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State comptroller audit finds Oswego City School District made inaccurate separation payments
OSWEGO — Oswego City School District officials did not accurately calculate separation payments or benefits for half of the district employees reviewed by the Office of the New York State Comptroller in a recent audit. School-district officials made separation payments totaling $38,477 that were inconsistent with language in the employees’ collective-bargaining agreements (CBA) or employment […]
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OSWEGO — Oswego City School District officials did not accurately calculate separation payments or benefits for half of the district employees reviewed by the Office of the New York State Comptroller in a recent audit.
School-district officials made separation payments totaling $38,477 that were inconsistent with language in the employees’ collective-bargaining agreements (CBA) or employment contract, the audit found.
For example, a teaching assistant received a credit of $18,087 to be used toward her future health-insurance coverage and a $2,908 separation payment. However, the teaching assistant did not meet the CBA requirements to receive these benefits, per the comptroller’s office. Also, the former Oswego City School District superintendent received a separation benefit that was $18,680 higher than it should have been, according to his employment contract.
The Office of the New York State Comptroller recommended that the school district establish written procedures for calculating separation payments and benefits, review language in current CBAs and employment contracts, and consult with the district’s board of directors and legal counsel, to help ensure that these documents contain the benefits the board intends.
The comptroller’s office noted in its April 1 audit report that Oswego City School District officials “generally agreed with our findings and recommendations and indicated they have taken corrective action.”
NONPROFIT MANAGEMENT: Why is Cash Management Important to your Organization?
We have all heard the age old saying, “cash is king.” When the pandemic first started, many tax-exempt organizations were concerned with cash flow and making it through what was first thought to be a month or two. Organizations were closely monitoring their cash flow, even going as far as preparing daily cash-flow projections. Then the
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We have all heard the age old saying, “cash is king.” When the pandemic first started, many tax-exempt organizations were concerned with cash flow and making it through what was first thought to be a month or two.
Organizations were closely monitoring their cash flow, even going as far as preparing daily cash-flow projections. Then the stimulus funding started rolling in. Many nonprofits became flush with cash and were no longer monitoring cash flow as closely as all of a sudden, the worry wasn’t as imminent. However, as pandemic funding dries up and costs have increased significantly, cash flow is more critical than ever. If you haven’t already started, this is the perfect time to monitor cash flow and dust off your cash-management procedures.
When looking at an organization’s financial statements we often get wrapped up in the surplus or deficit that a nonprofit has generated. While this is a critical number, a positive bottom line does not always indicate positive cash flow. An organization’s surplus may be tied up in accounts receivable or inventory and may not be available for day-to-day operations. That is why it is important to review a not-for-profit’s cash-flow statement. I have found that this statement is often overlooked as it can be difficult to understand, even for some accountants. The key line on a cash-flow statement is the cash flow from operations. Cash flow from operations indicates the amount of money an organization brings in or uses from its regular business activities. The more positive this number is, the better an organization is cash flowing. If this number is negative, it is indicating the organization is using more cash in its operations than it is generating. This could be an indicator of future financial issues.
To manage your cash flow, you must first know your current cash position. Do you know your nonprofit’s cash balance right now? You would be surprised how many organizations have operating cash accounts that are not reconciled throughout the year. Not only does this not allow an organization to make timely decisions, but it is also risky. If there was any fraudulent activity, it would not be detected in a timely manner, and the organization may lose money. The bank and insurance company will not cover those losses when you aren’t prudent. Keeping your organization’s accounts reconciled on a regular basis will also allow you to make critical decisions.
Not only should your not-for-profit know its current cash balance, but it must have cash-flow projections in order to make prudent decisions. Cash-flow projections show the expected amounts of cash that will be collected along with what will go out as expenses over a period. How far out cash-flow projections go is up to each organization. It is recommended they are at least for a 13-week period. “Why 13 weeks?” you may ask. Well, 13 weeks provides enough sight to make strategic decisions, while remaining short-term enough to be able to provide a high degree of accuracy.
Here are some tips for creating a cash-flow projection.
1. Develop your assumptions carefully based on your organization’s history and expected changes. Key assumptions are when receivables will be collected and when major expenditures will be required. When determining the timing of receivable collections, review when those receivables have historically been collected and the financial condition of your customers. For major expenditures, first detail out when regular expenditures usually occur. With payroll being most organizations’ largest expenditure, don’t forgot to anticipate those three pay-period months.
