[…] a Robert Wood Johnson Foundation report indicates that the majority of employers who offer retiree health insurance benefits have not yet signed up for the program, scheduled to last until the end of 2013. The RWJF study notes that in addition to the many small employers who offer retiree health insurance benefits, there are also about 24,000 large employers who do so. Obviously, most employers have not enrolled in the early retiree reinsurance program yet, and it’s unclear whether they plan to do so or not. […]
Health Care Goodies
Thoughts On The Postponed Medicare Payment Cuts
[…] While these changes might not have been warmly welcomed, they will ultimately help to make the system sustainable in the long term. The same could be said for the rest of the health care industry if similar cuts are implemented in other areas. Although the physician reimbursement cuts are unpopular with most doctors, they may be the only way to keep Medicare as a viable payer for seniors’ health care needs. And ultimately, it’s in the best interest of both doctors and seniors to keep Medicare around.
Most Americans Do Not Get To Make Their Own Health Insurance Choices
This article is not the first I’ve seen that calls into question whether Obama was being truthful when he said that health care reform would be structure so that people would still be able to keep their existing health insurance if they wanted to. And it would seem that his statements did amount to a bit of over-promising. But even before the PPACA came up for a vote, many Americans weren’t in control of whether or not they got to keep their existing health insurance. […]
How US Healthcare Compares With Other Developed Countries
[…] While many studies comparing health care around the world tend to look at generalized data like life expectancies and total cost of healthcare, this one was more focused on how healthcare in each country impacts individual people, and whether people are satisfied with their health insurance, personal medical costs, and access to care. […]
Thanksgiving Cavalcade Of Risk
Welcome to the Thanksgiving Cavalcade. It’s an exciting time to be hosting because risk is a hot topic right now. Insurance and healthcare risk, as well as monetary policy and finance, etc […]
Diabetes Accounts For Nearly A Quarter Of US Hospital Costs
Diabetes now accounts for nearly a quarter of all hospital spending in the US – about $83 billion a year in hospital fees. The report from the Agency for Healthcare Research and Quality was released in August, but I just came across it today, and the details are staggering. The vast majority – 95% – of all diabetes cases are Type 2 diabetes, which is nearly always caused by poor diet and/or a sedentary lifestyle. In addition, 70% of hospital stays for diabetics are paid for by government health insurance: 60% by Medicare and 10% by Medicaid. […]
Workers’ Comp Rates In Colorado Among The Lowest In The Nation
[…] We work with individual health insurance, so my knowledge of workers’ comp issues are generally limited to what I read on Julie’s blog. But I find it interesting that workers’ comp is relatively inexpensive here, given that our health insurance premiums put us right in the middle of the national ranking in 2009, and group health insurance premiums here are currently rising faster than the national average.
How The Colorado Division Of Insurance Reviews Rate Filings
[…] The Division of Insurance has recently released an extensive FAQ page detailing how the review process works. The page includes data about health insurance premiums in Colorado, how they compare with the rest of the country, and specifics about how the Division of Insurance reviews rate increase proposals from carriers. […]
Some Mini-Med Policies Are Better Than Others
This week’s Grand Rounds included an article by David Williams about mini-med plans that I thought was worth sharing. David explains that although he’s not a fan of mini-med policies, sometimes they are indeed better than nothing. Mini-med policies come in all shapes and sizes, and David’s article describes policies with $25,000 or $50,000 benefit maximums… a far cry from the $2,000 maximum policies that I wrote about earlier this month. […]
Mega And Mid-West Being Investigated Again
A west coast legal firm has launched an investigation into the market conduct of Mega Life and Health Insurance Company and Mid-West National Life Insurance Company. Their parent company, HealthMarkets, Inc., is also being investigated, along with the two shareholders (Blackstone Group, L.P. and Goldman Sachs Group, Inc.) who purchased HealthMarkets in 2006 for $850 million. […]
A Compromise That Makes Sense For Child-Only Policies
[…] Even with guaranteed issue open enrollment periods for child only policies, insurers would definitely be taking on an increased risk compared with what they had when all individual policies were medically underwritten. If insurers could be allowed to continue to accept healthy kids (who present less of a financial risk to the carriers) throughout the year, this would help to offset the losses that they would incur by insuring the unhealthy kids who enroll during the open enrollment period. Regardless of whether that’s in line with the “language and intent” of the PPACA, it makes sense in the real world.
Opposing Viewpoints On Amendment 63 In Colorado
Voters in Colorado will decide the fate of Amendment 63 next month, and the issue is definitely one of the more divisive ones on our ballot this year. The Denver Post ran a couple of editorials over the weekend that address both sides of the debate, and they’re both worth reading. Bob Semro, a policy analyst with the Bell Policy Center, explains why Amendment 63 is a bad idea, while Jon Caldera and Linda Gorman, both with the Independence Institute, detail the virtues of Amendment 63. […]
Narrow Provider Networks Not Likely To Please Patients
[…] As David pointed out, there’s also likely to be frustration for patients as providers move in and out of networks. This can happen regardless of the size of a network, but if networks are purposely kept small, it’s more likely to happen. Patients tend to be wary of having to find new doctors, and having to do so simply because of network changes isn’t likely to make people happy. Hopefully the idea of narrow provider networks won’t become a widespread trend with employers, medical providers, or health insurance carriers.
