How Does the Loss of Five Insurance Carriers In Indiana Affect You?

IBJ The state of Indianapolis recently lost five individual health carriers from the market. For those working in the health insurance industry, this comes as no surprise. Below are the five companies that exited and the reasons for their departures: American Community Mutual Insurance Co. American Community left Indianapolis due to insolvency. The company had […]

Bad News for Children on Medicaid and Health Care Reform.

Forbes reported on the Government Accountability Office study children on Medicaid have lower access to health care and quality. The study showed that Medicaid patients are 13% more likely to die than uninsured patients in a hospital. 66% of children covered by Medicaid were denied appointment with a specialist for an urgent medical condition.  The physicians do not […]

Accountable Care Organizations

Chicago Tribune Accountable Care Organizations are starting gain traction.. Chicago looks like they have cut a deal with Anthem Blue Cross of Illinois to the ACO model in place. The ACO model is going to have physicians accountable for care. The physician will be rewarded for positive outcomes with patients. This is a huge jump […]

MLR’s Negative Effect

  The Medical Loss Ratio of the Health care Reform law is having a negative effect on carriers entering or staying in new markets. What has happen is a carrier will go into a new market and that block of business is profitable.  So let’s say they are operating at a 70% loss ratio. Under the […]

Mobile Technology For Health & Welleness

In the near future we will see Mobile Technology for health insurance and wellness in the from of an APP. People will have the option of downloading APP to their phone which will give them constant communication on health insurance and wellness programs. There are programs that are all ready developed like Calorie Counter.  The  next […]

Health Insurance Mystery Shopper

The Hill Health and Human Services have canceled their “Mystery Shopper” program. This program was to give HHS information on getting Doctor Appointments. They wanted information on how long someone would have to wait to be seen. They would call a medical practice and state they had Medicare, Medicaid, & Private Insurance to see if waiting […]

Self Funded Health Plans for Small Groups

    HL-ISY.com released a study showing a trend for small groups to shift towards a self funded health insurance. The report stated groups with as few as 50 employees could find savings in the self insured market. We could see in the very near future where small employers entertaining taking on their employees medical […]

Some Positive News on ACO’s

My News Businessweek.com Reported a positive view of the Accountable Care Organization (ACO) The ACO is one of the main programs to reduce health care cost in the new health care law. This is really the 1st publication that states this type of approach to health care can be successful.  The Gov. is developing this […]

Middle Class Hoosiers will be Eligible for Medicaid

Huffington Post National Journal It looks like under the new health law if you have house hold income of $64,000 you will qualify for Medicaid benefits.  For Indiana and other states this would allow a lot of people the option of Medicaid. This could devastate health insurance markets over night and add a huge burden on the […]

Mckinsey Methodology

 McKinsey study just released the methodology that they used to generate the report. The group released questions and results by the people that took the survey. This study has become political so there will be arguments on both sides for and against. I looked at the survey and results. First thing that jumped out is over 35% […]