Insight, analysis & opinion from Joe Paduda

Sep
26

Why the good news on Employer health care costs?

It looks like employers’ health care costs will increase by somewhere in the mid-to-high single digits next year. According to one survey, costs for employer-sponsored health insurance will average over $9300 per worker next year. That’s just 7% more than this year, which is ‘good news’. Another report indicates costs will jump by 8.7% to $8600+ per worker. (the disparity appears to be due to differences among survey methodology and subjects, the Towers study focuses on larger employers while the Hewitt data is from health plans).
If the good news continues, health care costs will be $18,600 per employee in ten years.

Continue reading Why the good news on Employer health care costs?


Sep
24

Hillary’s health lobby funding

There’s a lot of misinformation about how Sen. Clinton is rolling in cash from big pharma, HMOs, and the insurance industry.
Not true.
Fact is, she’s not even on the list of the top 25 recipients of industry PAC money in 2006.
Notably, that list includes 17 Republicans, 7 Democrats, and Lieberman.
Tops? Ex-CT Rep Nancy Johnson (R), one of the prime movers of the Part D program with $790k. And now in retirement.


Sep
21

Consolidation in the third party biller business

Here’s another one of those posts that is really really interesting to very very few people.
Third party billers are factors – they buy WC script receivables from pharmacy chains and try to collect from WC payers.
The two TPBs have been on (and off) the selling block for some time; it now appears they are working on a merger.

Continue reading Consolidation in the third party biller business


Sep
19

Waiting…

By the time a patient gets an MRI to diagnose cancer in Canada, they’re dead. Canadians have to wait forever to get to see a specialist. And elective surgery? Better get your grandkids’ on the list now for knee replacements…
That’s a common view of the health care system up north.
And it is dead wrong.

Continue reading Waiting…


Sep
18

Reform v tax breaks

Sen. Clinton’s health care proposal is generally consistent with her fellow Democratic presidential candidates – universal coverage, an end to medical underwriting, most coverage delivered by private insurers.
Giuliani’s proposal is also not much different from other Republicans’. Expanded HSA accounts, big tax breaks to encourage individuals to buy plans, and emphasis on individual rather than employment-based coverage.
There are big differences between the plans, and huge implications for voters.

Continue reading Reform v tax breaks


Joe Paduda is the principal of Health Strategy Associates

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A national consulting firm specializing in managed care for workers’ compensation, group health and auto, and health care cost containment. We serve insurers, employers and health care providers.

 

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