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Colorado Health Insurance Insider

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Expanding Health Insurance Coverage In Colorado

February 27, 2009 By Louise Norris

[…] Increasing the income limits and enrolling more people doesn’t require additional infrastructure or administrative changes. Working within our current framework, but with expanded enrollment, seems to be an efficient way of going about this process. It’s also probably the quickest way to actually get health insurance coverage to Colorado residents who need it.

Filed Under: Anthem Blue Cross, Denver, Health Insurance Reform, United Healthcare

New Ideas In Healthcare Cost Management

February 25, 2009 By Louise Norris

[…] spreading healthcare costs over a large population doesn’t do anything to lower the actual cost of healthcare, and might be seen as putting a layer of paint on a crumbling wall. I’m not quite as quick to discount this idea, although I agree with Jaan that more needs to be done than simply increase the number of people paying into the health insurance system.

Filed Under: Health Care Goodies

Some Thoughts On Colorado HB1224

February 23, 2009 By Louise Norris

[…] I looked at premiums for $5,000 deductible HSA qualified policies from Anthem Blue Cross Blue Shield, Aetna, Assurant, Cigna, Humana, and United HealthOne. If lawmakers disallow the use of gender to determine individual health insurance premiums in Colorado, younger women and older men will have lower premiums, while younger men and older women will have higher premiums. There won’t be any actual benefit to the overall population – health insurance premiums will just be averaged for men and women.

Filed Under: Aetna, Anthem Blue Cross, Health Insurance Reform, HSA, Humana, Individual/Family Health, United Healthcare

Audits For Medicare Providers

February 19, 2009 By Louise Norris

[…] most doctors are trying to provide the best possible care for their patients and simply get paid for what they do. Medical billing is fraught with complications and headaches. To eliminate mistakes, it seems that making the billing system less complicated would be a better solution than audits. […]

Filed Under: Medicare, Providers

Stimulus Aims To Help Laid Off Workers Retain Health Insurance

February 17, 2009 By Louise Norris

[…] The number of Americans without health insurance is already way too high. And since most people get their health insurance from an employer, the rising unemployment numbers were sure to drive the number of uninsureds higher. Hopefully the stimulus bill will help to mitigate the problem for at least the rest of this year.

Filed Under: COBRA, Group Health, Health Insurance Reform, Individual/Family Health

Government Research And Health Care

February 13, 2009 By Louise Norris

[…] There are plenty of people who advocate a free market approach to health care, and are complaining that the government shouldn’t be allowed to dictate that a particular treatment isn’t cost effective. But private health insurance does exactly the same thing. They don’t pay for unproven treatments, and it wouldn’t make sense for them to do otherwise […]

Filed Under: Health Care Goodies, Insurance Companies, Medicare

Anthem Blue Cross Donates $1.6 Million In Colorado

February 12, 2009 By Louise Norris

The Anthem Blue Cross Blue Shield Foundation and Anthem employees donated $1.6 million in 2008 to a wide range of organizations dedicated to improving health and wellness in Colorado. One of the recipients was the Colorado Coalition for the Medically Underserved, an organization that advocates for people in Colorado who are without health insurance. […]

Filed Under: Anthem Blue Cross

COBRA Only Helps If You Can Afford It

February 10, 2009 By Louise Norris

[…] Most people just can’t afford COBRA premiums. In Colorado, unemployment hit 6.1% in December. I’ve seen conflicting reports about the stimulus bill and whether the final version will contain relief for unemployed Americans struggling to pay for health insurance. Without it, the number of uninsureds will likely be higher this year than ever before.

Filed Under: COBRA, Individual/Family Health

HB 1256 Not Really A Benefit To Consumers

February 9, 2009 By Louise Norris

[…] The Colorado Insurance Commissioner regulates the health insurance market in Colorado to make it as beneficial as possible for consumers. Opening the health insurance market to allow for out of state plans to be sold here in Colorado would mean that consumers might end up with lower quality health insurance products, regulated by another state’s rules. […]

Filed Under: Health Care Goodies, Health Insurance Reform, Individual/Family Health

Maybe A Chronically Ill Person Could Become President

February 5, 2009 By Louise Norris

[…] A presidential nominee with a chronic illness might very much appeal to voters looking for someone would would make health care reform a priority. The perspective of living with a chronic illness would likely make a president much more sympathetic to the 47 million Americans who have no health insurance and no realistic access to health care.

Filed Under: Health Care Goodies

Daschle And Health Care Reform

February 4, 2009 By Louise Norris

[…] The millions of Americans who lack any type of health insurance and the ever-increasing cost of health care are issues that must be addressed. And unfortunately they’re going to have to be addressed during a time when money is squeaky tight. I imagine partisan politics and lack of money will be a far bigger hurdle for health care reform than Daschle’s withdrawl.

Filed Under: Health Insurance Reform, Individual/Family Health, Policy

Tough Times For Health Care Reform

February 3, 2009 By Louise Norris

[…] everywhere I look these days, the outlook seems pretty bleak. I wonder how many of the optimistic ideas that were tossed about during last year’s campaign will be scrapped for the time being. Hopefully the people who don’t have health insurance (and all the people who are at risk of joining them) will not become a forgotten minority.

