35 Burst results for "Health Insurance Companies"
Aetna Expands Coverage for Gender-Affirming Surgeries
"Twenty twenty one is already looking to be a brighter year for the transgender community. Less than a week. After president joe biden reverse the ban on transgender people serving in the military one of america's largest health insurance companies has agreed to cover additional gender affirming surgeries for trans women for transgender. Women just negotiated a major concession from aetna which is owned by. Cvs healthcare corp. the insurance company has agreed to cover gender affirming surgery like breast augmentation for trans women. In the past the insurance company had covered some gender transition surgeries but stopped short of anything it deemed quote cosmetic each of the four women had been denied coverage for breast augmentation as part of their gender reassignment surgeries. They maintain that the surgery was medically necessary and their doctors. Back them up. Gender dysphoric by definition is the psychological distress. That happens when someone's getting identity is different from their body. And they may seek to transition to align the two most insurance companies cover mastectomies and genital surgeries for those who are transitioning but some procedures that mostly affect trans women's gender transitions procedures like breast augmentation. Facial surgery and voice surgery have traditionally been categorized cosmetic and excluded from coverage according to a report in the hartford current aetna's new policy states that the coverage must be deemed quote medically necessary. The insurance company stated that it will reimburse some women who met this criteria and were denied coverage in the past but had the surgery. Anyway aetna additives told the times that the company had already been reviewing its policies on the matter before this latest negotiation fewer than ten percent of insurance companies in the us typically cover transition related breast augmentation surgery the current reports and some larger carriers have exclusions in november the mother of an illinois teenagers sued blue cross blue shield of illinois for denying treatment for his gender dysphoric according to bloomberg law. The plaintiff maintains that such denial of coverage is a violation of the affordable. Care act which prohibits discrimination on the basis of sex in georgia at least two plaintiffs are suing anthem. Blue cross and blue shield in that state for similar exclusions. this may be another milestone. In a new era of recognizing the rights needs of the transgender community. The supreme court ruled last. June that workplace discrimination laws also protected lesbian gay transgender bisexual and queer people. Lgbtq people for short giving this group a big victory in workplace equality but in one of its last acts. The trump administration's department of health and human services finalized a rule permitting social service providers that receive government funds to discriminate on sexual orientation and gender identity. Nbc news reported the biden administration is seeking to reverse that rule so this settlement with aetna is another piece of good news for those seeking gender affirming surgeries and a chance to help trans women feel a little more comfortable in their own bodies
UnitedHealth names former Glaxo CEO Witty to lead company
"The United States largest health insurer is getting a new leader health insurance company UnitedHealth group is promoting Andrew ready to become the providers next CEO when he was promoted to company president twenty nineteen and before that was running the Optum segment which operates one of the nation's largest pharmacy benefit managers as well as a growing number of clinics he took a leave of absence from Optum last spring to help lead the World Health Organization push to accelerate coated nineteen vaccine development when he ran the British drugmaker Glaxo Smith Kline for several years current CEO David Whitman is retiring after about three and a half years in that role the company earned fifteen point four billion dollars last year after bringing in more than two hundred billion in revenue I'm Jennifer king
UnitedHealth's Profit Slips as Health-Care Visits Return
"Group shares a rallying after the health insurance company held up better than expected in the recent quarter, though it's profit declined, the company says care patterns are being restored, meaning people are getting back to regular medical visits. Tyson
Health insurance whistleblower: I lied to Americans about Canadian medicine
"When I first moved to New York from Canada back in two thousand, I went to visit a park. And I made the mistake of sitting down in the grass and something bit me. In New York. That's probably the best thing that could happen to you sitting on the ground. So the bite got worse and I didn't have any health insurance but I had to go see a doctor who so I went to a clinic in my neighborhood and they were gonNA charge me like a lot of money. No welcome to America me a lot of money and I was not used to paying money to go see a doctor. So the whole thing was like super foreign they would try to explain to me what was happening and I did not understand and I would talk to my friends and people about what was going on and I was like trying to figure it out and they're like, yeah. But isn't this better than what you had in Canada? and. They would say things like. You know I thought Canadians waited forever to go see a doctor and I thought Canadians couldn't get the treatments that they needed and and I will always remember this detail. They would say Canadians die in hallways they die lying on gurneys in the hallways of hospitals waiting for treatment and the people that said this to me were not conspiracy minded types. These were people who I knew and I respected and I just was like, where are you guys getting these stories from? So, flash forward to this past summer, and I'm scrolling through twitter I. I see this article by someone who used to work in the Health Insurance Industry and the headline according here is. I sold Americans ally about Canadian medicine big old lie. This was the guy who had made up all of those lies I'm I'm at fault here, and then the work I'm doing now is to make amends for all the work that I did. To perpetuate those beliefs those miss about the Canadian system. This is Wendell Potter he ran the PR DEPARTMENT OF CIGNA Health Insurance for a long time. Now, he's a whistleblower when I talked to him, he told me that part of his job was to run campaigns to specifically bad mouth. Healthcare. Because for decades, one of the biggest fears of the insurance industry in the United States was that Americans would discover that just to the north was a place that had essentially no health insurance companies. A place where the government ran healthcare systems a place where people live longer than Americans and have lower infant mortality rates of place called. Canada.
Got coronavirus? You may get a surprise medical bill, too
"Know, there are federal laws that govern costs for covert 19 tests, and many insurance companies have told their subscribers that you know they're not. There will be no copays. Have you found that to be the truth? That the case? Yeah, You know, In most situations it is, but there's also a lot of people who are facing surprise medical bills due to their corona virus testing and treatment. We've worked with some data companies, and we estimate that about 2.4% of Americans face some kind of charge that they have to pay for their Corona virus test, despite the requirement that insurance companies fully cover them. And you know that number might seem small. But keep in mind. There's been 108 Million Corona virus test in the United States. So when you start doing the numbers 2.4% of that is actually millions of Americans facing some kind of bill. For Corona virus test. You know, I'm just starting to get further into understanding the cost of carnivorous treatment and again there. You're starting to see patients who are getting bills They didn't expect for you no treatment they thought was going to be covered by the insurance company. Right and sometimes going to get a test. You can also be charged for a doctor's visit. I mean, what kinds of bills are you saying among those who get them? Yes. So you definitely see one of the things I think that's pretty common in these surprise bills, a situation you mentioned where someone goes to a doctor Officer, an emergency room for Corona Virus test and the krone Virus test is covered by the insurance company, but something else that happened. Is not covered. Sometimes that's an emergency room facility fee kind of the price of going to an emergency room, which I've seen emergency rooms applying to drive through sites. People don't actually enter the emergency room, but they still received the facility V for driving through and getting their tests there. I've seen a number of providers tacking on flu tests or in some even more egregious examples as Tedy tests that patients you know, they just thought they were getting a drive Thru Corona virus tests and now they see a dozen or so different items from the lab that they were built. For some of them. The insurance is not required to cover So it's just it's really hard to know. And patients typically only find out you did what was tacked on to their bell when they get the charges in the mail. You know, health care treatment is very private and health insurance companies aren't exactly dying toe share data about this. How do you find out what people are paying for these bills? So I find out by asking readers to send me their bills. It sounds like a kind of insane way to investigate this, But, you know, I found with some previous work I did on emergency room billing. That the best way to understand what patients are being charges to actually see the billing documents themselves. Insurance companies and hospitals typically keep those numbers secret. They do not want to share them. They do not publish some list of their charges. So I get my information from what patients are willing to send me and in this case what they're willing to send me for their corona virus testing and treatment bills.
