Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

antigop

(12,778 posts)
Sun Sep 21, 2014, 11:46 AM Sep 2014

Wendell Potter: Taking Insurance Companies Out of Health Care

http://wendellpotter.com/2014/09/taking-insurance-companies-out-of-health-care/

There are many Americans who are beginning to question the contributions big insurance companies make to our health care system. And I’m not just talking about lefty advocates of a single-payer system. Corporate executives are also wondering why we need the big insurers and whether higher-quality and more cost-effective care could be provided to employees if they didn’t have to deal with health insurers at all.

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 Americans—business leaders in particular—would 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 world’s largest aerospace company and one of the Seattle area’s largest employers, announced that it has decided to forego the services of an insurance company and to contract directly with two of the Northwest’s largest hospital systems to provide care to its 27,000 employees and 3,000 retirees in the region.

...
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.

26 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Wendell Potter: Taking Insurance Companies Out of Health Care (Original Post) antigop Sep 2014 OP
while I would love to see insurance companies out of the picture, we still have health care tied antigop Sep 2014 #1
Getting employers and insurers out pretty much is Medicare for all, merrily Sep 2014 #2
exactly. nt antigop Sep 2014 #4
We need to get insurers completely out of Medicare, though. We need to get rid of supplemental antigop Sep 2014 #6
You're going to make the RW cry. merrily Sep 2014 #7
maybe someday we'll live in a civilized society, merrily. nt antigop Sep 2014 #10
Sure hope so. We'd better hurry, though. merrily Sep 2014 #23
+1 Enthusiast Sep 2014 #13
While reading the article ... 1StrongBlackMan Sep 2014 #3
+1 brer cat Sep 2014 #5
. Doctor_J Sep 2014 #8
+1 BrotherIvan Sep 2014 #19
And then how do we get the overcharging doctors out as well? pnwmom Sep 2014 #16
Agreed BrotherIvan Sep 2014 #20
thank you, BrotherIvan. As I said upthread, maybe someday we will live in a civilized society. nt antigop Sep 2014 #21
If Boeng can do it cheaper, than all workers together can do it cheaper too. grahamhgreen Sep 2014 #26
I have such mixed feelings about Potter. It's great that merrily Sep 2014 #9
yes, he realizes he was part of the problem, but he's trying to do what he can now to fix the system antigop Sep 2014 #11
Thank you antigop, the system is broken. saidsimplesimon Sep 2014 #17
wouldn't be surprised at all. nt antigop Sep 2014 #18
I've had similar thoughts. But after listening to Potter a number of times over the years Enthusiast Sep 2014 #14
He seems to have gotten authentic about insurance, only after merrily Sep 2014 #22
His book - Deadly Spin - is a must-read, IMO. n/t Triana Sep 2014 #12
K&R! This post deserves hundreds of recommendations! Enthusiast Sep 2014 #15
My vote is single-payer, not attached to employment - TBF Sep 2014 #24
hallelujah! Bill USA Sep 2014 #25

antigop

(12,778 posts)
1. while I would love to see insurance companies out of the picture, we still have health care tied
Sun Sep 21, 2014, 11:50 AM
Sep 2014

to employment in this scenario.

I think we need to get employers out of the picture as well.

merrily

(45,251 posts)
2. Getting employers and insurers out pretty much is Medicare for all,
Sun Sep 21, 2014, 12:04 PM
Sep 2014

hopefully with a reasonable monthly cost to the individual or family.

antigop

(12,778 posts)
6. We need to get insurers completely out of Medicare, though. We need to get rid of supplemental
Sun Sep 21, 2014, 12:18 PM
Sep 2014

policies.

merrily

(45,251 posts)
7. You're going to make the RW cry.
Sun Sep 21, 2014, 12:22 PM
Sep 2014

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.

Enthusiast

(50,983 posts)
13. +1
Sun Sep 21, 2014, 02:11 PM
Sep 2014

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)
3. While reading the article ...
Sun Sep 21, 2014, 12:12 PM
Sep 2014

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.

 

Doctor_J

(36,392 posts)
8. .
Sun Sep 21, 2014, 12:26 PM
Sep 2014
I'm seeing more and more evidence that (Heritage Care) will be the slow, but certain, death of for-profit healthcare insurance companies.




What evidence?

pnwmom

(108,990 posts)
16. And then how do we get the overcharging doctors out as well?
Sun Sep 21, 2014, 02:18 PM
Sep 2014

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)
20. Agreed
Sun Sep 21, 2014, 04:35 PM
Sep 2014

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.

merrily

(45,251 posts)
9. I have such mixed feelings about Potter. It's great that
Sun Sep 21, 2014, 12:37 PM
Sep 2014

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)
11. yes, he realizes he was part of the problem, but he's trying to do what he can now to fix the system
Sun Sep 21, 2014, 12:38 PM
Sep 2014

I've read his book. I think he's sincere. He knows the system is broken.

saidsimplesimon

(7,888 posts)
17. Thank you antigop, the system is broken.
Sun Sep 21, 2014, 02:46 PM
Sep 2014

Boeing may be playing a bit of poker with the insurance industry. Lower employer contributions is most likely the goal. imho

Enthusiast

(50,983 posts)
14. I've had similar thoughts. But after listening to Potter a number of times over the years
Sun Sep 21, 2014, 02:13 PM
Sep 2014

I have concluded that he is authentic. Of course we are highly suspicious and rightly so.

merrily

(45,251 posts)
22. He seems to have gotten authentic about insurance, only after
Mon Sep 22, 2014, 06:36 AM
Sep 2014

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.

TBF

(32,084 posts)
24. My vote is single-payer, not attached to employment -
Mon Sep 22, 2014, 08:07 AM
Sep 2014

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.

Latest Discussions»Issue Forums»Editorials & Other Articles»Wendell Potter: Taking In...