Posted in Bailouts, Disease Prevention, Economic Issues, Education, Free Society, Government Regulations, Leadership, Liberty, outcomes measurement, Patient Safety, Philosophy, Poverty, Prevention, Protocols, Rule of Law, U.S. Constitution, Uncategorized, Unemployment, Uninsured

How Shutting Down The Economy Could Kill Tens Of Thousands | The Federalist

“The economy is the people, and the people are the economy. The ability to continue to function in a market system does matter to individuals within the system, particularly when the ability of business to remain open and continue to employ them is in question.”

Source: How Shutting Down The Economy Could Kill Tens Of Thousands

Posted in Access to healthcare, Affordable Care Act (ObamaCare), American Presidents, Consumer-Driven Health Care, Defined Contribution Benefit Plans, Economic Issues, Employee Benefits, Employer-Sponsored Health Plans, Government Regulations, Health Insurance, Health Reimbursement Arrangement (HRA), Healthcare financing, Individual Market, Individual ObamaCare Market, Medical Costs, Patient Choice, Policy Issues, Portable Insurance, Tax Policy, Uncategorized, Uninsured

Trump’s new rule will give businesses and workers better health care options – CNN

A HUGE WIN FOR THE LABOR MARKET AND A STEP TOWARDS ENDING JOB-LOCK!

This is one of the most positive and substantive changes in healthcare policy to come out of Washington, D.C. in the past 40 years.  It finally pierces the veil of separation between the Group Market & the Individual Market, helping to dissolve the perverse tax incentive which ties health insurance to employment. ~ Forum for Healthcare Freedom

“Starting on January 1, 2020, employers will be able to offer their workers HRAs to buy individual market coverage for themselves and their families. The administration’s new rule addresses a major inequity by, in effect, providing the same tax advantage that traditional employer-sponsored group plans receive — exclusion of premiums from federal income or payroll taxes — to coverage that workers in the individual market purchase from an HRA.

The rule will significantly expand worker options since 80% of firms that provide insurance currently offer only one type of plan. Now, workers will be able to use tax-advantaged money from their employers to buy coverage of their choosing. This new flexibility will allow people to maintain their coverage when they switch jobs.

In particular, this new rule should help small business workers by making it possible for employers to fund coverage with less hassle and cost than maintaining a traditional group health plan. Between 2010 and 2018, the proportion of workers at firms with three to 49 workers covered by an employer plan fell by more than 25%. This rule should help reverse that decline. The rule also makes it easier for small businesses to compete with larger businesses for talent.

It will take roughly five years for the full impact of the rule to hit — at which point, we expect 11 million workers and family members to use HRA funds to obtain individual coverage. The HRA rule may increase the size of the individual market by upwards of 50%, and should spur a more competitive market that drives insurers to deliver better options to consumers.”

Source: Trump’s new rule will give businesses and workers better health care options – CNN

Posted in Access to healthcare, advance-pricing, Consumer-Driven Health Care, Direct-Pay Medicine, Direct-Pay Practice Models, Economic Issues, Health Insurance, Healthcare financing, Medical Costs, Medical Practice Models, out-of-pocket costs, Patient Choice, Patient Compliance, Patient-centered Care, Price Tansparency, Third-Party Free Practices, Uncategorized, Uninsured

Kroger and GoodRx Launch the Kroger Rx Savings Club to Redefine the Customer Experience

The market is rising up in response to the price-distortions of the medical-industrial complex. The Kroger-GoodRx partnership is a huge end-run around the price-skimming cabal of PBMs and their Health Plan co-conspirators.  – Robert Nelson, FfHCF

“More than 200 million prescriptions are left at pharmacy counters every year because people cannot afford to purchase them. The Kroger Rx Savings Club combines the power of Kroger’s nationwide network with GoodRx’s pricing technology to create a customer-first program that addresses the high cost of prescription drugs.”

Your Kroger Rx Savings Club membership includes:

  • Over 100 value priced generic medications specially priced at:
    • $3 (30-day) and $6 (90-day)
    • $6 (30-day) and $12 (90-day)
  • Select FREE medications
  • Exclusive Club prices on thousands of brand-name and generic medications
  • Coverage for up to 6 members (with a Family Membership)

Source: Kroger and GoodRx Launch the Kroger Rx Savings Club to Redefine the Customer Experience

Posted in Access to healthcare, Affordable Care Act (ObamaCare), American Presidents, Economic Issues, Employee Benefits, Essential Benefits under the ACA, Government Regulations, Health Insurance, Healthcare financing, Individual Market, Individual ObamaCare Market, Individual Underwriting Standards, Insurance subsidies, Medical Costs, News From Washington, Patient Choice, Policy Issues, Pre-existing Conditions, Uncategorized, Uninsured

Obamacare is now optional

Michael F. Cannon
Michael F. Cannon

“Wednesday’s rule reinstates and even expands the consumer protections Obama curtailed. It allows short-term plans to last 12 months, and allows insurers to offer them with renewal guarantees.

You read that right. Democrats curtailed consumer protections; Republicans are expanding them.