Building an Enterprise AI Adoption Roadmap - with Ron Bodkin
"So Ron glad to hear on the program. It's a real pleasure to have joining US pleasure to be here. Dan Thanks for having me course given your relatively lengthy background, not just academically, but in the entrepreneurial world in various businesses now, obviously with Google in working with big big enterprises, you got I think a multifaceted take on this question. So I'm curious as to how you answer you will we look at big enterprises that are not used to doing. But they they know this is you know GonNa be par for the course moving forward. They're often asking the question why should we be focusing know how do we identify the opportunity space that are GonNa be leveraged points and make a difference for us how do you to think about that question? Yeah. Well, I think enterprises need to be thinking about a portfolio approached the either going to use that there's a spectrum between on one side you prebuilt ai solutions that might be available in south application or extend US asset allocation that give quick wins but are not highly differentiated. They become table stakes in an industry somewhere in between is use of. Smart building blocks whether prepackaged models or things like auto Amal that that AI models be extended for this particular data and needs. But that fundamentally the I is still prepackaged in component that can be brought into a custom application and then on the other extreme is is more highly differentiated custom uses of Ai, and of course, the ladder tend to be higher risk in higher reward, but I would say that in almost any. Industry enterprises need to be thinking about how do they build that portfolio and how did they build capability in all three buckets as well as how do they have the governance to understand what are the things that they ought to do any one of those as well as the wisdom, and which really comes down to the experience leadership to know what are the things that they shouldn't shouldn't be working on so that's the macro. that. You know a lot of times what you see I think what's often under appreciated is the big talent gap that I see for executing ai is really experienced leaders that have been through multiple applications of the Technology Sarah. Like, just like if you have smart Grad students in academia, they rely on a professor with good instincts to coach them. The students often have the best hands on skills they need that experience leadership and the same thing applies in the enterprise right that the leaders who've been through cycles and have good instincts and coach people on what's going to work and identify the common pitfalls are critical right? So so I think in that case, there's factors that are clearly important right like standing. The state of the data and is there data available cannot be collected you have policies whether it be legally or according to your. Company's principles around whether data can and should be used for a given approach to machine learning. Sometimes, it's about a level of creativity around how can you structure or something as a problem that will actually be solvable today's machine learning techniques. And also super important. A lot of times I. See is not enough of an emphasis early on how would you actually develop confidence and deploy this right? There's I've seen so many efforts early stages in companies where they think about doing data science and they come up with a study that says, we think there's promise here and they don't know how to. Structure a task than how to operationalize it where they don't have the priority, right? Maybe one part of the business wants to move forward but then you know the operational system owner throws a flag and says, no, we can't do that because it's too risky or it's not aligned with our road map right. So beginning with the end in mind and knowing like, how would you even experiment live to task? Something is critical. Yeah. So many considerations here on the throne. These are all really good. I'M GONNA poke into a few of these and get more ideas from us that works. Okay. Session are. So you're talking about this portfolio approach I mean I can't concur enough on the fact that you know experience leadership would be the goal. The fact of the matter is not every city is silicon valley and so in. In your random health insurance company, how many people have seen ai come to life is very few. We think about it as leaders who have an understanding broadly of what I does and how it works. You talked about that a rough tertiary understanding of the use case landscape. What's realistic? What's obviously what's realistic and then thirdly some fundamental understanding basic terminology so that they don't get lost not to be technical but understand even just that level of understanding is exceedingly rare. Exceedingly rare. How do we get over that hurdle in your mind because we can't just have a guy like you have conversations with leadership teams all day long just kind of gradually get them up to snuff. What do you think it's GonNa take to to make that education gap get closed because I think we really need that I. Yeah. Absolutely true I. Think over time as we continue to see more deployments of AI in a more advanced machine learning capabilities that knowledge is expanding right the new graduates with machine learning who don't have experienced. Spend a few years working and gaining that experience it start to get more of the wisdom in the short term what I see doing as you know, combination of bringing Google expertise were experienced people in the Google team can work with customers and coach and mentor them. But also one of the things that we do really well in Google is is we work with a lot of. Services Partners and we focus more on do they have that level of expertise? Right? So that can be specialist boutiques of maybe a few hundred people that have deep expertise to provide that coaching and guidance, or it could be larger consultancies that have built the practice in an area. Where they can bring that. So I think always a lot of it is enterprises. Need help right and hiring good consulting to enable success is important when it's a new area and there's gaps in open. Of course, it has to be complemented with a hiring strategy, but it's a lot easier to scale entertaining strategy. It's a lot easier to scale on some success when you starting
Drug Addiction In America
"Woken to Mentally Yours Metro could ikaes weekly podcast about all things mental health. Today we're talking to Dave. Marlon, he was the CEO of crossroads of Southern Nevada, which was the largest addiction and Rehab Center in the area, the psychotherapist drug and alcohol counselor, and he basically knows everything about addiction and mental health issues in the US and beyond. Making me talking tim today about how the pandemic has been affected addiction issues to get help if you're struggling and how to recognize if you might have a problem with drugs or alcohol. Bruce Dave. Thanks so much for joining us on mental yours and welcome from across the pond. My first question was basically because obviously as I mentioned, we're in London. You're in the US, it such different situation in terms of addiction, mental health, and obviously the pandemic to get started. Could you give kind of a brief overview of the reality of addiction in the US? How serious the problem is that how widespread is a? The Robert Wood Johnson Foundation calls addiction the number one health problem in the US. If we look at the the number of prescription opiates that are consumed in the entire world The United States consumes more than eighty percent of them. We. have. You know we've always had an alcohol problem for a percentage of our population. we we developed enough and phetamine mean and a cocaine problem over the last. Twenty years, and in the last five, six years Oh actually even a little longer. An opiate problem has has become. Our most serious addiction challenge. Kind of the most common addiction issue that you see people coming into your center with. It it's interesting. I've run Iran the largest treatment center in Las. Vegas of. Gene. Years. And now as a private center and they're absolutely opiates or over my last three, four years, they're opiates was the number one drug of choice that clients had presented to solutions recovery without the opiate use disorder their primary. Primary substance. Now I work at an indigent facility in in downtown. Las Vegas where. More than half of our clients are homeless. And what's interesting is with this demographic, there's a much higher methamphetamine use. Would say my number one. Substance of for clients is nothin vitamin with opiates and alcohol running for a close second place. That's really interesting I. Think What was interesting that you said kind of opiates have been coming up over the lost six years because for me, it's felt like the coverage has been really recent like only in the last couple of years, we taught it to the opioid crisis this being a sudden kind of unexpected issue but you're saying it's been building for a long time. It has. Interestingly, fourteen years ago I was running the largest health insurance company in the state. And I remember in my last. My last year or two I remember looking at pharmacy reports and we were all scratching our heads saying what is this Oxycontin and why did it not show up two years ago and now I remember when across the ten million dollar mark at the Insurance Company for monthly use so it really begins began spiking. Thirteen fourteen years ago. It became. Newsworthy in fashionable. Six seven years ago, and now we're a were still squarely in an opiate epidemic.
Rollback of Obama-era transgender health care protections halted
"For the administration's effort to rollback transgender health rights. CBS's Lisa Matteo, just one day before Trump Administration effort to end transgender health protections, was set to take effect. A federal judge in New York makes a move to block it. The rule plan to get rid of protections for them against discrimination by doctors, hospitals and health insurance companies. But the judge said it went against the Supreme Court. Case that outlawed workplace discrimination based on sexual orientation and gender identity. The ruling is only a temporary action while a lawsuit moves forward. Sales are
California to health insurance companies: Pay for coronavirus testing
"That would require health insurance companies to cover Corona virus testing for all essential workers. Something they say will allow more people to get tested. Peter are Cooney reports the regulation from the California Department of Managed Health Care Classifies Cove in 19 testing as a basic medical necessity. For health care and other essential workers, regardless of symptoms or known exposure. Departments is requiring health insurance to pay for tests will give vulnerable populations and people who can't physically distance at work more access to testing and help infected people isolate faster. A spokesperson for the California Association of Health Plans says insurers in this state have already been covering Koven 19 testing if ordered by a physician for federal guidelines. State officials have 10 days to approve a new regulation on Peter Marconi News.
US expects insurers to cover COVID-19 vaccine without copays
"Whenever a covert nineteen vaccine is developing hits the market U. S. officials are saying they expect health insurance companies will cover the cost without copays in a briefing for reporters today a senior trump administration official saying the government has been talking with insurers about offering vaccines at no cost to patients industry earlier made a similar commitment to testing for the virus without charging
US expects insurers to cover COVID-19 vaccine without copays
"Whenever a covert nineteen vaccine is developing hits the market U. S. officials are saying they expect health insurance companies will cover the cost without copays in a briefing for reporters today a senior trump administration official saying the government has been talking with insurers about offering vaccines at no cost to patients industry earlier made a similar commitment to testing for the virus without charging
Most Medicare enrollees could get insulin for $35 a month
"President Donald Trump will announce that seniors on Medicare will have the option of signing up for plans that limit copayments for insulin to thirty five dollars a month in peers Asia Roscoe reports that trump has pledged to take action to lower prescription drug costs the new plans are slated to be available at the start of next year C. mo Verma who had centers for Medicare and Medicaid services says many seniors may be able to pay even less than thirty five dollars a month for insulin it's important to note that this is just the maximum we fully anticipate that many plants will go further and lowering or even eliminating co pays for and one for me says the administration negotiated this agreement between insulin manufacturers and major health insurance companies and that there may be similar deals for other drugs in the future president trump has pressed for legislation to address prescription drug prices but the administration has yet to reach an agreement with Congress I use Roscoe NPR
Fighting Loneliness? Try Friending Yourself.
