Posts Tagged - ‘health insurance plan’

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Census: Percentage of Americans With Health Insurance Plan Dropped

Friday, September 17th, 2010

Image: Michigan Municipal League (MML) under CC 3.0

Since the Census Bureau began tracking the percentage of Americans who are insured in 1987, last year showed the lowest rate on record. 253.6 million reported having a health insurance plan in 2009, which doesn’t seem so bad until you find out that 255.1 million were insured last year.

The recession is largely to blame, because it caused hundreds of thousands of employees to lose jobs with health benefits. Supporters of healthcare reform will likely use this statistic as an argument for the necessity of the Obama administration’s legislation.

At the same time, Medicaid enrollment rose, along with the poverty rate.

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Health Insurance Plan Reform Lawsuit Will Probably Continue

Wednesday, September 15th, 2010

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The healthcare reform lawsuit launched by 20 states is currently being argued in a federal district court. According to the judge presiding over it, Roger Vinson, he will probably rule that the states have general jurisdiction to sue the federal government.

Vinson does not appear to be much of a sympathetic ear for the Obama administration’s lawyers, who claim that the health insurance plan mandate inherent in the bill should be considered as a tax–which they are allowed to impose.

When he decides on the lawsuit’s fate on October 14, Vinson predicts that the bulk of the lawsuit will be allowed to proceed to further arguments on December 16. However, some of it will probably be dismissed; a bittersweet fate for health insurance reform opponents.

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Predicted Health Insurance Reform Savings Misleading?

Tuesday, September 14th, 2010

Image: University of Tennessee

According to the Obama administration’s director of healthcare reform, Nancy-Ann DeParle, the law will result in a slight reduction in the cost of health insurance. Specifically, each insured person will save up to $1,000 on their health insurance plan by 2019.

While this sounds positive, it does not cancel out the fact that the government’s Medicare actuary predicted a modest cost increase. That is because that cost will be divided among more people–the law seeks to expand coverage to 93 percent of the American population.

Some may consider the relatively small increase a worthwhile investment in our society for helping others, but that trade-off should be presented honestly.

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Will Health Insurance Plan Provider Pay $10 Billion Fine?

Thursday, September 9th, 2010

One of the many complexities associated with health care is the constant mergers and buyouts. The worst-case scenario is that when your health insurance plan is caught in the middle, your health falls by the wayside.

That’s what the state of California’s insurance commissioner accuses PacifiCare of doing after being acquired by United HealthCare several years ago. Former PPO patients state that their documents were lost or incorrectly entered into the system, causing their claims to be denied. This allegedly went on for several years, from 2006 (shortly after the merger) until 2008.

The insurer is unlikely to pay out the entire sum: it’s only the maximum they could be liable for, based on a fine of $100,000 per count for nearly a million counts. In the vast majority of cases, they will settle with the state.

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Pennsylvania Insurer Wants Health Insurance Plan Rate Hikes

Wednesday, September 1st, 2010
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As of January 1st, your health insurance plan could become more expensive if you live in certain regions of Pennsylvania.

Blue Cross of Northeast Pennsylvania wants up to $10 million worth of premium hikes. For now, eight plans would be affected, including those targeted towards lower-income individuals–including a guaranteed issue policy for the recently unemployed. Some of the plans are subsidized.

Pennsylvania health insurance customers have one month to comment on the proposal before the state’s insurance department makes a decision on BCNEPA’s request..

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Colorado To Vote On Health Insurance Plan Mandate

Saturday, August 28th, 2010
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Image: Paraflyer under CC 3.0

Like several other states, Colorado will have a healthcare reform-related question on the November ballot. Voters will be able to decide whether or not they want to legally challenge provisions of the law.

Similar to other states’ ballot measures, it would pass a law that prevents the federal government from enacting a health insurance plan mandate–one of the main provisions of the bill, intended to reduce the cost of health insurance by spreading the cost among more (typically healthy) people.