The policy change also promises more secure coverage for the sick. It frees consumers to avoid Obamacare’s price controls, which are eroding coverage for the sick. Instead, consumers can purchase consecutive short-term plans, tied together with renewal guarantees that protect them from medical underwriting when they fall ill.

Renewal guarantees can even protect some 200 million consumers with employer-based coverage, or no health insurance, from medical underwriting — for just one-tenth the cost of Obamacare plans.

When Congress passed Obamacare, insurers had just begun selling renewal guarantees as a standalone product. These policies gave purchasers the right to enroll in a health insurance plan whenever they wanted, at healthy-person premiums, no matter how sick they got in the meantime, and cost roughly 90 percent less than the average Obamacare premium. Twenty-five states approved this marvelous innovation for sale before Obama unilaterally banned it. Wednesday’s rule makes this and further innovations possible again.”

https://www.washingtonexaminer.com/opinion/obamacare-is-now-optional

Posted in Access to healthcare, advance-pricing, Economic Issues, Electronic Health Records, Government Regulations, Health Insurance, Healthcare financing, Medical Costs, medical inflation, Organizational structure, out-of-pocket costs, outcomes, Patient Choice, Patient Safety, Patient-centered Care, Policy Issues, Portable Insurance, Price Tansparency, Quality, Technology, Uncategorized, Uninsured

Health Care: You Are Not the Customer (David Goldhill) – YouTube

David Goldhill

Health “insurance” is NOT…INSURANCE. When everyone’s house is on fire at the same time we’re not talking about managing risk, we’re talking about a perpetually increasing spend.

Please listen to this insightful explanation by David Goldhill where he discusses this phenomenon and explains why Healthcare is not the economic Island that we made it out to be. Instead, much of what we believe and what we’ve done to healthcare, as far as economics and regulations, has made it an island unto itself. This is a huge part of the problem and one that has largely been self inflicted.

Posted in Access to healthcare, advance-pricing, Consumer-Driven Health Care, Crony Capitalism, Direct-Pay Medicine, Direct-Pay Practice Models, Economic Issues, Employer-Sponsored Health Plans, Free-Market, Government Regulations, Health Insurance, Healthcare financing, Independent Physicians, Medicaid, Medical Costs, medical inflation, Medical Practice Models, Network Discounts, out-of-pocket costs, Patient Choice, Price Tansparency, Quality, Re-Pricing Scams, Self-Insured Companies, Self-Insured Plans, Third-Party Free Practices, Uninsured

A Case Study in How and Why Market Forces Work to Drive down Healthcare Costs & Improve Access

Posted in Access to healthcare, advance-pricing, Affordable Care Act (ObamaCare), CPT billing, Economic Issues, Health Insurance, Healthcare financing, Individual Underwriting Standards, Insurance subsidies, Medical Costs, medical inflation, Policy Issues, Price Tansparency, Quotes from American Presidents, Self-Insured Companies, Self-Insured Plans, Subsidies, Uncategorized, Uninsured

PassionForSubro » Health Insurance is NOT Health Care

“Just as health insurance is not health care, so too health insurance reform is not health care reform.  Yet, because the ACA got so much press, and many previously uninsured individuals did secure insurance (giving us all the warm and fuzzies), the result was a nationwide misconception that affordable insurance equates with affordable health care. For many, ObamaCare is therefore viewed as a success because millions of uninsured Americans are now insured.

Yet, insurance isn’t a magical money-tree. Like a college student wielding his first credit card, a newly insured America forgets that “someone” has to pay, eventually.  What you buy – with your own money, or with insurance – and how much it costs, still matters.  Insurance just passes the buck – to other insureds, and to you, when the time comes to renew. It blows my mind.  People are involved in car accidents, get out of their vehicle, examine the minor damage, and agree NOT TO REPORT IT TO THEIR INSURANCE, because they DON’T WANT THEIR PREMIUM TO INCREASE! People actually choose to pay for car repairs out of pocket, because they fear insurance premium increases and want to save their insurance for “when they really need it.”  Yet, if we treated auto insurance the way we treat health insurance, we’d be outraged that insurance doesn’t pay for the air in my tires, or the dancing hula girl on my dashboard.”

Source: PassionForSubro » Health Insurance is NOT Health Care

Posted in Access to healthcare, advance-pricing, Crony Capitalism, Direct-Pay Medicine, Economic Issues, FDA, Free-Market, Government Regulations, Medical Costs, Patient Safety, Policy Issues, Price Tansparency, primary care, Uncategorized, Uninsured

EpiPen: A Case Study in what’s the Matter with Health Care | Health Policy Blog | NCPA.org

Its not what you might think. For those on both sides of the political argument on this, please read Devon Herrick’s article exposing some of the less well known reasons for the otherwise avoidable EpiPen fiasco, and why open markets and giving credit to consumers for having a brain could solve this; much the same way as making oral contraceptives OTC.

Americans throw away unused epinephrine auto-injectors worth more than $1 billion annually. Or maybe it would be more accurate to say that Americans waste more

Source: EpiPen: A Case Study in what’s the Matter with Health Care | Health Policy Blog | NCPA.org