To Repeal or Not To Repeal?
Department of Health and Human Services is expected to clarify the MLR rules today that govern exactly how much of each dollar is required to be used by insurance companies to pay for direct medical expenses versus administrative costs and profits. Meanwhile newly elected Republicans seem to be galvanized in an effort to repeal the new healthcare law. Not all Republicans support this movement. Some of the biggest players in the system are not willing to support the effort to scrap the law and start over. With 32 million more people in the system, I would certainly expect more than a little pushback from a significant number of hospitals, doctor groups and pharmaceutical manufactures. Also, keep in mind that health insurance companies endured major criticism in the national spotlight and managed to land on their feet with the prospect of insuring these new members with more government regulations. They have invested a lot of resources to design benefits and systems to accommodate the new market place. Would you want to see a total repeal if you were in any of their shoes?
Posted on 11/22/2010 8:32 AM by David M. Widmer
Health Insurance Exchange in TN?
Tennessee is in the process of deciding whether or not to establish its own Health Insurance Exchange. The State Insurance Exchange Planning Initiative has announced the members of the Technical Advisory Groups (TAGs) that will be working to help the state carefully consider all the issues before proceeding. The two TAGs are Actuarial/Underwriting and Agent/Broker. I had the opportunity last week to participate in a discussion by Director Brian Haile and I have to say he really gets it. This is a critical issue for the state and so far I am pleased to see how much feedback they are looking for in the planning phase. Without technical support from the industry and feedback from the broker community I believe even a decent strategy would be doomed. For more info check out: http://www.tn.gov/nationalhealthreform/exchange.html
Posted on 11/10/2010 12:00 PM by David Widmer