[…] As I’ve mentioned before, health care costs are what drive health insurance premiums. And until we figure out how to reduce the amount we spend on health care, health insurance premiums will continue to rise. But they will rise even faster if we require health insurance carriers to accept all applicants without imposing some sort of system that eliminates the possibility for people to wait until they are sick to purchase coverage.
Health Care Goodies
When The Media Recommends Over-Consumption Of Healthcare
[…] We seem to be caught up in a wave of screening test excitement lately, with new advanced testing available for every disease under the sun. Rather than focusing on things that can truly prevent health problems (the old, and decidedly low-tech diet and exercise ideas…), we are fixated on developing newer and better screening tests. This exacerbates the problem of over-consumption of health care and rising health care costs.
EHR Transition Process Not A Simple One
[…] But like any big project, nobody said this will be an easy transition. The government has created an incentive program to help providers with the financial aspect of transitioning from paper records to EHR, but of course there are hoops to jump through. It’s not as simple as just setting up the first EHR system you come across and then getting money from the government to help pay for it. In order to qualify for the incentive program, EHR systems must meet meaningful use criteria as laid out by the Centers for Medicare and Medicaid Services last year. […]
Peace Of Mind With Automated Payment Of Health Insurance Premiums
[…] If you sign up for automated payments, there’s nothing to remember. You don’t have to worry about your health insurance lapsing because a bill didn’t arrive, or because you forgot to send in a check. You don’t have to worry about making a typo or accidentally sending an underpayment. And in a lot of cases it’s less expensive to have automated payments set up too – some carriers charge an additional fee if you opt to receive a bill and mail a check for your premium.
Consumer Protections And The PPACA
I doubt that regulators will simply throw out the existing rules and allow ACOs to operate without consumer protections to place to guard against fraud and abuse. Instead, I see them coming up with new regulations that take into account the changing landscape of health care delivery, including ACOs. But either way, the creation of new consumer protections while suspending others does make for an interesting discussion. […]
Colorado Senator Introducing Legislation To Study Health Care
Colorado Senator Irene Aguilar, a Democrat from Denver, will be introducing legislation next month to address the fact that there are still 700,000 people in Colorado without health insurance. Although Colorado has made strides recently in areas like the expansion of Medicaid, we didn’t even come close to fulfilling former Governor Bill Ritter’s hopes for health insurance for all Colorado citizens by the end of 2010. […]
Comparing US Healthcare Costs With Other Countries
[…] But is having to wait to see a specialist for a non-emergency situation really that much of a drawback, when we consider that this sort of “rationing” might be what we need to bring our healthcare costs down to a reasonable level (and thus make healthcare more available to more Americans)? Maybe we don’t need MRI machines to be as conveniently-located as ATMs… Our current costs (and the rate at which they are increasing) aren’t really sustainable long-term, and the Healthcare Technology News article is a good reminder of how we stack up against the rest of the world.
Removing HSA Contribution Cap Does Not Solve Any Health Care Problems
[…] People who already max out their HSA contributions and still have money left over to contribute more would likely appreciate the removal of the HSA contribution cap. But those are not the people who are struggling to afford health insurance or pay for medical care. They are not the people our elected representatives should be focusing on when coming up with solutions for health care reform. Although I like our HSA and the flexibility it gives us to save for future medical expenses, I acknowledge that HSAs are not a panacea for what ails our health care system. […]
An Honest Look At End Of Life Care
[…] But Amy’s story is particularly important when we look at end-of-life scenarios, where doctors and hospitals will often take the approach of sustaining life at all costs, simply because it’s what we’re used to. I’m not advocating the rationing of health care in people who are terminally ill; patients should be given choices regardless of their prognosis. But honest discussions about end-of-life care and a genuine focus on quality of life might help to not only make life better for patients facing terminal illnesses, they could also result in lower health care costs.
Colorado House Bill 1025 Would Repeal Health Care Affordability Act
[…] HB 1025, introduced by Colorado Springs Republican Rep Janak Joshi, would repeal the Health Care Affordability Act of 2009 (HB 1293). That Act introduced the Hospital Provider Fee system to generate about $600 million annually in funds for the expansion of Medicaid, the Colorado Indigent Care Program (CICP) and Child Health Plan Plus (CHP+). Those funds are supplemented with federal matching of an additional $600 million for the expansion of those programs in Colorado. The Health Care Affordability Act was widely supported by hospital and medical groups in the state. […]
Few Carriers Offering Child Only Policies During Open Enrollment
[…] You can still get quotes for child-only plans, but the only options that will appear on quote engines that work with major health insurance carriers are Rocky Mountain Health Plans, and Kaiser Permanente for people in the Denver/Boulder area. We wanted to clarify this point in case there is confusion surrounding the open enrollment period. It’s unknown whether the other major carriers will be able to find a way to make child-only coverage a profitable venture as time goes by, but for now, the options are still quite limited in the child-only market in Colorado, regardless of the open enrollment window.
