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January 10, 2012

Omer A. Frechette, Jr., 68

FORT MYERS, Fla. — Omer A. Frechette, Jr., 68, died Monday, January 2, 2012 at the Gulf Coast Memorial Center.

Born in Lawrence, Ma. Omer was the son of the late Omer A. Frechette, Sr. and among survivors include his mother Lorraine (Boucher) Frechette. Omer was a graduate of Tenney High School in Methuen, Ma. Mr. Frechette in 1967 became a reserve Firefighter for the Methuen Fire Department, and in 1968 was appointed permanently to the Department where stayed for 27 years before his retirement. While working as a firefighter he was also the owner of Omer's Auto Body Shop.

During Vietnam he served his country in the United States Navy from September 26, 1961 to September 25, 1963 before being honorably discharged. He loved boating, was a former member of Methuen Council #4027 K of C, and worked as a security guard for the Boston Red Sox during spring training, and he loved karaoke, and more importantly his family.

Omer is survived by his wife Barbara A. (Cote) Frechette and was formerly married to his friend Nancy (Hume) Archer, and has 4 children: Tim and wife Jane Frechette, Tammy and husband Tony Avido, Tracy and husband David Silva and son Shane Frechette, 1 brother Robert Frechette, 2 sisters Mary Ann Frechette Wright, and Lorraine Frechette, and grandchildren: Erin, Emily, Jacob, Joshua, Andrea, Sheyene, Tory, Kelly, Emily, and Hanna and several nieces and nephews.

ARRANGEMENTS: Friends will be warmly received on Thursday January 12, 2012 from 4-8 PM at the Kenneth H. Pollard Funeral Home, 233 Lawrence Street, Methuen, MA.



January 11, 2012

Council backs mayor's decision to kill pension increase

HAVERHILL — City Council backed Mayor James Fiorentini's decision to kill a measure that would have increased city's retiree pension costs by $171,533 next year and eventually $1 million a year.

Councilors said they were not aware of the long-term financial implications of the measure when they passed it three weeks ago. Fiorentini vetoed it, and the council voted 8 to 0 last night not to override the veto.

Several councilors said they would like to reconsider the proposal in the future when the city has more reliable cost projections and a better idea how much other pension reforms are going to save the city.

"I wish we had heard two sides of the debate when we voted," City Councilor Michael Hart said of the council's 7 to 0 decision to adopt the measure Dec. 20.

The mayor said he was at the Dec. 20 meeting, but that he had not seen the cost projections until after that meeting. The projections were provided by the Haverhill Retirement Board, which submitted the pension proposal to the council.

"I want to be fair to the retirees, but I also want to be fair to the taxpayers and to the city employees by not having to lay them off," the mayor said, noting Haverhill already faces a $3 million to $3.6 million budget shortfall next year.

The pension proposal was triggered by a new state law that allows communities that adopt it to change the formula for calculating annual cost-of-living pay raises for retirees. Currently, cost-of-living increases are based on the first $12,000 of a retiree's benefits. The Retirement Board wanted to use the law to increases the base amount used to calculate annual pay raises by $1,000 a year for three years, topping out at $15,000.

Fiorentini said adopting the law would cost the city $171,533 next year, $356,000 the following year and $556,000 in the third year. In 18 years, the cost of the adjustment would rises to $1 million per year, he said.

Lewis Poore, a member of the Retirement Board and a former deputy fire chief, told councilors the projections are only "guesstimates."

"We can't be sure of the cost because we don't know what our investments returns are going to be," Poore said. "There are too many variables."

About 250 communities have adopted the law since it was passed last year by the Legislature, Poore said. The mayor, however, said those that passed it set a lower base amount for calculating raises than Haverhill was considering. He also said communities that passed it included small towns and only one city.

"I'd rather wait to see the budget picture and get a better sense of the financial impact before voting for this," Councilor Sven Amirian said.

City Solicitor William Cox said the council can reconsider the same proposal in six months or one that includes "significant changes" anytime.

Councilor Mary Ellen Daly O'Brien said city retirees rely heavily on their pensions because they are not eligible for social security benefits.

"This is what they have to live on," Daly O'Brien said of retirees' pension checks.

There are about 1,100 retirees in the Haverhill system, Poore said.



Good Day Friends at Methuen Police/Firefighter Retirees Association,

I recently came across the Methuen Police/Firefighter Retirees Association site and noticed our shared interest in the wellness of our firefighters. You offer a really great place on the web where fire personnel can connect. My name is Katrina Banks from Mesothelioma Symptoms and I thought I would pass along a URL that your readers might find especially pertinent, www.MesotheliomaSymptoms.com/mesothelioma-survival-rate.

While firefighters have one of the most dangerous careers, you may think their main concern would be fire. There are also environmental hazards that are often overlooked including asbestos exposure. Asbestos materials that are burned can cause fibers to be easily released into the air to be inhaled by firefighters. With a latency period of 20 to 50 years, this inevitably could cause Mesothelioma cancer.

I noticed on your Favorite Links page, http://www.mpfra.com/links.htm, that you feature relevant related resources. I was wondering if you would consider mentioning our site to help spread awareness of the health risk Mesothelioma poses to retired firefighters. Our goal is to receive a single text link to Mesothelioma Survival Rate. Please let me know if this exchange interests you. I really appreciate your time, thanks!

Respectfully,
Katrina Banks


Deadly Force Bill To Be Revisited

December 27, 2010
CONCORD, N.H. -- Four years ago, Gov. John Lynch blocked gun rights advocates' effort to expand a person's right to use deadly force in self-defense without first attempting to retreat.

The legislation will be back this coming year, and this time, Lynch may not be able to stop its passage.

In his veto message blocking the 2006 gun bill, the Democratic Lynch said he wanted to avoid a law that "would authorize any shopper to instantly shoot and kill a thief who had grabbed or tugged at the shopper's purse or briefcase, regardless of how many shoppers might be placed in harm's way by such actions."

His opposition led to a compromise this year that softened the prohibition against drawing a gun on someone. The new law takes effect Saturday and allows citizens to show a weapon to warn away a potential attacker without facing prosecution.

That law may not stand long, however, before being replaced by the conservative-leaning, Republican House and Senate.

Bills have been filed built on the Castle Doctrine, which says a person has no duty to retreat from intruders before using deadly force. The legislation also would expand citizens' rights to use deadly force in public or anywhere they have a right to be - a principle known as the Stand Your Ground principle.

New Hampshire law allows the use of deadly force inside the home in defense against certain crimes such as rape. Deadly force also can be used in public places to defend someone else or to stop a rape, kidnapping or other serious crime. The law requires citizens to retreat if they can safely, except at home when they are not the aggressor.

Gun rights advocates say people shouldn't be faced with the split-second choice of deciding whether protecting themselves will lead to criminal prosecution against them.

"I shouldn't have to put my pants on to run out the door," said state Sen. Jack Barnes, R-Raymond. "Why should I have to run away? It's my house."

Barnes said he doesn't care where he is, "If they attack me, I have a right to defend myself."

State Rep. Leo Pepino, a Manchester Republican sponsoring one of New Hampshire's bills, said his measure also would protect citizens from being sued by their attackers if the use of force was deemed justified by law enforcement.

