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Health Care spending at historic lows

Posted by chase z6 (My Page) on
Tue, Jan 8, 13 at 11:04

Found this article interesting. Given it is from FOX it is expected that they would be loathe to credit the Obama Administration but none the less it is very positive.

I found another article that credits the ACA and the Obama Administration policies, particularly efforts aimed at cracking down on fraud especially in Medicaid, but it was just a headline and you had to subscribe to get the entire article.

Interestingly the FOX article says Medicaid costs are way down but doesn't say why. I suspect the crackdown on fraud is in large part the reason.

Here is a link that might be useful: Health Care spending increases at historical lows

This post was edited by chase on Tue, Jan 8, 13 at 11:19


Follow-Up Postings:

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RE: Health Care spending at historic lows

At least a few ho hum hundreds of million fraud posts!


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RE: Health Care spending at historic lows

My Apologies my Title is incorrect.

It is Health Care spending increases that are at historic lows.


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RE: Health Care spending at historic lows

There was a segment on PBS Newshour yesterday about this, the interviewee was from the institute that did the study.

The main reason health care expenditure went down was the recession, and the number of people - 7,000,000, who lost their insurance and didn't qualify for Medicaid. Another related factor are those that have high-deductibles, many couldn't afford to pay stuff.

They don't know why medicaid went down.

Of interest was the mention that premiums for individual policies skyrocketed 15-25%, and she hypothesized that this was because the pool shrank, the healthy people unable to afford insurance, leaving the sickos, who used up a lot of services.

Here is a link that might be useful: link to video and transcript


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RE: Health Care spending at historic lows

Here's another link

Americans kept health care spending in check for three years in a row, the government reported Monday, an unusual respite that could linger if the economy stays soft or fade like a mirage if job growth comes roaring back.

Still, it was the third straight year of historically low increases in the United States. The 3.9 percent increase meant that health care costs grew in line with the overall economy in 2011 instead of surging ahead as they normally have during a recovery. A health care bill that grows at about the same rate as the economy is affordable; one that surges ahead is not.

It's interesting

Here is a link that might be useful: Link


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RE: Health Care spending at historic lows

If we can ever move from fee-for-service to outcomes-based reimbursements, we'd be so better off.


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RE: Health Care spending at historic lows

  • Posted by bboy USDA 8 Sunset 5 WA (My Page) on
    Tue, Jan 8, 13 at 12:42

Starting this month my individual policy went from $837 to $1,202 per month.

Houston, we have liftoff


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RE: Health Care spending at historic lows

Posted by bboy USDA 8 Sunset 5 WA (My Page) on
Tue, Jan 8, 13 at 12:42

Starting this month my individual policy went from $837 to $1,202 per month.

Houston, we have liftoff

Enjoy the ride! It's going to get worse very soon.

California private health insurers are looking to substantially raise their rates in the coming year.

The largest for-profit insurer in California, Anthem Blue Cross, wants to raise its rates an average of 18% for roughly 630,000 individual policyholders. Aetna, the nation's third-largest health insurer, wants a 19% increase. And Blue Shield of California is expected to try raising rates next week. Health Net raised rates last month by 14%.

If Anthem goes through with their plans, some customers may have their fees raised by as much as 25% by February.

Historic highs!


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RE: Health Care spending at historic lows

Anthem Blue Cross went through this charade in 2011 -- announce high increases, have the CA Insurance Commission pressure to reduce the increases, Anthem agrees, and the public thinks they have a better deal. I'm inclined to think the reduced increase was Anthem's target amount from the beginning.

March 2011: Anthem Blue Cross reduces rate increases


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RE: Health Care spending at historic lows

  • Posted by bboy USDA 8 Sunset 5 WA (My Page) on
    Tue, Jan 8, 13 at 14:18

Awhile back my insurer was being investigated by my state for suspicion of jacking up the rates here in order to finance expansion into new markets in another part of the country.

Never heard the outcome.


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RE: Health Care spending at historic lows

Well, see, in this day of digital information and computers, it costs like so much more to insure an individual or small family than it does to insure the same people when they work for a large company.

Honest.

At least Obamacare helps supplement the premiums for lower income folks.


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RE: Health Care spending at historic lows

David-outcome based reinbursement could have the unintended consequences of doctors declining patients with 'difficult' diseases or people who are old and likely to have things wrong hence a chance that outcome would be poor for the treatable ailment, people with unusual presentations and so on. If I attempt to see an allergy specialist and the medical records show that while I have all the usual symptoms of severe allergies I do not test positive to the normal triggers why would any allergist in his right mind take me on as a patient if he/she will not be paid for less than optimum outcomes? This is like No child Left Behind-schools with difficult demographics(lots of immigrant children) losing funding because they cant meet the standards for school who do not have this problem...unintended consequences. Maybe there is something I am missing in this argument?


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RE: Health Care spending at historic lows

I wonder if it ever occurs to some that people can only spend money if they have money... can't spend money on medical needs or insurance if it's not there to spend...


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RE: Health Care spending at historic lows

I'm inclined to agree with Patricia on this, David, and also think of the school precedent, which is an unmitigated disaster.


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RE: Health Care spending at historic lows

Not necessarily, it depends how it is structured. To begin with, the private physician and private practice is a rapidly disappearing business model, and its shifting increasingly over to outfits like Kaiser P. or hospital/clinic outfits. So if reimbursement to the hospital/group is based on the some measure of satisfaction or improvement of the patients, then they take care of the more difficult cases. And its with the more difficult cases where pilot programs are already seeing improvements in outcomes for less cost - they follow up the difficult people very closely so they stay out of the hospitals - make sure they take their meds, do home visits, etc. Way less expensive than repeated admissions to the hospitals.

I don't know what the alternative would be. Medicare is the 800 lb gorilla that dictates how the rest of the industry functions, and since the reimbursements are so low, they have to perform all kinds of tests, surgeries, examinations, scans, re-scans, etc. just to make a profit. Or go charge somebody else the difference.


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RE: Health Care spending at historic lows

Might increasing numbers of Boomers going on Medicare be part of the puzzle?

Evidently there are more ways to get to centralized health care than we knew. Americans fought against national health care only to get hospital conglomerates that absorb physicians formerly in private practices, diagnostics, PT and rehab, nursing homes, home health care, hospice. Just about the only thing they don't run outright now is prescription drugs. (Don't know about mortuaries! LOL)


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RE: Health Care spending at historic lows

What's become popular here and much less expensive?

Minute Clinics


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