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With the election of Republican Scott Brown to the Senate, Democrats lose their filibuster-proof 60-vote majority and now face a major new roadblock to health care reform (which Brown opposes). But Democrats remain committed to passing reform despite the setback, and for employers, ongoing vigilance is a must. Open questions: which of several versions of a "Plan B" Democrats will pick and, once decided, whether they can execute. See today’s Pulse for a rundown.

| Selected Charts and Diagrams | |
|---|---|
| Where Congress was headed: reformed system of health coverage (as of 2/3/2010) | Depiction of what a reformed system would have looked like. |
| Employer elements in emerging Congressional legislation (as of 2/3/2010) | Side-by-side comparison of the main health reform bills. |
| Health care reform would take several years to implement (as of 2/3/2010) | A look up to 2018. |
| Regular Series | |
| Health & Welfare Legislative Tracking Charts | A selection of bills introduced in Congress. |
| Health & Welfare Monthly Regulatory Round-Up |
A high-level summary of legal and regulatory developments. |
| Health Care Perspectives | A series of case studies and analysis from our work with clients. |
| Towers Watson in the Press | |
| CNNMoney.com | Health care: Will 'pay or play' chase employers away? (7/2/2009) |
| American Benefits Council | Health Care Reform site |
Legislative, regulatory and judicial resources. |
| Business Rountable | Health Care Reform site |
Association of chief executive officers of leading U.S. companies . |
| National Coalition on Benefits | General site |
A new large-employer coalition (not to be confused with the National Coalition on Health Care, below). |
| Better Health Care Together | Wal-Mart press release and resources |
Includes Wal-Mart, AT&T, CWA, Intel, Kelly Services, SEIU, etc. |
| Coalition to Advance Healthcare Reform (CAHR) | General site | See members |
Coalition of employers. |
| Divided We Fail | General site |
Includes AARP, Business Roundtable, SEIU. |
| National Coalition on Health Care | General site | See members |
Coalition of employers. |
| Kaiser Family Foundation | Health Reform |
Headlines, public opinion and testimony. |
| Robert Wood Johnson Foundation | Health Reform 2009 |
Daily news digest, blogs and research. |
| Employee Benefits Research Institute | Issue Briefs |
Health care surveys and analysis. |
| The RAND Corporation | COMPARE Initiative |
Information and tools to help compare health policies. |
The New York Times |
Health Care Reform News |
Latest developments, overview and articles. |
The Washington Post |
Health-Care Reform 2009 |
Articles, events, columns, and debates. |
The Centers for Medicare & Medicaid Services (CMS) Office of the Actuary has just released the National Health Expenditure Accounts (NHEA) for 2008. This article focuses primarily on employer-sponsored health insurance plans, and comparative trends in health care prices and utilization. Spending by private-sector employers on health insurance grew quite slowly in 2008, reflecting both declining enrollments and greater cost sharing with employees and retirees. But the possible enactment and nature of federal health care reform legislation will likely have the strongest effect on both the short- and long-term growth rates in overall health care spending.
A significant majority of U.S. employers believe health care reform, if enacted, would lead to higher costs for both employer-sponsored benefit programs and health care services overall, according to initial results from an employer survey conducted by Towers Watson and the National Business Group on Health.
Congress was in recess last week for the Thanksgiving holiday, returning today (November 30) for what promises to be several weeks of animated debate over the Senate health reform bill (H.R. 3590) as the process moves into the home stretch.
Large U.S. employers are continuing to shift significant health coverage costs to retirees or exiting sponsored retiree health benefit programs altogether, according to Towers Watson's 2010 Retiree Health Care Cost Survey.
Against a backdrop of prolonged recession, U.S. employers will see an increase in their medical benefit expenditures of 7% in 2010.
Based on a pulse survey of Human Resources executives, this report analyzes their views on how impending health care legislation will affect their benefit strategies.
Towers Watson is a leading global professional services company that helps organizations improve performance through effective people, risk and financial management. With 14,000 associates around the world, we offer solutions in the areas of employee benefits, talent management, rewards, and risk and capital management.
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