Cavalcade of Risk #122 Is Up
David Williams has done a great job with the latest Cavalcade of Risk. Take a minute to stop by and check it out.
Debating The Individual Mandate
[…] There is no simple solution to the issue of balancing guaranteed issue health insurance, an individual mandate, and personal liberties. It will be interesting to see what 2011 brings in terms of court battles over the constitutionality of the individual mandate, and whether any other options become viable alternatives.
Is A Symbolic Repeal Vote Worth The Time?
[…] Political analysts generally agree that a repeal vote in the House is likely to pass, but much less likely to clear the Senate. If it did, it would be virtually impossible to override a presidential veto. So the vote next week is basically symbolic – which can also be looked at as a waste of congressional time and resources. A more productive solution might be to start looking for ways to significantly reduce the actual cost of health care. […]
Looking For Ulterior Motives
Health care costs are rising at a dizzying pace. For most Americans, this translates into increasing health insurance premiums, which are driven mostly by the cost of health care. Getting health care costs under control is a necessary step, and one that politicians generally say is important. But what is said and what is done are not always in line with each other. This outstanding article on Emergency Physicians Monthly is a perfect example of health care costs run amok. […]
Reviewing Health Insurance Premium Increases
[…] even with the new MLR guidelines and a significant review from the Division of Insurance to make sure this year’s rate increases are appropriate, our average rate increase is still nearly 13% – significantly higher than the 10% threshold that would trigger a review under the proposed federal regulation. […]
Three Years To Iron Out Details For Health Insurance Exchange
For anyone curious about the logistics that will go into setting up the new health insurance exchanges that will become active in 2014, this Denver Post article is an excellent overview. The article notes that the 2011 legislature will have to pass a bill to set up basic guidelines for the exchange, and a governing structure to oversee the process. There will be monthly committee meetings to hash out the details, and once you start to ponder all of the questions that still remain unanswered, it’s clear why it might take a few years to get the exchange up and running. […]
Colorado Receives $13.7 Million Award For Medicaid Program
Colorado was one of 15 states to receive a grant from the federal Centers for Medicare and Medicaid Services this week, thanks to changes that the state made in the enrollment process for Medicaid in order to expand the program. Colorado got $13.7 million, which will be used to help finance the state’s Medicaid system. […]
Double Digit Premium Increases Continue In Colorado
The Colorado Division of Insurance issued a press release on Monday, addressing the fact that health insurance premiums in Colorado are continuing to increase. They reiterated some numbers from earlier this fall, noting that less than 5% of the overall rate increases for next year can be attributed to changes implemented by federal health care reform. The vast majority of the rate hikes that insureds will see in 2011 are due to factors that have been driving health insurance premiums for years, long before federal reform became an issue. As long as the cost of health care continues to rise, the cost of health insurance will rise along with it. […]
Possible Alternatives To The Individual Mandate
[…] While many other aspects of reform are generally popular (like the provision to allow young adults to remain on their parents’ health insurance until age 26, and the requirement that all policies be guaranteed issue starting in 2014), the individual mandate has raised a lot of hackles, with people feeling that the government is infringing on their rights by telling them that they have to buy a product (and in most cases, that product will come from a private company). […]
Colorado Falls To 13th In America’s Health Ranking
America’s Health Rankings released their annual report this month, and Colorado fell from 8th place in 2009 to 13th place in 2010. Overall, Colorado does quite well in terms of current health outcomes, but we fall short in terms of some factors that could lead to lower health outcomes over time (insurance coverage, geographic disparity, and immunization rates). […]
Standardized Language For Health Insurance
[…] In Colorado, all policies have long been required to have a standardized plan description form (separate from the carrier-created marketing brochure), and House Bill 1166 passed earlier this year, requiring that all policy information be written at no more than a 10th grade reading level. But I think that most consumers tend to look at brochures, mailers, online advertising, and other marketing materials designed by each insurance carrier. […]
More Than 200 Waivers Granted By HHS For Limited Benefit Plans
[…] As of last week, the number of waivers granted by HHS has grown to 222, and more than 1.5 million plan enrollees will continue to be covered next year by policies that provide limited benefits, despite the fact that those policies do not conform to the PPACA rules. Some of the exempted plans cover only a few workers, but some have thousands of enrollees. […]
Even Well-Off Americans Face Problems With Health Care Costs
[…] People in the US pay a significantly larger chunk of their income for health care (either through health insurance premiums, or directly to providers) than people in other countries. […] Until we can get our health care costs in line with what other developed countries spend, health insurance premiums will continue to be a financial stretch for many families, and cost will continue to be a barrier standing in the way of health care access for a large number of Americans.
Consumer Reports Health Insurance Rankings
I recently picked up a copy of the November issue of Consumer Reports, which included a section about health insurance. The article featured an interview with President Obama, and a good overview of how the changes included in the PPACA will impact consumers. In addition, Consumer Reports published a ranking of 227 HMO and POS (point-of-service) plans (you have to subscribe to Consumer Reports Health in order to be able to see the details online), according to data compiled by the National Committee for Quality Assurance (NCQA). […]