FairCost Health Plan’s Post

Excellent read from Alejandro Badia, MD as he was featured in the Miami Herald commentary section on January 4, 2024, providing his views on the public's role in health care - article is called "It’s not just insurance to blame for US healthcare woes. We have to look at ourselves | Opinion". Employers, he is speaking to you....you must assume responsibility here because you have contributed to the unprecedented wealth you have created for the insurance companies, hospitals, pharmaceuticals, and Pharmacy Benefit Managers (PBM). SOLUTION: Move away from Insurer-Built Health Plans and implement EMPLOYER-Built Health Plans built by Mitigate Partners to allow your employees to receive better care allowing you, employer, to keep the profits you are sending to the insurance company, reduce your healthcare spending and reallocate that savings into human capital, instructional program improvements, local communities, and employee compensation. Provide better healthcare with fewer financial burdens at the point of service. Better benefits at lower costs. https://lnkd.in/g_iwvpkk

Enhance your benefits and earn $573 per W2 employee per year! _________ Employee dissatisfaction due to rising healthcare costs and reduced health insurance plan options is a significant issue for U.S. employers. Various surveys highlight the extent of this dissatisfaction: 1. High Out-of-Pocket Costs: According to a survey by the Business Group on Health, 73% of large employers are concerned about high-cost drugs, and 92% are worried about the overall pharmacy cost trend. These rising costs often lead to employees facing higher out-of-pocket expenses, contributing to dissatisfaction. 2. Reduced Plan Options: Many employers are limiting health plan options to manage costs. This can result in employees feeling they have fewer choices that fit their healthcare needs, exacerbating dissatisfaction. Bridgecrest Advisors empowers businesses to enhance their bottom line with zero-cost medical benefits that employees love and use. Our comprehensive offerings include zero co-pay and deductible for primary and urgent care, telemedicine, and preventive services endorsed by the ACA. With a remarkable 100% participation rate, our plan seamlessly integrates with and enhances your current benefits.

There's simply no evidence that 60 years wasted building vertically and horizontally integrated segregating, rationing and inequitably subsidized mega-profitable health insurance conglomerates, has improved most Americans preventive, medical, surgical or palliative care access, outcomes or costs. Captiating physicians reimbursement, enrolling everyone on highly rationed Medicare Advantage HMO's or inventing another hair-brained insurer-biased 'value based care plan' aint gonna fix the problem. Only by neutralizing the profits of the health insurers utilizing the tried and proven Bismark Healthcare Model will all Americans gain access to quality affordable private insured and private FFS manufactured medical care with better outcomes, costs and access than America. Germans, Swiss, Japanese, Netherlands and other capitalistic democratic nations enjoy this utility, why can't Americans? Read about Bismarck Model healthcare here: https://lnkd.in/evX8nur

Direct to employer contracting can help Health Systems improve retention rates, provide better patient experiences and give greater access to providers by eliminating the insurance carrier in the middle. ➡️This model is a powerful and innovative step toward the future of health plans Find out if your Health System is ready to take this step: https://hubs.li/Q02FzX5n0 #Healthcare #DirectContracting #Innovation #HealthSystems

This is a thought-provoking article featured in JAMA authored by Katherine Baicker that I really wanted to share with you all. The article discusses the slowdown in healthcare spending growth, which has created room in budgets for other priorities but may also lead to reduced innovation and lower quality of care. Key points include: - Employer-provided health insurance covers over half of all individuals in the US, but it may be less inclined to invest in long-term health due to employee turnover. - Insurers aim to minimize spending, potentially limiting coverage of expensive high-value care. - Patients may struggle to discern the generosity of coverage until they are sick, and the benefits of treatment may not manifest for many years. One potential solution could be mandating full coverage of high-value treatments for patients or using new data analytics to incentivize coverage of care that improves patient outcomes in the long run. These approaches could improve the availability and affordability of care and incentivize ongoing medical innovation. The article goes into much detail and is quite insightful! https://lnkd.in/e3nmWwmD

