Archive for the ‘Government Run Health Plan’ Category

Health Care Reform – where it is headed?

Monday, May 17th, 2010

We are now well into the first year following the passing of the health care reform bill. However, we still are not completely sure of what the changes are going to be, and how it will affect all of us. While some portions of the bill are clear cut, such as extending coverage to overage dependents, many of the larger concepts remain to be fully explained. How are small and large businesses going to be able to afford coverage for their employees? How will the tax breaks help or hurt? How can coverage for all Americans remain affordable?

We have yet to see where this will take us, but we are going to do our best to keep up with each passing moment in the world of health care reform, and pass on the information to you. It will be a lengthy learning process, but we are jumping in headfirst to the plethora of information out there. It is our ultimate goal to get the answers you need!

The First Year for Health Care Reform – Step One

Thursday, March 25th, 2010

Though some fine tuning will be taking place, the plan for implementing the Health Care Reform Bill during the first year will (most likely) look something like this:

  • Dependent children will be eligible to stay covered under their parent’s plan until their 26th birthday. The House is still pushing to make this coverage last through their 26th birthday.
  • Insurers can no longer impose exclusions on pre-existing conditions in children. Children are considered exempt from this until their 19th birthday 
  • Lifetime maximums on benefits and annual limits on coverage will be discontinued 
  • A “high risk pool” will be created for people who cannot otherwise obtain individual coverage due to pre-existing conditions 
  • Seniors will receive a $250 rebate for help them cover the costs of their medication while in the “doughnut hole” (between $2700.00 and $6154.00) 
  • The implementation of covered preventative care services requiring no co pays

Though the final outcome is still yet to be known, these are some of the highlights of the plan of action for health care reform in 2010. Though changes will be made, and battles will be fought, we can expect some of these changes to take shape in less than 6 months from now. From then on? No one knows for sure. We do know, however, that every American will be watching and waiting to see what happens next.

Health Care Reform is here! What does this mean for you?

Monday, March 22nd, 2010

No one really knows! It seems that revisions are made by the hour, and nothing is quite set in stone as of yet. Also (as of this hour) 11 states have filed lawsuits stating that the bill is unconstitutional, in that it forces people to pay for coverage or face financial penalties. Does it promise to cover all Americans? Supposedly, by 2014, after spending the next few years inching towards this goal by means of guaranteed issue policies, no lifetime maximum amounts, the cessation of policy rescission’s, etc. Once this is in place, individual policies would be purchased via an exchange:

 Health Benefit Exchanges. Effective in 2014, state-based American Health Benefit Exchanges and Small Business Health Options Program (SHOP) Exchanges are established, administered by a governmental agency or non-profit organization, through which individuals and small businesses with up to 100 employees can purchase qualified coverage. States are permitted to allow businesses with more than 100 employees to purchase coverage in the SHOP Exchange beginning in 2017. States may form regional Exchanges or allow more than one Exchange to operate in a state as long as each Exchange serves a distinct geographic area. (Funding available to states to establish Exchanges within one year of enactment and until January 1, 2015)

 We will see some changes right away, such as offering coverage to all children regardless of pre-existing conditions, and the creation of high risk health pools. Others will take more time, such as the adult pre-existing conditions being a non-issue when it comes to obtaining medical coverage.

 Proponents of the bill claim this will save us trillions over the years, while opponents can’t see how that is possible. Guaranteeing and requiring that all obtain health insurance coverage cannot be without a hefty price tag, can it?

 Stay tuned………

Health Care Reform and Preventive Care

Tuesday, March 16th, 2010

Though no one knows where the health care reform bills are headed, it is of utmost importance that disease prevention and health promotion are at the top of the list. If we aim to “fix” a broken system, we need to ensure that the system is designed to “fix” us as well. This will be achieved by balancing the cost of providing medical care with providing services to help avoid the need for such services in the first place.    Some concepts for prevention strategies are (notes from San Francisco Chronicle):  

  •  a yearly personalized prevention plan for Medicare patients
  • national assistance to wellness programs at the worksite
  • a vast public-private partnership to teach everybody about prevention and health promotion, including Web site tools for self-assessment and personalized prevention
  • educating patients how to reduce their risks for chronic disease
  • support for community-based prevention and health promotion (i.e. no-smoking rules, seat belt mandates, calorie counts on restaurant menus) 

 The concern lies in the fact that if these strategies are not implemented, positive and healthy life choices will not occur. By encouraging such lifestyle changes, and providing resources to help people start and maintain healthier living, the return is invaluable – healthy people, fewer chronic conditions, and an enormous reduction in the need for medical intervention.

