Massachusetts healthcare deform, a failed model

DCblogger's picture

Private health insurance in Mass. not living up to hype

The critics point out a number of worrisome signs. First, the part of the plan that is supposed to get those who supposedly can afford insurance to pony up, is failing -- mainly because the cost of the private coverage is so high. The doctors note the lowest-cost plan for a couple in their 50s costs $8,200 annually and includes a $2,000 per person deductible.

Big money to insurers

Meanwhile, the private insurers are making out like bandits. Blue Cross, as the state's largest insurer, supposedly is acquiring a surplus of more than $1 million each day. It was able to pay its outgoing CEO a $16.4 million retirement bonus.

The doctors note the overhead charged by the state's major insurers is five times higher than in the U.S. Medicare system. So much for the efficiency of private enterprise.

How much health care does $16.4 million buy in Massachussetts?

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badger's picture

The answer is

$16.4 million would pay for 1344 couples (including $2000 deductible for each person covered), or an even 2000 couples (4000 people) without the deductible. Gross.

BostonBeverageBoy's picture

Gross is right

I live in Mass., and I work in health care (at least for the moment- if one of our 11/4 ballot questions passes and the state income tax goes away, I'll likely be out on the pavement as a goodly portion of our operating budget comes from said state) in Dorchester, a mostly underserved (read poor) section of Boston. As noted above, the lowest cost plan is in the 8K buy-in, 2K deductible range- this for people who are, foolishly, much more likely to spend that money (provided they even have it) on trivial incidentals like food and shelter. Not to blame Repubs for everything, but this was enacted under Mitt Romney's watch (although with the indulgence of the Dem's in the legislature); the last such measure, under the reign of A. P. Cellucci (R-Canada or Hollywood, I think), was the enaction of state-sponsored third party insurers that worked through the state Medicaid program and reaped the rewards of that arrangement like Ted Stevens in a Home Depot parking lot, and continue to do so. The whole system (and this is not an original thought, just one I wholeheartedly agree with) has to implode before anything constructive can begin to be reassembled from the leftover pieces. The bandaid solutions above have never worked, but cynically, I don't think that they were ever intended to. Unfortunately, I don't see Medicare-for-all on the horizon until it's overwhelmingly evident that the current system is a flaming plane crash, and even then, it's iffy at best. Hey, this was my first post- my apologies for its, um,... blatheriosity.

elixir's picture

Excellent post, BBB!! Keep up the flow, great stuff.

Sounds like you're closer to the situation than many of us Massers, I'd be interested in hearing more details.

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