Take Politics Out of Healthcare

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Three additional states have joined California in an investigation of the third largest insurer in the United States – Aetna – alleging their medical director denied a $20,000-per-dose infusion, admitting in a deposition that he never looked at [the] patient’s medical records. The media and public have cried out that the insurer has put profits over patient… [Read More]

Do Your Commuter Benefits Cut the Mustard?

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I was a little nervous to see what changes would come in the wake of the recent tax law overhaul (a.k.a. The Tax Cut and Jobs Act) signed in late December of 2017. It ends up there are some notable changes to the tax treatment of transportation benefits being offered by employers for the year 2018…. [Read More]

A Few Suggestions to Simplify Healthcare

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I keep waiting for Bezos-Buffet-Dimon to call me (I know they will one day) but in the meantime, cyberspace is a good place to share my thoughts on healthcare redesign. The front door to healthcare delivery should be an easy-to-use smartphone application which is pre-populated with a healthcare calendar, set up with you and your doctor, to remind you… [Read More]

Introduce Voluntary Benefits Outside of Open Enrollment

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Here we are again… Open enrollment madness for core benefit programs is in the rearview mirror and human resources teams can focus on planning for next year. It pleases me to see voluntary benefits gaining more traction with employers of all sizes, but I’ve noticed that most employers’ initial thought is to introduce new voluntary offerings… [Read More]

Can You Believe What Happened to Me at the Pharmacy?

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This is going to be a rant blog. I happen to know that a lot of people from Aetna (which is my insurer) read this. But, it really doesn’t matter whether it’s Aetna or another medical insurer – they all have the same issues. Thankfully I am reasonably healthy. As with most people, my most frequent encounter with the… [Read More]

Preventive Care that Actually Saves Money… Dental

Toothbrush and toothpaste in the bathroom close up.

Over the last two decades, the healthcare industry has tied itself in knots in order to validate the business case behind preventive medical care. And although preventive care services offer a variety of benefits – social and humanitarian, for example – the data seems almost conclusive that economics is not quite one of them. Too… [Read More]

Healthcare Has Been Screaming for a Disruptor

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Someone heard. Rumors have been swirling that Amazon, the market status quo killer, was setting its sights on healthcare – one of the least transparent and most inefficient markets – which accounts for almost 20% of U.S. Gross Domestic Product (GDP). Today Amazon joined with market-savvy Berkshire Hathaway and JPMorgan Chase to announce that a new… [Read More]

Dodging the Tax Reform Bullet

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There is a real retirement savings crisis brewing in this country. Many folks are simply not saving enough to pay all their expenses for 20 or more years in retirement. That is why it was alarming when some of the early proposals of the tax reform package that was recently passed included such disincentives to… [Read More]

Chipping Away at the Affordable Care Act Isn’t Getting to the Real Issue

Health Care Reform sign

So, the Affordable Care Act’s (ACA’s) individual mandate penalty has been reduced to zero, the Cadillac Tax has been delayed for two more years (and may likely never be implemented) and the Children’s Health Insurance Program (CHIP) has been funded for six years. Now more than 1.75 million children in 20 states, who were at risk of losing their healthcare, can breathe… [Read More]