Brown’s Victory & What it Means for Health Care Reform

Tuesday, February 2nd, 2010

Health Care reform faced yet another setback as Massachusetts State Senator Scott Brown received 51.9% of the vote needed to fill late Senator Kennedy’s seat in the US Senate. This now makes the Republican head count 41, thereby bringing the 60-count Democrats were relying on to pass the health care reform legislation to an end. Brown’s strong statements regarding the negative portions of the bill, such as higher taxes and the destruction of jobs, played a major role in his political success. However, ironic that he fills the seat of a major proponent of universal health care, many are breathing a sigh of relief as the thought is while health care reform is much needed, it is something that needs to be dealt with carefully – not a “fix it later” attitude.  

While Brown’s win does not mean this legislation is dead in the water, it will mean that it goes back to the drawing board, where hopefully a system that works for all will come to light.

Oppose the Public Plan NOW!

Friday, July 10th, 2009

As you all are aware, the debate regarding the future of our nation’s health care system is raging in Congress right now.

On behalf of our agency, we have dedicated extensive time to educate ourselves and our clients about the most effective ways to improve the health care system. We strongly feel that a public plan will not increase competition in the health insurance industry because it can never occur on an equal playing field. We also feel that the role of the agent is critical, and that to overlook the services that agents provide is a mistake. Our clients have enjoyed over thirty years of superior customer support from our agency, and to take that away would be detrimental.

Nonetheless, recently introduced legislation includes a public plan option and Insurance Exchanges (Gateways) that are devised in a manner that could effectively eliminate the role of the agent. Please take part in our effort to make certain that your Congressman and Senators know your opinions on health reform and the invaluable role of insurance agents.

All you need to do is refer below for our sample letter

 I am writing to you today as a concerned constituent. As Congress considers comprehensive health reform, I am very concerned about a proposed employer mandate to provide health insurance coverage. A legal mandate to force employers to provide health insurance to their employees, while well-intentioned, would actually hurt American workers and health insurance coverage by placing a significant burden on American businesses and in turn decreasing jobs and economic growth while doing little to help reach currently uninsured Americans.

 

While I believe we should build on the successful employer-based system through which most Americans receive quality and affordable health insurance coverage, the employer-based system is not suited for everyone’s health insurance needs. There are obvious problems and questions that would arise were the government to force the employer system on populations that do not naturally belong to it. How do we deal with part-time workers, workers who change jobs frequently, low-wage workers and workers in small firms?

 

Small businesses and companies are not social experiments. Most employers voluntarily offer health coverage for a somewhat simple reason: a healthy workforce is directly linked to healthy productivity. Thus, employers’ ability to offer incentives to differentiate nonwage-related benefits helps them to attract the best workers and remain competitive. We should be looking to craft policies that encourage more employers to offer coverage, though not mandate it.

 

 Throughout the years, numerous organizations have conducted studies that indicate an employer mandate for health care expenditures will only prove to have a negative impact on wages, job creation and general economic growth. A study conducted by the National Federation of Independent Business (NFIB) concluded that an employer mandate would cause the economy to lose 1.6 million jobs within the first five years and that smaller business would be disproportionately affected because of the increase cost associated with an employer mandate. The cost burden that an employer mandate would place on small businesses would impact their ability to stay in business in the future and disproportionately affect them as they would account for 66% of the lost jobs. When America is faced with a tough economic growth and a historically high unemployment rate why would you create a mandate that would only further perpetuate that problem and in turn force more individuals out of employer-sponsored coverage.

 

- An employer mandate would not only increase unemployment, but also do little to reach the currently uninsured. In 2007, Richard Burkauser and Kosali Simon of Cornell University examined who would benefit from an employer mandate and found that among workers making $15 per hour or less, the mandate would still leave over half of them without insurance, while 46% of workers earning below the federal poverty level would still be uninsured.

 

- A recent Federal Reserve Bank of San Francisco study found that mandated employer-provided health insurance in Hawaii increased coverage while employers responded by shifting to more part-time workers who are exempt. Economists looked at employer-based coverage in Hawaii (mandated since 1974) from 1979 through 2005 during which coverage rates rose for workers who were unlikely to be covered absent the law. But the report concluded that an employer mandate to increase coverage may not be an effective means to achieve universal coverage in part because of labor distortions, such as employers expanding the use of part-timers. Hawaii’s law does not cover workers employed fewer than 20 hours weekly.

 

Imposing an employer mandate, although well-intentioned, would severely hurt American business and the economy and cause countless unintended consequences. While we should encourage more employers to offer health insurance coverage, it would be misguided to mandate such coverage. Once we go down the path of some government mandate on employers for coverage, it will be forever consumed by the political whims and budgetary picture of the day. I urge you to oppose the creation of an employer mandate for health insurance coverage, and look forward to hearing your views on the matter.

and the necessary link to identify and contact your federal elected officials. We urge you to call their offices, e-mail or fax a letter. These are the quickest ways to reach members of Congress. If you e-mail or fax a letter, please be sure to change the sample letter into your own words, as form letters have less credibility. Please be sure to send the letter under your own signature and on your letterhead.

Thank you for your continued support!


© 2009 Abrams California Health Insurance Agency. All rights reserved.
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