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% […]

Indiana Insurance Commissioner Seek Waiver

The Indianapolis insurance Commissioner is asking for a waiver of Patient Protection and Affordable Care Act’s (ACA) 80 percent minimum medical loss ratio (MLR). The commissioner states that 10% of the health insurance companies have left Indianapolis. If the waiver is granted that would encourage companies to stay in the individual health market. The commission […]

Pressure on McKinsey Study

The Hill Chairman Max Baucus is not happy about the Mickinsey study that state 30% of employers will drop their group health plans after 2014. Chairman Baucus has order a full disclosure on the methodology of the study. It will be interesting to see what methodology was used. Being a health insurance broker with extensive […]

Indiana Vaccinations for Insured Children

IndyStar.com publish a story on children with insurance will not be able to get vaccinations for the Indianapolis department of health. From a coverage standpoint, all health insurance plans have to cover vaccinations at no cost to the insured.  So should your child need $600 worth of immunizations it will cost you nothing.  This was one […]

Future of Employer Health Plans

National Journal reported on the McKinsey and Co. study on how 30% of employer could drop group health benefits in 2014. The study predicts that employers that understand some of th health insurance law could find savings in dropping coverage.  This all depends on how the each state sets up the exchange plan. When you look […]

HHS Announces Lower Premiums For PCIP Program

Washington Post  Reported a large decrease in the PCIP health insurance program. HHS has funded the program with $5 billion dollars so that they can reduce premiums. IBJ Reported that so far only 18,000 people have enrolled into the plan. HHS was expecting 375,000. The reality is the premiums for any high risk pool are high. […]

Accountable Care Organizations

Accountable care organization “refers to a group of providers and suppliers of services (e.g., hospitals, physicians, and others involved in patient care) that will work together to coordinate care for the patients they serve with Original Medicare (that is, those who are not in a Medicare Advantage private plan). The goal of an ACO is to […]

$6.8 Million Awarded To Indiana

IHIE Indianapolis has been awarded $6.8 Million from the Federal Government to Implement the key provision of the Affordable Health Care Act- Health Insurance Exchange. And received a $1 million grant to look into setting up a state based exchange. So the $6.8 million must be an indicator that the DOI is going to move forward […]

Appeals Court Hears Argument In Health Reform Challenges

The 4th circuit court of appeal heard oral arguments on the health care reform laws. It has been reported that the Judges were leaning to uphold the law. The challengers, the state of Virginia and Liberty University, have argued the decision to forgo insurance is not an economic activity that traditionally falls under Congress’ power […]