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Your Employee Benefits- Who Wins With Health Care Reform?

  
  
  

I was at the gym this morning and overheard some people talking about making medical appointments with ‘concierge’ doctors who typically charge annual fees instead of accepting health insurance. 

 It seems to me that this has been evolving for some time mainly because doctors are fed up with the low reimbursement levels they receive from insurance carriers and they can also keep their overhead and administrative costs low.  I also believe these freelance docs have sprung up due to the fact that Americans have been and continue to remain uninformed or misinformed about our healthcare system. 

 Employee Benefits Healthcare Reform

 

 As an experienced health insurance specialist working with a market leading HR consulting firm, it seems to me that paying a ‘concierge’ doctor anywhere from $600 to $5,000 per year-- when they could be receiving their preventive care free of charge-- is defeating the purpose of the healthcare reform movement.  The point is that most Americans are ignorant and misinformed about our healthcare system in general.  I don’t blame anyone in particular for this because we have all just sort of let this ‘happen’ to us over the past couple of decades but the buck has got to stop here. 

 In researching Medicare and various Medigap policies available on the market, I found it difficult and confusing to understand all of the internal workings and nuances of all of the policies available to seniors, so I can appreciate why they must also feel lost and concerned about what coverages are available to them.  It’s no wonder they fear that "death panels" could be formed to make end-of-life decisions about themThey probably feel out of control because of all of the complexities and thick documents.

 I agree with consumer advocates who worry that people won't take advantage of new benefits coming down the pike with the healthcare reform changes.  In my opinion, we definitely need to educate everyone – not just seniors but generations ‘Y’, ‘X’, teenagers, and children alike.  I believe this is critical and the outreach must be extensive – basic facts should be presented so as to allay confusion- and to ensure that all Americans know how to become informed healthcare consumers.

Supporting press can be found in the USA Today article 'With Many Still in Dark, Groups Shed Light on Health Care Law' found here: http://www.usatoday.com/news/washington/2010-08-12-healthconfusion12_ST_N.htm

Written by: Ellie Tonder, Vice President Operations

Photo Courtesy of: CleverCupcakes

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Foster Thomas is the Mid-Atlantic region’s leading HR Management Consulting organization.  With over 17 years of experience providing best-in-class HR-focused professional services, Foster Thomas creates custom scalable HR solutions for emerging and mid-sized organizations, government contractors and non-profits.

Comments

I respectfully disagree. There is no free lunch, no care is "free of charge"- it's wrapped into the price somewhere. What we are seeing is that flat fee co-pays, while convenient for the health care consumer, do not allow differentiation between providers. If I can go to the best doctor in town for $15 or the worst doctor in town for $15, this breaks the market force of price. The "best doctors become overbooked and crowded, and people that would willingly pay more for their service are unable to, while people that seek greater value in their care have no option that allows them to benefit from choosing a different provider. The concierge fees offer a way around this problem. 
 
If people are too reluctant to deal with percentage based fees, since there is a cost uncertainty there, perhaps the insurance plans could evolve to a level where there are more different price levels for different doctors, much as we see with prescription formularies. This could allow prices to adjust naturally to demand and allow some market cure. Personally, I like the percentage approach (or Health Savings Accounts + high deductible coverage) better because it gets the health care consumer to consider what they are being charged for and make an intelligent assessment of their care. I hear all of the time that people simply aren't sophisticated enough to do this, but it's ridiculous because they are already doing it, they just aren't paying the price for it directly.
Posted @ Wednesday, September 01, 2010 8:17 AM by Matt McKnight
I actually agree with a lot of what you said, Matt. I have been enrolled on a high deductible plan with an H.S.A. component for the last year and it has been working beautifully for me. I also see the benefits of being a more informed consumer when it comes to spending my healthcare dollars! It all makes perfect sense to me, however, you would be surprised to find how many people are terribly afraid to enroll on high deductible plans - fearing that too much will come out of their pockets - again ignorance prevails even though they don't realize they're paying the price already. Education on H.S.A plans are crucial to getting us back on track and out of this huge crisis. I would also love to see insurance plans evolving to a level where different price levels would be available - this is an amazing idea and one I hadn't considered before. Are you by chance a lobbyist?? If so - this should be entertained by insurance carriers, MDs, and reformists alike!
Posted @ Wednesday, September 01, 2010 2:57 PM by Ellie Tonder
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