Category Archives: Health Care Reform

Why people are buying short term medical…

A recent survey by ehealth shows that Consumers are turning to short-term health plans primarily because they cannot afford other options. With the premium costs ranging from $4700-8000 a year in the US, people cannot afford it. Even though these plans do not cover pre-existing conditions, and do not have the comprehensive protections of an ACA (“Obamacare”) policy, “More than 60 percent of respondents to the online poll said that affordability was their main reason for purchasing a short-term plan, compared to just 28 percent who cited the need for temporary coverage as their main motivation.”

More from the report: “Enrollees in short-term plans say they are satisfied with the benefits they receive, although relatively few people actually try to use them.

“Sixty-nine percent said their short-term plans offer coverage for the benefits they value most, yet only 23 percent of enrollees actually received medical care while covered by a short-term plan.

“Of those enrollees, 54 percent made a sick visit to a doctor, and 43 percent received preventive care.  Only 25 percent purchased prescription drugs, and 12 percent made an ED visit.  Only two percent engaged in a hospital outpatient visit and 8 percent required surgery or other serious care.

“Among consumers who received care, 43 percent said they were very satisfied with the results.

Can selling across state lines work?

The Washington Post reports that “The Trump administration is seeking ways to allow more health insurance plans to be sold across state lines — an effort that could involve implementing a part of the Affordable Care Act the Obama administration left untouched.

“The Centers for Medicare and Medicaid Services invited insurers and other stakeholders to give input over the next 60 days on how to “eliminate regulatory, operational and financial barriers to enhance issuers’ ability to sell health insurance coverage across state lines” in a request for informationissued yesterday afternoon.”

The problem, IMHO, is two-fold. Rates vary state to state because different states have different mandated benefits, the people in their pool have varying levels of health, and the costs for healthcare vary greatly state to state.

As an example, a hernia repair in Iowa averages $6900, while in NY it is 15% higher at $7900. Would your insurance bought in another state pay the local usual and customary rate? if so you will have $1000 uncovered, and MD’s might drop the plan due to lower reimbursement rates. OR would they pay the higher rate, therefore having to raise the premiums to cover these higher costs?

And if the rates all rise to meet the more expensive costs of healthcare, what have we accomplished? This is a very complicated topic, and sound bites on the nightly news are not solutions. Our system remains badly broken and in need of a comprehensive solution – one that actually controls costs, doesn’t drive physicians away, provides americans with access to care, and at a reasonable cost.


Can Liberal States afford their dream of single-payor system?

image of questionnaire

With California leading the charge, NY, NJ, RI, and Mass are all throwing around the idea of a single -payer health care system in their legislatures.  It sounds so good – A majority of Americans feel the government should guarantee some kind of healthcare to citizens.  And we all wonder how we pay so much more, and get so much less?

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TOP 20 THINGS TO KNOW ABOUT NY PAID FAMILY LEAVE

 

family mom dad son daughter

This is a nice article released by Shelterpoint on May 17, 2017

We’ve spent the last few weeks combing through Paid Family Leave draft regulations to pull out the most important information, so you don’t have to. Here are your absolute must-knows based on the drafts:

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Reeve Conover is a Registered Representative. Securities offered through Cambridge Investment Research, Inc., a Broker/dealer member FINRA/SPIC. Cambridge and Conover Consulting are not affiliated. Licensed in SC, NC, NY, CT, NJ, and CA.
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