Archive for June, 2011

Why do government officials think they have all the answers on health care?

It seems like every time they try to address a problem facing the society, they respond with more regulations, more government controls, and we get less freedom and the problem only gets worse.

The latest example of this behavior can be found in Massachusetts. As one of the first states to address the uninsured problem in healthcare you can learn a lot from their actions. Now, given the fact that the entire nation is expected to implement health care reforms designed around the Massachusetts model everyone should watch Massachusetts closely.

The problem is most Americans don’t seem to pay attention until it affects them directly, and sometimes, it is too late. As if you don’t know, the last Congress passed the healthcare reforms know as the Patient Affordable Care Act, that mandates everyone buy or be covered by insurance or face penalties for not doing so. In addition, the regulations require each state establish a health care exchange to help people and small business acquire this coverage. The model, like the one in Massachusetts was sold as a way to reduce cost for everyone, because it will eliminate the “uninsured” problem by requiring everyone to join the risk pool. Great in theory, but will it work.

Well, you don’t have to wonder or wait to see how the PPACA reforms will work out. You can just review the experience in the Bay State to find out now. Since the establishment of the Massachusetts reform law, the state has reduced the number of uninsured now reported to be less than 3%…they have even created their own healthcare insurance exchange called the Mass Connector. So access to quality insurance has been made simple. But have they reduced cost for the citizens and businesses of the state.

Apparently not. Just recently as found in a report on rising health care costs, Attorney General, Martha Coakley, suggests the states effort to drive down “out of control health care costs” will only work if state leaders implement price controls on hospitals and doctors. By her own admission, “a move to global payments is not the panacea to controlling costs without first addressing provider price disparities that are not related to the quality or complexity of the services being provided.”

It is amazing that almost five years after the state enacted the health care reform law, state leaders (aka the government) now say they are working to lower health care costs by putting patients, and the doctors who treat them, on a budget that limits what hospitals and doctors can charge for care. Has anyone asked why health care costs are rising in Massachusetts even after the reform law? Someone should!

So the answer is more government, more controls and that is all it takes to reduce costs according the the AG. These so called “state leaders” promote themselves as highly educated individuals who want to serve the citizens. When will we get leaders with real answers instead of the leaders who are leading us in the wrong direction. Even temporary restrictions will only hurt the very people who they say they want to help.

The next time you hear, or read that “your leaders” are working to address one of the most important issues confronting families and businesses, be prepared to lose some liberty and some cash, or both, until you can throw the bums out.



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    Like most industries, employee benefits is on data overload. Each day they get more and more confusing information. If your benefit manager, human resource director or local broker is having trouble knowing which way is the best path to follow, how can the typical employee know what to do?

    Just look at some of the data that was reported out this week.

    The Current State of Plan Sponsor Satisfaction

    The latest industry research suggests that plan sponsors need improved service from health insurance providers to increase their satisfaction level to continue offering this benefit. That is right, the data suggests employer satisfaction and commitment to maintaining their sponsorship of your health plan is slipping. Simply put, employer sponsors are generally dissatisfied with the operation of the group insurance plan, because of continuous increases in cost and regulation, and are looking for alternatives.

    To support this theory you don’t have to look farther than the McKinsey survey that said 30% of plan sponsors would likely drop their group employee health care plan in the years following the implementation of state exchanges required under PPACA reforms. My personal estimate is that more than three quarters will drop their group plans, but other reports suggest lower estimates. We shall see who is right in the coming years.

    With health reform ramping up, the economy stagnant, and the need to set strategic plans now because 2014 is not that far out, employers are looking for a new direction. Furthermore, only a few advisors seem to understand this level of dissatisfaction and the impact on sponsorship that recent legislation is having on the health benefit industry. Read the rest of this entry »

    Yes, it looks that way. Kathleen Sebelius, U.S. Health Secretary said, most states are likely to run their own medical insurance marketplace or partner with neighbor states.

    The establishment of the health insurance exchange system is considered by many to be the  “centerpiece” of President Obama’s new health care law.  While many other political opponents have objected to the new law. Several have even challenged it in court. Many in the health care market know that most states have begun the process to set up their exchange or will opt to set up their own marketplace to help consumers find affordable options.

    “We think that the vast majority of states will choose to either run their own or run their own in conjunction with neighbors,” rather than leave it to the federal government, Secretary Sebelius announced at a recent Reuters Health Summit.

    One interesting fact that goes unnoticed is that consumers in most states have an existing marketplace available now. We offer one such private market here at www.yourwellnessnhealth.com. In addition, since the enactment of HIPPA, all States have a guarantee issue policy available, with various subsidy options for those who have preexisting conditions.

    So why is there so much talk about establishment of the State Exchanges? Oh yes, these new exchanges will be “Government-run exchanges”. The “Main-street press” in partnership with progressive government program advocates, want to control you and every aspect of your life.

    The new law requires that “the Exchanges” must be operational by January 2014 and self-supporting by January 2015. Have you even thought about what this means for you or your company plan?

    The Administration suggests that the exchanges will be a marketplace, where individuals, families and small businesses can shop for health insurance offered by various companies. Sounds good so far, but who decides who can sell in that exchange, or how that plan will service that market. Yes, of course, the Secretary of Health.

    Even though Secretary Sebelius was a former Kansas governor and state insurance commissioner she said she was optimistic of state participation, because states “know the market best.” However, we know her federal office wants to set the rules for all states. It sounds like a federal takeover to me disguised in sheep’s clothing. The states are individual laboratories of democracy where free markets can be tested and modified to meet the needs of local citizens.

    Understanding this makes is clear why more than half of all states are challenging the health care law in federal court, focusing largely on a requirement that all Americans buy health insurance or pay a fine. So why are the insurance companies so quiet on this new law?

    Once prime political targets during the debate over last year’s law, insurance companies face many new regulations, including rules starting this year that require them to meet certain thresholds for spending on medical care. Next they are expected to line up to offer products in the new exchange. As a market observer, I wish the major insurance providers were more upfront in their dealings with the federal administrators. Many are already in the private exchange market today. So why wait and react to the government when you can proactively manage the change coming today.

    To learn more how you and your company can save in this changing market, sign up here for a free webinar on “Alternative Healthcare Strategies”.



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      Do you know the signs of a heart attack?

      Some attacks come on strong, causing crushing pain the chest and leave little doubt about what is happening. Others start slowly and build up. These can be mistaken for other problems. Getting the proper treatment within an hour of a real heart attack can increase your odds of surviving .

      So learn these signs.

      1. Chest pain is the most common and well-known sigh of a heart attack.
        • The discomfort sometimes feels like pressure, squeezing or fullness. It usually starts in the center of the chest area and may last awhile or go away and come back
      2. Other common symptoms include
        • Pain or discomfort in other parts of the body. This could include your jaw, neck, back, stomach and one or both arms
        • Shortness of breath may come along with the chest discomfort or just by itself
        • Nausea and vomiting, feeling fatigue or light-headed or fainting
        • Breaking out in cold sweat
        • Chest pain is common among women as well as men. But women are more likely than men to have some of the other symptoms of heart attack listed, particularly shortness of breath, nausea and vomiting and back and jaw pain.
      3. Get help
        • If you have these signs, or think you might be having a heart attack, call 911 immediately.

       

      Source: The American Heart Associations, Warning signs of heart attack. For more information, see their website at http://www.heart.org

       

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