Health Wonk Review – Politics, Money and Health
Welcome to the Health Wonk Review. Health care costs, politics, and the economics of health care seemed to be the prevailing themes in the submissions this time, and there are some great ideas floating around here. Enjoy! […]
Access To Primary Care Is Only One Piece Of The Puzzle
[…] We need to make sure everyone has health insurance (first step in expanding access). We need to make sure there are enough primary care physicians (and other care providers) to go around. And then we need a systematic, coordinated effort between health care providers, hospitals, and health insurance carriers to make sure that everyone is on the same page. Expanding access to primary care is part of the solution, but it will only work in tandem with the other parts.
Amendment 63 On The Ballot In Colorado
Throughout this year, the Independence Institute has been working to get a measure on the ballot in Colorado to block the health care reform legislation that would require everyone to have health insurance starting in 2014. Yesterday, the Colorado Secretary of State confirmed that the amendment supporters have gathered enough signatures to get the measure on the ballot, so it will be up for a vote in November. […]
Why Medicare For All Might Not Be So Great
[…] most non-elderly Americans still get their health insurance through their employers. And in general, as long as people are somewhat satisfied with the status quo, most of us tend to be a bit resistant to change. Obviously, people who are currently uninsured are likely to support sweeping changes in the health care system. But most Americans do have health insurance, and those who have generous policies – that are at least partially funded by their employers – might find themselves with less coverage if we moved to a single payer plan.
Prescription Veggies
Colorado is the only state in the US with an adult obesity rate below 20%, but we’re just barely below that threshold. And according to the Colorado Health Report Card, our rate of obesity is rising faster than the rate for the whole country. I came across a NY Times article about a program that has been implemented in Mass recently, and I would love to see Colorado do the same thing. Maybe we could see our obesity percentage start to fall instead of continuing it’s upward climb. […]
If You Ever Get A Rock Stuck In Your Nose
[…] A lot has been said about over-utilization of health care lately, and the need to reduce both cost and utilization in order to make our health care system sustainable. But I have to wonder how many urgent care clinic front desk people would be willing to give out free advice like that, and how many would have just taken our insurance info and sent us in to see the doctor?
Sharing Instead Of Duplicating
[…] some doctors are nervous about such a system because they fear that they would earn less money overall. But he goes on to point out that earning a little less money might be well worth it if your job is easier and you get to spend far less time repeating tasks that someone else has already done. In addition, there would be less paperwork (electronic or otherwise) for health insurance companies to process, which should result in lower administrative expenses.
Standardizing Payments For Childbirth
[…] that could become the standard payment for all births, regardless of whether a c-section were performed or not. There would be no financial incentive for doctors to opt for c-sections, as they would no longer receive higher compensation for doing so. The tough medical malpractice environment that OBs practice in would likely provide more than enough motivation for them to continue to do c-sections when there was a true medical emergency, despite the fact that they would know there would be no additional compensation for the birth. […]
Resurrecting House Calls
[…] Private health insurance companies tend to take some of their cues from Medicare in terms of what they cover, so if Medicare eventually makes home visits more available, it stands to reason that people with private health insurance might also have access to house calls from doctors, even if they can’t afford to pay full price to a non-network provider.
An Economist’s View Of Midwifery
[…] In addition, we have a malpractice system that provides a strong incentive for doctors to perform c-sections at the first hint of a problem. With a system like that, it’s hard to fault OBs for taking the c-section route, and intervening in general. We can wring our hands all we want about how we need to reduce the rate of c-sections and medical interventions during childbirth, but as long as our malpractice system penalizes doctors for avoiding c-sections, we won’t make much progress.
Too Much Medical Care
[…] Much has been said about how we need to reign in health care costs in order for health insurance to be universally affordable. But we also need to figure out how to just use less medical care all around. We need to find ways to support health rather than react to illness (diet is a good place to start). And we need to question just how much we want our lives to revolve around medical intervention, pharmaceutical concoctions, and beeping machines. As Dr. Welch noted, some medical interventions are absolutely essential and worthwhile. But that is not the case for all medical care, and a “less is more” approach might create a healthier population and lower health care costs.
Public Opinion Of Health Care Reform Improving
[…] It will be interesting to watch public opinion of health care reform over the next few years. I imagine a lot of it will depend on what happens to premiums. If health insurance carriers can comply with the requirements of the new law without substantial premiums increases, we’ll probably see even more favorable public opinion of the law, especially once government subsidies kick in to help people pay for health insurance.