2. Compare your budget to actual results. Tax-exempt organizations spend countless hours preparing their budgets. Use those budgets to determine what cash has come in so far and what is expected in the future. Reviewing your budget can also bring to your attention any major expenditures yet to be paid and the historical timing of those expenditures. Using your budget will help determine timing and the amount of those costs.
3. Do not forget about the cash outflows that you do not see on your profit or loss statement. These cash outflows include capital purchases, loan repayments, and required prepayments for items such as required insurances.
A critical component of cash-management procedures is having an appropriate available line of credit. Review the line-of-credit balances available to your organization. Is your current available balance sufficient in case of a significant delay in cash payments? Is your line of credit at risk of being pulled by your bank? We are often asked how much an organization should have available on a line of credit. A general rule of thumb is at least two months of expenditures.
In addition to knowing your current cash balance and cash-flow projections, your not-for-profit should monitor days cash on hand. That is a measure of how many days an organization can operate with the current cash it has available. Days cash on hand is calculated as available cash divided by daily cash operating expenses. A tax-exempt organization should have at least 30 days cash on hand, but preferably 90 days.
As organizations experience significant cost increases, it is important to understand when those costs will be payable. Having effective cash-management procedures will enable your nonprofit to face the unknown challenges head on. Cash management continues to be critical to enable organizations to thrive.
Bettina Lipphardt is a partner and the team leader in The Bonadio Group’s Healthcare/Tax-Exempt Syracuse/Utica Division. She provides consulting and auditing services for a variety of tax-exempt clients. Contact her at blipphardt@bonadio.com

DiNapoli finds Medicaid billing errors of nearly $1 billion
ALBANY, N.Y. — The New York State Department of Health (DOH) made $965 million in Medicaid payments to providers, including facilities, for services ordered, prescribed, referred, and attended by practitioners who were not enrolled in the health-care program, including those who had been barred due to misconduct. That’s according to an audit that New York State
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ALBANY, N.Y. — The New York State Department of Health (DOH) made $965 million in Medicaid payments to providers, including facilities, for services ordered, prescribed, referred, and attended by practitioners who were not enrolled in the health-care program, including those who had been barred due to misconduct.
That’s according to an audit that New York State Comptroller Thomas DiNapoli released April 19.
Two other audits issued that same day found an additional $17 million in overpayments, his office added.
“Medicaid is a critically important program, but its payment system is rife with errors,” DiNapoli said. “My auditors found the system was allowing payments on claims involving providers who were not certified to treat Medicaid patients. This not only costs taxpayers, but also allows providers who should be excluded, and may be unqualified, to treat patients. DOH must improve its efforts to fix the shortcomings with its billing system.”
The New York State Medicaid program provides a range of medical services to low-income New Yorkers or to those who have special health-care needs. For the state fiscal year that ended March 31, 2021, New York’s Medicaid program had about 7.3 million recipients and Medicaid claim costs totaled $68.1 billion.
Auditors found eMedNY — DOH’s Medicaid claims processing system — allowed improper payments for services involving ordering, prescribing, referring, and attending providers who were no longer actively enrolled in the Medicaid program at the time of the service.
The “improper” payments included $5.8 million for services involving providers who were excluded from participating in Medicaid due to past improper behavior or wrongdoing.
The audit covered the period of January 2015 to December 2019. DiNapoli noted DOH made changes to eMedNY in February 2018, which led to a “significant drop” in the number of improper payments.
However, for the period of March 2018 through December 2019, auditors still identified about $45.6 million in claim payments for 135,476 services by ineligible providers, his office said.
DiNapoli’s auditors noted that when inactive providers are included on Medicaid claims, DOH “lacks assurance” those providers can furnish such services, and it increases the risk that excluded, or otherwise unqualified, providers are treating Medicaid enrollees.
Recommendations
DiNapoli recommended DOH review the $965 million in payments for Medicaid claims involving inactive providers and determine an appropriate course of action.
He also suggested the department enhance controls to prevent improper Medicaid payments for claims that do not report an active provider and that it update guidelines to clarify billing requirements.
Department officials “generally agreed” with most of the audit recommendations and indicated that “certain actions have been and will be taken to address them,” per DiNapoli’s office.
DOH’s full response is included in the audit, which is available at the website of the New York State Comptroller’s office.

