives return responses, it says.
Contact Reinhardt at ereinhardt@cnybj.com
Study provides a snapshot of bio/med industry in CNY, Upstate
MedTech — a Syracuse–based trade association for bioscience and medical technology (bio/med) companies in New York state — has just released its 2014 bio/med industry report, providing a snapshot of the industry in the Empire State, with special emphasis on upstate New York. The report, called “Bio/Med Breakthroughs: Advancing New York State’s Innovation Economy,” was
Become a Central New York Business Journal subscriber and get immediate access to all of our subscriber-only content and much more.
Click here to purchase a paywall bypass link for this article.
MedTech — a Syracuse–based trade association for bioscience and medical technology (bio/med) companies in New York state — has just released its 2014 bio/med industry report, providing a snapshot of the industry in the Empire State, with special emphasis on upstate New York.
The report, called “Bio/Med Breakthroughs: Advancing New York State’s Innovation Economy,” was issued Sept. 15 at the MEDTECH 2014 conference in Albany.
The data encompassed in the report comes from many sources, including in-depth quantitative and qualitative research and analysis, according to a MedTech news release.
The life-science market research specialist firm, KJT Group of Honeoye Falls surveyed and conducted interviews with bio/med industry executives regarding the challenges and opportunities they saw for the industry, with a specific eye on workforce development in New York, the release stated. The economic-development consulting organization, Battelle’s Technology Partnership Practice, provided employment and trend data and academic and industry best practices to MedTech’s industry report. Both analyses address the industry in general, plus workforce/talent development and economic impact.
“The study reveals a developing ecosystem on par with some of the country’s hottest Bio/Med locales,” MedTech said in the release.
The study explored the economic impact of the industry in seven regions in upstate New York. It found that the bioscience industry is a major economic driver in the Central New York economy, accounting for 19 percent of the region’s overall economy. The region has the second-largest composition of bioscience employment in all of upstate New York, according to the news release. The industry’s strong penetration within the region further amplifies the impact of any losses or gains in regional bioscience-related employment, according to the release.
Central New York directly employed more than 4,600 people in the biosciences, as of 2012, down 4 percent from 2007. However, MedTech contends the study’s findings indicate opportunity for the region to “face this challenge.”
Medical device and equipment production is 26 percent more concentrated in upstate New York when compared to the national average. The growing research, testing, and medical lab concentration tops the national average by 12 percent, according to the analysis by Battelle’s Technology Partnership Practice.
These trends are also reflected in Central New York where medical device and equipment employment is 69 percent more concentrated than the national average, and research, testing and medical labs’ employment is 67 percent more concentrated, the release noted.
MedTech believes Central New York is positioned to capitalize on regional strengths that are growing such as in-vitro diagnostic substance manufacturing and life-science commercial research and development. Surgical and medical instrument manufacturing continues to be strong, but, its recent loss of jobs makes it a “retention priority” for the region, MedTech said.
“With some of the work that’s going on in New York State, this industry has got a lot of new and exciting opportunities over the next three to five years,” Mike Bovalino, president of stem cell research equipment maker BioSpherix in Oswego County, said in the MedTech news release. “If we’ve got the right people who can continue to be competitive in New York State, they’re going to reap some of the benefits.”
Central New York’s workforce composition is further evidence of its regional strengths in the biosciences. A number of bioscience-related jobs are considered specialties with concentrations significantly higher than the national average including medical and clinical laboratory technologists, dental laboratory technicians, and ophthalmic laboratory technicians.
For a full copy of the 2014 bio/med industry report, visit www.nybiomedreport.com.
CNY company, Upstate schools partner to develop machine-tool technology
ONONDAGA — A $25,000 state grant, plus collaborations with several upstate universities, should help kick-start a project at MacKintok, Inc., a software and business solutions company, that could lead to a marketable product by year’s end. MacKintok, headquartered at 5036 City View Drive in the town of Onondaga, specializes in providing information-retrieval tools to the
Become a Central New York Business Journal subscriber and get immediate access to all of our subscriber-only content and much more.