Pepino notes that the weapons involved don't have to be guns; they could be a knife or baseball bat, for example.

More than two dozen states have passed either the Castle Doctrine, Stand Your Ground or both laws.

Last month, Pennsylvania Gov. Ed Rendell vetoed a bill similar to Pepino's proposal. Rendell criticized the bill as a dangerous solution to a nonexistent problem that would encourage a "shoot first, ask questions later" mentality.

Ohio prosecutors say their state's Castle Doctrine is increasingly being manipulated to help murder suspects avoid taking responsibility for their crimes. In one case, a man stole a dealer's drugs, then shot and killed the dealer when he broke a window in the man's car attempting to retrieve his goods. Defense attorneys argued the man acted lawfully. A jury convicted him of reckless homicide rather than murder.

Lynch voiced similar concerns about criminals killing other criminals and claiming self-defense.

Lynch's 2006 veto was with the support of many in law enforcement, including then-Attorney General Kelly Ayotte, now a U.S. senator.

Opponents presented lawmakers with images of shootouts in the street like the old Wild West during the debate on whether to uphold Lynch's veto. Lynch and law enforcement argued they were concerned innocent bystanders would be hurt if people were given more freedom to use guns or other deadly weapons in public.

The Senate voted 11-11 to uphold the veto. As a result, the House didn't vote whether to override it.

Republicans now hold 19 of the 25 Senate seats and 297 of the 400 House seats - enough to override Lynch's vetoes if they can hold together their caucuses on issues. Two-thirds are needed to override a veto.

The outcome could be different this year.

"People shouldn't have to worry about being prosecuted for defending themselves," said Senate President Peter Bragdon, a Milford Republican who sponsored the bill Lynch vetoed in 2006.

Recent Obituary

 

Robert E. Jackson December 17, 2010
Robert E. Jackson Methuen Police Officer Retired

Methuen, Massachusetts – Officer Robert E. Jackson died December 17, 2010 at Saint Luke’s Hospice in Bethlehem, PA.

Born in Lawrence, Bob was a longtime Methuen resident and a graduate of Tenney High School. For more than 20 years he was a Police Officer for the Town of Methuen and a first class marksman for the state of Massachusetts prior to his retirement.

He served his country during the Korean War doing tours in both the Marine Corps. and the United States Army. He was honorably discharged from the U.S. Army in 1959.

Bob enjoyed hunting, and fishing and besides his love for his family Bob’s passion was his motorcycle.

Before his illness and while a Methuen resident, Bob belonged to John Hancock Lodge AF & AM.

He was the widower of Joan (Bridges) Jackson. Survivors include two daughters: Kimberly and her husband Kostas Kalogeropoulos of Center Valley, Pennsylvania, and Carol and her husband Richard Allen of Bellingham, Massachusetts, and his son Robert E. Jr., and his wife Rebecca Jackson of Cranston, Rhode Island, as well as 7 grandchildren and one niece and one nephew.

ARRANGEMENTS: Friends will be warmly received on Tuesday, December 21st from 4-8 p.m. at the Kenneth H. Pollard Funeral Home Inc. 233 Lawrence St., Methuen. A Funeral Service will take place on Wednesday morning, December 22nd at 11 o'clock at the Funeral Home. Burial will follow at Elmwood Cemetery.


EagleTribune.com,North Andover, MA

October 11, 2010

No COLA expected for US elders in 2011


By STEPHEN OHLEMACHER Associated Press Writer

WASHINGTON (AP) — As if voters don't have enough to be angry about this election year, the government is expected to announce this week that more than 58 million Social Security recipients will go through another year without an increase in their monthly benefits.

It would mark only the second year without an increase since automatic adjustments for inflation were adopted in 1975. The first year was this year.

"If you're the ruling party, this is not the sort of thing you want to have happening two weeks before an election," said Andrew Biggs, a former deputy commissioner at the Social Security Administration and now a resident scholar at the American Enterprise Institute.

"It's not the congressional Democrats' fault, but that's the way politics works," Biggs said. "A lot of people will feel hostile about it."

The cost-of-living adjustments, or COLAs, are automatically set each year by an inflation measure that was adopted by Congress back in the 1970s. Based on inflation so far this year, the trustees who oversee Social Security project there will be no COLA for 2011.

The projection will be made official on Friday, when the Bureau of Labor Statistics releases inflation estimates for September. The timing couldn't be worse for Democrats as they approach an election in which they are in danger of losing their House majority, and possibly their Senate majority as well.

This past Friday, the same bureau delivered another painful blow to Democrats: The U.S. lost 95,000 jobs in September and unemployment remained stubbornly stuck at 9.6 percent.

Democrats have been working hard to make Social Security an election-year issue, running political ads and holding press conferences to accuse Republicans of plotting to privatize the national retirement program.

This week's announcement about Social Security benefits raises more immediate concerns for older Americans whose savings and home values still haven't recovered from the financial collapse: Many haven't had a raise since January 2009, and they won't be getting one until at least January 2012.

"While people aren't getting COLAs they certainly feel like they're falling further and further behind, particularly in this economy," said David Certner, AARP's legislative policy director. "People are very reliant on Social Security as a major portion of their income and, quite frankly, they have counted on the COLA over the years."

Social Security was the primary source of income for 64 percent of retirees who got benefits in 2008, according to the Social Security Administration. A third relied on Social Security for at least 90 percent of their income.

A little more than 58.7 million people receive Social Security or Supplemental Security Income. The average Social Security benefit is about $1,072 a month.

Social Security recipients got a one-time bonus payment of $250 in the spring of 2009 as part of the government's massive economic recovery package. President Barack Obama lobbied for another one last fall when it became clear seniors wouldn't get an increase in 2010.

Congress took up the issue, but a proposal by Sen. Bernie Sanders died when 12 Democrats and independent Sen. Joe Lieberman of Connecticut joined Senate Republicans to block it. Sen. Olympia Snowe of Maine was the only Republican to support the second bonus payment.

Federal law requires the Social Security Administration to base annual payment increases on the Consumer Price Index for Urban Wage Earners and Clerical Workers, which measures inflation. Officials compare inflation in the third quarter of each year — the months of July, August and September — with the same months in the previous year.

If inflation increases from year to year, Social Security recipients automatically get higher payments, starting in January.

If inflation is negative, the payments stay unchanged.

Social Security payments increased by 5.8 percent in 2009, the largest increase in 27 years, after energy prices spiked in 2008.

But energy prices quickly dropped. For example, average gasoline prices topped $4 a gallon in the summer of 2008. But by January 2009, they had fallen below $2. Today, the national average is roughly $2.70 a gallon.

As a result, Social Security recipients got an increase in 2009 that was far larger than actual inflation. However, they won't get another increase until inflation exceeds the level measured in 2008. The Social Security trustees project that will happen next year, resulting in a small increase in benefits for 2012.

Social Security spokesman Mark Lassiter said the agency has no leeway to increase payments if the inflation measurement doesn't call for it.