Tips to attract top talent in a tough time
Whether you call it the Great Resignation or something else, there is no denying there has been a fundamental shift in the workforce and the work environment since the start of the COVID-19 pandemic. “It’s undeniable,” says Lindsay McCutchen, president and CEO of Career Start, a Rochester–based, private, full-service employment firm. Career Start also has
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Whether you call it the Great Resignation or something else, there is no denying there has been a fundamental shift in the workforce and the work environment since the start of the COVID-19 pandemic.
“It’s undeniable,” says Lindsay McCutchen, president and CEO of Career Start, a Rochester–based, private, full-service employment firm. Career Start also has an office at 224 Harrison St. in Syracuse and another in Buffalo.
While it didn’t happen overnight, and started to some degree before the pandemic, the end result has been high turnover in a number of industries as well as a void left by people who opted to retire and leave the workforce.
According to MarketWatch, nearly 57 million Americans left jobs between January 2021 and February 2022, 25 percent higher than a similar time span before the COVID crisis.
During the same period, nearly 89 million people were hired, and there are still a record number of job openings — almost two jobs for every unemployed person in the country, according to MarketWatch.
So where does that leave employers now?
“Everybody’s trying to find a way to procure top talent,” McCutchen says.
Exactly how does a business find that new talent in an environment that has changed so much with people expecting the flexibility to work from home, or a title, compensation, or perks that in the past came with time put in on the job?
McCutchen has some answers.
Companies that are adding culture and putting employees first have an edge, she says. “Those are the ones winning the war on talent.”
Culture, as defined by Ohio data and human resources company ERC, is the “character and personality” of an organization. It is what makes a business unique and is comprised of its values, traditions, beliefs, behaviors, and more.
A positive workplace culture can help a business attract talent, makes employees more engaged, and boost overall workplace happiness, satisfaction, and performance. Everything from leadership to workplace practices impact the culture of an employer.
Things such as creating policies based on what other companies do, hiring employees that aren’t a good fit, tolerating poor management styles, lacking a clear mission, and even lackluster work environments can all contribute to poor workplace culture, according to ERC.
“As an employer, you have to be innovative and figure out what’s your hook,” McCutchen notes. Once you’ve got a good culture in place, figure out what else your company has going on that makes it a place where people want to work.
That positive environment isn’t all about pay either, McCutchen notes. “So maybe you don’t have the best pay, but you have the most flexibility,” she says.
That might mean that employees can work from home part of the time, she says. For businesses that require on-site employees — think hospitality businesses like restaurants, which continue to struggle to fill empty spots — a pathway to management training can be an attractive idea.
Businesses also need to get creative in how they search for employees. With ever-expanding remote working options, people are not limited to looking for work where they live, McCutchen notes. That means employers should be doing more than posting jobs in the local paper or job site.
First, she says, employers should know the demographic they are trying to reach. That will help determine the most-effective places to post job openings.
Second, “use your people who already work there,” McCutchen says. Getting your employees to promote job openings to their peers is a great way to find potential new employees.
Businesses can take that a step further even and use their customers, vendors, and other partners to promote job openings, she says.
Employers also might want to consider working together with other businesses to help each other. “I think there’s opportunity and room for business industries to have alliances with each other,” McCutchen says.
A group of manufacturers looking to fill similar positions could work together on a large hiring event that’s more likely to bring in a larger pool of applicants than one business advertising a job on its own, she notes.
“You’re stronger together,” says McCutchen.
She suggests employers pick one area to start in, whether its improved wages or more job flexibility, and build from there.
“Every business should now be taking inventory of themselves and what is your value proposition,” McCutchen says.
VIEWPOINT: Benefit-Plan Administration Impact of Extension of National Emergency Period
President Joe Biden once again continued the “National Emergency Concerning the COVID-19 Pandemic (National Emergency)” on Feb. 18. The National Emergency had been set to expire on March 1. Pursuant to the notice issued by President Biden, the National Emergency that was initially declared on March 13, 2020 (beginning March 1, 2020), must continue in effect
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President Joe Biden once again continued the “National Emergency Concerning the COVID-19 Pandemic (National Emergency)” on Feb. 18. The National Emergency had been set to expire on March 1. Pursuant to the notice issued by President Biden, the National Emergency that was initially declared on March 13, 2020 (beginning March 1, 2020), must continue in effect beyond March 1, 2022.