In Chapter 9 of Onward Wisconsin, Daniel Sem and Scott Niederjohn explore health care market dynamics and reform tradeoffs. 🔍 Key Points • Demand: Health care is a necessity with inelastic demand, often paid by insurance, reducing price shopping. • Supply: Physician scarcity and regulations increase costs. ⚖️ Health Care Trilemma Affordability, access, and risk insulation—systems usually achieve only two: • British/Canadian: affordability + risk insulation, limited access. • American: access + risk mitigation, high prices. 💡 Direct Primary Care (DPC) DPC offers affordable, accessible care for most common issues via a monthly fee. 📝 Reform Principles: 1. Consumer choice in providers/services. 2. Insurance for major expenses. 3. Private insurance options. 4. Promote health savings accounts and DPC. 5. Voucher-based Medicare/Medicaid. 6. Transparent pricing. Explore Chapter 9 for more! 📘

Germany, Switzerland, Netherlands and Japan and other Democratic capitalistic nations ensure access for all their citizens to quality affordable private insured and private fee for service manufactured medical care at a fraction of the cost of America’s insurance centric healthcare mess with better outcomes and costs and more hospitals per capita than in America. They achieve this simply by making health insurers profit-neutralized utilities instead of luxuries. It’s called the Bismarck HC model and it works. Read about it here; Health Care Systems - Four Basic Models https://lnkd.in/evX8nur

💰 There has been unprecedented increases across all 3 Irish health insurers over the last 18 months, and it does not appear to be slowing down. The most recent being Irish Life Health announcing hikes on corporate plans effective from July 1st. They are applying these increases as a direct result of a significant increase in the volume and size of claims in private and hi-tech hospitals. 💡 If any of my Benefits or HR contacts have their company renewal approaching - please do reach out to us here at NFP, an Aon company (Ireland) for a comprehensive review of your private medical scheme to ensure you are obtaining the best value plans for your employees. Having a robust health plan will not only attract and retain talent, but allow your people lead happier and healthier lives! #nfpireland #healthinsurance #privatemedicalinsurance #employeebenefits

Employer-sponsored insurance (ESI) covers around 180 million people, accounting for more than $1 trillion in health spending annually. However, significant challenges in cost, quality, and equity persist. In Milken Institute's latest survey, "Reimagining the Future of Employer-Sponsored Health Care to Drive Value," the findings show the need for employers to explore opportunities to improve health outcomes. Highlights from the survey posted by @Scott Wooldridge at BenefitsPRO indicate that average health insurance premiums increased by 7% for single coverage and nearly 25% for families. Despite significant healthcare spending, outcomes in the U.S. fall short compared to peer countries, with the lowest life expectancy and highest rates of avoidable deaths, maternal and infant mortality, and suicide. At PeopleOne Health, we believe employers should drive affordable healthcare through accountable care strategies such as expanding preventive care, improving primary care access, and prioritizing whole-person health, benefiting both employees and beneficiaries. Read more from Milken Institute's latest survey: https://bit.ly/3RT1ddm #Healthcare #EmployerSponsoredInsurance #AccountableCare

🚀 Exciting news in the health #insurance landscape! The NCQA has released its annual #health plan ratings, highlighting the importance of transparency and quality in healthcare. Out of 1,019 plans assessed, only five earned a prestigious five-star rating, underscoring the commitment of these plans to patient experience and clinical excellence. 🌟 As NCQA President Margaret E. O’Kane emphasizes, these ratings empower consumers to make informed decisions while encouraging health plans to enhance their operations with a focus on quality, equity, and accountability. This year’s updates also reflect a strong commitment to health equity, with an increased emphasis on diversity in membership. It’s crucial that we continue to measure and address disparities in healthcare access and outcomes. Check out the full report to see how your plan stacks up! 📊 #HealthCare #NCQA #QualityCare #HealthEquity #InsuranceRatings