Here are all the articles I've written about Public health. Enjoy!

March 13th, 2017

Is TrumpCare my Care??

The Insurance Mom is back to blogging after a very busy Open Enrollment!  Thank you to all our followers and lovely clients who sent along referrals.  We are very grateful for you!

 

It’s been an interesting end of 2016 and beginning of 2017.  With that, we are seeing a TON of proposed changes that could affect your health insurance.    But, we probably won’t know for quite some time.   Remember, it takes a while to un-law a federal law!

 

But what’s it all mean, Mom!?  My brain hurts with all the HSA, tax credits, tax penalties, cross-border, stuff!
Well, that’s why I’m here, sweetie!  To take your hand, and tell you to take a deep breath because it’s going to be a long time before we see any changes take places.  And so far, no one can seem to get close to agreeing what those changes will be.  Now that we’re all feeling a little better, let’s get back to our health insurance education.

 

Here’s a great article from the fabulous team at Vox which does great work at explaining things in a simple way.  But the gist is this… Trump proposes these things:

 

  1. Pre-existing conditions will not affected.
  2. The tax credit thing is going to change, likely based on age not income.
  3. Trump and the GOP really like Health Savings Accounts (HSAs).
  4. He wants to remove the plan restrictions.  So that whole metallic thing will likely go away and companies can design their own plans again.
  5. Trump is a little unclear about the Medicaid situation, but the GOP seems to want to decrease Medicaid enrollment.
  6. Trump would like to reduce costs of insurance and drugs.

 

Here’s the Insurance Mom’s takes on these things, by the numbers:

 

  1. Goodie.
  2. The GOP’s current proposal called the American
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September 25th, 2015

More thoughts on doc shortage problem …

We did this little blog post not long ago that still has me thinking: http://theinsurancemom.com/aca-woes-hospitals-and-docs-feel-it-too/

Alan Katz said something really interesting about the shortage of doctors in the USA.

“The shortage of American doctors is something that predates the ACA. It’s easy to blame the ACA for every ill in America’s health care system. The fact is–the generation of doctors that are retiring is larger than the generation of doctors coming out of medical schools. Meanwhile, there’s an increasing demand for doctors as more Americans become insured (since insured consumers see their doctor more often). The primary care physician crisis began before President Obama was ever elected, and it will continue for a lot of reasons.”

Found this very helpful and insightful.  What are your thoughts?…

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March 19th, 2015

Why we love John Oliver OR How to get a free lunch!

The Insurance Mom is a big fan of “Last Week Tonight” with John Oliver.   I thoroughly enjoyed his expose (which aired on 2/8/15) about the relationship between doctors and pharmaceutical companies.

The gist is this . . . it has been a long-time practice of pharmaceutical companies buying doctors lavish lunches, providing divine holidays, inviting them to be a brand ambassador, speaking at events, and paying the docs handsome sums.   It’s one thing to hand out free samples.  But some of these practices are bordering on bribery, false advertising and in the process, perhaps skewing the doctor’s medical practices towards the companies’ products.   John Oliver wondered why it is that some medical offices advertise a free lunch in their job postings.   Is it possibly because Big Pharma is footing the bill?!

Aren’t you curious about what your doctor is up to?   Here’s the website where you can see what kind of benefits your doctors may be receiving from Big Pharma.  Go to https://openpaymentsdata.cms.gov/ to find out more.…

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October 20th, 2014

How Much Will it Cost to Get Covered in 2015? 

If you know anything about the Affordable Care Act (ObamaCare), you know that the next Open Enrollment period is coming up (Nov. 15th – Feb. 15th for a Jan. 1st and later start date.)

Everyone’s first question to me is “how much will my monthly premium be?”

We don’t have enough info yet to compare.    Not all of the rates have been approved by the CA Department of Insurance.    But we do know the word on the street from going to conferences and doing lots of reading.  The Insurance Mom is here to translate!

There were a couple of great articles by Chad Terhune in the LA Times on 10/3/14 and 9/28/14.   For plans purchased through Covered CA, weighted increases in 2015 will range from 4.2% to 8% statewide (depending on where you live, it could be lower or higher).

