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Posts Tagged ‘Affordable Texas health insurance’

The Economics of Health Care Reform

Monday, January 31st, 2011

texas health insuranceProponents of health care reform have promised that it will provide affordable health insurance in Texas and across the country. There’s no doubt that the new legislation will help certain individuals, but what often goes unsaid is that health care reform will also hurt a large percentage of the people that it’s intended to protect. According to John Goodman of the National Center for Policy Analysis, much of this is owed to the “top down” practice of implementing health care reform.

“Top down” means that reform starts with a goal or an idea, and the individuals in charge attempt to impose this idea onto all the people below. Top down thinking doesn’t consider what the masses want.  It ignores the fact that people will act in their own self interest, rather than in the interests of the government’s collectivist vision.

John Goodman writes:  “Almost everybody in health policy thinks you can have a plan designed by people at the top that will work, even though every doctor, every nurse, every hospital administrator and 310 million patients all have an economic self-interest in defeating the plan.

Below, Goodman notes some examples that he believes will play out, as people act in the interest of their own health and finances.

  • Thirty-two million otherwise uninsured people will try to double their consumption of medical care.
  • Almost everyone with private insurance and all Medicare enrollees will try to increase their consumption of preventive services, promised without deductible or copayment.
  • With no increase in supply, doctors and patients will face a huge rationing problem.
  • There will be up to 900,000 additional emergency room visits and the time price of care (rationing by waiting) will jump substantially
  • Patients whose plans pay below-market rates, including the elderly, the disabled and poor families on Medicaid, will be pushed to the rear of the waiting lines.

Goodman goes on to note that Congress passed a law that encourages middle and upper income families to have more insurance than they want or need. Assuming this segment of society utilizes the insurance they were forced to buy, they’ll in effect make access to health care more difficult for the poorest and most vulnerable segments of society. So whether consumers are looking to purchase health insurance in Texas or anywhere else, the top down methods used to expand our access to health care will actually hinder adoption by the people who need it most.

Politician Proposes Texas Health Insurance Exchange

Tuesday, January 18th, 2011

texas health insurance exchangeFollowing the March 2010 passage of health care reform, health insurance in Texas and across the country was dramatically changed. One big change that affects how consumers buy health insurance in general involves publically run exchanges on both the federal and state level. Rather than just buying insurance from private companies, whether through an employer or on your own, these exchanges would allow people to purchase government-backed health insurance policies.

Texas has been slow to react, as the state generally dismisses health care reform as an abuse of government power and one that negatively affects the nation’s economic well being.  But one politician is attempting to create a Texas-run exchange rather than subject Texans to the federal plan options. State Representative John Zerwas, a republican from Katy, TX, wants to create a Texas health insurance “connector,” or simplified insurance market, that would supersede our state’s adherence to the federal plan.

“My opposition to the federal health care reforms is no secret, and I continue to support Attorney General Greg Abbott’s efforts to have the law declared unconstitutional,” said Zerwas. “But the ‘connector concept’ has been around for decades and did not originate with Obamacare…Quite frankly, it is something that we should consider on its own merits regardless of the fate of the federal reforms.”

The state-run market would, in theory, make it easier for consumers to compare standard coverage plans, and also help to dole out federal subsidies to low income individuals and families in need of affordable Texas health insurance.

Zerwas’ plan would supplement, not replace, the private Texas health insurance market.  He says that major lobby groups comprised of doctors, hospitals and big businesses endorse the program, which would be overseen by board members ranging from health professionals to consumers and businesses.

It’s yet to be seen how all this will play out, but establishing state control over the exchange may be a better option than leaving it in the hands of the federal government, which to this point has not engendered much confidence in its handling of health care policies.

Fighting the Economic Perils of ObamaCare

Wednesday, November 17th, 2010

obamacare

As more conservatives flood into Congress next year, many are determined to repeal the health care bill, which may be the only way to get our federal deficits under control.  Obama’s administration continues to preach the positives of the bill, despite a general consensus that it’s too expensive and actually prohibits consumers from receiving affordable health insurance in Texas and across the country.

