Tag Archives: Insurance

Corporate Overreach?

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I have a few posts in the queue about the Affordable Care Act and how it’s been faring.  In particular, how the actions of those that detest the act have made things more intolerable.  But, today, I will be discussing how companies have been subverting the act for their own purposes.

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Captive Insurance (2)

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Yesterday, I explained how captive insurance companies are supposed to work.  They serve as a means to minimize the risk, but don’t leave policyholders without any recourse- or, in the case of our firms, any potentially harmed folks without any chance to recover damages.  Today, I will explain how this process is being subverted- these captives are being formed to rip off the public.

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Medicare sets the tone

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One of the key thoughts behind the idea of healthcare reform was to cut the cost of medical care.  In America, more than 1 of every 6 dollars we spend is for health related expenses.  (It was on track to be one of every 5 by this year- but that was before Obamacare [PPACA] was proposed and enacted.)

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Isn’t there an easier way?

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Yesterday, we discussed indemnity, catastrophic, and conventional health care plans. One of the primary reasons to have a health care plan is to be able to get lower prices for each service that may be needed.  Without such a plan, you pay what the provider wants- or get sued.  The difference in pricing can be 90%.  It is routine for me to see an Explanation of Benefits (EOB) detailing a bill that came in as $ 7244, was considered to be $ 1200 once reduced by my insurance carrier,  and for my share of the costs to be only $ 50 or so.

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Indemnity my a..

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Oh, I know, you’ve heard that some folks’ insurance bill have escalated.  I will not deny that changing from a catastrophic-coverage plan to a real health care plan is not more (even much more) expensive- but in the grand scheme of things for all citizens, that is not a big change.  Because most Americans get their health care insurance at work.

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Uncompensated Care

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Lately, data are indicating that the seemingly inexorable rise in our health care costs may be attenuating. Is this real? Or, just an artifact? Given that there are large variations in health costs across the US, what does this trend mean for our local, state, and federal taxes.  And, given that these difference in regional costs will become exacerbated as more (Republican) states refuse to run their own health care exchanges, some of us are in for  additional costs.

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