"Hey all you sober people hand anyone else. Who is interested in listening to me talk about mental wellness? Some of you might remember that my word for the year is clarity and especially with. Cova did that word has not changed my journey. This year is very much about taking the noise out of my daily life and boy has that been difficult in this time of lockdown and isolation and loneliness which is why. I'm GonNa talk about loneliness today and what it means. Not only to me but to you all as well. The statistics are growing. Not only because of covet but prior to Cova. We are becoming more and more lonely. And why is that and more importantly what can we do about it? I live alone and if I am feeling the loneliness even though I have people built into my daily work. I can't imagine how other people are feeling who don't work any longer or don't necessarily engage with people daily in their line of work before Kovin. I liked living alone. I enjoy the peace and quiet and frankly I like my relationship with myself but now that I'm confined an had been confined by the way. I'm still very much. Laki myself down except for a walk that I take almost daily with some friends Monday through Friday but we social distance or physical distance during the walk. I carry a mask with me so although I'm getting Interaction I still spend most of my downtime. My non work time by myself and it's become more difficult. I only imagine how difficult it is for some of you who live in bigger cities and can't get out to walk every day on walking past like I do. It has to be really tough. Interestingly the rate in which we are living alone has been on the increase for the last fifty years Grand Julie Aching up to about twenty eight percent in two thousand nineteen of our total population here in the US which means at thirty five point seven million people here in the US live by themselves in a recent study by CIGNA which is a health insurance company here in the US of twenty thousand people. Us adults they found that half of Americans feel like they are alone. Only slightly more than fifty percent of the respondents said they had meaningful in person. Social interactions on a daily basis and fifty percent said that sometimes or always they feel that the relationships are not meaningful and that they're isolated from a smaller but still surprising number of people. Twenty percent of the twenty thousand said they never or rarely feel close to people and eighteen percent felt like they have no one to talk to and this same study by Cigna revealed that Young People Age Eighteen to twenty two are far more likely than senior citizens to report being lonely and Import Health. Making them the loneliest generation and well loneliness itself is not an diagnoses or a mental health disorder. It goes hand in hand with many of the diagnostic criteria in the DSM. Five diagnostic statistical manual. That most of us in the mental health professionals zone us. Furthermore there's no accepted definition of loneliness. Sometimes it gets jumbled together with social isolation but the two concepts are very different social isolationism indicator of how much contact. Somebody has with other people. Whereas loneliness is the subjective feelings of isolation and there is no agreed. Tipping Point at which acute loneliness transitions into a chronic problem with long term mental health and physical health ramifications. Alone doesn't necessarily mean that you're lonely nor does being around people mean that you're not loneliness is a very subjective. Feeling loneliness is a feeling that only you the person experiencing it can truly identify the fancy schmancy definition of loneliness is the distress that results from discrepancies between ideal and perceived social relationships. That's according to the Encyclopedia of human relationships. What that means is that loneliness is a feeling and a perception. It involves a wave seen ourselves and the world around us. We can feel lonely. In a wide variety of social settings and circumstances. It doesn't take being alone. Some studies have shown that people who struggle with loneliness may actually perceive the world differently. Does that sound familiar to some of us. I know it sounds very similar to the world that I grew up in the world that I created for myself through my perceptions and certainly when I was drinking boy did I create A world within a world one researcher even found structural and biochemical differences in what he labeled the lonely brain. Okay and I'm going to murder his name. I'm sure John Casio Gosh. His research revealed that a lonely person can experience more difficulty recognizing positive events and have more trouble picturing the thoughts of others known as mental ising.
New Sanders/Jayapal bill: the Healthcare Emergency Guarantee Act
"The the next biggest thing obviously in healthcare is going to be this phase. Four relief bill which they're calling the cares to act which is likely to start moving through congress in the next week or two and the big question for us at least is. Is there going to be any healthcare relief for the millions and millions of people who are losing their jobs and losing their health insurance coverage right in the middle of massive healthcare crisis and there are now three bills that Democrats have different? Democrats have proposed in the house side And there's one on the Senate side It's not entirely clear whether anything will go through the Senate at all democratic leadership on the Senate side has not really made much noise about this But let's let's go back to the we've already talked about two of the house bills. We talked about A bill that Senator Sanders and reptile Paul are going to introduced. Actually not yet filed. This is called the Healthcare Emergency Guarantee Act. But what it really is it would cover everyone with Medicare It would have no co no deductibles and even if you have private or public insurance already than this bill would Medicare would cover all of your co pays and deductibles so basically it would achieve all of the access goals of a Medicare for all system. It would just temporarily believing in the private insurers and kind of providing wraparound and then but it is the like it is the Medicare Gateway Bill. Oh no doubt no doubt. Yeah I think so. We're going to be getting behind this bill. Most of the Medicare for movement is going to be supporting this bill. I think our feeling is that you know if you can get the experience of Medicare for all even if you don't get all the financing and limiting the health insurance company that it'll create real momentum to just do the full thing and because really leaving the health insurance companies in there. It just makes it much more expensive to do. It's hard to afford universal health. Care if you don't kick them out And you have to deal with them continuing to deny coverage and using the system just for their own profits so the other two bills. We already talked about this shitty bill that a democratic leadership is pushing the well the Worker Health Coverage Protection Act And this would obviously be good for some folks it expand. It basically subsidizes Cobra. So this is if you happen to have good health insurance in the job that you left. Then it would subsidize you staying on your previous employer's plan but a lot of people would not qualify for that Especially you know if you work at a small business. This is only Kober only works if you were working at a place that has twenty or more employees and it only works if your health. Your previous employer still exists and if their their health plan still exists. It doesn't work if your previous employer just went under or if they closed down their healthcare plan and obviously for many people who didn't have health care coverage previously. It would do nothing so just to give some numbers to illustrate the differences between these two bills the giant Paul Sanders Bill. The Healthcare Emergency Guarantee. Act THAT BILL WOULD COVER EVERYBODY. Who's currently uninsured? And that number is between thirty and forty million and rising as people are kicked off their their jobs and then kicked off their health insurance and then of course it would also because it would provide that wrap around coverage Basically it would basically affect everybody in the United States hundred plus million three hundred million whereas the Cobra Bell the Cobra for some ish. Bill that Nancy Pelosi is pushing would cover at most four to five million people so the scope is really different. Yeah I hadn't even seen that projection but that is shockingly inadequate for sort of what's facing us and we now have a third bill if you weren't confused already this is This is a bill introduced this past week by Reps. Chhaya Paul and Reps Kennedy who are both Medicare for all supporters in called the Medicare Crisis Program Act? We we might need to rename all these bills down and their bill would Instead of I mean the other thing about the bill is that it's just throwing public tax dollars at private health insurance companies but this plan that Kennedy introducing would expand Medicare extend Medicare to the recently unemployed so basically people who have become unemployed due to You know in the period of Corona virus would be allow- allowed to enroll in the Medicare program But the thing that makes this it's not nearly as good as the sanders giant. Paul Bill Because it leaves all of almost all of the cost sharing and copays and deductibles Under Medicare would still be there They did eliminate some like the premiums that you have to pay but you'd still have A part A. Part B. deductibles. You'd still have to buy a drug plan if you want to have any drug coverage you'd have the donut hole all that all those limitations that Medicare unfortunately comes with And then if you did not become recently unemployed then you also wouldn't qualify for the program So in my opinion it's it's better than the Cobra Bill. it would cover more people But it's still. I think totally inadequate for what's needed in this crisis and it makes kind of arbitrary distinctions about who gets in and who doesn't so I don't know our current system Yeah but yeah it would be better. It's like a gateway light right so we have like the the sanders dry. Paul Act which is like improved Medicare for all ish improved Medicare for all gateway drug. We have this the Reps Scott. Dingle Pelosi Bill which is like Cobra for some ish like you should have been a Republican bill right. They may be actually and I mean this. This is what I thought. The Republicans were going to push would be like. Let's subsidize private insurance but it turns out. There's been some like trading places going on over the decades so and then we have this new job. Kennedy Bill Medicare for the recently unemployed. So now we've got these three bills but none of it is really important. The distinctions between the bills. If nobody's actually going to fight for any of these bills and Pelosi for example they introduce this bill but she hasn't really been talking that much about it. I'm not sure if there's been a lot of discussion about whether it's actually going to be in the next phase of relief and and I think that there's a reason that the Democrats haven't really tackled the UN insurance problem. Which is there's no good solution for them. I mean insurers want them to expand Cobra which would be massively expensive and then as we were talking about cover only a fraction of the newly insured newly uninsured. The other option is of course you either expand private or public insurance and so the other option is to temporarily expand public insurance which would cover more people and of course be far less expensive but would also piss off the industry. Not only because they aren't going to be receiving those subsidies Cobra but because it would just be difficult to claw back you know expansion of public insurance and it would also demonstrate a way for us to transition away from employer based insurance so democratic leaders are just Kinda stuck between these two forces I think and I think that maybe they're just hoping that all these people who had insurance these are the ones they sort of have to worry about the the people that they think make up their base they. They hope that maybe they'll get their jobs back soon. And then they won't have to deal with this whole problem.