As the Heritage Foundation notes, much of the issue lies with the misinformation distributed by the government. For example, the former Director of the Office of Management and Budget under President Obama claims that leaving the legislation intact will cut costs, but the numbers just don’t add up.  A recent NY Times article claims that ObamaCare will cut the federal deficit and reduce Medicare spending.  But what’s left out is that, although spending on Medicare will be reduced by $575 billion over the next decade, the savings would be used to offset spending on new programs.  So in reality, no money is saved.

And to reduce Medicare spending, the new law plans to cut payments to providers, which only acts to decrease the number of doctors willing to see Medicare patients. That doesn’t save costs; it merely pushes the costs elsewhere. The administration also plans to make Medicare more efficient – which they say will reduce costs. But when’s the last time the government ever made something more efficient?  Efforts to increase efficiency from the top down usually result in price controls, which only disrupt the natural market forces.

Hopefully the newcomers to Congress will help to set our health care–and as a result, our economy–on the right track by addressing the irresponsible health care legislation and replacing it with reforms that actually work to lower costs. The Heritage Foundation sums up the issue with some clear thoughts:

The new law will be ineffective at increasing efficiency…The only way for the new Congress to eke out savings from health care is to repeal Obamacare and replace it with bottom-up, consumer-driven approach to reform.

Top 5 Open Enrollment Tips for Health Insurance in Texas

Thursday, November 11th, 2010

tips for texas health insurance enrollmentAs the end of the year approaches, people will begin renewing their Texas health insurance plans or enrolling in new plans.  And while renewing coverage can be quick and easy, it doesn’t mean the plan options and prices will stay the same.  So as you weigh your Texas health insurance options for 2011, be on the lookout for coverage and cost adjustments.

According to the National Business Group on Health, employer-sponsored health costs will rise nearly 9 percent in 2011, and these added expenses will likely be passed onto consumers via higher out-of-pocket cost and copays.  To assist consumers in navigating the impending changes and making the best choices for their health insurance, Fox Business suggests five useful tips:

1. Scrutinize higher copays and premiums, which will likely be more costly in 2011.  Save money by choosing another plan option—whether on the individual market or through your employer—researching wellness incentives, which can trim your plan costs, or switching to your spouse’s plan if it’s more cost effective.

2. Take advantage of free preventative services. Starting January 1, there will be more free preventive services than ever, per the terms of health care reform.  Some changes include free cancer screenings and weight-loss counseling.

3. Consider a high-deductible plan. If you’re healthy and don’t require frequent doctor visits and prescriptions, you can maintain health insurance with a very low monthly premium.  And if a major accident occurs or an operation becomes necessary, you’re covered.  Opting for a high-deductible plan also makes you eligible for a Texas health savings account, which is another great way to control your health care costs.

4. Note changes in drug coverage. Starting in 2011, you can no longer purchase over-the-counter medicines with HSA or flexible spending account dollars without a prescription from your doctor, so plan accordingly.

5. Keep your child on your health plan until they’re 26 if it makes sense for your family financially. The rules are lax, as your kids don’t have to live with you, and can even be married. It may be a great way to provide your son or daughter with solid coverage if they can’t obtain it on their own.

As open enrollment begins, keep the above tips in mind, and in general, ask a lot of questions to ensure you’re getting the best and most affordable Texas health insurance plan.  Otherwise, you may be blindsided by changes to your health plan once January rolls around.

Open the Health Insurance Marketplace to Decrease Price, Increase Quality

Monday, November 1st, 2010

affordable texas health insuranceTomorrow’s elections may issue big changes to a variety of issues, including Texas health insurance, still reeling from national health care reform passed in March.  If Republicans win back a majority of seats in the House of Representatives, as many pundits are predicting, it will be interesting to see what they do about health care.

Last month, Republicans issued their Pledge to America, which included, among other initiatives, a plan to increase competition among health insurers by opening health insurance across state lines.  Opponents to this proposal claim that such a measure would result in consumers buying health insurance in the states with the lowest prices, and therefore, the fewest consumer protections.  But are state regulations for health insurance really geared toward consumer protection, or are they simply government-imposed mandates that do little more than raise the price of health insurance?

