[…] People who can least afford to pay large sums of money out of pocket for health care are the ones most likely to have to do so. Medicaid is there for the lowest income earners, but some states are very restrictive in terms of income levels required to qualify for Medicaid. Colorado has started to expand access to Medicaid and Child Health Plan Plus (CHP+) but this is not the case in all states. And people on the lower end of the income spectrum are far more likely to be uninsured than those on the higher end. […]
colorado
Continuous Coverage Does Not Eliminate Underwriting
[…] People with pre-existing medical conditions can get guaranteed issue coverage through Cover Colorado, but are definitely not “guaranteed access to the individual market”. When a person with pre-existing conditions applies for an individual policy in Colorado (and in most other states), the insurance company can deny the application, place exclusions on the pre-existing conditions, or offer the policy at a higher initial rate based on medical history. It doesn’t matter whether the applicant has had continuous coverage or not. […]
Spiraling Prescription Drug Use In Kids
[…] The thought of 30 percent of adolescents being on medication for chronic conditions should make us all sit up and take notice. Hopefully it will fuel the cry for better school lunches and increased attention to prevention of obesity and mental health problems in kids. As a society, we simply cannot afford to continue to increase our utilization of prescription drugs.
Colorado Governor Signs Bill Requiring Maternity Coverage On All Policies
Governor Bill Ritter signed Colorado House Bill 1021 into law last week, instituting what I consider to be one of the most significant changes to health insurance law in recent years. The law will require all health insurance policies in Colorado to provide coverage for both maternity care and contraception, starting next year. Without this law, people who purchase individual health insurance have very little in the way of options for maternity coverage. […]
Healthcare Continuing To Take A Larger Chunk Of Family Budgets
[…] Premiums for health insurance in the individual market are lower than those in the group market, but there’s no employer paying a portion of the premium. And the premiums alone amount to 10% of household income. When you add in the deductibles and other out of pocket expenses, it’s not surprising at all that nearly half of everyone buying insurance in the individual market was considered high-burden in 2006 (spending more than 10% of household income on health care). […]
Disability Insurance Awareness Month
[…] May is disability insurance awareness month, and it’s a good reminder to consider how well you’re protecting your greatest asset – your earning potential. Working adults are more likely to encounter a disability that prevents them from working for at least 90 days than they are to die, and yet people tend to be more proactive about securing life insurance than disability insurance. […]
Demand For HSAs Continuing To Grow
[…] A new report from AHIP notes that the number of Americans covered by HDHP/HSA policies reached 10 million in 2010, up from 8 million last year. In Colorado, 9.2% of the under-65, privately insured population has HSA qualified coverage, which is the third-highest percentage in the nation. A recent study by the Mountain States Employers Council reports that 27% of Colorado employers surveyed are offering consumer-driven health plans this year, up from 21% last year. […]
Focusing On Nutrition To Prevent Cancer
[…] Colorado ranks among the top of the list in terms of how many people eat the recommended amount of produce each day, and yet the vast majority of our adults are not getting the recommended amounts (we only rank near the top because so many other states are doing so much worse). Health care reform has focused largely on expanding access to health insurance for the millions of Americans who are currently uninsured, and that’s a good start. But eliminating tobacco use and increasing access to nutritious food could go a long way in terms of improving the health of the American people.
Colorado Health Insurance Report By The DOI
Last month, the Colorado Division of Insurance released a report on health insurance in the state, and it is definitely be a good read for anyone interested in how health insurance works in Colorado. There are all sorts of interesting facts included. For example, only a third of Coloradans are covered by a health insurance policy that is regulated by the Division of Insurance. The rest are either covered by a self-insured employer plan or a government plan, or are uninsured. […]
Options For Maternity Coverage In Colorado Disappearing Fast
Getting individual health insurance with maternity benefits just got a lot harder for women in Colorado. For the last few years, there have only been three major carriers that offered maternity coverage on individual policies: Golden Rule (United HealthOne), Assurant, and Rocky Mountain Health Plans. As of the end of April 2010, both Golden Rule… Read more about Options For Maternity Coverage In Colorado Disappearing Fast
Balancing Individual And Group Health Insurance After Reform
[…] It remains to be seen how health care reform will actually impact the breakdown of individual versus group health insurance. Currently, there are far more people with group coverage than individual policies. The balance might shift a bit as health care reform takes effect, but I doubt that there will be a mass exodus away from group plans in favor of individual coverage.
Colorado Expanding Access To Medicaid And CHP+
A new state law that imposes fees on hospitals went into effect this week. Over the next few years, it’s expected to allow Colorado to expand access to health insurance to about 150,000 of the state’s 800,000 uninsured residents. The funds generated from the hospital fees will allow Colorado to expand access to Medicaid for adults, increase the income limit to qualify for Medicaid, and expand access to Child Health Plan Plus (CHP+) for children and pregnant women. […]
When Less Is More
[…] The problem is that health insurance companies are paying for care with premium dollars collected from insureds, and as costs go up, so do premiums. Until we shift our attitude to a “less is more” mentality, we’re going to continue to see an increase in the cost of care, and subsequently in the cost of health insurance. But it’s not just about money. Articles like Maggie’s should give us a reason to question excessive screening and testing, simply from a standpoint of having a better quality of life. The fact that it could drive down health care costs is a bonus.