Dividend Cuts, Drone Deliveries, and Disney Plus
"Happy Monday. I'll believe you if you say it's Monday. They all do together as we have discussed before it's Day I know it's Day and I think it's not weekend. That's that's how I measure the days now not weekend day night. Three categories so Dan. Let's talk some. Gm less toxic dividends less toxic drones and as we wrap things up. Let's talk about something that you just wrote about Disney plus in whether or not it can save Disney stock but let's begin with the market now at the time of our taping here midday Monday all the major indices up slightly in this as part of a month Dan. This has just been an incredible month for the Dow. Snp THE NASDAQ ALL UP. Big having their best month in years so I want to start there as an investor. Are You thinking about this market? Because we have the market just chugging along this month and at the same time we have most states still under stay at home orders so I don't think about the market in the short term and right now. It's so emotional. So if there's a tiny little hint if like a village in Alabama says it's going to reopen a gym the market bounces up in and has a good day Which which I like that that there is sort of an appetite for optimism. Because we've been through such a miserable time that said I'd be looking at companies that are going to do well during this and after or companies that you really liked beforehand that you believe will bounce back when this is over. So I'm not looking to sort of ride out these trends or see what's going on or figuring out where the bottom is a. I think we've got some reckoning left to come but that's just a guess okay. So let's talk about some of those companies. Gm General Motors announcing its suspending. Its dividend and stock buybacks now shares. Gm down around forty percent for the year Dan. Gm has stopped producing cars. It has not yet announced a timeframe for when it will resume production. Gm is producing ventilators and personal protective equipment. What do you make them the GM news that it will suspend its dividends and stock buybacks? Yeah I think it's smart to preserve your cash when you're not selling any product. I understand I got some blowback on the live show from people saying Oh but you know we count on those dividends. I get it but you can't count on a dividend if a company goes bankrupt so I would rather GM stays in business longer puts itself in a situation where it has more cash long and a longer runway because eventually Americans will need cars this will end and people who were putting off a purchase will buy prices are really good so if you need a car it's actually a pretty good time to buy a car But I am in favor of taking being cautious as you can be right now. If you're a company okay. So along those lines I want to ask you about Disney. Disney has taken some heat for not suspending. Its dividend. What do you think yeah? I think it's a mistake. Look Disney's in a good position in terms of their available cash but they've also borrowed quite a bit of money. I mean. They borrowed the money for the Fox purchase. So to be paying cash. When you're not operating it seems like an artificial way to prop up your stock price. And I'm just not concerned about Disney's stock price in the short term. I'm I'm guessing. Executives are who often have bonuses tied to Stock Price? Okay well we're GONNA talk more Disney at a bit. But first I wanNA talk about a new development in the world of social distancing. Ups on Monday announcing that CVS and ups will start using drones. Yes drones next week to deliver prescription medication to the villages retirement community in Florida. Now Dan you are in Florida. The villages is the biggest retirement community in the country now. The drones will drop off prescriptions to a location near the community and a truck will finish the delivery. So this isn't door to door but this is going from. Cvs to somewhere near where people live. Yeah I mean. They've been testing this it. I think it's actually in Virginia in some rural town with the idea that you could bring prescriptions right to the door and you're gonNA see combinations of this and Robo trucks and other things delivering but the villages a unique place. These are generally stand alone homes or row houses And it's an entire community over one hundred thousand people that are all at least fifty five plus generally a lot older. So there's a lot of reason to minimize contact for these people. But I'm not entirely sure how drone to a truck to the door. Minimizes contact that. That seems to be the same amount of contact of driving the truck to the community and bringing it to the door. I it's a little strange for me but that said I think you're GONNA see Niche use of drones doing things like this drone isn't going to like bring you a Burrito and put it in your hand but it might leave your cvs box at your door or on your balcony or some other location if you live someplace. That isn't densely packed city. Okay so when you look over the next five to ten years in someone who studies the retail landscape when you look at the role of drones are you bullish or bearish. I know you say they're not gonNA be delivering burritos. But what's the role going forward? It's going to be niche. It's going to be filling. It's going to be a supplement in rural places where it doesn't make sense to send a truck it might sense and it's obviously state ver- to send drones but I don't think New York City or Alexandria. Virginia wants a sky filled with drones. That seems like a recipe for disaster. So they will be used. They will have a place but drones are much more likely to be used and are being used by say Walmart in a warehouse to take inventory. That is a much safer. It's it's it's not gonNa hit a you know a random person walking by. There's going to be a lot of commercial uses for drones but it isn't going to be to replace the Pizza Guy. Okay and no beer and wine up. Maybe some here in wine but probably I don't WanNA drone delivering a wine bottle. Have you ever had to why not if you're stairs? It's not fun now. That just seems fraught with issues. I mean I don't. I don't think you could do that. You know what daretodream dare to dream of a day and let's Talk Disney. We talked a little earlier but I want to talk about a few different developments here including something you just wrote about but first Disney today announcing big plans for May fourth now may fourth They will begin. Streaming Star Wars. The rise of skywalker. That'll be two months earlier than they planned. And then Disney also announcing that the final episode of the Clone Wars and the first episode of the mandatory and documentary will be available on May fourth so with all that in mind. You just wrote a piece this weekend. Dan Entitled Canned Disney Plus Save Disney stock. So can it. Yeah and. That's a very melodramatic headline I will. I will put out that. The goal of headlines are to get readership because I actually believe Disney. We'll be fine. It's other businesses. We'll be okay but what I want to really point out is. People are underplaying. Just how BIG DISNEY CAN BE A? When they last reported they went from ten million to fifty million subscribers that wasn't even based on corona virus growth that was based on adding a few new countries like eight or nine countries. Netflixing one hundred eighty one hundred somewhere in that ballpark. Disney plus is probably at seventy five million. Now wouldn't shock me. If in year there at one hundred twenty five one hundred fifty million and their cost structure is dramatically lower than Netflix. Netflix has to produce like two hundred series of quarter and throw them at a wall. They have to pay huge money to comedians. A Disney can pick and choose a few series based on its named intellectual property. You're GonNa Watch the new show starring one of the avengers. You're going to watch a new STAR WARS SHOW. You'RE GONNA watch when rise of skywalker is released. They don't have to spend the money. Net flicks does. This thing is going to be a cash cow quickly. Okay so I want to ask you more about that. And specifically the net flicks piece of that when you talk about their cost structure. How long can net flicks play that game? They're going to have to play that game. It lessens as they get into every market and they've localized content. They don't have the expense of having to record dialogue and new languages. They'll have some shows in each market. Eventually they're in a position where they can may be cut their contents bent in half but their content spend six to eight billion dollars a year whereas Disney pretty much everything Disney puts out on Disney. Plus that's original to the service is going to be a guaranteed hit when when you're watching a show in the Star Wars universe. It is not a big surprise that star wars fans. Watch it So Disney is really in a position where they can keep costs under control there also in a position where they can raise the price pretty easily six ninety nine a month. That's a great introductory price. But do you really think families are going to drop it if it goes to nine ninety nine over the course of the next three years Netflix too. I think can go up to about nineteen ninety nine and that will help some of their deficit but these are the two winners in the space and for Disney this is going to be its biggest segment. Maybe as soon as as well this year it'll probably be its biggest segment because others are closed but in a normal year this will be Disney's biggest segment if not in two thousand twenty one possibly almost certainly by two thousand twenty two and Dan Netflix. Still growing like a weed for the last quarter. They added almost sixteen million subscribers. So one hundred eighty three million subscribers now for Netflix When you look in as we're talking here we're talking about Disney on Netflix. Do you think there's room for both Disney plus and Net flicks to succeed over the next five to ten years or if this were wrestling is essentially a cage match. Were only one of them. Comes OUT ALIVE? No these two already one. It's a case of whether there's a market for HBO Max and Peacock and all the other services out there. Those are going to be harder cells but remember as people cut the cord and they're still eighty something million Americans who pay for cable. That's a hundred to two hundred dollars comes available to some of those people already have netflixing Disney plus so they'll probably dabble in ad one or two secondary services. But I think right now. This is a battle for the bronze medal. I if somebody can establish themselves in third place. That's a strong position to be in. I'm SORTA not counting. Who which is a Disney owned property because who was gonNA get bondholders by a lot of people with Disney plus and it's probably going to do reasonably well and be a driver for Disney. There's not a of original content being produced on on who so it's not that biggest spend But Yeah Disney a net flicks have have already lapped everybody. What about Amazon? Should we include them in the Disney Net flicks discussion? How many shows do you watch Amazon? you know we. I think we we watch a fair amount on Amazon prime. I think really I forget it exists Amazon is the Ebay of streaming services. How you know you forget. They exist and a lot of stuff. That's really hyped. When you actually