John Goodman of the National Center for Policy Analysis explores these regulations (the national average by state is 42), noting that most are the result of special interest lobbying, rather than measures to protect consumers.  This is why states with few regulations, like Idaho (13) and Iowa (26) don’t have higher reports of consumer abuses than states with more regulations.  So opening the market across states lines and allowing consumers to buy from states with cheaper prices would not subject patients to dangerous practices.  Instead, it would increase competition by allowing insurers to enter more markets, decrease the rate of uninsured residents and discourage states from imposing costly—and often unnecessary—regulations that would place them at a disadvantage to compete in the market.

A national health insurance market isn’t without problems, but increasing the availability of affordable health insurance in Texas and other states would be a huge win for consumers and businesses alike.  Hopefully tomorrow’s elections will put us on track to right some of the wrongs imposed by ObamaCare.

High Risk Texas Health Insurance Pool Off to Slow Start

Thursday, October 14th, 2010

High Risk Texas Health Insurance Off to Slow StartOne of the most talked about pieces of federal health care legislation has been the administrations’ pledge to provide affordable health insurance to those with preexisting conditions that previously made them uninsurable.  The Preexisting Condition Insurance Plan is now up and running, but so far it’s not living up to expectations.

According to Newsmax, enrollment has lagged across the country, and even though the plan provides cheaper insurance to those in need, it’s still not cheap.  High premiums are likely a reason for slow adoption into the federal and state run high risk pools.

Economists originally projected that about 375,000 people would gain coverage this year, but as of early September, Texas had only enrolled about 200 people into the Texas health insurance high risk pool, and California has enrolled about 450.  For those who get into the program, the coverage can be a life saver, providing treatment for a fraction of the actual costs.  But the price is still too high for many, and specific enrollment requirements make other people ineligible.

In reviewing the Preexisting Condition Insurance Plan, state officials and independent experts raised some concerns:

Premiums may still be too high – The high risk pools significantly reduce costs, but individuals are still left paying high deductibles and premiums that can range upwards of $500 per month.  These costs are simply too much for many people to absorb.

Eligibility requirements – The plan requires that enrollees be uninsured for at least six months prior to applying, and that they were previously turned down by an insurer.  Many people in need of coverage don’t meet these requirements.

Prescription drug coverage – In states where the federal government runs the program directly, the plan doesn’t provide coverage for prescription drugs until people meet a $2,500 annual deductible. The high costs can be a significant barrier to consumers accessing the medications they need.

The program will last until 2014, when the reforms require that insurers accept all applicants regardless of medical history.  Until then, there are obviously some kinks to be worked out as we try to move toward affordable Texas health insurance for our state and accessible coverage for all Americans.

Dallas Employers Brace for Increased Texas Health Insurance Costs

Tuesday, September 28th, 2010

texas health insurance costsAcross the state, individuals, families and even businesses are bracing themselves for increased Texas health insurance costs.  Though it’s not the only culprit, health care reform plays a large part in increasing costs.  Several insurers have raised rates to comply with the new health laws, and these costs—passed down employers—are eventually absorbed by the Texas workforce.

From the Dallas Morning News

Higher medical claims, an aging workforce and reverberations from a new health care law will lead to an expected 9 percent health care cost increase for Dallas employers next year, according to a study released Monday. Dallas will experience its highest health care cost increase in more than nine years, according to Hewitt Associates, a human resources company.

In 2010, Dallas health care costs have increased 3.7 percent, as compared to a 4.2 percent increase in 2009. Next year, however, Hewitt projects an 8.7 percent average rate increase.  While federal legislation is certainly guilty of raising health care costs, Texas is also contending with an aging workforce.  Older employees often survive layoffs due to their experience, but they typically require more medical care than younger workers, which further increases costs for businesses.

