Sunday, August 14, 2011

Excellent Post on Medicare's Cost Pressures

This is really worth reading. Major point is that the Medicare payroll tax covers only 33% of the program's costs.

http://www.dailykos.com/story/2011/08/14/1005951/-Medicare:-Why-is-it-on-the-table?via=blog_1

Friday, August 12, 2011

Health Insurance Exchanges and Adverse Risk Selection

If employers drop coverage and their high risk employees then seek coverage through their state's HI exchange, adverse selection could be a problem:

http://aishealth.com/archive/nhex0811-02


Kansas Joins Oklahoma and Returns Exchange Money to HHS

First OK returned over $54M and now KS returns $31,5M to HHS. This makes little sense to me:
http://www.businessinsurance.com/apps/pbcs.dll/article?AID=/20110810/NEWS03/110819992/1233

Humana ACO Shows Initial Cost Savings

So far so good:

http://www.healthleadersmedia.com/content/LED-269502/Norton-Humana-Commercial-ACO-Notches-Cost-Savings.html

Friday, August 5, 2011

Good Thoughts on How We Reimburse Docs Needs to Change

This is a good review on the disparity in Medicare reimbursement between primary docs and specialists:

http://healthpolicyandmarket.blogspot.com/2011/08/rethinking-value-of-medical-services.html

Sterling Offers New Self-Funding Package

The interesting feature of this package are the rebates the PBM will share w/employers to fund its health incentives program:

http://www.businessinsurance.com/apps/pbcs.dll/article?AID=/20110804/NEWS05/110809947/1250

Thursday, August 4, 2011

Employees Need Benefit Decision Help

This is just incredible to me. 96% of HR professional recently surveyed said employees need guidance in making benefit decisions. Not surprising. But only 23% of these same professional said that their companies were doing a good job in providing this guidance. Are you kidding me? Isn't this one of their responsibilities?

http://www.businessinsurance.com/apps/pbcs.dll/article?AID=/20110804/NEWS05/110809946/1234