The continuation of the National Emergency impacts certain employee-benefit plan deadlines. As described in a previous client alert, a final rule issued jointly by the U.S. Department of Labor and U.S. Department of Treasury requires that the period from March 1, 2020, until 60 days after the announced end of the National Emergency (Outbreak Period) be disregarded for purposes of certain employee-benefit plan deadlines. Such deadlines include, for example, the 60-day election period for COBRA continuation coverage, and the due date for making COBRA premium payments. The U.S. Department of Health and Human Services has similarly advised that it will exercise enforcement discretion to adopt a temporary policy of measured enforcement. That will extend similar timeframes otherwise applicable to non-federal governmental group health plans and insurance issuers offering coverage under the Public Health Services Act.
As the National Emergency is still ongoing, the Outbreak Period will continue to be disregarded on such employee-benefit plan deadlines.
However, as also discussed in our previous client alert, subsequent guidance clarified that the disregarded period for certain employee-benefit plan deadlines applies on an individual basis. This subsequent guidance stated that the disregarded period will end on the earlier of: (a) one year from the date the affected individual was first eligible for relief from meeting an applicable deadline, or (b) 60 days after the announced end of the National Emergency.
The continuation of the National Emergency and the associated continuation of the disregarded period for certain employee-benefit plan deadlines will remain a challenge for plan sponsors to ensure affected participants and beneficiaries are afforded the benefit of the extended deadlines. For example, plan sponsors must continue to address any administrative challenges associated with the disregarded period on the deadlines for participants to request special enrollment under a group health plan, make the election for COBRA continuation coverage, and/or make required COBRA premium payments. Plan sponsors should coordinate with their insurers and third-party administrators to ensure that their plans are being administered consistent with these extended deadlines.
Daniel J. Nugent is an associate attorney in the Syracuse office of Bond, Schoeneck & King PLLC. He works in the firm’s employee benefits and executive compensation practice area. Contact him at dnugent@bsk.com. This viewpoint article is drawn from an April 13 article posted on the law firm’s website.

American Senior Benefits leases space in Syracuse
SYRACUSE — American Senior Benefits recently leased 1,000 square feet of office space on the second floor of the building at 807 N. Salina St. in Syracuse. Peter Catalano and Elaina Pirro of Cushman & Wakefield/Pyramid Brokerage Company helped arrange the transaction, representing the landlord and tenant. The real-estate firm said 950 square feet of
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SYRACUSE — American Senior Benefits recently leased 1,000 square feet of office space on the second floor of the building at 807 N. Salina St. in Syracuse.
Peter Catalano and Elaina Pirro of Cushman & Wakefield/Pyramid Brokerage Company helped arrange the transaction, representing the landlord and tenant. The real-estate firm said 950 square feet of updated office space on the first floor is still available in the building. The property owner is listed as 807-13 N Salina LLC, according to City of Syracuse online real-estate records.
American Senior Benefits and its affiliated insurance agents offer life insurance, Medicare Part D plans, long-term care insurance, annuities, specialized health insurance, and retirement-planning services, according to its website. It offers products from more than 150 insurance carriers.

Robert Half: Firms address worker pay gaps in hot market
More than half of C-suite executives surveyed (56 percent) said they have observed salary discrepancies between new hires and more- tenured staff in the past year. Of those, 62 percent are regularly reviewing compensation plans and increasing salaries for existing employees, when appropriate, to align with current, rising market rates. That’s according to new research from
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More than half of C-suite executives surveyed (56 percent) said they have observed salary discrepancies between new hires and more- tenured staff in the past year.
Of those, 62 percent are regularly reviewing compensation plans and increasing salaries for existing employees, when appropriate, to align with current, rising market rates.
That’s according to new research from Robert Half, a Menlo Park, California–based talent services and business consulting firm.
“Market conditions have shifted dramatically, and savvy employers are stepping up to address salary gaps and ensure all employees are being paid fairly,” Paul McDonald, senior executive director at Robert Half, said in a release. “They know that taking a cautious ‘wait-and-see’ approach on compensation is risky and can lead to the loss of great talent.”
Workers expect a raise
Employees’ expectations are among several factors that are at play when it comes to wage growth, Robert Half said.
In a separate survey of more than 1,000 U.S. workers, one-third of respondents (34 percent) said they have not had a raise in 12 months and another 16 percent received one but were disappointed with the amount.
In addition, nearly two-thirds (62 percent) plan to ask for a raise this year. The top reasons cited include to adjust for the higher cost of living (30 percent), to reflect current market rates (23 percent), and to account for additional job responsibilities (22 percent).
If workers don’t get a raise, that separate survey found 31 percent will ask to revisit the salary conversation in a few months, 27 percent will look for a new job with higher pay, and 23 percent will ask for more perks.