Click here to purchase a paywall bypass link for this article.
ONONDAGA — A $25,000 state grant, plus collaborations with several upstate universities, should help kick-start a project at MacKintok, Inc., a software and business solutions company, that could lead to a marketable product by year’s end.
MacKintok, headquartered at 5036 City View Drive in the town of Onondaga, specializes in providing information-retrieval tools to the manufacturing and machine-tool industry. That’s easy to do, MacKintok owner and founder Kenneth Tock says, when the machinery is newer and has Ethernet capabilities.
The only struggle there, he notes, is that different machines communicate in different “languages” so, until MacKintok partnered with MT Connect Institute, a group of companies working together to promote the use of MT Connect, each “language” needed its own system to communicate.
MT Connect is an open, royalty-free standard that translates all the various machine “languages” into one standard protocol and was the key to MacKintok developing one product that would display information from all types of machines, Tock says.
That information includes numerous details about how that machine is running, he says. Everything from how fast a spindle rotates to how many times the machine has broken down. Having that information easily accessible helps manufacturers stay on top of issues, tweak things to improve efficiency, and even set up a maintenance schedule.
There was just one problem left, Tock says. There still wasn’t a way for older legacy machines to communicate. “They are all over, but they aren’t connected to the Ethernet,” he says. The problem is finding a way for those machines to gather and communicate information.
The solution, Tock hopes, will come from the project for which MacKintok received a $25,000 grant from CenterState CEO’s Grants for Growth program to design and build a prototype device that will use sensors to gather and transmit that information.
“Basically, we’re making those old machines intelligent and able to communicate,” Tock says.
MacKintok will work with SUNY Cortland and Rensselaer Polytechnic Institute (RPI) to provide research opportunities for students to test different components. Students in Cortland’s professional master’s degree in sustainable-energy systems program will test the reliability, efficiency, and limits of the wireless sensors. Students in an advanced manufacturing processes and systems class at RPI will test the box that will receive the sensor data.
After that, “we’re looking at a couple pilot projects with some local manufacturers,” Tock says. The company is working with the Cortland County Business Development Corporation and Industrial Development Agency to connect with companies in the area to test the product, he says.
If all goes well, Tock hopes to have product testing under way within a month and have a marketable product by the end of this year. “We’re really close right now,” he says.
Once that happens, Tock expects good things for his company, which he founded in 2004. The product would be aimed at small to mid-sized manufacturing companies, which don’t necessarily have the resources to invest in new equipment.
“I think there’s potential for growth there for sure,” he says. While he declined to provide any sales projections, he says the product would provide almost limitless opportunities by offering customized solutions as well as a basic slate of options.
Currently, Tock is the company’s only full-time employee. He uses contractors on an as-needed basis, but expects that to change. “At some point, as this takes off, we’re going to have to have full-time personnel,” he says.
Contact The Business Journal at news@cnybj.com
Explore IRA options today, save for tomorrow
Recently, I found myself in conversation with family friends who are at a number of crossroads. One child recently purchased a home, one child is moving off to a full-time professional placement, and yet another is heading to college after having finished a summer of part-time employment. While each of these paths carries distinct differences,
Become a Central New York Business Journal subscriber and get immediate access to all of our subscriber-only content and much more.
Click here to purchase a paywall bypass link for this article.
Recently, I found myself in conversation with family friends who are at a number of crossroads. One child recently purchased a home, one child is moving off to a full-time professional placement, and yet another is heading to college after having finished a summer of part-time employment. While each of these paths carries distinct differences, all share a common thread — the need to plan for retirement.
While it may seem odd to have this conversation with the college-bound member of your family, it is actually the perfect moment in time. Another friend agrees and went so far as to match her son’s income with an IRA deposit. And in doing so, served up an explanation on how important it is to save for retirement starting right now. That family’s plan, by the way, is to continue the matching program through the student’s college years to help jump-start the nest egg of the future.
In the scenario of the first family I mentioned, the eldest child was quite verbal about the importance of saving, but confessed to being somewhat confused about the options available, even after investing some time reading up on the subject. I suspect this is a concern shared by many.
