Here’s why the CBO report on AHCA is wrong – BIG TIME!
Opponents of the American Health Care Act say 24 million more Americans will lose coverage. However, that number is based on faulty assumptions. The CBO report uses the ACA’s March 16 baseline projections for comparison. Projections that have already proven inaccurate. This leads to three flawed assumptions. 1) Premiums will not be more expensive than […]
Men are the problem!
Men don’t go to the doctor unless their arm or leg is falling off or they are dying. Consequently they are a major reason for the large preventable claims your company is incurring. So men, get a reality check, and become a smart patient. Human Resource Directors, read the following then think about this recommendation. […]
Predictive Modeling – GRx
Many health insurance companies are looking at prescription usage to underwrite and rate group health insurance. It’s called predictive modeling. GRx uses complete and current prescription histories. Details include drug name, dosage, fill date, pharmacy and physician information. This Healthcare Intelligence allows carriers to make risk assessment decisions with confidence and more accurately develop premiums. […]
IRS Guidelines – Indexed for 2017
FICA Social Security Tax is 6.2% on income up to $127,200 up from $ 118,500. Medicare Tax unlimited 1.45% to Unlimited High Deductible Health Plans Minimum Annual Deductible (Individual/Family) $1,300 / $2,600 Maximum Out-of-Pocket Limit (Individual/Family) $6,550 / $13,100 Health Savings Accounts Individual / Family $3,400 / $6,750 Catch-up Contribution $1,000 Flexible Spending Accounts Health […]
Health Insurance As It Should Be (Part 2 of 2): Preventative, Wellness & Biometrics, Genetics & DNA
Under the ACA preventative care was free. At least there was no charge to the insured at the time they received the exam, the cost was built into the premiums. The argument was that an advanced diagnosis would save long term medical costs because illnesses would be caught at an early stage. If we use […]
Health Insurance As It Should Be (Part 1 of 2): Taxes and Regulations
Much speculations evolves around what changes the Trump administration will bring to health care. Although I don’t know why. The basics have been laid out by the Republicans for months. There is some fine tuning that needs to be done, but the core is in place. In addition to the principles that have been laid […]
Public Option and Single-Payer: What’s the Difference?
Both of these programs are public health insurance plans, but they are administered very differently and would have drastically different impacts on the healthcare system, A public health insurance plan, also known as a “public option,” is a government-sponsored plan designed to compete alongside private insurers. It is intended to address the market failure where […]
Public Option – Call me a cynic
The New York Times reports the Affordable Care Act may have to change to survive. Bill Clinton calls Obamacare the “Craziest thing in the world.” Bloomberg Politics reports Obama says ACS has “real Problems.” Wasn’t Obamacare supposed to solve out countries insurance woes? Now, before it can be fully implemented – it is being recommended the […]
Direct Primary Care
Revolutionize health insurance, save states billions and render Obamacare obsolete – that’s the message from the 2016 Direct Primary Care Summit. Under a DPC model, patients pay a monthly membership fee directly to a physician in exchange for preventive care services, consultation by e-mail or phone and in-office procedures and diagnostics. Estimates range from $50 […]
Obamaco$t Coming Home to Roost
The Obama Administration is encouraging young adults to obtain coverage through health insurance marketplaces, which need healthy people to balance sicker ones in the risk pool. Why is this important? Keep reading. Aetna projects over $300 million loss on ACA business and announced that it will stop selling in 11 of the 15 states where […]