It remains to be seen if Amendment 63 is successful. Even if it passes, the federal law may still dominate state law. However, conservative groups are happy that the Colorado health insurance measure received enough signatures to reach the ballot.

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Health Insurance Plan Agents May Suffer Under Reform

Friday, August 27th, 2010
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Image: Jennifer Feuchter under CC 3.0

Although healthcare reform tries to help many, it will end up hurting at least some. For example, the business model of many health insurance brokerages and agencies is in danger.

Provisions involving medical loss ratios, which include agent commissions in the “administrative” category that will be regulated and limited, will have a negative effect. In addition, brokerages may be made redundant by the state insurance exchanges and accompanying websites that must be launched by 2014. On the bright side for them, the National Association of Insurance Commissioners passed a resolution that affirmed the importance of licensed insurance professionals.

With the possibility of a double-dip recession looming, more job losses is obviously a downside. However, industry experts predict that these companies have several options for adaptation. Hopefully, their experience in navigating the complexity of the market and helping people decide on a health insurance plan will still be in demand. Their compensation model may also be adjusted in favor of flat fees instead of commissions.

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Grad Students’ Affordable Health Insurance Struggles

Tuesday, August 24th, 2010

Image: misspudding under CC 3.0

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Many students struggle with finding affordable health insurance. The situation for graduate students is even worse: they are often too old to be eligible to remain on their parents’ health insurance plans (even post-healthcare reform), and out-of-network co-payments are extremely high. At the same time, some graduate school programs require full-time hours, preventing students from finding a full-time job that offers coverage. They may also believe that their small stipends will not cover individual health insurance.

In the case of Purdue grad students, their premiums increased by over one quarter this year! Inferior coverage for dependents is the worst part of all. Spouses of international grad students, who normally don’t have work visas, are beholden to the university’s coverage. Unfortunately, the in-network health care facility does not provide essential services such as access to pediatricians or obstetricians, forcing family members to use expensive out-of-network care.

A study showed that other Big Ten universities provide superior health care for their graduate student populations, although they still have their pitfalls.

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Republicans Vow To Repeal Healthcare Reform If They Win Midterms

Friday, August 20th, 2010

Image: Republican Party of Shelby County under CC 3.0

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The heated midterm election battles are underway. Control of the House of Representatives and Senate is at stake in November. Democrats are looking to retain their majority, but what if they don’t?

Tennessee Republican representative Marsha Blackburn recently stated that the GOP will repeal the Obama administration’s healthcare reform law if they regain control. The law is controversial largely due to provisions that create a mandate for individuals and companies to buy a health insurance plan.

However, Rep. Blackburn’s promises may be more election rhetoric than reality. While the Republican party may take a few steps in the direction of eliminating the law, President Obama is guaranteed to veto any bill that would repeal it. Although political pundits predict that Republicans may win a significant number of seats, they may not reach the essential two-thirds of the Senate that would be necessary to override a presidential veto.

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Statistics About Massachusetts’ Uninsured

Wednesday, August 18th, 2010
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Image: David Paul Ohmer under CC 3.0

Largely due to the state’s first-in-the-nation healthcare reform, Massachusetts residents are the most likely in America to have a health insurance plan. Still, the expansion has not succeeded in providing universal coverage. Why?

A recent study from the Urban Institute and the Robert Wood Johnson Foundation’s State Access Reform Evaluation looked to identify the 4.1 percent who were still uninsured.

Here are their findings on the average Massachusetts resident without health insurance:

  • From 19 to 64 years old
  • male
  • an ethnic or racial minority (African-American, Hispanic, etc.)
  • unmarried
  • lack of proficency in the English language; either their own or that of an adult who lives with them
  • less educated
  • not a U.S. citizen
  • more likely to be unemployed
  • could be eligible for public Medicaid coverage

The study’s authors believe that the state’s message may not be getting across to its attempted demographic. Suggestions include rewriting the program information in order for it to be understandable with a 4th to 8th grade reading level.

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