Rep. Earl Pomeroy, D-N.D., chairman of the Ways and Means subcommittee on Social Security, has introduced a new bill to provide $250 payments to seniors, if there is no increase in Social Security. Maybe, he said, there will be more of an appetite in Congress to pass it after lawmakers hear from voters in November.

"Costs of living are inevitably going up, regardless of what that formula says," Pomeroy said. "Seniors in particular have items such as uncovered drug costs, medical costs, utility increases, and they're on fixed incomes."


Letter to Lowell Retirees - We could be next!


Health Insurance Information Meeting

As many of you know on July 13, 2010 the City Council approved a home-rule petition proposed by City Manager Lynch that would have given him unprecedented authority to modify health insurance offerings to active and retired employees. This petition, passed without a public hearing, was not addressed by the legislature. More recently, the City Manager has attempted to circumvent legitimate coalition bargaining allowed under  M.G.L. 32B, Section 19, that would require a proportional vote by unions and require participation by retirees in favor of his brand of coalition bargaining with no proportional voting and again excluding retirees.  It is already clear that the City Manager has no interest in including retirees on issues that greatly impact their lives. This is important to all city retirees including those who are Medicare eligible.

The leadership of most school and city unions would like to invite all school and city retirees to an informational meeting to be held on October 25, 2010 at 3:00pm at the Lowell Lodge of Elks, Old Ferry Road, Lowell. We believe it is important that all retirees be informed on a number of issues. Please pass this information along to retired teachers as well as retirees of the Lowell Retirement System as this meeting is open to all municipal retirees.

It is hoped that you will make every effort to attend.

Margareet C. Farrell, Retirees' Chairman  

10/22/2010


October 17, 2010

Cop fired for sleeping in cruiser

GROVELAND — A state official said the town was justified in firing a police officer for sleeping on duty, lying about his location while on patrol, and using department computers to look for jobs and women.

Police Department officials said they installed a hidden camera and GPS device in a cruiser to prove Aaron Yeo was sleeping on duty and lying to dispatchers about his location on overnights shifts.

Police Chief Robert Kirmelewicz said the department also installed software on police computers to track use by officers. That software was used to document that Yeo spent an excessive amount of time while on duty searching for employment and housing in New Hampshire, searching for women on MySpace and watching videos on YouTube, according to the state's ruling.

Yeo, 28, was fired by the Board of Selectmen on May 6, 2009, for those reasons as well as lying to Kirmelewicz and Deputy Chief Jeffrey Gillen during an internal investigation, according to a Sept. 29 ruling from the state Division of Labor Relations.

Yeo appealed his firing to the Labor Relations Division, which upheld the firing following an appeals hearing at Groveland Town Hall. Arbitrator Michael Boyle heard and decided the case.

"Mr. Yeo's consistent dishonesty and misconduct significantly breached his job duties and justified the discharge," Boyle's decision read, in part.

Yeo, who according to Groveland officials recently moved to Haverhill, could not be reached for comment.

Lawyer: Yeo wanted to disguise his location from terrorists

At Yeo's appeal hearing, his union lawyer Stephen Pfaff said Yeo gave inaccurate responses about his location to dispatchers because he wanted to be "intentionally covert" in light of "homeland security" and other practical considerations, according to the labor ruling.

Pfaff said Yeo was patrolling near targets of "terrorist threats" in accordance with Department of Homeland Security policy and that Yeo reported slightly erroneous locations so he could not be located by someone eavesdropping on a police scanner, according to the labor ruling.

The arbitrator dismissed Yeo's explanation that he misled dispatchers to disguise his location from criminals and terrorists as "not credible."

"(Yeo) should have informed his supervisor of this plan if that was in fact his intention," the ruling reads. "His failure to do so is damning."

Yeo's lawyer did not contest the computer evidence against his client, but argued those violations of department policy should be have been grounds for progressive discipline and not immediate termination.

In a brief telephone interview on Friday, Pfaff said Yeo was "disappointed" by the arbitrator's decision. Pfaff declined further comment.

Yeo's last recourse to contest his firing would be an appeal to Superior Court. Pfaff, an attorney for the Boston firm Louison, Costello, Condon & Pfaff, said his client has not decided whether he will appeal to the courts.

In an e-mail to The Eagle-Tribune on Friday, Kirmelewicz said the arbitrator's decision "reiterates what I've said before, that police officers must be held to an especially high standard of honesty.

"A lying police officer loses all credibility and integrity and therefore cannot effectively perform his or her job," the chief's e-mail said. "As the record shows, I have zero tolerance for police corruption within this department. Any violations of public trust will be exposed and dealt with quickly and justly."

Yeo, who was hired in 2002 and served as a full-time patrolman from April 2006 until he was fired last year, is the son of former Groveland police Lt. Harold "Harry" Yeo. The Eagle-Tribune reported in September that the elder Yeo was recently investigated by local and state law enforcement officials for allegedly collecting $73,341 from the town that he was not entitled to.

An audit commissioned by the town concluded that Harry Yeo "abused detail assignments to increase his earnings" for a period covering "many years." The report said Harry Yeo collected pay for Groveland traffic details and from the Essex County Sheriff's Department, where he also worked as a civil process server, during the same hours that he was paid his regular Groveland police salary.

In February, another Groveland patrolman, Kevin Woodman, was disciplined by Kirmelewicz after the officer admitted to padding paperwork to show he worked an additional hour on a private traffic detail to get an extra $63 in his paycheck. Woodman defended the action by saying "others had done it" and that padding detail sheets was an "accepted" practice by officers. After an internal probe, Woodman was found responsible on two counts of conduct unbecoming an officer and two counts of falsifying records. At the time, Kirmelewicz said the town's lawyer advised him not to release details about Woodman's punishment.

Aaron Yeo's troubles began in 2008

Prior to being fired last year, Aaron Yeo was one of five full-time patrolmen on the Groveland force. He worked the 11 p.m. to 7 a.m. shift.

The labor ruling says Kirmelewicz implemented new policies for the overnight shift shortly after he was made chief in the summer of 2008. They included requiring dispatchers to contact patrolmen by radio at the top of every hour and for officers to respond by providing "their street location at the time of the radio check." A similar new rule requires patrolmen to conduct "building checks" of specific structures and to notify dispatchers after doing so.

A memo on the overnight rules from Sgt. Dwight McDonald states that officers who are at the station when they are contacted by dispatchers are to provide their reason for being there, such as that they are on a break or writing a report.

In the fall of 2008, McDonald concluded that Yeo was underperforming his job duties, the labor ruling says. McDonald found that Yeo worked 113 overnight shifts and made 45 "self-initiated" traffic stops, while two other overnight officers had worked 86 and 40 overnight shifts, respectively, while making 195 and 102 traffic stops.

McDonald came to believe Yeo's poor performance as an officer was because he was spending "an inordinate amount of time on department computers," the labor ruling says. McDonald decided to install software in police computers to monitor their use by officers, and eventually concluded that Yeo was using computers excessively during his work shift, according to the state ruling. McDonald documented the amount of time Yeo spent on the computer and the websites that he had visited, the ruling says.

The ruling says McDonald then to came to believe Yeo was not accurately reporting his location when contacted by dispatchers.