Any time your employer offers a salary-deferral program, and many do, you should jump right on the bandwagon. While the best plan is to make the maximum deferral allowed by law (and reduce your taxable income, thereby saving tax dollars), it is very important to defer any amount your employer will match. For those not deferring the maximum paycheck, it is a very good idea to consider the old adage, “you don’t miss what you never had.” So, catch up those contributions whenever receiving a bonus or pay increase.
For those with no access to an employer plan, the IRA is an option. There are traditional IRAs and Roth IRAs. And to make matters more complicated, traditional IRAs may receive both deductible and non-deductible contributions. The long and short of it? If you have earned compensation, you should be looking at IRA options.
Both Roth and traditional IRAs carry contribution limits, which are subject to cost-of-living adjustments of $5,500 for 2014 with the additional catch-up option for individuals who will be at least age 50 by the end of the year. In any case, contributions cannot exceed your annual compensation. For example, if your W-2 reflects taxable income of $3,700, then the IRA contribution is limited to $3,700.
Traditional IRA contributions are deductible on your federal income-tax return depending on your marital and tax-filing status, whether you or your spouse participate in an employer-sponsored retirement plan and your modified adjusted gross income.
Roth IRA contributions are not tax-deductible, but you can withdraw your contributions at any time, tax and penalty free. When you satisfy the qualified distribution requirements, you can withdraw earnings tax-free. In my view, this is the ultimate reward for utilizing a Roth IRA.
Both traditional and Roth IRAs have the benefit of tax-deferred earnings within the IRA. Earnings within the traditional IRA are taxable upon withdrawal, but Roth earnings may be eligible for tax-free withdrawal in certain circumstances.
In case things weren’t complicated enough, the discussion of traditional vs. Roth moves to a whole new level when you consider IRA conversions and the fact that you may be able to make a contribution to more than one type of retirement account, IRA or employer-sponsored, in any given year. There are a number of limitations, the first of which is that the total amount deposited in any type of IRA for a given calendar may not exceed your annual compensation in total. In addition, there are deductibility rules for traditional IRAs based upon filing status, amount of modified adjusted gross income, and qualified plan participation.
You have probably heard about IRA conversions. A conversion occurs when traditional IRA assets are moved into a Roth IRA. It is important to remember that any pretax or deductible part of your traditional IRA that is converted to a Roth IRA must be included in your taxable income for the year in which the conversion takes place. Sometimes this makes sense, particularly when you consider the long-term value of tax-deferred earnings within the Roth IRA.
Last but not least is the added benefit of making a retirement-plan contribution in terms of the saver’s tax credit you may be able to claim on your tax return when contributing to a retirement account. Pay special attention to this — many people do not consider this when making the “can I afford it?” decision. The bottom line? Can you really afford not to leverage retirement-plan savings to the greatest extent possible?
There are numerous charts and websites available to assist you in determining what contribution is allowed and what amount of the contribution is deductible, but a call to your CPA can help you sort through the details and the particulars of your personal situation. It isn’t too late to get the ball rolling for this year.
Gail Kinsella is a partner in the accounting firm of Testone, Marshall & Discenza, LLP. Contact Kinsella at gkinsella@tmdcpas.com
Cryptic Medical Bills and Health Insurance
Dr. Michael Kirsch, a practicing physician and newspaper columnist, has lamented that he has difficulty answering a number of his patients’ questions. One key question is: “Why can’t patients receive medical bills they can understand?” Recently, I happened to visit the doctor, the dentist, and the vet all in the same two weeks. We paid
Become a Central New York Business Journal subscriber and get immediate access to all of our subscriber-only content and much more.
Click here to purchase a paywall bypass link for this article.
Dr. Michael Kirsch, a practicing physician and newspaper columnist, has lamented that he has difficulty answering a number of his patients’ questions. One key question is: “Why can’t patients receive medical bills they can understand?”
Recently, I happened to visit the doctor, the dentist, and the vet all in the same two weeks.
