Los CUBA’s

cuba1Always nice to meet new friends. Today I met two very interesting health care revolutionaries.  I was told that in Florida, the BUCA’s are referred to as CUBA’s. Very appropriate considering that there is little, or no competitive market-driven enterprise  in Cuba – rather state mandated price controls (PPO contracts) managed by a few in power (BUCA’s) with no accountability or market recourse to speak of.

CUBA will forever replace BUCA  in insurance vernacular………………..A powerful and defining moment in the continuing evolution of health care terminology…………

The Delay in the Play or Pay Mandate Could Put Employers in a Precarious Situation in 2015

pissed Happy Employee Masks Feelings

Many employers were relieved to hear the Play or Pay Mandate had been delayed until 2015.  Employers happily put off worrying about some of the ACA’s provisions for one more year.  However, few employers have thought of the employee relations nightmare the delay created for certain employers.

Employers Consider Shifting Sickest Workers To Exchanges Through Loophole

loop

There were “anti-dumping” provisions in the Affordable Care Act that prohibited employers from pushing sick employees into high-risk insurance pools……. But those provisions were not carried through into the rules governing exchange coverage. “It’s almost like they forgot to include that clause on the exchange side of the equation“……………….

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