Based on McDonald's preliminary findings, Kirmelewicz ordered Gillen, the deputy chief, to conduct an internal investigation, which included installing GPS tracking equipment in Yeo's police cruiser, according to the ruling. The officers monitored Yeo's cruiser on 17 overnight shifts over a one-month period, the ruling says. They determined that Yeo's cruiser would remain stationary for extended periods of time, the ruling says. Kirmelewicz then had a hidden camera installed in Yeo's police cruiser.

The ruling says Kirmelewicz and Gillen concluded their investigation and interviewed Yeo with his union representative at the police station on March 31, 2009.

Arbitrator rejects officer's appeal

On April 3, 2009, Kirmelewicz told the Board of Selectmen that he had suspended Yeo and requested a hearing for the board to consider firing the patrolman.

The board voted to fire Yeo on May 6. Yeo appealed to the state Division of Labor Relations, which upheld the firing.

At the local hearing, the town argued it had just cause to fire Yeo even though he did not have a prior disciplinary record because police officers are required to meet "an especially high standard of conduct, particularly in regards to honesty."

Town lawyers highlighted the requirement of prosecutors to disclose whether an officer has been disciplined for dishonesty and argued that committing acts of dishonesty undermines the ability of the police officer to be an effective prosecution witness.

At the hearing, the town submitted electronic surveillance evidence that Yeo repeatedly lied about his location when contacted by dispatchers. The evidence showed that Yeo gave different locations on different calls, despite the fact that his location had not changed, the labor ruling says. At other times, Yeo said he was in on patrol when he was in fact in the station, the ruling says.

"Despite being advised dishonesty is a violation of department policy, Yeo was willfully and intentionally untruthful, misleading, deceptive and evasive" when interviewed by his superiors in their investigation, the town wrote in a legal brief to the labor division.

The town also claimed Yeo slept for long periods of time while he was on duty because "his cruiser was stopped for long periods of time at locations that were too secluded to allow him to see passing cars, but were ideal for sleeping," the ruling says.

The town also provided video evidence from a camera hidden in Yeo's cruiser that allegedly showed Yeo sleeping on two shifts. Yeo's lawyer disputed that allegation, saying the video was "too dark" to tell what Yeo was doing.

Yeo's lawyer argued that much of the evidence against his client should not have been allowed because it was gathered by inappropriate means, including spying on his computer use and installing a Global Positioning System monitoring device and a hidden camera inside his cruiser.

The union also said Kirmelewicz's interview of Yeo was inappropriate because it took place just prior to the end of Yeo's shift at 6:30 in the morning, and because the chief refused to honor Yeo's request for an attorney when he was questioned at the station about the allegations against him.

10/17/10


LOCAL INSURANCE OWER GRAB THWARTED PDF Print E-mail

Bargaining Right Not Eliminated

SEPTEMBER 2010 VOICE: Heeding calls not to violate the rights of active and retired local employees by eliminating health care bargaining rights, the Legislature has rejected a scheme devised by local officials to gain control of health insurance “plan design”.

Under the proposal, put forth by the Mass. Municipal Association and the Mass. Mayors Coalition, collective and coalition bargaining would become a thing of the past when it comes to health insurance coverage. Instead, local officials want the legal right to craft health care plans as they see fit – without having to negotiate the changes with active or retired employees.

Our Association supports the closely defended position held by labor that members should have the right to a seat at the bargaining table and be allowed to negotiate changes to health plan design and costs before they take place. And while retirees do not have collective bargaining rights, many local members are now able to participate in insurance negotiations through Section 19, known as coalition bargaining.

Together with many media outlets, local officials argue that the only solution to controlling health care costs is through granting them complete control over "plan design", without the need to negotiate. The plan would have also allowed the municipality to enroll in the state's Group Insurance Commission or a joint purchasing group, such as the MMA affiliated Mass. Interlocal Insurance Association (MIIA), without union/retiree approval.

Association officials have long argued that bargaining, especially through the coalition process under section 19, works very well when done in good faith.

"We have documented several recent cases where the local bargaining process, under Section 19, has worked very well. Quincy and Brookline are great examples of that," said Association Legislative Liaison Shawn Duhamel. "Unfortunately, some local officials don't want to negotiate fairly and openly. They'd rather go for the quick fix of shifting costs onto retirees through higher premiums, copayments and deductibles.

"Unfortunately, we don't see this issue or the push for one-sided control of our health plans going away anytime soon.
"As long as the economy is down people will look for quick fixes to complicated problems. The answer to controlling health care costs is found by coming together, not by dictating policy changes. Thankfully the Legislature seems to agree, at least for now."

taken from http://www.massretirees.com/

 

 

City calls for all retired Police Officers still working road details to come to the station to sign their 2010-2011 contract.


Crooner Omer Frechette makes it big in Salisbury!

Omer hits the Karaoke hot-spots as often as he can and can really impress with his fine tuned vocals. Catch Omer at a number of venues in the Salisbury area.

06/05/2010


2 insurers again seek double-digit increases

2 insurers again seek double-digit increases

Earlier rejections still under appeal

By Robert Weisman

Globe Staff / June 3, 2010

The state’s two largest health insurers again are seeking double-digit increases in the rates charged to small businesses and individuals, setting up another test of wills with regulators in the Patrick administration.

Two months ago, the state Division of Insurance rejected 235 proposed premium increases that would have taken effect April 1, requiring insurance companies to continue billing customers at 2009 rates. The new round of proposed increases, submitted this week, covers health plans coming up for renewal in the three-month period that starts July 1.

Blue Cross Blue Shield of Massachusetts, the state’s biggest health insurer, is requesting increases averaging 12 percent, on the lower end of the range it submitted earlier in the spring. Harvard Pilgrim Health Care, the number two carrier, wants increases that range from 8.8 percent to 11.9 percent, about the same range it sought in the round that was rejected.

The new premium rates are “actuarially sound and will cover the costs of the health benefits our members will receive,’’ said Tara Murray, a spokeswoman for Blue Cross Blue Shield.

But the rate filings are certain to be contentious at a time when state officials are working to rein in health care costs and insurers say they are being forced to sell policies at a loss.

Insurance Commissioner Joseph G. Murphy and his staff will give the latest round of proposed increases the same kind of tough scrutiny as those they rejected on April 1, weighing “whether they are excessive in relation to the health care benefits provided,’’ Barbara Anthony, undersecretary of the state Office of Consumer Affairs and Business Regulation, said yesterday.

“If the commissioner finds rates that are unreasonable or excessive, then those rates will continue to be disapproved,’’ Anthony said. “We are determined to apply the law to give relief to small businesses and working families who pay these double-digit rate increases.’’

In filing the rate requests this week, insurers met a deadline set during the winter under emergency regulations established by Governor Deval Patrick, and designed to assure sufficient time for state review. In the past, insurers would notify the state of rate increases on the day they took effect.

Lora Pellegrini, president of the Massachusetts Association of Health Plans, said the state rate cap is weakening insurers and distracting from the need to bring down underlying costs charged by hospitals and doctors with the most market clout.

