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Medical Insurance Cost Trends

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Medical Insurance CostsThe escalating cost of health insurance is a concern for everyone, to solve this problem we need to know what are the major contributors to this problem. In 2007 National healthcare spending reached $2.2 trillion

This is a breakdown of hospital medical services and does not include professional services, which would be additional charges.

  • The average cost of a day in a hospital is over $9000
  • Care for a burst appendix is over $45,000
  • Knee ligament surgery is over $45,000
  • A yearly supply of Lipitor is over $1,400
  • An average emergency room visit is over $2,000

In 2007, PricewaterhouseCoopers completed a study to ascertain what factors where pushing medical cost up. The study reported that out of every medical insurance premium dollar $0.87 was spent on medical services, drugs, medical equipment and other medical products. Hospitals and doctors combined received more than two thirds of every medical insurance premium dollar.

Out of every premium dollar:

  • Doctors received 33%
  • Hospitals received 20%
  • Outpatient services received 15%
  • Prescription drugs cost 14%
  • Insurance company's' retained 13% for administration costs, marketing, taxes, compliance and profit
  • Other medical services 5%

This clearly indicates that healthcare reform will fail unless the government has more of a focus on reducing healthcare costs, rather than health insurance reform.

Comments

Health Care Reform Act-intent for Change 
 
For many years, America’s health brokers have been offering health insurance to individuals, small businesses and large businesses for decades, yet the enrollment statistics have revealed a steady decrease on an annual basis. The number of uninsured Americans is estimated to be as high as 30 million, and the Health Care Reform Act offers a solution. Not only will there be a higher enrollment number for America’s health brokers, but as of 2014, it will be required by law for every American to obtain health insurance. Every single American will be impacted by the New Health Reform Bill, making it one of the most important measures of the 21st Century. 
Businesses 
The main focus will be on businesses of 50 or more employees, in which they will be required to offer individual health plans, as well as family plans to all employees or face some stiff fines from the government. The amount comes to $2000 per uninsured employee, though there are exemptions to this fine. If you as an employer assist an individual with acquiring a personal health insurance plan through an open market called an exchange, then it would result in no fines. This only applies to an individual who makes a certain amount under the Federal Poverty Level, and the premiums are over 8% of his annual income. 
America’s health brokers can rest easy in the fact that there will be expanded coverage, though there may be more competition. With the rise in individuals who will have health insurance, there may not be as large of a risk as one may assume. Though the new bill will require America’s health brokers to enroll individuals with pre-existing conditions, there will also be a new population of young individuals who will be insured with fewer health problems.  
It is understood that larger companies already provide a group insurance plan (HMO, PPO) that covers all areas of needs for the population of employees. These policies will change very little, but there may be some changes in where the funding for the new health care plan will come. It is proposed that those making a certain amount of money, both individuals and couples, will be taxed at a higher percentage than others. This will provide money that can be used for the exchange and making sure that all individuals will be offered an affordable health plan.  
There are still a few years before the plan goes into full effect, though some of the measures will be enforced immediately. There will be plenty of time to sort out the details and iron out the difficulties. As for the plan, anyone who does not have health insurance as of January 1, 2014, will be penalized a certain amount of money, and this amount could become worse if health insurance is continuously neglected. There has never been a better opportunity for America’s health brokers in terms of acquiring a new customer base-a broader customer base. Also, there has never been a better time in history for individuals being provided with the resources for the necessary medical treatment. This is a very unique time, with history in the making. Finally, there will be health care for all. 
Posted @ Friday, April 23, 2010 5:01 AM by Douglas Thompson
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