dig into the research and find out how many people are watching it. It's like three hundred thousand people and they have some shows I've been interested in. I hear good things about the boys. I think that's what it's called and generally I've tried a few things on Amazon and nothing has struck. You're not paying for it. I don't precisely see where it's a particularly big value add. Would you cancel prime if they got Yeah No. I'm not cancelling prime. Yeah it makes no sense to cancel prime because right now. I don't know I'm delivering getting deliveries from. I was like four times a day. Like that's I think of something. I go in and put an Amazon Order. And now you have this fun. Amazon of will show up as opposed to previously when it would come the next day so I just don't think it's a relevant service. I don't precisely understand why they pay for it. Frankly okay okay so. I'm going to count you skeptical of. Do you have a Netflix? Or Disney plus recommendation for me. Well if you haven't watched the mandatory and you should absolutely watch the delorean oriented so right that I also on Netflix. This is a bit of a sleeper but I really liked glow It's based on the eighties women's wrestling group very very campy. The original show actually a little dark and vicious really well done. It's one of those things where you could say. Well I'm not a pro wrestling fan. It's not really about wrestling. It's about the relationships between the people And my wife didn't like it so that that's I would say women would like it but in case of my life that wasn't true and my wife really really really likes ozark and I have not been able to make myself watch it yet. Okay Good Ozark and glow there you go okay for our desert poll as we wrap up here over the next five years. You're on a desert island and you have to you have to buy one of these stocks and hold it. So let's go. Gm Disney net flex. Let's throw in. Cvs and UPS Disney without a shadow of a doubt. Cvs would be attractive if they didn't just by a health insurance company which absolutely is is something that makes me a little bit nervous but Disney has the number one theme park brand families are GonNa come back to Disney up. Whenever they put out the next Disney movies avengers Pixar or whatever it is people are going to go see those. I'm not worried about that company in the long term at all. Okay well there. You have it Dan Klein. Thanks for joining me. Thanks for having me
White House considering direct payments to hospitals to cover COVID-19 treatment costs for uninsured Americans
"As I said yesterday the president's put a priority on ensuring no American has to worry about the cost of corona virus testing and we've been working every day to make sure that Americans don't have to worry about the cost of treatment and at this point of the White House crowbars task force is working on a proposal for the president to use some of the one hundred billion dollars that we're making available to hospitals to compensate the hospitals directly for any corona virus treatment that they provide to uninsured Americans working out the details of that personal make a final decision tomorrow we expect announcement but the president made it very clear we don't want any American to worry about the cost of getting a test for the cost of getting treatment and we've expanded coverage through Medicaid we've expanded coverage through Medicare health insurance companies around the country including Blue Cross and just today announced that all of their members I will be waiting all co payments on corona virus treatment before the some thirty odd million uninsured Americans the president has directed the coronavirus task force to find a way to make sure that they know we will find a way to pay for your corona virus treatment in the present will be addressing that in announcing
Stocks climb after Joe Biden wins big on Super Tuesday
"Or told that is super Tuesday is having a major impact on stocks the Dow is rising four hundred ninety two points the nasdaq up a hundred fourteen the S. and P. at forty six almost half of the Dow's gain is from here a United health the stock is surging twelve percent the most eleven years humana cigna and other health insurance companies are doing just about as well and the traders are giving credits to Joe Biden's super Tuesday showing health insurance investors have not been fans of senator Bernie Sanders and Medicare for
What China wants with Equifax data
"That big Equifax data breach couple years back. Hackers got hold of the names birthdates and social security numbers of one hundred forty five five million of US federal prosecutors announced charges in that case today charges against four members of the Chinese People's Liberation Army. This is the latest. If by far the largest in a string of hacks that American officials have tied to Beijing. Marketplace's Amy Scott has more now on how China might use that trove of data. It's got in a press conference attorney. General William Bar described the equifax breach as more evidence of China's voracious appetite for Americans personal data including the theft of personnel records from the Office of personnel management the intrusion into Marriott hotels anthem health insurance companies and and now the wholesale theft of credit and other information from Equifax. Chinese officials have denied any connection to previous hacks but cybersecurity. I security experts say there are lots of reasons China might want that data priscilla more. Ut is a researcher with the security intelligence firm recorded future richer. She says sensitive financial information like debts could be used by Chinese spies to target potentially vulnerable Americans so building thank profiles of individuals that could be susceptible to recruitment by Chinese intelligence services. Georgetown Professor Ben Buchanan wrote a book about Cybersecurity. Called the hacker and the state he says the data could also help China identify Americans operating undercover in Beijing. But my guess is the biggest determining factor. Here Why the Chinese did this is they could and Why not take it and why not see what might be useful down the line Buchanan? You can and says it's exceptionally unlikely. Chinese hackers will see the inside of an American courtroom but the charges do send a message that the US government is trying trying to track and deter foreign hacking. I'm AMY SCOTT FOR
"health insurance companies" Discussed on KOA 850 AM
"We're talking about this car accident in our example today the insurance company for that fault party has decided finally after the review your medical records and gone through. You've navigated that insurance maze. They're gonna pay the hundred thousand dollar policy limits for all of your damages injuries and losses one element of your damages. Injuries and losses are your medical bills. And we've been talking about that. And how you how you work that in. How you how you fight that how you negotiated to try to keep that money in your pocket and not pay the health insurance company back the forty thousand dollars that they paid Medicare's are different example, Medicaid, different example. But those are very very important. So Bradley's talk a little what are damages injuries and launches we've covered one element medical bills. Because I don't think many people understand what you've been injured in a car accident. What what is your shirt coverage supposed to pay me for for what? And how and why medical bills is a key? You want to be paying attention to whether or not those medical bills will continue in the future. And if so to what extent you made face medical bills in the future as a result of the injury. You you experienced from the crash or for the slip and fall. And so you sometimes you're having to estimate or you're trying to figure out where calculate with the medical bills will be in the future. A lot of time. Just very difficult. You need your your your doctor to help you to understand. What might be there? Hopefully, you've got a good doctor who will talk to you. And discuss it with you and give you information in and recognize the importance of making sure that's available after the medical bills. You've got the loss income. Of course, you've got the time you spend off of work at the time. You've lost from work. You've got the benefits that you've had us at work that maybe compensate for some of that lost income, whether that's using vacation time or whether it's but using up sick leave in some of that will depend on whether you can accumulate out or have a paid to you. Regardless of whether you use it sick, leave is I sure one that you want to find out if you get paid for it. If you don't use it then by using it you've lost money vacation time if you had use your vacation time while you've been sitting around at home that's good compensation or the calculation for you to use to determine what kind of compensation. That's once again when you're talking about lost income. You wanna talk about not only what you have had in the past. But what you may encounter in the future. You may be loss of ability to earn. You've got to talk about that whether or not you're now going to be classified as the disabled worker, whether or not when you go to to to interview with an employer or to talk about being able to carry out the job description, the employer has whether you're going to have to look at them and say, I'm I'm disabled worker, I may not be able to do those certain things all need accommodations are won't be able to work fast, or I won't be a workers as fish. And that could be could be another loss that you've got to address as far somebody determining whether or not you're employable you've got miscellaneous expenses on don't ever don't ever forget about the medications. You may have to get because medications are very expensive. Sometimes there's orthopedic devices you've got to us with P crutches whether be wheelchair Walker. Whatever the device might be whether it be braces, you've got the medications you've got you've got to calculate in. What you gotta use their after that you've still got things like mileage when you gone back and forth to the doctor, and when you got back and forth to different healthcare providers, or when you've gone back and forth to the story to get your medications. So those those are some of the medical bills you're talking about or some of the I'm sorry, economic losses. You talking about basically got to think it anytime you've taken a dollar out of your pocket any kind of money out of your pocket. You've got to be talking to them about getting reimbursed. So far we've covered out of pocket expenses badgers talked about it that's part of your claim. If you've been injured because we're trying to explain to, you know, what can you claim what company for the party have to pay you? What are they try to devalue? What how do they fight you? So yes, your medical bills. We've covered those a yes, you're lost wages, your your job opportunities or are loss of earning capacity. That could be. Complicated subject. Yes. Out of pocket expenses. Yes. You pain and suffering. Yes. Your physical injuries. If you if you broke your hip, if you need a hip replacement if you have to have for setting junction because you've said injury in your lumbar spine or your servic part of your spine, then yes, you can recover for those. So these are the part of.