“The health plans are losing money,’’ Pellegrini said. “These rates reflect their claims experience and what they’re obligated to pay under the contracts they have with providers. If they can’t collect the premiums they need, their losses are going to continue to mount.’’

Insurers are challenging the rate denials through administrative hearings within the Insurance Division and in a lawsuit filed in Suffolk Superior Court. A judge denied the insurers’ request for a preliminary injunction that would have let them go forward with proposed increases for tens of thousands of customers, ruling that administrative appeals should be exhausted before the case comes to trial.

Last month, the four major Massachusetts health insurers posted operating losses totaling more than $150 million. They blamed the deficit on the rate cap, which they said was causing market chaos.

In a statement, Patrick called on insurers and health care providers to work together to solve the problem of rising costs. “We have made progress on providing short term relief from double-digit premium increases and will continue to closely monitor rates to ensure they are fair,’’ he said. “To finish the job, however, we need all stakeholders pulling in the same direction.’’

Not every insurer filed new proposed rate increases. Tufts Health Plan, the state’s third-largest health carrier, included its July-to-September renewals in the proposal it submitted before April 1. Another insurer, Fallon Community Health Plan of Worcester, submitted proposed rates for July 1, but declined to disclose the range of increases it is seeking. In April, Fallon asked for increases of 18 to 32 percent.

Insurance Division officials yesterday confirmed they had received a new round of premium proposals from all the major health insurers, with the exception of Tufts. But they said the policy is not to make the proposed increases public until they have been approved or rejected.

Health insurers, for their part, said that until the state rules on the latest proposed rates, they will keep quoting last year’s rates to businesses and individuals. “Because we anticipate the increases will be disapproved, we’re quoting July 2009 rates,’’ said Harvard Pilgrim spokeswoman Sharon Torgerson.

Small businesses and health care providers, who are watching the standoff between the insurers and state officials from the sidelines, say they are concerned about how the fallout will affect their operating costs and their ability to hire and retain employees.

Jon B. Hurst, president of the Retailers Association of Massachusetts, which represents 1,300 small businesses, said the newest proposed increases should be denied. “The message has to be sent that double-digit increases on the backs of Main Street will not be tolerated,’’ he said. At the same time, Hurst said, he hoped the dispute could lend urgency to efforts to control escalating health costs.

About a third of the contracts between insurers and hospitals are being renegotiated this year. Lynn Nicholas, president of the Massachusetts Hospital Association, said she worries that insurers, squeezed by the state rate cap, will try to roll back payments not only to financially strong hospitals but to those that are weaker.

“The challenge is that most hospital margins are so thin that there is just not enough room to give up significantly on their rates,’’ Nicholas said. “Lower rates could force hospitals to make staff reductions because two-thirds of their expenses is staff.’’

Robert Weisman can be reached at weisman@globe.com.

 


 

May 29, 2010

Walter G. Shirton, 77

METHUEN — Walter G. "Big Wally" Shirton, 77, of Methuen, passed away on Wednesday, May 26, 2010 at his home, following a long illness.

Walter was born, raised and educated in Methuen and was a lifelong resident. He served with the United States Army during the Korean War, and retired from the Methuen Fire Department in 1987..

Walter was very active with the Lawrence Y.M.C.A. where he was a mentor to many. Through his volunteer work and dedication, he came to be known as the "grandfather" of the Y.M.C.A. He served as an ombudsman for the Merrimack Valley Elder Services. In his free time, Walter enjoyed following local sports and most enjoyed time spent with his family.

Walter is predeceased by his wife Frieda (Fisichelli) Shirton who passed away in 1998.. He leaves his loving daughters, Joyce M. Shirton of North Reading, Lisa A. Shirton of Methuen and Laurie J. Firth and her husband Allan of Salem, N.H.;...a sister, Claire Cavanaugh of Methuen; and a brother, James Shirton and his wife Ellie of Methuen; four grandchildren, Jessica Shirton of North Reading and Cassandra, Allan and Stephanie Firth, all of Salem, N.H.; and several nieces and nephews. He is also predeceased by a sister, Phyllis Sidon of Methuen.

ARRANGEMENTS: Friends are invited to call on Monday, May 31, from 6 to 8 p.m. and Tuesday, June 1, from 2 to 4 and 6 to 8 p.m. at the Charles F. Dewhirst Funeral Home, 80 Broadway, Methuen. A funeral Mass will be held on Wednesday at 10 a.m. at St. Andrew's Episcopal Church in Methuen. Burial will follow at St. Mary Immaculate Conception Cemetery, Lawrence. Donations, in lieu of flowers, may be made to the Lawrence Y.M.C.A.,. 40 Lawrence St., Lawrence, MA 01840. For directions or to leave an online condolence, please visit www.dewhirstfuneral.com.


Retired State, County and Municipal Employees Association

11 Beacon Street
Boston, MA 02108
617-723-8815


April 27, 2010

Dear Member:

Due to the efforts of our Association, the House of Representatives has passed a local option provision that would allow municipalities to increase the COLA base. Our legislative team successfully lobbied for the inclusion of this important legislation with the Municipal Relief bill (H4631), which is now awaiting action before the state Senate.

We would like to thank those members who took the time and made the effort to contact their local State Representative on behalf of this proposal. Your elected officials take these calls seriously. So seriously in fact, that our COLA Base amendment passed the House by a vote of 158-0.

It is also important that we give special recognition to those Representatives who were the driving force behind our amendment. Without the direct involvement and support of Public Service Chairman Robert Spellane (D-Worcester) and Municipal and Regional Government Chairman Paul Donato (D-Medford), the amendment would not have passed. We also gained the support of House Speaker Robert DeLeo (D-Winthrop) and House Ways and Means Chairman Charles Murphy (D-Burlington).

As evidence of the bi-partisan appeal of our proposal to increase the COLA base, House Republican Leader Brad Jones (R-Reading) and the ranking member of the House Ways and Means Committee Vinny deMacedo (R-Plymouth) were also enthusiastic supporters of the amendment.

If passed by the Senate and signed into law by Governor Deval Patrick, this proposal will allow each local retirement system, after approval of the local legislative body, to increase the COLA base in increments of $1,000. It is our hope and expectation that this important milestone in pension law will result in greater COLAs for our members by July 2011.

We should also point out that the passage of a local option COLA base increase is of great importance to all Association members - state and teacher retirees included. This opens the door for the inclusion of a higher COLA base for these retirees, when the State-Teachers' pension funding schedule is revalued and extended next winter.

Again, we greatly appreciate the support and assistance that you have given us on this important issue. We will keep you informed as to the further progress of H4631, as it moves through the Senate in the coming weeks, where we expect a vote to be taken on the matter by late May.

Most sincerely,


Ralph White, Retired State, County and Municipal                                      
Employees Association of Massachusetts                                                                                  Shawn Duhamel,  Legislative Liaison

 04/28/2010


 

Runaway health costs are
rocking municipal budgets

But there’s no will or willingness to roll back benefits granted in palmier times

By Sean P. Murphy
Globe Staff / February 28, 2010

 

Elizabeth Debski spent eight years as Everett’s city planner, before losing her job in 2006 when a newly elected mayor installed his own team.