Anthem Rate Increase Likely Justified By Cost Of Claims
[…] As I noted last month, while Anthem’s rate increase for 2010 was a big one, their premiums are still very much in line with premiums currently being charged by other individual health insurance carriers in Colorado. My guess is that de Percin’s take on this is probably correct: “… it is outrageous but it’s probably not a case of gouging.”
Three Of The Top Insurers Extending A Hand To Young Adults
Three of the nation’s top health insurance carriers – Wellpoint, United Healthcare, and Humana – have announced that they will automatically keep young adults under the age of 26 on their parents’ policies between now and September 23, when the health care reform legislation guarantees this option for all everyone under the age of 26. […]
Colorado Ski Resorts And Health Care Reform
One of the aims of the health care reform legislation is to encourage employers to provide health insurance for their employees. In order to close the loophole that would allow employers to hire many part-time workers (and avoid paying benefits for them), the new law looks at the total number of hours worked to determine “full time equivalent employees”. On page 309-310 of the Senate Bill, the math is explained: […]
Eligibility For Colorado State Mandated Basic And Standard Plans
[…] All individual health insurance applications in Colorado ask a set of questions to determine if the applicant qualifies as a group of one. If the applicant does, and is declined for the individual coverage, the insurance carrier must offer group of one coverage instead (although it will be significantly more expensive than the individual policy). If the person does not meet the definition of a group of one, he or she will be sent a notice by the insurance carrier regarding eligibility for Cover Colorado.
Imerica Proceeding To Liquidation
Last fall, Imerica was placed in rehabilitation and stopped selling new policies. As of April 2010, however, the rehabilitation process has been deemed unsuccessful, and Imerica will now be liquidated. Imerica policyholders will be notified of the liquidation, and should begin looking for new coverage if they have not already. […]
Expanding Coverage For People With Health Conditions
One of the provisions of the new health care reform law is $5 billion in federal funding for high risk pools, set to begin operating this summer, that will provide health insurance for people with pre-existing conditions who don’t currently have health insurance. This is intended to be a stop-gap until 2014, when high risk pools will presumably no longer be necessary, since private health insurers will have to begin accepting all applicants in 2014. […]
The Impact Of Reform On Student Health Insurance Policies
[…] It stands to reason that fewer students will be in need of such coverage since dependents will be allowed to stay on their parents’ policies until age 26, but not all students have that option, and some will still opt to purchase health insurance from their schools. But the question remains as to whether student health insurance plans will fall under the scope of the new law that prohibits lifetime maximums and unreasonable annual limits. […]
How Reform Will Impact Lifetime And Annual Benefit Maximums
[…] Another question we’ve had recently has to do with lifetime and annual benefit maximums. So I read those sections of the Senate Bill and the changes added during reconciliation, to get a good understanding of exactly how the new legislation will impact individual health insurance policies. […]
Health Care Reform From A Doctor’s Perspective
[…] So unless rationing (explained in a positive light) becomes the industry standard for doctors, I doubt that any one doctor could make much of a difference, since people who are used to getting what they want from their doctors might just seek out another doctor. Hopefully as time goes by and more people understand the lack of sustainability with regards to health care costs, more people will be willing to consider the possibility that some forms of rationing in health care might be a good thing after all.
Governor Ritter Signs Health Insurance Gender Discrimination Bill
Colorado Governor Ritter signed a bill yesterday requiring individual health insurance carriers to charge the same prices for women and men. Colorado House Bill 1008 would go into effect January 1, 2011, and would require that gender no longer be used to set prices on individual health insurance policies that begin or renew on or after that date. So by the end of 2011, we can assume that pretty much every policy in Colorado will be impacted, as nearly all policies renew annually. […]
Pre-Existing Conditions, Children, And Health Care Reform
[…] If I’m understanding the bill correctly, it looks like people (adults and children) will still be subject to full medical underwriting until 2014, and can still be declined for coverage until that time. It appears that policies that use rate increases rather than exclusions won’t be impacted at all, and policies that use exclusions will still be able to decline applicants, including children, until 2014.
Colorado Attorney General Questioning Legality Of Health Insurance Mandate
Colorado Attorney General John Suthers is joining with several other attorneys general who are challenging the legality of the requirement that all Americans carry health insurance, which is part of the bill that President Obama signed into law this morning. Basically, they’re saying that the federal government doesn’t have a constitutional right to compel citizens to take part in any specific market – including health insurance. […]