How money is spent on healthcare by my fellow humans is very interesting. From simple things like contribution structures and claim histories to more elaborate personalized medicine and self-funded plan technicals.
Interviewing insurance executives at Zenefits in 2015 the problems of Zenefits were obvious. Just like the problems still are now, January 2017.
In midsummer 2015 I knew the meteoric rise of Zenefits was but a flash in the pan. Running an agency of their size relying on so few insurance staff is two mistakes. First, licensing that has exposed no respect for State protections for citizens and second, and worse than the first, is squandering the opportunity to disrupt an industry stuck on its own existence.
Answer: More changes for businesses; it makes the case for a PEO.
Everyday I’m asked what’s going to happen with Obamacare/ACA now that Mr. Trump has been elected.
After reviewing in detail some of the proposals, like the American Enterprise Institute (AEI) aei-improving-health-and-health-care-online-2015 , a D.C. think tank, I’d have to say more changes are coming to healthcare. It’s hard to imagine more change than ACA but change is imminent. I shudder to think we could have more change in healthcare, we’ve had so much change since Obamcare/ACA was enacted in 2010. But the fact is, even to undo it, more regulations are needed to undo it.Continue reading “What are ACA changes going to mean?”
A benefit office is supposed to make decisions for the benefit of the beneficiaries. A bus route should be concerned first for the safety of the children.
On the main road connected to my subdivision, two different school districts have bus routes running in opposite directions. The road is a two lane semi-rural, 50 MPH road. I’d add, drivers routinely move at 60 MPH or more.
Lake Orion School District buses travel southbound. Rochester Community Schools travel northbound on the very same road; it’s Adams Rd. for those interested in the particulars. In both districts, the bus stops on the road or shoulder but does not turn into the subdivision.
Take a look at the video the complexity of our healthcare system, and this is just the relationship between the owners and the insurance company! It is no wonder that it is hard to identify what the main problems are in our system or make the improvements we all want.
Allow us to help you navigate the jungle of healthcare.
We don’t get input from other countries or methods. We don’t allow “new” to permeate the way we do things. As proof, consider the venture capital “Blue Print Health” spent $2.3mm and only 17% was spent on anything “new” to help health.
It’s all new ways of financing medicine, the $2.3mm is not introducing innovative solutions to improve the health of individuals. We look to hospitals and pharma to solve the problem and they provide only solutions they can sell.
Get an up-close look at the chart by watching the video as it explains our current system, lack of a system. Read other posts on Healthcare White Paper Series.
“This caught my eye over the weekend. Does this change our decision matrix at all?”
This customer is in the middle of making decisions today for their employees. I wrote the email that follows to help them understand what this article is really about. The customer can move ahead as planned but should know more changes are coming for Obamacare. More importantly I explain how this article is an example of how the government and insurers do not care about your health.
If that’s important to you read on.
The article includes this CEO quote,
“We cannot sustain these losses,” Chief Executive Officer Stephen Hemsley told analysts on a conference call. “We can’t really subsidize a marketplace that doesn’t appear at the moment to be sustaining itself.”
My email to my business customer asking about how this UHC article may affect their present decisions for their employees.
Short answer to your question about UHC:
No, what they’re deciding makes no difference for your decision today. Your decision today will only be good until they make more changes and they do that everyday. What you decide today could change tomorrow, that’s not a joke, that’s real.
Long answer to your question about UHC:
Still, the answer is no, this won’t affect you in the short term and you can’t plan long term.
I’ve been using the words, “shifting sands” for 5 years now. The Obamacare law is 5 years old, March 23rd, 2010. Shifting sands means continuous course corrections by all system stake holders that affects more than $2-3 Trillion of the American economy. This means, today UHC is saying they’re out. But, what it actually means is they’re lobbying for more money. What we have going on here is “lobbying for position.” In the halls of congress, the industry exerts leverage in order to get more money from the government. Welcome to modern politics.
Sad, but true, I can confidently say, I’ve never seen a bigger mess. Before Obamacare, Healthcare needed a fix because the insurance industry wouldn’t police itself. But, this isn’t a fix and national healthcare won’t fix it any better either (watch my video on, “US healthcare system in crisis”).
My guess about UHC? UHC and the feds will make up; the feds will give UHC more money (this will drag on over the next few months) and in order to give them money they have to make the fix look like they didn’t. In the end, just more rules, overhead, confusion and frustration; and cost.
Summary: The government is making massive changes everyday while the plane is flying. Thoughtless unread regulations created this mess and their fix is a daily stream of thousands of new patches, regulations, paperwork and confusion. I’ve been living in the trenches for 5 years trying to help employers understand and navigate. The reality and size of this law is starting to impact small employers like you.
There has been NO improvement in health or cost because your health doesn’t matter to them (any of them). What are we going to get if we keep doing what we’ve been doing? Do you expect a different result?
“Insurers say Obamacare changes needed soon to protect companies from losses” USA Today, 11-24-2015.
“New research out this week from Commonwealth Fund shows far fewer people think their insurance premiums and deductibles — from employer-provided or exchange plans — are affordable than the government does when it defines affordability. About 40% of 2,700 people surveyed said they delay care and prescription refills when they were sick because of high deductibles, Commonwealth found.”