May is Disability Insurance Awareness Month. We're helping to kick it ff with this timely, moving story:
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Friday, 29 April 2016
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Um....
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throwback to when the car insurance lady asked my mom for front, rear, & side views but she didn't get the memo.. http://pic.twitter.com/Xf9y3Dq79I— mir&uh (@mirandaasantos) April 25, 2016
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With networks getting skinnier and skinnier, receiving emergency care out-of-network is becoming a bigger and bigger challenge. Most plans still use the PPO model, so there's at least some level of coverage, albeit with substantially greater out of pocket. And of course HMO model plans will typically have none (or even more substantially reduced coverage).
UHC has just announced a set of 3 new "Accident SafeGuard" plans that seek to address this potential financial catastrophe. From email:
"Accident SafeGuard pays fixed benefit amounts for loss resulting from qualifying accidental injuries and does not limit your client to any network of hospital or doctors." [emphasis in original]
First thing, of course, is that this doesn't help if you're out-of-network for chemo or if you get sick while on vacation. But for broken limbs or the like, perhaps a valuable coverage addition. Rates will vary depending on where you live, your age, and the like, but I can't imagine they'd be terribly expensive (since qualifying expenses are pretty narrowly defined).
Insurance insurance.
UHC has just announced a set of 3 new "Accident SafeGuard" plans that seek to address this potential financial catastrophe. From email:
"Accident SafeGuard pays fixed benefit amounts for loss resulting from qualifying accidental injuries and does not limit your client to any network of hospital or doctors." [emphasis in original]
First thing, of course, is that this doesn't help if you're out-of-network for chemo or if you get sick while on vacation. But for broken limbs or the like, perhaps a valuable coverage addition. Rates will vary depending on where you live, your age, and the like, but I can't imagine they'd be terribly expensive (since qualifying expenses are pretty narrowly defined).
Insurance insurance.
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Thursday, 28 April 2016
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Full Disclosure: I was a member of the National Association of Health Underwriters (NAHU) for many years and was, in fact, co-founder of my local chapter. That being said, I am generally ill-disposed towards most so-called agent associations, because - by and large - they tend to represent the carriers more than the agents. On the other hand, the organization's current president has a background as an actual agent, which lends some legitimate cred to his latest offering on why some carriers have decided to forgo paying commissions on business written after Open Enrollment ended.
Here's his take:
"Carriers are cutting out their brokers because they don’t want to sell their policies."
And that, in a nutshell, is exactly right: carriers lose money on virtually every policy they sell, particularly those sold on-Exchange (primarily because the vast majority of these are subsidized).
And he goes on to (quite correctly) point out the value that agents bring to the table (which is, of course, part of his job). And that's what we call "necessary, but insufficient;" that is, it's demonstrably true that the agent adds value in sorting through all of the options, calculations and decision-making. But I don't hear Mr Goldmann calling out state DOIs to investigate what's happening to those unpaid commissions. As we've pointed out, they are priced into the products already, a separate calculation from MLR, etc.
Instead: crickets.
Well, Mr G?
Here's his take:
"Carriers are cutting out their brokers because they don’t want to sell their policies."
And that, in a nutshell, is exactly right: carriers lose money on virtually every policy they sell, particularly those sold on-Exchange (primarily because the vast majority of these are subsidized).
And he goes on to (quite correctly) point out the value that agents bring to the table (which is, of course, part of his job). And that's what we call "necessary, but insufficient;" that is, it's demonstrably true that the agent adds value in sorting through all of the options, calculations and decision-making. But I don't hear Mr Goldmann calling out state DOIs to investigate what's happening to those unpaid commissions. As we've pointed out, they are priced into the products already, a separate calculation from MLR, etc.
Instead: crickets.
Well, Mr G?
[Hat Tip: EBA Magazine]
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We've written about the Canadian health care system many times over the years. It's "free," which means that one gets what one pays for. As with all such schemes, actual care is rationed, most often by the use of long wait times that work on the basis of attrition.
That's changing, however, at least in one Province:
"Wait times ... dropped significantly in the Saskatchewan province after private, for-profit clinics were introduced to the area."
On the one hand, this would seem blindingly obvious to anyone with even the most remote grasp of how markets work. But it's a hopeful sign that, at least for now, some government bureauweenie(s) "get" it.
Interestingly,. this isn't the first time our Neighbors to the North© have considered privatizing at least a part of the health care sector.
From 2009:
"Hoping to capitalize on patients who might otherwise go to the U.S. for speedier care, a network of technically illegal private clinics and surgical centers has sprung up in British Columbia, echoing a trend in Quebec."
What's Canadian for "What took you so long?"
That's changing, however, at least in one Province:
"Wait times ... dropped significantly in the Saskatchewan province after private, for-profit clinics were introduced to the area."
On the one hand, this would seem blindingly obvious to anyone with even the most remote grasp of how markets work. But it's a hopeful sign that, at least for now, some government bureauweenie(s) "get" it.
Interestingly,. this isn't the first time our Neighbors to the North© have considered privatizing at least a part of the health care sector.
From 2009:
"Hoping to capitalize on patients who might otherwise go to the U.S. for speedier care, a network of technically illegal private clinics and surgical centers has sprung up in British Columbia, echoing a trend in Quebec."
What's Canadian for "What took you so long?"
[Hat Tip: FoIB Holly R]
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Wednesday, 27 April 2016
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As we saw this morning, UHC continues to exit the Marketplace in state after state. Which *should* be a pretty strong signal of unsustainability.
But perhaps the death of the Marketplace has been exxagerated:
"Anthem ... seems inclined to help the [PPACA] public exchange system keep its doors open and products on its shelves in 2017."
So (at least) another year promised by The Blues.
Be interesting to see what their stakeholders think of this move.
But perhaps the death of the Marketplace has been exxagerated:
"Anthem ... seems inclined to help the [PPACA] public exchange system keep its doors open and products on its shelves in 2017."
So (at least) another year promised by The Blues.
Be interesting to see what their stakeholders think of this move.
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Unvetted from the web:
I've reached out to Mr Alameddine in an effort to ascertain from whence he obtained his screenshot. It's not from the 404Care.gov site (I've been on that enough times to know) but perhaps from a state-based Exchange or carrier website? Will update this post as appropriate.
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I've reached out to Mr Alameddine in an effort to ascertain from whence he obtained his screenshot. It's not from the 404Care.gov site (I've been on that enough times to know) but perhaps from a state-based Exchange or carrier website? Will update this post as appropriate.
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