Category: Cost of Healthcare

This is a header image: Wouldn't More Competition Lower My Rates?
Category: ACA and Policy, Cost of Healthcare, Health Insurance

Wouldn’t More Competition Lower My Rates? Depends on the TYPE of Competition: Disruption in Healthcare, Part 1

A few weeks ago, I was invited to speak at a large meeting of employers who offer health insurance (and lots of other benefits) to their employees. All of them said they are struggling with continuing to pay for those benefits. As we entered the Q&A portion of the program, a very nice lady about halfway back stood up and fired a broadside at me:

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This is a picture of a hat and a prescription bottle to describe how drug companies come up with prices to charge.
Category: ACA and Policy, Cost of Healthcare, Government Programs, Health Insurance

Drug Company Magic, Part 3

“Did you know that health insurance companies that participate in federal or state programs also have stricter gross margin/profit caps on that business? For example, the Medicaid health plans in Louisiana have to pay state and local taxes, and they pay for all administration on 15 percent of the payments they get from the state for managing care of Medicaid patients.”

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