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How 2 Hardly Noticed Provisions of Obamacare Can Have Serious Effect on Health Insurers...

Author and health care consultant David Chase, in an article written for KevinMD.com, wrote that there are two underplayed components of Obamacare that offer incredible cost savings and can give a black eye to health insurers.     Two portions of the Health legislation have received little attention yet will have a huge effect on bending the cost curve: 1. Medical Loss Ratio (MLR); 2. Direct Primary Care (aka “Medical Homes”). MLR requires that insurance companies spend at least 80 to 85 percent of their collected premiums on medical services, while the Direct Primary Care provision will offer an affordable alternative that by-passes insurance companies altogether. Taken together, these two provisions could have a long term effect that...

How 2 Hardly Noticed Provisions of Obamacare Can Have Serious Effect on Health Insurers
posted on: Jul 19, 2012 | author: Bob Schumacher

Health Insurers Worried Over Direct Primary Care Model...

Before there was direct primary care, “concierge” or VIP medicine catered only to the wealthy sector of society, creating a more distinguished level of health care for those who can pay the price. Today, however, many health care providers all over the country are starting to adopt a new version of concierge medicine but this time no longer just for those who can afford. An article posted by Ibanga Umanah on JUMP  cites Qliance as “… a model of primary care that cuts the insurance company out in an effort to simplify the entire health care process.”   Clipped from: www.jumpassociates.com (share this clip)   Below is an excerpt from the article : The thing is, Qliance’s is...

Health Insurers Worried Over Direct Primary Care Model
posted on: Jul 17, 2012 | author: Bob Schumacher

CalPERS Looks at Junking Its Healthcare Plans...

With its $7-billion annual medical bill going up by nearly 10% next year, The California Public Employees’ Retirement System (CalPERS) looks at junking healthcare plans. With CalPERS being the third largest purchaser of health insurance in the country, California’s big insurers aren’t too happy about it. In an article written for Forbes.com, author Dave Chase quoted a news excerpt from LATimes.com. “The California Public Employees’ Retirement System is preparing to rebid its health insurance business this fall for 1.3 million members, and two of its current plans, Anthem Blue Cross and Blue Shield of California, are likely to face intense competition as the giant pension fund considers its options. Perhaps the boldest move under consideration for 2014 would...

CalPERS Looks at Junking Its Healthcare Plans
posted on: Jul 11, 2012 | author: Bob Schumacher

Direct Primary Care Can Lower Health Care Costs by 40% or More...

One of two provisions of Obamacare that goes hardly noticed deals with Direct Primary Care Medical Homes or DPC. This provision can have a long-term effect that can wreak heavy damage to the traditional health insurance business and, at the same time, create new opportunities for health care providers in the country. In an article written by Dave Chase for Forbes.com entitled Health Insurance’s $4.4 Billion Bunker Buster – Part I, he mentions that Obamacare allows the Direct Primary Care model to compete with state-based insurance exchanges. Dave Chase is the CEO of Avado.com and former Accenture Senior Consultant before establishing Microsoft’s Health platform business. Dave Chase writes: “The second is allowing flat-fee primary care practices, also referred...

Direct Primary Care Can Lower Health Care Costs by 40% or More
posted on: Jul 4, 2012 | author: Bob Schumacher

Direct Primary Care: A New Alternative to Health Insurance...

A growing number of primary care physicians are finding a new health care alternative called Direct Primary Care (DPC) which they claim is more affordable and provides more benefits than conventional health insurance. DPC is not insurance and it does away with health insurance altogether. In his program on National Public Radio®, host Robert Siegel interviews Dr. Arnold Milstein, director of the Stanford Clinical Excellence Research Center, about how the DPC system works. Transcript of “Direct Primary Care: A New Option For The Uninsured” Radio Program Below is an excerpt from the National Public Radio® program’s transcript.  It discusses some of the advantages of the primary health care model. MILSTEIN: There are two features. Number one: it’s a...

Direct Primary Care: A New Alternative to Health Insurance
posted on: Jun 18, 2012 | author: Bob Schumacher

Writing Out the Insurer with the Direct Primary Care System...

While the formidable cost of health insurance prevents many Americans from receiving better health care, the new direct primary care system helps to eliminate the role of insurance altogether. Not only will it make health care more affordable, it will significantly improve health care quality as well. Can the Primary Care System Ensure Improved Health Care? In a Huffington Post article entitled “Direct Primary Care: Skip The Insurer, Get Better Health Care?”, author Catherine Pearson wrote: “The idea behind direct primary care practices (DPCPs) is that patients pay a modest, monthly fee (often adjusted according to age and existing conditions) and receive direct access to their doctor. This means practices generate revenue directly from fees and not from...

Writing Out the Insurer with the Direct Primary Care System
posted on: Jun 6, 2012 | author: Bob Schumacher

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