"health insurance companies" Discussed on WCBM 680 AM
"Book is positive populism. Revolutionary ideas to rebuild economic security family and community in America. Steve Hilton is the author. He's also Fox News channel host of the next revolution. Steve I think you hit on something earlier, and in this keyword of corruption seems to drive I think a lot of this rise in populism. We've seen now corruption in government corruption in in business corruption in healthcare it is it is an epidemic. Yes. And so do you think is this would this be wise for the president and the incumbent party to continue to hammer this corruption with a message for the future? Yes. It's the it's the central issue because it's how the system works. And we hear this language like Bernie Sanders actually talked about the rigged system. And the reason that resonates with people because they know it's true. So it's just take healthcare. The reason it's such a mess is because what you've ended up with is this cosy cartel of big business and big government working together against the people's interests. You saw that with ObamaCare where the the person who wrote the ObamaCare legislation literally. Wrote the vocal that legislation for the Senator Max Baucus who was who is leading the process in the Senate was literally onset conman from one of the giant health insurance companies, so of course, ObamaCare ends up with billions of dollars shovel to the health insurance companies. Well, people lose out that person, by the way, then leaves that job and goes to Johnson and Johnson, I think it is one of the giant pharmaceutical companies, and you've got this this cozy system where in industry off the industry, you've got these giant companies that have got so big. They've crossed the competition. They then put all the money. They shoveled donations into the politicians in Washington state capitals. They hire the lobbyists. They then hire politicians in that age is a revolving door between government and big business, and it's all stitched up. And it all says the interest is the insiders while working people are left out taking apart is going to require more than the election of Donald Trump. This is a fifty year project. To undermine this. And the idea is to start doing it some of the ideas, in my way, I wanna be I days is for example to deal with corruption is to ban conflict donors to actually not allow because the moment the way it works is if you're in congress, let's say and you're on the finance committee. The financial services can be you regulate full street. And of course, the way you get on these committees. There's a system called the congressional use system the way you get on the committee. That's prestigious is you have to raise more money for your party, where do you raise the money from from the industries that you regulate? So if you're the financial services committee, the bulk of your donations are coming from banks and financial institutions that is total legalized corruption. And we shouldn't allow it. That is the PA part of the crony capitalism that is I think driven a lot of us. Stark raving mad often held that. I believe that one of the. Of the reasons why we have an ongoing drug problem in our country is because I think drug cartel money makes its way to Washington as well. Yeah. I don't know about that. I haven't looked into that don't have any evidence of that. But I think is bad. You don't even need that. So understand how bad system, and it means a really big overhaul. I've completely revolutionized. And I don't think we're really seeing anything approaching that at the moment. Very good. The book is positive populism. It is out in available now. Steve thanks so much for joining us this morning. We appreciate it. Great pleasure. Thank you so much take care now. It's.
"health insurance companies" Discussed on Chapo Trap House
"Elvis, other than that, he was the first of his kind and change music in American culture for us, but there's something about him that appeals to every generation, yes, of whites. I think the latter part of his life when he went through hardships with prescription drugs and weight gain is obviously sad, but it doesn't make him any less of a lesson icon. Just base the lengths that support people go to support. People go to enable celebrities, agreed, tragic, and why do they do it? I guess to be more around famous people and steal some of their wealth. As I stand in the middle of the gold leaf heaven, I find it ironic that the people on tour are here in their t-shirts, flip flops as much to worship the excesses of very wealthy man as they are at his talents given a choice, they probably take the money over the music. This apocryphal hits hard the day after my dinner dinner conversation defense last night. The anti-wealth trend is on the uptick evident everywhere you turn Occupy Wall street. Look at the way Mitt Romney has been treated during this election cycle with his wealth perceived by many on the left is a liability being wealthy or coming from substantial means is not lauded. In America today as it was an Elvis's day, this is obviously a wealthy, a wealthy connect in this country and yet, yeah, that's what we call it. The wealth disconnect. And yes, Wall Street has screwed a lot of people in middle America, but what concerns me is the new edict that you should be embarrassed by personal wealth and success. This is what continues to worry me about the Obama administration. The spread the wealth around feeling will always be one of the biggest alerts around what kind of political ideology. Our president adheres to who we should encourage hard work and success and not publicly scorn people. Once they get there, even some of those who grew up without wealth can too easily forget where they came from. I don't flaunt my family's wealth because well, only spoiled asshole do that. But I also don't feel like I also don't like feeling like it's something I need to hide. PM Paris about forbid you ever feel uncomfortable embarrassed or ever any any any ever any any sort of debt or or connection with other beings requires you to have any. Inspector relationship with Jesus. Jesus was like, you know what? Meghan, you rock. You shouldn't be embarrassed by all your wealth. God appeared in a burning Bush to her and said, keep doing what you're doing by the way here. Here's here's an explanation to Meghan of the American healthcare system. She might understand the health insurance companies are are to Americans as the Colonel was to Elvis. You know, that guy was wealth creator, who managed Elvis by stealing all of his money and letting him kill himself with drugs. Harker that's is what health insurance is America. Here's another analogy. You know what? I'm sorry? Elvis actually did have talent. He was a great performer and against poor. Yeah, here's another analogy. She might get for health insurance. Imagine there's a pilot and he just can't seem to get through a flight. Just can't even get him to land the plane. Sometimes you can't even take it off, but they keep giving him planes. Some reason they just keep giving him chances. I don't think Megan has to feel bad about her wealth. There's a lot of other things about her believes intelligent personality or lack of accomplishments. I do agree that the tax code is out of control, but I also believe in a free market system where checks and balances come into play. I apparently it was one of the few people not offended by mitt, Romney's comments that he enjoyed firing people who didn't do a good job working for him. I why. That was perceived as such a shocking thing to say, America's a capitalistic society. If you do a bad job, you should not be able to keep it. If you do a good job, you should be promoted. None of this seems particularly controversial to me, but to a lot of people, it is. Megan goes on rap genius after a capital sept- Shoda figure out all the references overhead. I love the thing about fire like when his Megan ever been anyone's like boss a profitable enterprise talking about what she'd like complaints people's manage. Yes, yes. Waiters fired getting land ski, landscapers, fired getting pool, boys fired this trip, this trip..
"health insurance companies" Discussed on WTMJ 620
"Thursday july five gordon deal with rasa kaye who's filling in for jennifer kushinka some of our top stories and headlines president trump's a supreme court nominee list is reportedly down to three names the us and china expected to hit each other with tariffs tomorrow flooding wildfires for excessive heat depending on what region of the country you're in number two seed caroline wozniacki was upset by the thirty fifth ranked player at wimbledon and partially blamed flying insects and avoiding spoilers at the world cup when you have to watch on dvr that story in about twenty minutes health insurance companies or planning to expand obamacare amid rising profits but the trend is coming at the expense of higher premiums for certain customers what's ahead for next year from kimberly leonard health policy reporter at the washington examiner kimberly set this up well one of the most of developments so far is that not only are health insurance not leaving obamacare but they're either dang in their markets or they're expanding and even more than charged companies are by again so consumers right now at the early financial she'll have more options for healthcare coverage that how come that doesn't translate to more competition therefore perhaps lower prices well in some cases states are are putting out lower prices are expected or at least not these premium increases and it's a little bit early but the thing is one of the ways that insurance bake up for the fact that the health insurance penalty is going away next year is just a charge higher prices so they expect that some people will choose not have health insurance and so that means that they'll be stuck with a sicker population because presumably healthier people leaving the marketplace so they're deciding to stay in but raised their prices boy fifteen percent hikes in some cases that permit level plans things to keep in mind though is that a lot of people who buy obamacare plans subsidies from the government so no matter how high the premium yet they basically are a completely sheltered from increases so whatever they paid last year it'll probably pay the same next year they might even get lower prices in some cases if they were to switch plans go to a different health insurer so what is the effect i guess so far of the trump administration and or republicans in congress on what we'll see in terms of obamacare plans next year well so far i it is good to have competition because let's say that you were in a particular hospital system and then that insurer left and then a await they're coming back again you have the opportunity to receive the kind of medical care that you want but one of the things that was probably not intended to be the consequence of of everything that has happened is that the government is going to be spending taxpayers are going to be spending a lot more on the forego care accent was anticipated because the way instead the company ministration and republicans have acted has essentially resulted and health insurance saying well we'll just make up for the difference by charging more and make up for the changes i just charging more so that means that if you're not subsidized you're looking at higher prices and if you are then they're they're looking at higher prices gotcha we're speaking with kimberly leonard washington examiner health policy reporter she's written a piece entitled next year's obamacare more insurers but steeper prices what else is trending i guess for twenty nineteen well one of the biggest things that everyone's talking about is obviously the supreme court pets and then you know that will have a big effect on not only obamacare at on abortion rights which is part of what we would it with care and then we're also looking at a boss that the trump administration is that but essentially says well because we repeal the obamacare individual mandate than other parts of the law should fall as well and so they've sort of said that the part that requires health insurance to cover preexisting conditions that cover them at no extra cost then what would be charged to a healthier customer should also and that's most popular provision of obamacare and it's hard to see it collapsing but it's definitely going to be a big part of the political strategy ahead because it would potentially also involve the supreme court kimberly kimberly leonard health policy reporter at the washington examiner it's twenty one minutes now in front of the hour on this morning america's first news what are you here most people just hear an engine we hear a six point two liter hemi v eight with a super charger that accelerates so fast it'll suck.
