More Companies Choose To Self-Insure

Health insurers might lose a large amount of business as large, private employers increasingly opt to self-insure their workers instead of contracting with an insurance company.

The percentage of companies that self-insure has grown steadily since 2006, according to a new report from the Employee Benefit Research Institute. In 2011, about 60 percent of American workers were covered by their employers’ self-insured plans, which reduce companies’ administration, exempt them from state-mandated coverage and allow them to offer standard coverage across states, The Hill’s Healthwatch reported.

However, small businesses with fewer than 50 employees aren’t following the self-insurance trend. Only 10 percent of employees working for small employers were self-insured in 2011, reported BenefitsPro.

The report did find that self-insured rates differ throughout the country. Hawaii had one of the lowest self-insured rates, with just 30 percent of its workers enrolled in such a plan. Indiana and Minnesota fell on the other side of the spectrum, with more than 70 percent of employees enrolled in a self-insured plan, reported Kaiser Health News.

Mulebriar Submits Astonishing Video


Molly Mulebriar (www.mollymulebriar.org) sent this astonishing video to our editorial staff this morning:
I assume all of you saw the 60 Minutes piece on deceptive hospital admissions and billing last night but, just in case, here it is again.  I think you all know that this is just the tip of the iceberg and that this type of deceptive practice permeates every element of hospital billing practices.
The BUCAs never catch this type of fraud for two reasons….first and foremost, they don’t even look…..second, the BUCAs dominate healthcare insurance by promoting the illusion that discounts are the key to healthcare cost management.  What kind of discount is appropriate or reasonable on a hospital stay that should have never happened in the first place?

Dr. Pruitt Investigates “Most Favored Nation” Clause In PPO Contract

Email sent by Dr. Pruitt to his contacts in the dental profession this morning:

Doc, have your fees been reduced by a “Most Favored Nation” clause in your PPO contract, even though you are not a nation?

If you are one of many dentists who have discovered that dental PPOs limit your allowable fees to the lowest bidders in dentistry, you just might be angry enough to want to do something about it. Am I right?

A friend of mine is investigating the legality of the clause and needs more information about the process to determine if he can be of assistance to our profession. If you are interested in sharing what you know, and a chance to possibly put an end to the MFN clause for dentists, please email your contact information to me at darrelldk@tx.rr.com and I will forward it to my friend, who will contact you.

Darrell

Editor’s Note: Dr. Pruitt is a practicing dentist in Ft. Worth, Texas