Insight, analysis & opinion from Joe Paduda

Jun
18

Where’s the progressive movement on health care?

I’m covering the “Take Back America” conference in DC this week. It’s one of the leading progressive confabs, attended by everyone from subscribers to “the Weekly Worker” to green investment funds to Families USA to Sens. Edwards, Obama, Clinton, and Klobuchar to MoveOn.org. I’m here to hear what progressives are saying about health care and health reform.
So far, it appears the short answer is “not much”.

Continue reading Where’s the progressive movement on health care?


Jun
15

Where is the WC market headed?

OK, here’s a post for the workers comp folks, laden with industry acronyms and inside scoop.
I’m at the AmComp annual meeting; its in Chicago this year, ably hosted by Aon. There was a particularly interesting session yesterday on underwriting in a soft workers comp market, moderated by Kathy Muedder of Selective. Rob Purdy of AIG’s American Home, Karl Amidon of Aon’s reinsurance group, and Bob McFadden of Munich Re America were on the panel. Here’s the report.

Continue reading Where is the WC market headed?


Jun
13

Can we control cost without universal coverage?

I don’t see how – because we’ll still have to pay for the uninsured. I’ve been mulling this over since reading a post on Health Care Policy and Marketplace Review. Bob’s post points out that a large enough group spreads risk well enough to help keep insurance affordable.
My take is coverage has to be mandated in order to prevent cost-shifting.

Continue reading Can we control cost without universal coverage?


Jun
13

Will consumer-directed health care make it?

The statistics are starting to come in and they aren’t pretty; Consumer directed health plans’ growth is all but stalled. Despite advocates claims to the contrary, employers are just not buying into CDHPs.
According to a study by the Kaiser Family Foundation, 19% of people with a choice of CDHPs or traditional forms of coverage choose CDHPs. And most of those folks (71% to be precise) don’t put any money into their accounts.

Continue reading Will consumer-directed health care make it?


Jun
12

PBMs and retail pharmacies

My post on the efforts by WCPA and others to roll back parts of the NY workers comp reforms has generated a lot of criticism by individuals who appear to consider themselves advocates for the injured worker.
My motives, intelligence, experience, and perspective have all been questioned, with varying degrees of civility. The personal assaults are not helpful nor are they constructive.

Continue reading PBMs and retail pharmacies


Jun
11

What’s your healthcare misery index?

After going thru a major spring office cleaning and overhaul, I found a really intriguing report buried under books and papers. Well, intriguing for health care geeks
The combination of two statistics adds a lot of clarity to the US health insurance picture. The two, health care inflation and the uninsured rate, have been combined into the HEMI (healthcare economic misery index). The HEMI is both descriptive and revealing, especially when tracked over time and used to compare states.

Continue reading What’s your healthcare misery index?


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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