But Debski did not leave City Hall empty-handed. In addition to her pension, Debski, at 42, walked away with city-subsidized health care insurance for life. If she lives into her 80s, as actuarial charts predict, taxpayers could pay more than $1 million in all for her family’s health care benefits.

That’s not to say Debski manipulated the system. She simply took what she was owed under a municipal health care system whose generous benefits and colossal inefficiencies are crippling cities and towns across Massachusetts.

A six-month review by the Globe found that municipal health plans, which cover employees, retirees, and elected officials, provide benefit levels largely unheard of in the private sector. Copays are much lower. Some communities do not force retirees onto Medicare at age 65. Many citizens on elected boards - some after serving as few as six years - receive coverage for life, too.

As medical costs across the board rose over the past decade, municipal health care expenses exploded, draining local budgets and forcing major cuts in services, higher property tax bills, and billions in new debt.

“It has got to be dealt with,’’ said Richard Fortucci , the chief financial officer in Lynn. “Or we will all go bankrupt.’’

The cost of municipal health care more than doubled from fiscal 2001 to 2008, adding more than $1 billion in all to city and town budgets, according to state Department of Revenue data. A Globe survey of 25 communities found that they now devote, on average, 14 percent of their budgets to health care, up from 8 percent a decade ago. Somerville, for one, spends $20 million more annually than it did 10 years ago, now devoting almost 20 percent of its budget to health care.

So far, with powerful labor unions resistant to giving away hard-won benefits and a lack of political will in the state Legislature to force changes, efforts to overhaul the system have fallen short.

To be sure, many municipal employees, elected officials, and retirees are paying a greater percentage of their health premiums than ever. Still, almost all of the increase in municipal health care costs in the past 10 years has been shouldered by taxpayers, who are subsidizing plans that are often superior to their own.

“It’s a nice deal,’’ said Debski, now a part-time planner in Malden.

She could get insurance through her husband’s employer but doesn’t, for a simple reason: The municipal plan is far more generous and costs less.

“The system was there,’’ she said. “I find it hard to believe that anyone wouldn’t take what the system offered.’’

A crippling cost

The consequences of failing to face this crisis are on display in many cities and towns, nowhere more vividly than in Lawrence.

In that city, on Feb. 1, children were momentarily trapped in a burning apartment building, down the street from a fire station. But the city had recently shuttered the station, to help close a $24 million budget gap, and firefighters had to race from another location. The children escaped, but the fire chief warned the city it may not be so lucky next time.

Meanwhile, Lawrence, one of the poorest municipalities in Massachusetts, continues to pay among the highest rates in the state for health care benefits. The city’s health care kitty, which it uses to pay for coverage, is currently $4 million in the red.

Health care costs are not the only budget-buster for cities and towns, of course, but their rise has led not just to fewer firefighters in Lawrence but diminished services across the state.

Library hours have been cut in Wayland and Hull. Wakefield has deferred road and sidewalk repairs. Malden has introduced fees for trash pickup. Class sizes have increased in Chelsea. Major layoffs have hit, among others, Boston, New Bedford, Worcester, and Brockton - with officials in all those communities citing rising health care costs as a major factor. Revere last year closed City Hall on Fridays, to save cash.

“What am I going to do next, put a padlock on the police station and tell people to call the State Police instead?’’ asked Mayor Thomas G. Ambrosino of Revere, who, like other mayors, is covered by municipal insurance.

Communities, under a 30-year-old initiative known as Proposition 2 1/2, can raise their tax levy each year by no more than 2.5 percent. In Revere, health care costs are rising at close to 10 percent a year. This fiscal year, the rise in health care expenses alone is projected to consume all of Revere’s $1.5 million allowable tax increase - and then some.

With health costs soaring year after year, communities must ask taxpayers for more money even while providing fewer services. Indeed, local officials say, Proposition 2 1/2 overrides - loathed at kitchen tables - are often attributable, at least in part, to skyrocketing health expenses.

Voters in Weston passed a $1.1 million override in 2006, primarily because of health care costs, which had risen by more than 80 percent in four years.

It proved to be a temporary fix. By 2009 Weston needed more money to cover health care increases, said Donna S. VanderClock, town manager. The town avoided another override after unionized employees agreed to join the state’s health care system, saving about $1.7 million in the first year, VanderClock said.

Beyond the immediate costs, huge liabilities loom. Communities have promised current and future retirees billions in health care subsidies, a burden taxpayers will bear long into the future.

Lynn owes current and future retirees an estimated $450 million in benefits over the course of their lives - five times as much as it takes in annually in taxes, according to estimates by city actuaries. Brookline’s unfunded liability for health care is $320 million; Boston’s is $5.7 billion.

Though some communities, such as Wellesley, Needham, and Boston, have begun putting aside interest-earning money every year to help meet those obligations, the vast majority of municipalities have not. Local officials say they can barely afford to pay today’s health care bills, let alone tomorrow’s.

“We have an unfunded liability of more than $600 million and with no plan to address it,’’ said John Condon, Brockton’s chief financial officer. “Even if we wanted to address it, we don’t have the money for it.’’

‘Very, very rich plans’

Jane Teal said she only wanted to help her hometown when she ran successfully for Lynn City Council in 1995. She served for six years, then stepped down, eventually moving to Florida with her husband. Today, Lynn taxpayers are paying $22,600 a year for the couple’s health care.

“It never crossed my mind that I would get insurance when I ran for office,’’ she said. “But I am glad to have it.’’

Six former city councilors are insured by Everett, plus 12 current ones. In Kingston, 10 part-time elected officials receive town-subsidized health coverage, including four Planning Board members, three Health Board members, and a sewer commissioner, all of whom typically attend two meetings a month.

“That’s the way it’s been done for a long time in Kingston,’’ said Dennis Randall, vice chairman of the Board of Selectmen. “But in tough times, everything should be under review.’’

The extension of benefits to local elected officials is one vivid example of how generous many municipal health care plans are. In fact, national data show that state and local government pay significantly more for health benefits than private employers.

Municipal health care plans were once deemed affordable and have helped cities and towns attract workers to the public sector, where salaries have often been lower. Today, however, they stand out for their comparatively low cost to subscribers and favorable terms.

Taxpayers now underwrite as much as 89 percent of active employees’ premiums in some of the state’s largest cities, while private-sector employers often cover less than 70 percent, local and state data show. As health care expenses have climbed for everyone, taxpayers - already paying a generous share of municipal benefits - have been hit especially hard as those benefits have grown more costly.

The insurance plans many cities and towns offer to employees, retirees, and elected officials also require minimal out-of-pocket expenses, with copayments for office appointments as low as $5. Most have copays for emergency room visits of $25 or less.

By comparison, private-sector copays for office visits are typically at least $20, sometimes more, with $75 copays standard for emergency room visits, according to a survey of Massachusetts employers by the state Division of Health Care Finance and Policy. Unlike most municipal plans, private-sector plans also often force subscribers to pay thousands annually in deductibles before insurers pay anything.

In addition, cities and towns are among the last employers to offer costly indemnity plans, which provide virtually unrestricted medical care. Though phased out in much of the private sector, indemnity plans live on in about a third of Bay State municipalities, according to a 2008 survey by the Massachusetts Municipal Association.