"health insurance companies" Discussed on The Dan Bongino Show
"They instituted an obamacare unconstitutional cost sharing payments and what these cost sharing payments are joe they are basically payments from the united states government to health insurance companies to offset out of pocket costs for low income folks so if you're a low income let's say joe was she's not but let's say joe was poured and have a lot of money and joe signs up for an obamacare plan but obamacare compliant plan if joe's out of pocket costs for that plan or say five thousand a year joe doesn't have it if the insurance company offsets that to a degree the government will pay back the insurance company okay is that makes sense yeah it's it's it's a scheme i see the look jobs giving me the look i'm not it's a horrible scheme but that's what it is government pays insurance companies insurance companies offset some of the cost for the low income consumers now there are tax credits in obamacare as well the tax credits are you get a basically government payout to by obamacare plan even if you're middle class and above if the costs go up as a percentage of your income as the costs go up you get more money the government to pay those costs so the way they set this thing up is tactically genius there's a big fight going on right now if i lose anybody of course joe yup gotta stop me but it'll do there's a big fight going on the government now is proposing and republicans included are proposing thirty billion dollars to pay the insurance companies for these cost sharing payments to pay off insurance companies to pay off low income.
"health insurance companies" Discussed on News Talk 1130 WISN
"Through a health insurance company uh you go to the doctor you just pay these you know you whatever the doctor tells you to do if they say you need you know abc test and you go to x the poised to get it done you just do it the end um so and then what happens especially when we have deductibles and copays once we do that we end up getting shocks let me get bill sometimes for just our our share of what that extra procedure may be or even just go onto your primary care doctor you know i mean who doesn't have a twenty five or fifty dollar office visit kohl pay that you pay you know with your existing insurance so this is something new in an operation different than our our legacy system in that it puts really the physician and and the patient completely in charge of their primary health care and so all the decisionmaking has done between you and your doctor so it's is it really is good um but uh again that's you know whenever you proposed change there's some people that are very hesitant to change and i think the the industry right now the health insurance industry is already jittery because of all the things that have happened under uh obamacare and they asked moving forward um th you know there's some scepticism but the really need not be because it's not like we're doing something that is untested as i mentioned you look in his twenty other states that have passed this this model is working and it's working very well with insurance companies in fact there are several insurance companies and other states who are actually partnering with physicians who provide direct primary care because they're finding that is it's very beneficial you know it's better for an insurance company to have an individual take care of ninety percent of their health needs in the primary care.
"health insurance companies" Discussed on KTRH
"Antitrust laws they can of they're allowed to monopolize um we pass that with your leadership in the house uh and it was over four hundred votes wasn't it oh poor 16 to heaven louis against it uh the six six members for eu congressional black caucus wanna john conyers to get the credit who had carries the water for a long time and the seventh was more my colleagues right here from arizona rubes guy egg who just all my name voted against two either left of war and he had to write a distribution hawaii was really four bill because no you know it's a senate would take that up at would pass by huge numbers so why do you think the senate is not willing to take up this bill day end the monopolies that health insurance they can win when these new energetic uh entrepreneurs come up with new ways to to address health care needs uh that kim get swarmed over by a monopolising health insurance company don't you think this and it would pass it just as big as we did well it would be because i i guarantee your hot to senator there would go through the insurance industry over their constituents particularly if they're running for reelection now with the a vote that would haunt at forever and by the way louie i actually at a almost a promise that we would get a vote on dissenters floor and uh so i'll we need to honor our promises trust in the series of promises capped at uh you know we're running a little fat leadership disregards uh to the senate so we wanted to see mitch mcconnell because the the unbelievable opportunities that exist because what you have insurance companies owning the doctors the service area and hospitals in the area that's truly called the monopoly and we see prices go down and more services that were opportunities ideas uh to fluctuate in the marketplace with everybody has to compete against each other and makes a big deal it also blowers premiums on on insurance it also lowers drug costs and hospital stays and he's very interesting those with the three big eased to one from obamacare if you took a dollar end invested in hospitals.
"health insurance companies" Discussed on KOIL
"You and get it from you otherwise okay now what is your household income um i think i'm on route four thirty k okay and so twenty thousand dollars is not laying around everywhere no okay now if you have a twenty thousand that you can't pay that's five years old they will negotiate with you to settle the bill okay and so what i we begin to do is beginning to talk to them and say what will you take as settlement in full remember that for a settlement in full and my guess is they'll probably take four or five grand and then you get an extra job delivering and you scrape up four or five grand and you give it to him as one lump sum settlement info get in writing from them that agreement by you give them any money while all that's going on i'm going to contact them about suan this health insurance company gene because i think they did not a claim here that might not be that they might you might be all get out of their hide and if i can get another hot it doesn't cost me anything right yeah and i'm gonna take all of my in light my health insurance paperwork to an attorney and sit down and go guys is there is do i have a case here i mean can can you force these guys to pay this bill and if they say no you know i got a chance to what i'm talking about deliver pizzas and offering three or four or five thousand dollars to settle this and get it out of your life but it might be that you know maybe they're just playing games with you and they think they can get away with it the problem is getting really old meaning you set five years ago yeah and you haven't dealt with it up until now so here's the thing between now and christmas need get busy all right that's what that's what i've been doing up all up in everybody's grill here and so going call health insurance companies to obtain attorney ma financial coach says you rip me off and if you guys don't reconsider this claim i'll follow appeal what do i need to do you've got to pay this klima make thirty thousand dollars a year a medicare lifted me out because i was broken and have in by god you guys.
"health insurance companies" Discussed on The Economist Radio
"Cvs is america's biggest pharmacy chain at has something like 50 percent of the chain drugstore market and but it's also something that's called a pharmacy benefit manager and these entities work at the wholesale level at negotiating prices with the big pharma companies and so on and so in that market it has a much bigger presence on some estimates up to 30 percent of that market so it's a bigger player although not dominant at aetna the target company is health insurance companies one of america's biggest healthcare companies in terms of insurance but it has less than ten percent market share on on some measures so none of them as a commanding presence in in their various segments but the the combination would be a a powerful entity indeed and he's that what's driving the the deal the need for scale because that one explanation you here is that cvs in particular is scared of a competition from amazon as it enters the pharma market yes amazon is a is a bogeyman for every industry these days isn't it at in this case with some reason amazon has in fact applied for foreign gotten some licenses to uh pedal pills in various states he's done at the state level in terms of regulation and so it does look like they're serious about making an entry soon that would be a threat from multiple reasons not just because there are a formidable competitor but they tend to be focused on endusers at his consumers and they tend to drive margins down dramatically in any market that they enter into.
"health insurance companies" Discussed on Decode DC
"President trump has just announced that he is not going to be sending america's health insurance companies seven billion dollars in quote subsidy is he called them bailouts what they're really called atsc cost sharing reduction payments what is that so costsharing reduction payments or yes ours are one of the ways that obama care helps fund insurance for low in cotonou modern income people so this is uh one of two subsidy his at written into obamacare so what this means is that uh if you're someone making between 100 and two hundred fifty percent of poverty you're going to get like a certain maximum percentage from the amount of deductibles and copays outta pocket cough you have to pay but obviously the health insurance companies can't reimburse them on their own so the government pays you know the the cost of all of these forty thousand people on sale on your health care bill if you're one of these people you're not going to see those cost but that's because the government is funding through dc as eyes what do i need to make in order to get these subsidies from the federal government let me give me a number sure sure so it it varies year to year but in 2017 so like if you're a family of four that would be from anywhere from twenty four thousand to sixty one thousand and if you're a single person it's 12000 about thirty thousand book all right let's walk back from it and how did these costsharing payments come about.
