Wendell Potter: Taking Insurance Companies Out of Health Care
http://wendellpotter.com/2014/09/taking-insurance-companies-out-of-health-care/I wrote a few months back that my former CEO at Cigna once said that what kept him up at night was the possibility that Americansbusiness leaders in particularwould ultimately conclude that insurers were an unnecessary expense. He used the term disintermediation, a fancy word that means cutting out the middle man.
News out of Seattle this summer undoubtedly has caused the big insurance CEOs to lose more than a bit of sleep. Boeing, the worlds largest aerospace company and one of the Seattle areas largest employers, announced that it has decided to forego the services of an insurance company and to contract directly with two of the Northwests largest hospital systems to provide care to its 27,000 employees and 3,000 retirees in the region.
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What distinguishes the Boeing ACOs, aside from the fact that no insurers are involved, is that they are among the first ACOs that are employer-driven. You can be certain that big employers all over America will be paying close attention. If the Boeing ACO experiment demonstrates savings, expect to see many more in the near future.
antigop
(12,778 posts)to employment in this scenario.
I think we need to get employers out of the picture as well.
merrily
(45,251 posts)hopefully with a reasonable monthly cost to the individual or family.
antigop
(12,778 posts)antigop
(12,778 posts)policies.
merrily
(45,251 posts)They swear up and down that Medicare is already bankrupting the US and you want to expand it.
Nonetheless, you have my full permission to make them cry.
antigop
(12,778 posts)merrily
(45,251 posts)They cry if you even mention medicare.
The Republican congress is just about equal in uselessness to the health insurance industry.
They both receive free money way above and beyond what they earn or deserve.
Who wouldn't want to keep that gig going for as long as possible.
Take away the false, irresponsible media and they wouldn't last one election cycle.
1StrongBlackMan
(31,849 posts)I was thinking the same thing ... I'd look to see healthcare financing de-coupled from employers. But as much as folks love to hate the ACA, I'm seeing more and more evidence that it will be the slow, but certain, death of for-profit healthcare insurance companies.
brer cat
(24,591 posts)Doctor_J
(36,392 posts)What evidence?
Because mandating enrichment of insurance companies will make them just whither and die!
pnwmom
(108,990 posts)Today's news was about how doctors drum up huge extra fees by getting extra work as assistants in hospital surgeries.
http://www.nytimes.com/2014/09/21/us/drive-by-doctoring-surprise-medical-bills.html?_r=0
BrotherIvan
(9,126 posts)Just like the company that self-insured and then started rationing care because of some high bills. What if companies tied bonuses to not using insurance? What if employers cut salaries if they were losing money on it (most of the big corps who self insure actually make money)? And who the hell would want their employer knowing all the intimate details of your health?
Single payer is the only answer.
antigop
(12,778 posts)grahamhgreen
(15,741 posts)merrily
(45,251 posts)someone who was once inside speaks out now. But, while he was on the inside, he was part of the problem. But, again, he is speaking out. Some just take their pensions and remain silent.
See? Mixed.
antigop
(12,778 posts)I've read his book. I think he's sincere. He knows the system is broken.
saidsimplesimon
(7,888 posts)Boeing may be playing a bit of poker with the insurance industry. Lower employer contributions is most likely the goal. imho
antigop
(12,778 posts)Enthusiast
(50,983 posts)I have concluded that he is authentic. Of course we are highly suspicious and rightly so.
merrily
(45,251 posts)he collected his paycheck from insurers throughout his career. IOW, he was a perp.
He got rich on the business of charging too much for health insurance, then giving sick people a hard time when they tried to collect. Only after he retired from it, with a nice pension package, no doubt, did he became a whistleblower. So, I will never respect him much, no matter how authentic he is today.
Still, as I said, it's better to have someone, even a perp, talking about it than to have no one talking about it. So, I will always have very mixed feelings when I see Potter's name.
Triana
(22,666 posts)Enthusiast
(50,983 posts)Deserves.
TBF
(32,084 posts)your health care comes after your birth is registered just like your social security card (in fact using the same number would simplify matters).
This should be a human right.
If insurers have any role at all it should be in the secondary insurance (optional treatments) and life insurance realms.