We paid the vet on the way in before we even set down the cat carrier. Check-up visits have a preset price and require full payment before services are rendered. I used a personal credit card to pay the bill.
The dentist’s bill was easy to understand. Before my check-up, I was given a list of procedures and their costs. From that list, I could decide, for example, if having X-rays was worth the extra charge to me. On the way out, I paid my bill with a health savings account credit card.
At the doctor’s office, I was not exactly sure what services I would be receiving, nor did I know what those services would cost. On the way out, I tried to pay. I was informed that the amount I owed could not be determined until it was submitted to my insurance.
Over the next few weeks, I received many — I suppose you could call them bills or perhaps notifications — in the mail, none of which I could understand. Some were from my health-insurance provider, some from my doctor, and some from an independent lab. Each listed diagnostic codes rather than explanations in plain English.
After some time, it appeared that the doctor’s office and insurance company had agreed on what portion of the bill was my responsibility and how much insurance should pay the doctor. Of course, I still had no idea of the total charges.
In most industries and retail outlets, bills, invoices, receipts, and price tags benefit the customers, who naturally want to know how much they would be spending before they agree to the service or buy an item.
Health-care consumers, in contrast, often don’t have to worry about the cost of procedures because they have a third party (an insurer, employer, or the government) footing the bill.
Previously, we wrote about the consequences of our third-party payer system on hospital fees. This payment system has similar consequences on the readability of hospital bills.
With a third-party payer involved, health-care providers don’t need to please their patients to get paid. They need to please their patient’s health insurance. If the insurance company isn’t satisfied, it isn’t going to pay.
For this reason, hospital bills are generated with health insurers in mind. And, health-insurance providers, both public and private, have incentives to be difficult to please.
Any actions that result in delaying or avoiding payment could save the third-party payer money.
Medicare, for example, pays out more than $600 billion per year. Delaying those payments by just four months could be worth $6 billion each year in interest.
With that kind of money on the line, health-insurance providers have become proficient at making life difficult for health-care providers’ billing departments. They benefit from changing the compliance rules regularly to keep billing staff guessing and use automated programs to reject or question physician invoices.
At least some of what is commonly referred to as “cracking down on Medicare fraud” could also be characterized as “routinely denying honest doctors payment simply because they haven’t filled out complex compliance forms correctly.”
It is easy for insurance companies to deny payment automatically, but it takes providers hours to submit each bill manually for reimbursement. The slowest state, Pennsylvania, delays Medicaid payments by an average of 115 days. Such delays combined with the ultimately low payments are the primary reason why doctors in many states simply refuse to accept Medicaid.
About half of the support staff in a typical doctor’s office is there to deal with insurance issues and to ensure they get resolved. Put another way, the personnel costs of an office visit would be cut in half if patients paid in cash on their way out. Imagine what additional personnel costs there would be if those staff members were responsible for generating two bills: one for patients that we can understand and one for the insurance companies that gets them paid.
Next time you receive an unintelligible medical bill, remember the third-party payer system and just how hard it is for your doctor to be paid.
David John Marotta is president of Marotta Wealth Management, Inc., which provides fee-only financial planning and wealth management. Contact him at emarotta.com or visit www.marottaonmoney.com.
A Revenue-Neutral Carbon Tax to Address Climate Change and Improve the Economy?
In June, the U.S. Environmental Protection Agency unveiled a draft proposal to cut carbon pollution from the nation’s power plants 30 percent from 2005 levels by 2030. Although the proposed rule has been called “one of the strongest actions ever taken by the United States government to fight climate change,” it will also assuredly not
Become a Central New York Business Journal subscriber and get immediate access to all of our subscriber-only content and much more.
Click here to purchase a paywall bypass link for this article.
In June, the U.S. Environmental Protection Agency unveiled a draft proposal to cut carbon pollution from the nation’s power plants 30 percent from 2005 levels by 2030. Although the proposed rule has been called “one of the strongest actions ever taken by the United States government to fight climate change,” it will also assuredly not achieve nearly the reductions in greenhouse gases that science tells us must be attained. And the proposal has raised some valid objections from the business community.