But… actually using the plans is a whole different story!  That prompted two blog more posts about doctor networks AND why everything is so different after the ACA.  Click the links to read all about it!…

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October 10th, 2014

Time to Vote! Pay attention to Prop 45!

As you know, I normally don’t share my political opinions with clients.   However, Proposition 45 is on this November’s ballot and it will have a direct impact on your health insurance… and not in a good way. As your agent, I feel compelled to make you aware of Proposition 45 and why I so strongly oppose this measure.

Proposition 45 will radically alter the choices available to individuals and small businesses purchasing health insurance in California.

Supporters of Proposition 45 want to give one elected politician, the Insurance Commissioner, the power to determine your health plan’s premiums, benefits, networks and even what treatment options it covers.  (The Commissioner can receive millions in campaign contributions from special interests.) They want to create a costly new bureaucracy that duplicates existing regulatory agencies – the costs of which will ultimately be paid by you through higher premiums. They want to set up new rules and regulations that conflict with the new health care reform law.

As your agent, I take my responsibility seriously when I help you navigate California’s health insurance market.  Proposition 45 will make that market more chaotic and more costly – and worst of all it will potentially limit the choices you have as a consumer.

I plan to vote NO on Proposition 45 this November because it will create more problems than it solves.

I hope you will visit www.NoOn45.org to learn more about Proposition 45. While you’re on the website, I hope that you’ll take 30-seconds and sign-up to receive updates from the No on Proposition 45 campaign and join me on protecting your access to quality health insurance and preventing the possibility of rationed health care.

Feel free to email me back if you have any questions but, in the meantime, I hope that you’ll go

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April 9th, 2010

Your Government’s Health Insurance Plan

I have it on good authority that you’ll be able to contact one of the following newly created federal boards and commissions to get help with your government-sponsored health insurance.  Which one will you choose?

1. Grant program for consumer assistance offices (Section 1002, p. 37)
2. Grant program for states to monitor premium increases (Section  1003, p. 42)
3. Committee to review administrative simplification standards  (Section 1104, p. 71)
4. Demonstration program for state wellness programs (Section 1201, p.  93)
5. Grant program to establish state Exchanges (Section 1311(a), p. 130)
6. State American Health Benefit Exchanges (Section 1311(b), p. 131)
7. Exchange grants to establish consumer navigator programs (Section  1311(i), p. 150)
8. Grant program for state cooperatives (Section 1322, p. 169)
9. Advisory board for state cooperatives (Section 1322(b)(3), p. 173)
10. Private purchasing council for state cooperatives (Section  1322(d), p. 177)
11. State basic health plan programs (Section 1331, p. 201)
12. State-based reinsurance program (Section 1341, p. 226)
13. Program of risk corridors for individual and small group markets  (Section 1342, p. 233)
14. Program to determine eligibility for Exchange participation  (Section 1411, p. 267)
15. Program for advance determination of tax credit eligibility  (Section 1412, p. 288)
16. Grant program to implement health IT enrollment standards (Section  1561, p. 370)
17. Federal Coordinated Health Care Office for dual eligible  beneficiaries (Section 2602, p. 512)
18. Medicaid quality measurement program (Section 2701, p. 518)
19. Medicaid health home program for people with chronic conditions,  and grants for planning same (Section 2703, p. 524)
20. Medicaid demonstration project to evaluate bundled payments  (Section 2704, p. 532)
21. Medicaid demonstration project for global payment system (Section  2705, p. 536)
22. Medicaid demonstration project for accountable care organizations  (Section 2706, p. 538)
23. Medicaid demonstration project for emergency …

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January 8th, 2010

A Public Plan? To be or not to be?

I came across this interesting piece from Public Plan Facts and The Morning Sun (Pittsburgh, PA).  The letter’s author seriously questions the plausibility of a government-appointment Public Health Plan “Czar.”   Read the short and to-the-point letter here.  How much control over your health do you really want to give to the Washington powers-that-pretend-to-be?

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