February 2010

Competition Among Private Health Insurance Companies

by Louise February 26, 2010

[...] I will be interested to see more on the Wellpoint story as the rate increases are investigated this spring, but I imagine that it’s not a simple problem or one that has a simple solution. It’s true that Wellpoint is in business to make money. But a dramatic, highly publicized rate increase is bad for business, and it’s hard to explain it away as a company simply trying to raise profits.

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Mandate Still Too Weak In Health Care Reform Compromise

by Louise February 25, 2010

[...] If people know that they won’t be penalized for pre-existing conditions and that health insurance companies will have to accept everyone, a penalty that is just a tiny fraction of the cost of coverage might be the preferred option for a lot of people. And without a large pool of healthy insureds, I just don’t see a way that premiums won’t increase significantly. I’m keeping an open mind, but I’m skeptical that we’ll be able to provide all of the proposed consumer benefits with such a lax enforcement of mandatory health insurance.

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Wellpoint Premium Increases Provide Strong Case For Mandate

by Louise February 24, 2010

[...] People who buy their own health insurance must pay the whole bill, every month. When it’s time for their rate increase, there’s no employer shouldering part of the burden. The option to continue or drop coverage is there every month when it’s time to pay the premium… and if it comes to a decision between the rent or the health insurance, it’s easy to understand how a healthy person might opt to go uninsured.

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Putting Costs Into Perspective

by Louise February 22, 2010

[...] even if we redistributed income and expenses completely, so that every household in American earned exactly $50,000/year and spent exactly $15,000 on health care, we’d still be struggling to pay for health care (only in that scenario, we’d ALL be struggling, rather than the way it is now, with some families crushed completely by health care expenses, and others unaware of how much their health care costs in the first place).

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Reform Needed, But No Consensus On The Details

by Louise February 18, 2010

[...] We’ll have to wait and see what congress comes up with next week during their summit with the president, but there’s no way they’re going to make something out of nothing. In order to provide health insurance for everyone, we’ll either have to give up some freedoms (in the form of a mandate requiring everyone to carry coverage) or pay a little extra in taxes or premiums.

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Efforts Underway To Improve Colorado Health Report Card Score

by Louise February 15, 2010

Last week I wrote about the poor results – specifically for children – on the Colorado Health Report Card. Governor Ritter has issued an explanation about the poor results, detailing how the numbers used in the report card are largely outdated (from 2007), and that many improvements have since been made in terms of the health of Colorado children. [...] I’m hopeful that the next Colorado Health Report Card will show a big improvement across the board, but especially in the area of children’s health.

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Poor Results On The Colorado Health Report Card

by Louise February 12, 2010

The 2009 Colorado Health Report Card was just released, and the score for healthy children slipped from a C- in 2008 to a D+ in 2009. I find it particularly interesting that our state ranks at the very top of the list in terms of the percentage of adults who are obese (we’re the only state in the nation with less than a 20% adult obesity rate) and yet our kids aren’t even close to the top of the list, with 22 states having lower childhood obesity rates. [...]

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More On Overutilization

by Louise February 11, 2010

David Williams has written an excellent article about the overuse of mammography screening in older women with cognitive impairment. When you read his article, especially the part about how women with a higher net worth are more likely to be screened, it’s obvious that money is playing a large role when it comes to determining who should get mammograms. [...]

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Mandates And Health Insurance Premiums

by Louise February 10, 2010

[...] We cannot continue to just tack on more mandates that increase health insurance benefits without addressing the inevitable premium increases that will follow. We absolutely need to address the problem of people facing staggering bills when a medical condition is not covered at all by their health insurance, but if we continue to add mandates without looking for ways to bring down costs, we’re only going to push more people into being uninsured.

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