The good news is that an alternative solution exists that does not require obtrusive and selective governmental regulations, and does not involve loophole-ridden, emissions-trading schemes. That solution is a revenue-neutral carbon tax, endorsed by such prominent conservatives as former U.S. Secretary of State George Schultz, former Congressman Bob Inglis, and Greg Mankiw, formerly chairman of the Council of Economic Advisers under President George W. Bush.
The Citizens’ Climate Lobby, a national volunteer-based organization, is advancing a carbon tax, called the “Carbon Fee and Dividend.” The proposal consists of a $15-per-ton fee on CO2 equivalent fuel sources, to increase by $10 per ton annually until specific, identified emissions goals are achieved. As a frame of reference, $15/ton CO2 equivalents translates roughly to a price increase of 15 cents per gallon of gasoline. The proposal is revenue-neutral in that the revenue generated by the fee would be rebated monthly in the form of a check to U.S. households in an amount equal to the median energy cost per household. The fee, of course, provides a market incentive for individuals to lower their consumption of carbon-based fuels throughout the supply chain.
By returning 100 percent of the fees generated back to U.S. citizens with none retained by the federal government, the proposal is “revenue neutral” for the federal budget and offsets increased energy prices for most households. The gradually increasing nature of the proposed fee is intended to avoid “price shocks” to the economy and a “border adjustment” on imports would ensure that domestic manufacturers are protected while also providing an incentive for foreign trading partners to implement an analogous tax.
The business community is probably keenly interested in what the potential effects of such a proposal would be on our regional or national economies. Setting aside the increasing costs to our economies that will surely occur as a result of unabated climate change (example: decreased agricultural productivity, storm damage, loss of coastal habitation, etc.), a recent rigorous economic study demonstrates compellingly that addressing climate change through Carbon Fee and Dividend will improve employment and economic growth both regionally and nationally.
Regional Economic Models, Inc. (REMI), a respected, non-partisan economic modeling firm, completed an economic analysis of the Carbon Fee and Dividend proposal in June of this year and the results are exciting. Implementation of a gradually increasing carbon fee with revenues returned to households will increase employment and economic growth both nationally and for the Mid-Atlantic Region (New York, New Jersey, and Pennsylvania) when compared with not implementing the proposal.
Assuming implementation beginning in 2015, REMI forecasts that by 2024 U.S. GDP will increase by $840 billion and $150 billion regionally compared to what it would be without implementing the proposal. Jobs are projected to increase over the same period by about 2 million for the U.S. and by 250,000 for the Mid-Atlantic region.
Central New York impact
While REMI’s analysis did not specifically address our 16-county Central New York region, our employment/economy breakdown is sufficiently similar to the larger Mid-Atlantic region analyzed to suggest that the results would be comparable if not better.
We often see calls in Central New York for us to transition to a “21st century economy” and invest more in technology and “green” industries. But varying combinations of top-down government initiatives, and vague references to “leadership,” are usually identified as the means for accomplishing this goal. The limitations of government for affecting such a transition, however, are widely recognized, especially when contrasted with market forces.
Climate change has been called the “greatest example of market failure the world has ever seen,” [according to the Stern Review on the Economics of Climate Change, a 2006 report done for the British government]. The carbon fee and dividend will correct market distortions that favor carbon pollution and will drive overall growth in our economy, total employment, while also serving as an incentive for investment in renewable-energy technologies in which Central New York strives to be a leader. That’s not to mention that it represents the most effective means available for addressing the existential threat that climate change represents to us and our offspring.
We in the business community should be at the forefront of embracing it.
Kyle E. Thomas is the principal engineer at Natural Systems Engineering, PLLC in Syracuse and is the group leader for the Syracuse Chapter of the Citizens’ Climate Lobby. Contact him at kthomas@naturalsystemsengineering.com
Kandi Humpf recently accepted the position of project manager/social media manager at Quadsimia. Her previous experience includes more than 10 years in website development project
Stay up-to-date on the companies, people and issues that impact businesses in Syracuse, Central New York and beyond.