Filed Under: Group Health, Health Care Goodies, Health Insurance Reform, Individual/Family Health, Insurance Companies

The Real Price Of Brand Name Prescription Meds

February 2, 2009 By Louise Norris

[…] If a rep presents a new med to a doctor, mentions that it’s a whiz-bang drug, and brushes the cost off by saying something like “it’s a brand name drug, but the copays on brand names are usually only about 20 bucks more than generics” the fact that the drug actually costs more per month than most car payments will probably not factor into the doctor’s prescribing decisions. […]

Filed Under: Group Health, Health Care Goodies, HSA, Individual/Family Health, Insurance Companies, Medicare, Providers

Women And Healthcare

January 30, 2009 By Louise Norris

[…] If you’re up for a little controversy, PalMD at White Coat Underground has written about conscience clauses that allow medical providers to refuse to to provide care if it conflicts with their personal beliefs. A very good point raised in the article and comments is that the conscience clauses tend to be invoked in matters of reproductive health. […]

Filed Under: Health Care Goodies, Individual/Family Health, Maternity/Pregnancy, Providers

Salaries For Healthcare Executives

January 28, 2009 By Louise Norris

[…] With other private industries, we have more of a choice in terms of quality, price, and whether we want the product in the first place. Somehow it doesn’t feel right that healthcare is set up just like all of our other industries, with executives making 7 and 8 figure salaries while millions of Americans are without health insurance and don’t have realistic access to healthcare at all.

Filed Under: Health Care Goodies

Email It To Me

January 27, 2009 By Louise Norris

I am a big fan of The Office.  Michael, Jim, Pam, Dwight… they thoroughly entertain me every Thursday night.  Michael isn’t known for his stunning wisdom, but last week there was an exchange between Michael and his boss David that deserves to be shared: David Wallace: I’ll fax over some of the things we’re looking… Read more about Email It To Me

Filed Under: Individual/Family Health

Customary Charges Are Not Always Reasonable

January 24, 2009 By Louise Norris

[…] Pricing varies from one provider to the next; negotiated reimbursement rates vary within a single health insurance network; patients often don’t know what the price will be until after the fact. And as David Williams pointed out, the prices are often far from reasonable. We can’t do without healthcare, and that’s why unreasonable “reasonable and customary” charges exist.

Filed Under: Health Care Goodies, Health Insurance Reform, Providers

Health Insurance And Clinical Trials

January 21, 2009 By Louise Norris

Diane Primavera, our local Colorado state representative from Broomfield, has proposed a bill that would prevent health insurance companies from canceling policies of insureds who choose to enroll in clinical trials of experimental treatments. We appreciate Primavera’s healthcare reform efforts for Colorado. […]

Filed Under: Health Insurance Reform, Insurance Companies

Health Insurance More Important For Humans Than Pets

January 20, 2009 By Louise Norris

[…] But before any state starts mandating that shelters and pet stores provide pet insurance information to customers, we should probably focus on making sure that people know how to qualify for Medicaid and SCHIP, and are automatically provided with information about eligibility for human health insurance.

Filed Under: Health Care Goodies

Health Insurance And Infertility Treatment

January 19, 2009 By Louise Norris

[…] One of the benefits of health insurance is the negotiated fee schedules between providers and health insurance carriers. When claims are considered “covered expenses” the billed amount is almost always reduced by the insurance company. Unfortunately, infertility treatments aren’t covered expenses and don’t get repriced by health insurance networks. […]

Filed Under: Maternity/Pregnancy

Different Perspectives

January 15, 2009 By Louise Norris

[…] Sometimes we need to be reminded that not everyone is aware of the actual cost of health insurance or health care. To us, reform that lowers costs across the board is a very important issue. But with such huge discrepancies in what people are paying for their health insurance, we’re not even in the same book yet, say nothing of on the same page.

Filed Under: Group Health, Individual/Family Health

Non-Profit Does Not Necessarily Mean Low Cost

January 14, 2009 By Louise Norris

I recently posted an article on the Colorado Health Insurance Insider about my views on making Medicare available as an opt-in option for Americans younger than 65. I got a comment on the article that I thought brought up some good points and wanted to expand on some of the ideas. The reader pointed out that a good number of private health insurance plans are non-profit […]

Filed Under: Aetna, Anthem Blue Cross, HSA, Humana, Individual/Family Health, Insurance Companies, Kaiser Permanente, Rocky Mountain, United Healthcare

Hopefully No Need For Offshore Medical Centers

January 13, 2009 By Louise Norris

[…] A little government intervention in terms of providing affordable basic healthcare access to all Americans through a tax-funded program is a good idea. But too much government intervention, in the form of a moratorium on private pay healthcare, is a bad idea.

Filed Under: Individual/Family Health, Policy

Healthcare IT Not Just About EHRs

January 12, 2009 By Louise Norris

[…] Instead of expanding EHRs, they suggest relatively low-tech IT solutions that would provide more bang for the buck. Their ideas include an on-line method of sharing medical records between PCPs and specialists, expanding the use of email between patients and doctors, and enhancing broadband access across rural and low income areas of the country. […]

Filed Under: Health Care Goodies, Providers

No Blackball List In Health Insurance

January 9, 2009 By Louise Norris

Several times each week, we talk to clients in Colorado who have been declined by a health insurance carrier in the past. Quite often they express concern about the “black mark” on their record, and wonder if they will ever be able to qualify for a medically underwritten policy. So I thought I’d clear up some of the most common misconceptions about individual health insurance underwriting and previous declines. […]

Filed Under: Individual/Family Health

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