Even with family HMO plans, which typically limit access within a defined network of providers, municipal premiums are, in some cases, 30 percent higher than in the private sector, according to a Globe survey of communities and state data.

Though cities and towns have some control over what benefits they provide, they are limited by state law: Not only does the law subject health benefits to local collective bargaining, the state also imposes certain mandates on municipalities. Communities that offer health care to active workers, for example, must also offer coverage to retirees.

The generous terms of municipal plans compound the problem, because they create incentives for higher use: Low out-of-pocket costs - particularly the minimal copays - encourage subscribers to use more medical services, thus driving up the overall expense to communities.

“When a group uses a high number of services, high premiums result,’’ said Brian Pagliaro, senior vice president of Tufts Health Plan.

Among the communities that pay the highest family premiums are Framingham, which spends $34,075 per family; Waltham, at $30,100; and Everett, at $26,000.

“The municipal plans are rich plans,’’ said Mayor Joseph A. Curtatone of Somerville. “They are very, very rich plans.’’

A boon for retirees

For taxpayers, there is no relief in sight, and for one simple reason: Municipal health benefits are especially good in retirement, and the number of retirees has grown by a steady 2.5 percent per year since 2001, in part because of longer life expectancies.

Under state law, any municipal employee with 10 years service is eligible, in retirement, to get health care benefits for life from age 55, a benefit typically worth hundreds of thousands of dollars per person. (People such as Debski, who have 20 years public service - she worked 12 years in Salem before going to Everett - can immediately qualify if they are terminated, regardless of their age.)

Most municipalities also grant spouses generous health care benefits.

In some cases, retirees and spouses live decades beyond the date of retirement, the Globe found in a review of thousands of pages of municipal retirement records. The widow of a Lynn police officer who retired on disability in his 30s in 1953 is still receiving city-subsidized insurance - 57 years later.

Less than one-quarter of private-sector retirees nationally receive any health care benefits from their former employers, said Roland McDevitt, director of health care research for the consulting firm Towers Watson.

Some cities and towns do not even compel retirees to use Medicare for nonemergency care once they reach 65, in effect leaving millions of dollars in federal subsidies on the table. Instead, retirees choose to stick with the more generous, and more costly, municipal plans.

Communities, under a state law passed in 1991, can force employees to enroll with Medicare, but only if the change is approved by the city council or town meeting. In some places, that has proven politically difficult, given the clout of active and retired municipal workers.

Boston, Lowell, and Lawrence are among those that have yet to adopt the provision. In Boston alone, there are more than 1,500 retirees who are eligible for Medicare but do not take it, costing the city almost $5 million, according to city estimates.

“Getting into Medicare is a tough vote,’’ said Condon, of Brockton. “People don’t like change. And in Brockton, we have more than 700 retirees on the voting rolls.’’

Other municipal retirees don’t sign up for Medicare simply because they are not eligible. Most police, firefighters, and teachers retire before age 65, and are thus too young to be covered by the federal system. That means cities and towns pay as much to insure them - at least until they reach 65 - as they do to insure active employees.

Even when retirees are on Medicare, it is still expensive for municipalities, because state mandates require communities to help cover drug costs and other expenses not paid by the program. By contrast, private-sector retirees are typically on their own.

“In the private sector, when you turn 65, most employers say, ‘Good luck on Medicare,’ ’’ said McDevitt, the national health care consultant. “And that’s it.’’

Tomorrow: How cities, towns, and the state have tried and often failed to solve the problem.

Sean Murphy can be reached at smurphy@globe.com.

 4/19/2010

 

Notice Methuen is absent, because our costs went DOWN!!!


 

Published: April 18, 2010 Eagle Tribune

Methuen school unions must share in the sacrifice

Ken Willette

The upcoming fiscal year 2011 budget cycle in Methuen represents one of the worst fiscal environments in many decades.

In 2009, I directly witnessed a concerted effort by municipal unions to offer meaningful, deep and obviously painful concessions in order to balance the FY 2010 budget and forgo property tax increases. Unfortunately, having recently returned back to the Methuen School Committee, I have not yet identified a similar spirit of cooperation and compromise from the various school unions.

This is very troublesome, especially since municipal workers will likely face sizable layoffs due to downward local aid projections, and Methuen taxpayers will have to foot a larger bill to keep pace with the state-mandated education formula.

While the school administration has been able to achieve significant cost savings in the areas of transportation, energy efficiency, bulk-purchasing and a reduced complement of principals, the major union groups have failed to take a positive and constructive leadership role in proposing modest cost-of-living reductions to preserve systemwide jobs and stabilize class sizes. Last year a number of custodians and program assistants needlessly lost their hard-earned jobs solely because some union leaders deemed it unreasonable to give back some marginal (when compared to municipal workers) contract provisions to cope with the most colossal economic collapse since the Great Depression.

While the Methuen School Committee unanimously approved my policy proposals to root out out-of-city students illegally attending our schools and authorize certain advertisements at school sporting events, which will save and generate long-term revenue for our community, we have not received any cost-saving proposals from union leadership. In fact, we are still currently paying for out-of-district students to attend our schools simply because their parents teach in our system, an outdated agreement that completely contradicts our newly strengthened residency enforcement policy and will be discussed at the next School Committee meeting.

While all workers are paying more out-of-pocket for their health insurance, there is an absence of union leadership to consider joining the state's Group Insurance Commission (GIC) plan, saving Methuen millions of dollars in the process. Imagine the potential savings for Methuen when, for example, we compare our community of over 45,000 residents versus the Town of Hopedale, a community with a much smaller population of 5,000 residents.

Hopedale will save $800,000 a year because the local government workers agreed to join the GIC. After two years of good-faith discussions, the Hopedale GIC accord serves as a model for all other cities and towns. Town workers will receive more favorable premium assessments; Hopedale's current and future budgets will be under less fiscal constraint; layoffs are less likely to occur; and residents will directly benefit from property tax stabilization, both short-term and long-term. Hopedale town workers have played a major role in taming a huge and unsustainable budget buster. Anyone who has read the Boston Foundation study on the GIC and the cities and towns that have joined the GIC plan, can certainly appreciate not only the favorable fiscal terms for participating communities but the personal financial relief for workers and the presence of program plan choices and overall quality of services.

Many items are currently being considered by the Methuen School Committee, including hiring freezes, curtailing out-of-district travel expenses and consolidating departments with the City of Methuen. All ideas are valid and should be completely discussed and vetted. I will definitely explore a number of difficult yet necessary options to present a fiscally realistic, transparent and honest school spending plan to the mayor and City Council. I will also not vote in favor of any new contracts in the absence of a package of concessions during the FY 2011 budget presentation.

I look forward to the challenge, as I have already fulfilled many of my campaign promises (enforcing a strong residency policy, lifting the ban on advertising at school sporting events, and supporting my colleagues' proposals to mandate greater openness and accountability). I will continue to hold the line on my fiscal conservative philosophy and maintain the trust that the voters overwhelmingly gave me last November.

• • •

Ken Willette is a member of the Methuen School Committee.