As affordable Dallas health insurance becomes exceedingly difficult to obtain from employers, more consumers are exploring their individual Texas health insurance options, or opting for less traditional plans, like health savings accounts.  Such alternatives to traditional employer-subsidized plans put more control in the hands of consumers. Individual plans—unlike many group plans—allow the insured to pick and choose the coverage options they need, while HSAs give individuals direct control over how their money is spent.

Changes to Texas health insurance are upon us, with certain changes instituted last week and many more being rolled out over the next several years.  Whether it’s pairing a health savings account with a high deductible health plan, or enlisting the free services of a Texas health insurance broker, consumers should do what they can to keep costs down while remaining insured.

Affordable Texas Health Insurance Comes to Small Employers

Friday, September 17th, 2010

affordable texas health insuranceSmall employers looking for affordable Texas health insurance may be in luck.  The Texas legislature recently established a statewide program designed to provide Texas health insurance programs for small business owners and their employees.  This comes at a time in which nearly six million Texans do not have health insurance, and many small employers don’t have the resources to provide employees with health benefits.

In fact, only 32 percent of our state’s small businesses offer Texas health insurance to employees, as opposed to 89 percent of our large employers. The program, called Healthy Texas, helps combat this issue by providing “eligible small employers with the option of purchasing an affordable benefit plan that is compliant with the benefit requirements of federal health insurance reform.”

According to the Insurance Journal, “eligible employers that purchase coverage for employees and their dependents through an approved participating private health plan can save, on average, up to one-third on premiums.”  That’s a huge boon to small businesses currently thwarted by a down economy and shaky federal health care legislation.

Healthy Texas does not provide a premium subsidy to small employers. Instead, it utilizes both public and private funds to address claims costs and to pay participating health insurers for costs that fall within a defined range. The program’s success hinges upon its ability to strategically target state dollars to where they are most needed and can do the most good – in this case, low income, uninsured employees of small businesses.

To enroll, employers can apply directly through participating health plans, Celtic Insurance Company and United Healthcare, or apply through a Texas health insurance broker.  Healthy Texas considers the following requirements when determining program eligibility:

  • - The employer must qualify as a small business with 2-50 employees
  • - An employer must not have provided group insurance 12 months prior to HealthyTexas application
  • - At least 30 percent of employees must receive annual wages at or below 300 percent of the federal poverty level
  • - The employer must pay at least 50 percent of the premium costs for employees
  • - At least 60 percent of eligible employees must elect to participate in the program

The Healthy Texas program provides a means for small businesses to offer affordable Texas health insurance to their employees and is a big step in our state’s quest to insure more residents.

Tips for Affordable Health Insurance

Tuesday, August 31st, 2010

Some tips on finding affordable health insurance from Arya Srinivasan of Vimo.com.

1. Save time with side-by-side comparisons of free quotes online

Use a website that streamlines your search for affordable health insurance by offering quotes from five to seven different carriers instantly, in one place, for free. These are the same quotes one would get directly from the insurance carrier, but this website saves time and gives a broader view of services available, in addition to providing consumers with expert guidance.

2. Make sure your agent explains the components and pitfalls of each plan

Health insurance is complex enough as it is, so a good agent should disclose key benefits of every plan, including but not limited to: office visits, wellness, prescriptions, deductible, coinsurance and out-of-pocket maximums.

3. If you’re in good health and your rates are going up, consider a switch

Do you know what your rates are next year? Like car insurance or credit cards, health insurance plans sometimes offer lower initial rates and raise their premiums every year, thereafter. If your premiums are increasing, contact a licensed insurance agent to get free health insurance quotes, and possibly find a cheaper plan.

4. Don’t keep paying for benefits you don’t use!

Make sure you understand your plan’s fine print, because services such as unlimited doctor visits and maternity care are often built into plans, increasing your premiums. If you’re not using these, consider switching to a cheaper plan, tailored to your needs.

5. Consider a Health Savings Account and a High Deductible Health Plan

An HSA gives you, the consumer, an economic incentive to manage your own health care expenses by combining a tax-free savings account for medical expenses with an HDHP that meets requirements for deductibles and maximum out of pocket limits.  Check out this blog post for more information.