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- The Weight's Over: Should Fat People Pay More for Health Insurance?
- In a previous blog, we questioned whether or not employers should encourage healthy lifestyles to increase productivity. If discounted gym memberships and healthy vending machine alternatives -- no doubt, placed next to Snickers bars -- don't do the trick, new regulations may. Companies can now charge unhealthy overweight...
- Blog posts 2007-09-13
- Firstfolio Boost For Medibank Members
- Home loan and financial services provider Firstfolio Ltd has signed a deal with Medibank Private to give the health insurer's members access to a mortgage check and discounted loans.Firstfolio will give members of Medibank, Australia's biggest private health insurer, access via website eChoice to a free home loan health...
- News items 2009-12-17
- Insurers Face Mounting Troubles, Many of Their Own Making
- Unhappy days are here again for health insurers, who are suddenly facing higher costs, customer-service problems and aggressive probes by state regulators, particularly in California. Some of these problems stem from unexpected events and simple business mistakes. But many reflect the inherent contradictions of an industry whose...
- Blog posts 2008-04-09
- New Lows in Health Insurance -- Pay More for Drugs, If You Can Afford Them
- The basic social bargain of health insurance -- that we all pay premiums while we're healthy so insurance will cover our costs when we're sick -- has been breaking down for close to two decades. To see how high drug prices are shredding it further, look no further than today's...
- Blog posts 2008-04-14
- Insurers vs. Drug Dangers: Cheap but Ineffective?
- Health insurers are hoping to ride to the government's rescue on drug safety. With various pharmaceutical scandals still in the headlines (Vioxx, Avandia and Vytorin chief among them), drug safety has been Topic A in certain corners of the healthcare world, especially with the Food and Drug...
- Blog posts 2008-04-15
- Three Healthcare Stories From the Week That Was
- With the week drawing to a close, here are three healthcare stories you might have overlooked: Thirteen years after House Democrat Louise Slaughter first proposed it, the Genetic Information Nondiscrimination Act, or GINA, finally passed both houses of Congress. President Bush has pledged to sign it. The...
- Blog posts 2008-04-25
- Rescission Scandal Hits Home for Insurers
- One of insurers' uglier tactics -- so-called rescission, or the practice of revoking the policies of people who start racking up big medical bills, often on technicalities -- is finally coming back to bite the health plans that pushed the envelope on this front. Late last week,...
- Blog posts 2008-05-19
- Why the Blues Have the Blues
- Blue Cross Blue Shield plans are suffering along with the rest of the healthcare industry. According to a study by Sherlock, a health-plan consulting firm, the Blues saw operating income drop 18 percent in 2007, despite a 7.4 rise in revenue. That parallels the experience of other major insurers such...
- Blog posts 2008-06-23
- Doctors vs. Insurers: Prelude to Healthcare Reform?
- Although the news was overshadowed by the dramatic return of Sen. Ted Kennedy, the Senate's veto-proof approval today of a complex Medicare bill represents a striking political victory by doctors over health plans -- one that could bode badly for insurers if healthcare reform becomes a priority after the presidential...
- Blog posts 2008-07-09
- California's Latest Threat to Insurer Profits
- The Golden State's branch of the AMA is pushing a bill that would require California health plans to maintain "medical-loss ratios" of 85 percent or higher. According to the California Medical Association, nine of the state's major health insurers had loss ratios lower than that level. Had every insurer met...
- Blog posts 2008-07-20
- The Death of Health Insurance?
- What do you do when your business costs continue to rise far faster than inflation, but raising prices will just lose you more customers? If you're a health-insurance executive, you suffer. And unless you're willing to consider some pretty radical changes in how you do business, you have to contemplate...
- Blog posts 2008-07-21
- Healthcare Fines and Penalties of the Week
- And you wonder why the healthcare business rates so low in public esteem. Some stories from just the past week or so: UnitedHealth paid a $250,000 fine in Ohio for telling members in the state that they'd have to change doctors, apparently as a negotiating tactic with...
- Blog posts 2008-08-01
- "Health 2.0" vs. Health Insurers: The Looming Clash
- Two items I recently stumbled across together highlight a looming clash between the sort of data-enabled "personal medicine" often touted as "Health 2.0" and dystopian fears that insurers' growing access to patients' digital medical information will increasingly restrict coverage -- or at least make it considerably more expensive. by David...
- Blog posts 2008-08-06
- Doctors vs. Drug Companies: Pharma is Winning -- So Far
- Earlier this week, the WSJ noted that oncologists are getting squeezed on the cost of expensive cancer drugs. Although the story features the usual anecdotes of doctors whose practices are in debt or who are shunting patients off to hospitals for treatment in order to save money, it’s still hard...
- Blog posts 2008-07-10
- Are Insurers Transaction Processors or Health Plans?
- Just over a week ago, Joe Paduda over at Managed Care Matters took a close look at Coventry Health Care's second-quarter conference call and made an interesting observation: Not only do Wall Street analysts seem to think it's not much of a health plan, neither does Coventry itself. Instead, the...
- Blog posts 2008-08-06
- How Not to Analyze Health Insurers
- As a quick addendum to a recent post on whether health insurers are more properly viewed as health plans or transaction processors, I couldn't help noticing a recent research note by Zacks.com analyst Chris Kallos that underscores the blinkered way most financial analysts seem to view the healthcare industry. by...
- Blog posts 2008-08-18
- The Self-Insured Healthcare Trifecta: Trim Expenses, Sidestep Regulation, Defund Insurers
- I was aware that self-insured health plans were popular with employers, but until recently I didn't know just how fast they're growing -- or why. Bottom line: The plans save employers money, allow them to sidestep state insurance regulation, and generally stick it to traditional health insurers. Here's how. by...
- Blog posts 2008-08-20
- The Blues Still Have the Blues
- Times just aren't getting any better for nonprofit Blue Cross and Blue Shield health plans. Not only has operating income hit the skids, but pressures to merge or convert to for-profit status keep rising. by David P. Hamilton
- Blog posts 2008-08-26
- How Health Plans Stack Up, Dollar- and Membership-Wise
- Since American Medical News was kind enough to compile the data subscription required, I thought I'd offer up this quick pair of tables on the nation's largest nonprofit and for-profit health insurers. These accompanied an article about the proposed merger of the Blues plans Highmark and Independence Blue Cross, and...
- Blog posts 2008-08-26
- Overtreatment in Action: $30 Billion Wasted on Unnecessary MRI, CT Scans
- The news here is a few weeks old, but I was still struck by the fact that large insurers are apparently starting to crack down on the overuse of medical imaging. According to Bloomberg, companies like WellPoint and Magellan Health Services believe that expensive and unnecessary CT and MRI scans...
- Blog posts 2008-08-29
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