“In addition to setting competitive salaries, companies must consider the entire employee experience and deliver programs that satisfy their professional and personal needs,” McDonald noted. “Career advancement and remote options are two big priorities for workers today.”
Robert Half developed the online surveys, which independent research firms conducted. They include responses from 376 C-suite executives across a “diverse range” of industries that were collected between Feb. 25 and March 8 of this year. In addition, more than 1,000 workers 18 years of age or older in the U.S. responded to the separate survey, and those responses were collected from March 3-11.
Robert Half (NYSE: RHI) offers contract, temporary, and permanent-placement options and is the parent company of Protiviti, a global consulting firm.
Ask Rusty: I’m Confused About Taking Medicare and Social Security
Dear Rusty: I just turned 64 and now get stuff about Medicare and Medigap and so on. I really don’t know how to retire when it’s time. What should I do? What am I looking for? Am I eligible for anything as of now? I’m so confused about all this that I don’t even know
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Dear Rusty: I just turned 64 and now get stuff about Medicare and Medigap and so on. I really don’t know how to retire when it’s time. What should I do? What am I looking for? Am I eligible for anything as of now? I’m so confused about all this that I don’t even know if I can retire when it’s time. Maybe I should just continue working so I don’t have to try to figure this out.
Signed: Confused
Dear Confused: Deciding when to retire from work is usually a difficult decision for everyone, so don’t feel alone as you struggle with deciding what’s best for you personally. I’ll try to provide some insight into what you should be looking at now, at age 64.
The reason you’re now getting all that unsolicited information about Medicare and “Medigap” is because you’re approaching the magic age of 65, when you first become eligible for those senior health-care services. But if you are still working and now have “creditable” health-care coverage from your employer, you don’t need to enroll in any Medicare plan until your employer coverage ends (If your employer health-care coverage is a group plan with at least 20 participants, that coverage is “creditable”). So, if you plan to continue working and have creditable health-care coverage, you can simply ignore all those health-care solicitations. You don’t need to worry about enrolling in Medicare until your creditable employer coverage ends, at which point you will be able to enroll in a Medicare program without incurring a late enrollment penalty.
You also do not need to apply for Social Security (SS) now (or at age 65) — you can wait until you retire from working full time to apply for Social Security. In fact, you probably should wait until you fully retire from working to claim Social Security, because at age 64 (or 65) you will be subject to Social Security’s “earnings test” if you claim SS benefits. The earnings test limits how much you can earn before Social Security takes away some of your benefits and, if your earnings are high enough, it could even disqualify you from getting SS benefits while you are still working. Social Security’s earnings test applies until you reach your full retirement age, which is 66 years and 6 months. If you claim Social Security before that and exceed the annual earnings limit ($19,560 for 2022), SS will take away benefits equal to $1 for every $2 you are over the limit. So, if you’re working full time and plan to continue that, waiting to apply for Social Security would be prudent. Delaying Social Security would also mean a higher benefit when you later claim because your benefit will grow for as long as you delay (up to age 70). And although you will become eligible for Medicare when you turn 65, if you’re still working and have creditable health-care coverage from your employer at that time, you can defer enrolling in Medicare until your employer coverage ends.
Russell Gloor is a national Social Security advisor at the AMAC Foundation, the nonprofit arm of the Association of Mature American Citizens (AMAC). The 2.4 million member AMAC says it is a senior advocacy organization. Send your questions to: ssadvisor@amacfoundation.org.
Author’s 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.

New housing development on Syracuse’s South Side offers homes to adults 55 and over
SYRACUSE, N.Y. — The Gardens at St. Anthony’s Apartments is a new housing development at 411 W. Colvin St. in Syracuse that offers 54 homes for adults ages 55 and older. Half of the apartments are reserved for seniors in “need of supportive services,” RuthAnne Visnauskas, commissioner of New York State Homes and Community Renewal
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SYRACUSE, N.Y. — The Gardens at St. Anthony’s Apartments is a new housing development at 411 W. Colvin St. in Syracuse that offers 54 homes for adults ages 55 and older.
Half of the apartments are reserved for seniors in “need of supportive services,” RuthAnne Visnauskas, commissioner of New York State Homes and Community Renewal (HCR), said in announcing the completion of the project.
HCR held a formal-opening event at the venue on April 12.
The Gardens at St. Anthony’s is the result of a $20 million renovation project at St. Anthony of Padua Catholic School and Convent.
