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Health Works Collective > Policy & Law > Health Reform > Uninsured, and Lovin’ It
Health Reform

Uninsured, and Lovin’ It

JohnCGoodman
JohnCGoodman
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Back in December I decided to drop my health insurance coverage.

I was hit with a 19% rate increase thanks to ObamaCare. All those “enhanced” benefits like free preventive care, unlimited lifetime benefits, and paying for 26-year old slackers came with a cost. In my case it was more money than I could afford now that I am retired. So, bye-bye, Blue Cross.

Back in December I decided to drop my health insurance coverage.

I was hit with a 19% rate increase thanks to ObamaCare. All those “enhanced” benefits like free preventive care, unlimited lifetime benefits, and paying for 26-year old slackers came with a cost. In my case it was more money than I could afford now that I am retired. So, bye-bye, Blue Cross.

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The ACA has put patients at the center of healthcare services. A patient-centric healthcare approach in this digital era means a revised definition of quality in the physician-patient relationship. When it comes to healthcare services, patients shell out a hefty amount from their pocket and want nothing less than the best. The services in healthcare are no longer limited to just cost as consumers now evaluate quality and experience in the same equation. Research highlights from the 2015 Healthcare Consumer Trends by National Research Corporation states that reputation in healthcare matters more to consumers when choosing a brand than any other industry, e.g. hospitality, retail, airline, etc. The new generation of quality measurements in healthcare require a different mind-set and a different 'toolbox' to handle the hurdles. It’s the need of the hour for healthcare providers and others across the healthcare value chain to adopt the patient-centric approach for surviving in the vast competitive ocean of healthcare services. Patient-centric care is an approach that develops through effective communication, empathy and a positive physician-patient relationship. The primary purpose is to improve patient care outcomes and satisfaction and to reduce patient symptoms and unnecessary costs. It’s a win-win situation for both physicians and patients. While healthcare providers are able to support their patients in becoming more compliant with treatment and management of their conditions/diseases, patients feel more satisfied with the care that they are receiving. PwC’s Health Research Institute’s annual report 2016 states that health systems should keep an eye on the consumer experience as they expand and extend. More partnerships and more caregivers could mean confusion for patients and poor customer experiences. To differentiate their practice among competitors, patient satisfaction can be used as a competitive distinguishing factor. Although patient satisfaction cannot really provide tangible benefits, but an experience that exceeds patient expectations for what a practice/hospital can provide is very important as it creates loyal patients who return for future health needs and refer their family and friends. Happy and satisfied patients are a secret marketing weapon for healthcare providers, whether they are physicians, dentists, physiotherapists or hospitals. Your patients are the new-age digital health decision-makers. In this era of Internet and social media, they now have multichannel access to information related to health. Needless to mention, they have gained new power to make their decisions; whether it’s choosing a healthcare provider or referring a physician to family and friends. By converting your satisfied patients to be your brand advocates, you can capitalize and use their voice as an effective marketing strategy to reach out to many other potential patients. To strive and thrive, in the U.S. many healthcare organizations are applying patient-centric approaches to healthcare. It’s all about what matters to patients, so it makes a lot of sense for the healthcare industry to place patients' healthcare experience at the center of their policies and procedures. The best deliverables are a combination of great communication for a positive physician-patient relationship, disciplined measurement and analysis of patient feedback and commitment to technology innovation – the formula for improving patient engagement and care.
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Plus I had about $12,000 saved up in my HSA, so I figured that I could pay for most services out of my account. And if anything untoward happened, Obama had required every state to start a risk pool that charged no more than a standard premium, so I could enroll in the high-risk pool.

The only problem with the risk pool was that you have to be uninsured for six months to be eligible, so I figured the sooner I dropped my coverage the better. Now the six months have passed and I am good-to-go. And I have saved about $3,000 by not paying insurance premiums.

To summarize:

  • I pay for small stuff out of my HSA. This includes twice-annual doctor’s visits at $60 a pop and three prescriptions that cost about $30/month.
  • If something bad happens I can sign up for the risk pool and pay standard rates.
  • I have already saved $3,000 in premiums.

Of course I was curious about how the risk pools are going, so I did a literature search. I could find absolutely no enrollment information since February. Back then CMS was mocked because only 12,000 had signed up when CMS had estimated 375,000 would be enrolled by then, according to the Washington Post:

The Obama Administration does not like to be mocked, so apparently it has stopped releasing enrollment numbers. But we can guess that not many more have enrolled or they would have trumpeted it. Plus, they are so desperate to enroll people that on May 31 they announced they would be slashing premiums, in some cases by 40%, and easing criteria for eligibility. Now you don’t ever have to be denied coverage in the private market. All you have to do is “simply provide a letter from a doctor, physician assistant, or nurse practitioner dated within the past 12 months stating that they have or, at any time in the past, had a medical condition, disability or illness,” according to Employee Benefit Advisor.

This is great! Not only do I save a ton of money by not paying premiums, but when I get sick, they have already cut my “standard premium” by 40%—no questions asked.

Now the only remaining question is—why haven’t you done the same?

   

TAGGED:healthcare reforminsurance
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