Insight, analysis & opinion from Joe Paduda

Sep
18

Site updates

We’ve made two changes to Managed Care Matters.
Least obvious to most will be the change in color of hypertext links; we are now using blue, which is more easily read by folks w certain types of color blindness. Thanks to friend Terry Reardon for the suggestion. (he’s a color blind orthopedic surgeon, who assures me that is not an occupational limitation…)
We’ve also added another step in the commenting process, asking submitters to enter a bit of text to verify they are a human and not a @#$%^&*&^%$^&**))*%%$## spam bot. Sorry for the extra step, but I can’t go thru 200 spams a day looking for your pearls.


Sep
18

Why HSAs won’t help the uninsured

One of the oft-cited rationales for Health Savings Accounts and Consumer Directed Health Plans (HSAs and CDHPs) is their potential to reduce the number of individuals without health insurance (or, as my neighbor says, the “individually self-insured). While HSAs may have some benefits in terms of increasing consumer awareness of costs, for two rather obvious reasons, HSAs will not help reduce the number of uninsured in the US.

Continue reading Why HSAs won’t help the uninsured


Sep
14

National Consumer Directed Healthcare Summit – report from the scene

I went to the National Consumer Directed Healthcare Summit in DC yesterday skeptical but with an open mind. And after Paul Ginsburg’s opening talk, I was thinking there may well be a pony in here somewhere. Unfortunately, I left after three more presentations still searching for the pony.

Continue reading National Consumer Directed Healthcare Summit – report from the scene


Sep
11

Has workers comp “managed care” worked in Ohio?

The Cleveland Plain Dealer has published an article that is highly critical of Ohio’s workers comp managed care program. The analysis performed by the paper (and subsequently reported by AP and other news outlets) notes that administrative costs associated with claims management have gone up much faster than the rate of inflation,while medical costs have experienced a similar trend.
Several other papers inside and outside Ohio are also focusing on the BWC managed care program.

Continue reading Has workers comp “managed care” worked in Ohio?


Sep
11

HMOs cost less because they pay less

HMOs are cheaper than other forms of health insurance due to lower provider costs. At least that’s what an analysis of a 2004 study comparing HMOs to other forms of insurance discussed by Jason Shafrin in a post on Healthcare Economist says.
The difference amounted to 9.3%, with no measurable difference in utilization rates or risk selection between HMOs and other plans.
So, as an industry, HMOs are not more efficient because they are better at managing care or selecting risk, they are cheaper because they pay providers less. I would note that the analysis is based on data from the nineties, so perhaps a more accurate statement is that in the past HMOs were more efficient.
I don’t know if that’s the case today.


Sep
10

Part D – where next?

Part D’s implications will be many, far-reaching, and complex. Why? the sheer size of the market…One-twelfth of all scripts dispensed in retail pharmacies were for Part D recipients.
Here’s a snapshot of the crystal ball.

Continue reading Part D – where next?


Sep
7

HWR 15 is up at InsureBlog

Hank Stern and Bob Vineyard of InsureBlog have prepared a virtual cornucopia of health wonk delights. Their edition of Health Wonk Review is indeed serious brain food. No reservations required, come as you are, and buon apetit’!


Sep
7

P&C Insurance – So far, so good…so far

Projections for insurer profits this year are looking pretty rosy, at least according to Fitch Ratings. For most property and casualty insurers, profits are up over last year at this time, losses are down, and premium growth continues to trend slightly upward as well.
As always, profits are only as solid as tomorrow’s weather forecast, and few insurance execs think they’re out of the woods yet.

Continue reading P&C Insurance – So far, so good…so far


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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