4/19/2010


 

Latest Plans by the Governor!!

from the BOSTON GLOBE

Some health networks drop elite hospitals

Once unthinkable, now a trend as costs soar

By Liz Kowalczyk

Globe Staff / April 17, 2010

Health insurers are starting to sell policies that largely bar consumers from receiving medical care at popular but expensive hospitals such as Massachusetts General and Brigham and Women’s — a once radical idea that is gaining traction as a way to control soaring health care costs.

 Governor Deval Patrick and Senate President Therese Murray have included such restricted provider networks in their recent legislative proposals to control rising insurance rates. And the state this month began offering limited-network plans to 300,000 state employees, retirees, and their families, promising 20 percent discounts on premiums if they are willing to give up access to some of the Boston area’s most renowned hospitals.

Dolores Mitchell, executive director of the agency that oversees health insurance for state employees, said she wants “to send a message to the more expensive [provider] organizations that, ‘Hey, we’re not going to just sit still and do nothing’ ’’ as medical costs climb year after year.

But even as state officials promote the idea, there are obstacles to its wide adoption. Some of the state’s largest insurers have contracts with powerful teaching hospitals and doctors’ groups that could make it difficult to exclude them. And Massachusetts consumers and employers have long cherished choosing from a broad range of providers.

In a yearlong investigation into rising health care costs completed last month, Attorney General Martha Coakley cited ‘’distorted’’ contracting practices as one factor. She found that providers with market clout have negotiated clauses in their contracts that prohibit or inhibit insurers from creating plans intended to steer patients away from them. She did not name the companies involved, but said regulators and lawmakers should move to discourage or forbid these practices.

Certain providers “are strong enough to dictate which products get into the market,’’ agreed Rick Weisblatt, senior vice president for health services at Harvard Pilgrim Health Care, the state’s second largest insurer.

Harvard Pilgrim, Weisblatt said, has contracts with a small number of influential teaching hospitals — which he would not identify because of confidentiality agreements — that include ‘’opt out’’ clauses. These could allow the providers to drop out of plans they don’t like, such as those that try to steer patients to less expensive community hospitals for routine services or to free-standing imaging centers for scans. As a result, the insurer has not widely offered these types of plans, he said.

Blue Cross and Blue Shield of Massachusetts, the state’s largest health insurer, has similar provisions in its contracts with Children’s Hospital Boston and Partners HealthCare, the parent organization of Brigham and Women’s and Mass. General. The language in Partners’ contract, said Andrew Dreyfus, executive vice president of Health Care Services, requires Blue Cross to develop specific exclusion criteria based on cost or other factors if the insurer decides to leave Partners hospitals out of restricted networks.

But he does not believe this clause would hamper Blue Cross from offering a plan with a limited network, which the giant insurer is now considering selling.

In Massachusetts, private insurers typically offer wide-open networks, meaning members can check into a pricey teaching hospital to deliver a baby rather than go to a less expensive community hospital, and can schedule MRIs and CAT scans in a hospital outpatient department, even when freestanding clinics provide similar services for less money.

Amid intense scrutiny into why health care costs in Massachusetts are climbing 7.5 percent a year, limited networks have emerged as the most immediate way to control costs. The governor and Murray have proposed legislation that would require insurers to offer limited network plans to small employers, plans that must be at least 10 percent cheaper than open networks.

Mitchell’s agency, the Group Insurance Commission, required its two largest providers — Harvard Pilgrim and Tufts Health Plan — to develop restrictive networks this spring. Speaking during the hearings about insurers and their lack of clout with certain providers, she said, “I’m trying to put a little cement in their backbones.’’

The limited network Harvard Pilgrim developed for the state excludes Partners’ Boston teaching hospitals and the Lahey Clinic in Burlington, while the Tufts network excludes Partners teaching hospitals, Lahey, Beth Israel Deaconess Medical Center, and UMass Memorial Medical Center.

Mitchell acknowledged that restricted plans could lead to problems in the market, if healthy employees migrate to cheaper plans and those with serious illness remain in more expensive open networks because they need broad access to the advanced care provided at teaching hospitals. That outcome could raise costs for individuals in the open plans, since costs would be spread among fewer employees.

Partners spokesman Rich Copp said the organization, whose teaching hospitals could be left out of other restricted networks as well, is concerned about making sure patients have adequate access to all services, including psychiatry and rehabilitation care. These services are poorly reimbursed and many providers have stopped offering them, he said.

Insurers say their plans generally allow customers to get permission to go outside a network if the care they need is not provided by participating hospitals and doctors, though sometimes they have to pay more.

Membership in limited networks is small so far, but they are gaining popularity.

Fallon Community Health Plan, based in Worcester, has seen enrollment in its limited network grow 40 percent since 2006. It has 50,000 members, nearly one-quarter of the insurer’s enrollment, who get a 10 to 13 percent discounts on premiums. Members must go to community hospitals unless they obtain preapproval to go to a teaching hospital for care not available elsewhere. Since most of the plan’s members live in Central Massachusetts, it might be less of a sacrifice for them to give up unrestricted access to Boston’s teaching hospitals.

Tufts has seen modest but steadily increasing enrollment — about 3,000 members — in its Select network offered for lower-income residents.

Caritas Christi HealthCare began offering a limited network to its employees in 2008, including only Caritas hospitals for most care and Boston Medical Center and Children’s Hospital for certain specialty care. While the plan started slowly, once Caritas dramatically lowered the price of joining — $32 a month for individuals compared with $150 for the open-network plan — it took off, and now has 2,300 employees plus their families.

Cindy McGrath, a state employee who joined a restricted-network plan last year and this week began running open enrollment clinics for state workers, said they are far more interested in limited networks than they had been in the past.

Health care “is a much bigger chunk out of their paycheck right now,’’ she said, “and [these networks] are a great deal.’’

Liz Kowalczyk can be reached at kowalczyk@globe.com.

4/17/2010 http://cache.boston.com/bonzai-fba/File-Based_Image_Resource/dingbat_story_end_icon.gif


 

IMPORTANT INSURANCE INFORMATION

As we continue our mission of protecting  the benefits of the retirees of the City of Methuen, we will post links to stories and add information of our own to this site.

We ask each of our readers to make contributions that are in the interest of and for the benifit of all MPFRA members and city retirees.

As you may be aware, we are dilligent in working to protect the health benefits we currently enjoy. It is a real possibility that drastic changes to our insurance benefits may be made with or without our input, resulting in higher premiums, additional co-pay's, and a limited selection of doctors.

This is not to mention what happens if you need medical attention out of state. 

4/2/2010 


RETIREMENT BOARD ELECTION

All retirees are getting a notice in the mail that the Retirement Board is ramping up for the election. Currently Jim Trott sits in the seat coming up for re-election. He has taken out the necessary papers to keep his seat if elected. 

He has been a fine representative of the retirees for many years. It is undetermined at this time if he will face opposition, but PLEASE take the time and cast a vote for Jim Trott.

We cannot afford to lose this representation! All ballots are confidential and there is a process in place where there is no possible way voters can be identified.

PLEASE VOTE for Jim Trott!

4/2/2010


 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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