Message Heard – Pharmacy Costs are in the Spotlight

Rx Prescription #2

No doubt the health insurance carriers are getting the message: pharmacy costs are too high, and pricing is not transparent. UnitedHealthcare has announced that they will begin passing rebates directly to retail purchasers at the point of purchase. Pharmacy rebates – which are usually shared between the pharmacy benefits manager (PBM) and the health insurer… [Read More]

A Few Suggestions to Simplify Healthcare

Path or way from A to B - solution strategy concept

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]

Healthcare Has Been Screaming for a Disruptor

businessman screaming news, or adult who asks a job - communication

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]

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]

2017 Kaiser Family Foundation Survey Results

medical cost, stethoscope on dollar banknote money. concept of health care costs, finance, health insurance fund.

Kaiser has just published its 2017 annual benefits survey and I think the folks in Washington, D.C. all need a copy. Approximately half of the United States’ non-elderly population gets healthcare coverage through their employer, so this survey reveals what many Americans are experiencing. While employer coverage is far better, in many respects, than the coverage… [Read More]

Limiting the Employer Exclusion for Healthcare Is the Wrong Idea

Limiting the Employer Exclusion for Healthcare Is the Wrong Idea

The Republicans are looking everywhere for funds to fix healthcare, as well they should. This problem is not an easy one to solve, however. Under ACA, employers were faced with the Cadillac Tax and as a result they wasted no time in planning to mitigate the effect. While the Democrats seemed to believe that this… [Read More]

A Slow Death of the Cadillac Tax

ThinkstockPhotos-122516159

One of the most controversial and ill-conceived portions of the ACA, the Cadillac Tax, is about to die a slow death. As written, the tax would have imposed a 40% levy on employer plans with annual premiums exceeding $10,200 for individuals and $27,500 for families commencing in 2018.  It was estimated that the tax would… [Read More]