State financing for The Gardens at St. Anthony’s includes federal low-income housing tax credits that generated
$11.1 million in equity and $2.6 million in subsidies from New York State HCR.
The New York State Office of Parks, Recreation and Historic Preservation allocated federal and state historic tax credits that generated $5.9 million in equity and the New York State Energy Research and Development Authority provided $52,400 in support. The City of Syracuse contributed $700,000 in HOME funding, HCR noted.
Rochester–based Home Leasing is the developer and property manager, and Syracuse–based Nascentia Health is the service provider. Home Leasing Construction completed the renovations.
The renovated property includes 27 apartments for seniors who will have access to on-site services funded through the Empire State Supportive Housing Initiative and administered by the New York State Department of Health. Nascentia Health is coordinating and providing the supportive services. The remaining apartments are for adults ages 55 and older with incomes at or below 60 percent of the area median income.
The St. Anthony of Padua Catholic School and Convent building were originally constructed in 1926 and are listed on the National Register of Historic Places. After closing as a private school, the Syracuse City School District used the property until 2009.

UnitedHealthcare offers virtual PT program
UnitedHealthcare says it has introduced a new virtual physical-therapy (PT) program to help improve support for people with musculoskeletal issues. It provides eligible members with round-the-clock, on-demand exercise feedback powered by artificial intelligence (AI), the health insurer said in an April 18 announcement. The program builds upon a broad set of musculoskeletal products for employers designed
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UnitedHealthcare says it has introduced a new virtual physical-therapy (PT) program to help improve support for people with musculoskeletal issues.
It provides eligible members with round-the-clock, on-demand exercise feedback powered by artificial intelligence (AI), the health insurer said in an April 18 announcement.
The program builds upon a broad set of musculoskeletal products for employers designed to help enhance health outcomes; and reduce costs and avoid often unnecessary invasive treatments, such as imaging, surgery, or opioid prescriptions.
UnitedHealthcare is one of the businesses of Minnetonka, Minnesota–based UnitedHealth Group (NYSE: UNH).
UnitedHealthcare sees the new program as important given that an estimated 50 percent of U.S. adults are affected by musculoskeletal conditions, such as back, knee, or shoulder pain. Associated treatments account for about 10 percent of annual medical expenses, the health insurer said, citing a Healthcare Economics analysis of UnitedHealthcare 2020 claims.
Many orthopedic procedures may be beneficial, but UnitedHealthcare points to a recent study that found that some treatments are “no more effective than noninvasive options,” including exercise, physical therapy, or acupuncture.
“UnitedHealthcare’s Virtual Physical Therapy program offers people the convenience of 24/7 access to PT coaching sessions at home or on the go, further enhancing our holistic approach to help address musculoskeletal issues by combining advanced technology with proactive engagement, personalized support, and consumer-centric benefit designs,” Dr. Russell Amundson, national senior medical director at UnitedHealthcare, said. “With millions of Americans experiencing orthopedic issues currently or at some point during their lifetimes, this AI-driven approach supplements our existing virtual physical therapy benefit with a new resource to help people recover from injury or surgery.”
UnitedHealthcare says virtual physical therapy is part of its focus on expanding the use of virtual care and digital-health resources, which is “bolstered by an annual enterprise-wide investment” of more than $5 billion in data, technology, and innovation.
The program is available nationwide as a buy-up option for employers with self-funded health plans.
About virtual physical therapy
UnitedHealthcare says eligible members recovering from surgery or injury start by completing an assessment of current issues, either on a mobile device or at myuhc.com, and will receive a referral to virtual physical therapy if appropriate.
Qualified members then download the Kaia Health app, which uses an AI-based system to help support individuals through PT exercises and deliver personalized feedback to help ensure the movements are done correctly.
Program participants also have access to one-to-one health coaching, including by phone or via the in-app chat feature, along with educational information and meditation and breathing exercises to help with pain management and relaxation, UnitedHealthcare said.
Health coaches are available to help motivate members, assist with setting realistic goals, and encourage adherence to the recommended exercises.
To track progress and determine if further support is necessary, the app uses motion monitoring to provide feedback in real-time, offering suggestions akin to what people might receive from a physical therapist at an in-person appointment.
The exercises are analyzed over time by the app’s “triage” algorithms, along with self-reported outcomes such as perceived pain levels and mobility, to help identify members in need of additional coaching or intervention, per the health insurer’s announcement.
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