"health insurance companies" Discussed on WSB-AM
"With health insurance company maybe you have to i could too many to relate honestly of of just feeling like i'm not treated like a person my family wasn't treated as having any value i understand those feelings and on me with a lot of clients at feel that way but i will say the math has to work folks right the math has to work we can't ensure unending amounts of people with no coverage issues with no health requirements ride you can be as you could be as sick as possible and still come into the insurance pool there's no way to do that unless the company is the numbers were the reimbursed adequately well when you stop these payments billions of dollars that insurance companies expect what would you think happens to the premiums the prices you have to pay while those are going to shoot up now that the reality is most companies expected this to happen and so a lot of companies and a lot of states right now already in creased premiums for next year because they assumed these subsidies rest up now don't get me wrong insurance companies are not hurting right now in fact health insurance companies have had a string of good years based on obamacare why why do you think we're going to be cynical for a second why is it that health insurance companies always come out immediately against any changes to obamacare perhaps some of that is we want to take care of people we we these altruistic wonderful motives the other side is that health insurance companies stocks had shot through the roof if you take a minute and.
"health insurance companies" Discussed on The Renegade Republican with Dan Bongino
"The dem's now so they're going to argue for fewer choices which is ironic but here's the second thing where the democrats are really on their heels joe there now force than the position of defending these costsharing payments horse they did the position of defence big health insurance company bailouts by the taxpayer that is that all now dan this is what we need a video podcast yeah i'd like struggling in my share here to play wide for fifty years you've been beating up health insurance companies talking about how they are torturing the american people with their awfully devised health insurance plans pricing us out of our own healthcare now you want us to pay them with tax dollars our money to bail them out this isn't mildly ironic to you folks i'm telling you right now the only people who are buying this this tremendous line of horse crap i'm i'm and i'm just going to sound rough i'm sorry but are you are really dopey people with limited i choose i'm sorry if you're a leftist who was buying this you have done no homework at all other words buying the idea that not bailing out insurance companies taxpayer dollars is sabotage you seriously have done no homework on this issue at all and i strongly encourage you to stay off of television you are only going to humiliate yourself and the country and your party it's embarrassing said you don't know what you're talking about.
"health insurance companies" Discussed on KQED Radio
"It's a lobbying group for health insurance companies welcome to the program thank you on on the hearings by senator alexander next month first of all i'm sure you are heartened by them i wonder if you believe they're going to do any good in stabilising the individual market while i am heartened by the fact that santer alexander is willing to hold hearings and that they have republicans and democrats have expressed an entry rest and trying to deal with a shortterm problem which as the stabilization of the market of the director of the office of management and budget mick mulvaney was on cnn this morning you said you know what we're going to talk about these payments on a monthonmonth basis that's what we've always said what do you make of the injected uncertainty into the market well talking about the payments on a monster two months basis does create uncertainty and hopefully that is a shortterm process and senator alexander and others are willing to make a permanent appropriation for this funding are you confident the prison with china i when began to take same at the president we do but we certainly would encourage them i think it would help if there were a permanent appropriation or at least appropriation for 2018 2019 what is the one thing you think could happen that would make your members feel more secure about getting into the individual market right now i think the one thing that can happen is some certain tear round they see us our findings are me subsidies for low income people most of our members are in the individual market to serve consumers and these consumers about two thirds of them qualify for these low income subsidies and so the certainty around that funding would be extremely helpful to having folks settled down and be willing stay in the market for longterm in preparation for its off this morning i went back and looked at some of the writings that you've done letters to members of congress and the president all the way back to march the eighth of two thousand seventeen you were talking to congress in the president about stability in the marketplace i i wonder your thoughts on the fact that we are still trying to hammer out some way to make the individual insurance market in this country work well i think that i've been talking about a even prior to march of.
"health insurance companies" Discussed on Vox's The Weeds
"It has been a consistent barrage of insurance companies are dropping out they send us emails on premiums are going up they've started sending out a map each week that shows all the counties that have them no health insurance company signed up to sell their in like bright red just kind of outlined like looking at what a problem that says everything we've seen so far from hhs even a statement last night with from secretary price where he said you know we're going to look at ways to give people relief from the affordable care act it wasn't like we're going to stabilise the marketplace's we're going to make sure you know there's insurance companies as we're going to give people relief from the law it all felt like a backdrop to a legislative process like will we need to repeal obamacare because i look at terribly it's going like the premiums are going up and no insurance companies want to sell it is in odds strategy to pursue in the lack of a legislative process but from everything we've seen from health and human services i don't i don't see like a changing of course um you know we did this weeds in the wild episode a few months back about the obamacare marketplaces in you know under obama there is this guy the ceo of healthcare gov kevin kuna han who is crisscrossing the country like making sure that every county would have at least one health insurance company like he was kind of the guy in charge of the operation as far as i know there's no guy the trump administration like there's noone flying to nevada where fourteen counties don't have health insurance companies like what can we do to get you do too yes what we do to help get insurance company in here in this plus or seems to be built for.
"health insurance companies" Discussed on WDRC
"Of dollars their health insurance companies so we can keep them afloat it's basically what it is you see your they talk about this read this in the papers will talk about a health care market is no such thing there's no damn healthcare market you get it it doesn't exist it's not real healthcare market what what what is a market i work is where you are you can actually go and you can buy and sell stop right free nothing of the sort healthcare here in the united states your fold what's the by your told what you have to have in your plan things that you don't want and as we have today and they call that free market if you break can we break it's it's pathetic and sad um the reality is that at this point time i honestly believe that republicans and better off his zip zero zilt nada go ahead his don't do anything so you know what democrats this is your bill okay we'll just you think it's great that these these markets are sustainable let's see what happens boom the whole thing is going to go down ann coulter wrote a piece this past week and echoed many of the things that we've been saying here on this program many of the things who've been saying on this program people cant buy the health insurance they want they can't see the doctors they want and they can't afford the dea policy here the only people that i know the can't afford their policy they have health insurance something happens and i can't afford the dr bull because their premiums are so high that just spent on add what how is the point by that is there any idea how about we allow people the option novel concept of actually buying something that doesn't cover sexchange operations sandra flukes contraception gambling addictions i don't know what else aromatherapy liver transplants were illegal aliens what else someone needs to go out there and points this out it comes to go out there and teach people.
"health insurance companies" Discussed on WTVN
"A through a health insurance company so left what's happening now with mommy mommy zubeidi away end is one company daddy's prostate doctors on another company and the kids pediatrician is on another company so the the role losing their doctors but the premiums that going up because these mandates the benefits and because the department of health every state are telling the insurance carriers you want to sell in our state we got thirteen million medicate people and you got to pay for them that's why you're seeing hospital charges for cat scans and nine thousand dollars him you stupid numbers and you're seeing stupid premiums the art form can is gonna be how you off load the cost shift for medicaid from the premium pair the middle class the wages are facts and 1995 at least or even earlier nathan eighty nine levels but the premiums there off the charts notes for that i'd like to talk about for example uh uh across the border tax i mean the ford motor company going to go bill cars and not to pay employees in america for health insurance uh give me some money back if amazoncom shipping two hundred billion boxes a day i gladly pay a dollar extra or or one cent on every sharetrading the change but you have to figure out a way to get people to be informed with the prices to take proactive care of their own those cells and you ensure to the cpt coast not to an insurance company give me the prices on the wall two years ago i i hit my hit on the ice cap i was walking the dog i have no insurance i call the local radiology place i wanna get a cat scan on my brain it was worried about bringing relief greece uh brains lead remember tisha rich since she's on skis from died oh yeah okay okay so i call them up i said i have no insurance i want to the medicare race if i didn't have insurance that would have if i hadn't is if i didn't think the.
"health insurance companies" Discussed on FiveThirtyEight Politics
"So the short answer is no no one does healthcare like the united states about american exceptionalism right there is indeed but you know people people often kind of try to relate us to switzerland just because they have private health insurance companies which is how people get their insurance and so not a single payer system michael out of europe but it's just so fundamentally different because first of all they have an individual mandate more than ninety nine percent of people have insurance at its inincredibly highly regulated market and they do have this sort of sliding scale subsidies for what's considered basic health insurance so a lot of big important differences but i would just say that it's pretty fundamental lead different understanding of how health insurance should work among other things like pregnancies are free for coverage generally speaking in switzerland and like that's a debate were having big time here in the us right we don't people don't to pay for it if they don't think they're going to get pregnant but in switzerland that's considered a public good that of course everyone's going to sharon to so it's just there some pretty fundamental differences and so as we say goodbye we kind of transition to the politics of this is a step forward you mentioned the cbo score you mentioned possibly some kind of penalty being written into other any other big signposts in markers you've got your eye out for policy wise over the next few days there that our listeners should be a tune to yeah i can tell you one of the big things is that and we didn't exactly get into this so let me just explain really quickly there's like this change where the actuarial value which is such a horrible term of the plans that the subsidies are pegged to change and what what that means really is that insurers can have people pay more out of pocket costs annually than they would under the under obamacare and.