Health Insurance Blog

According to a recently released report by the US Census Bureau, about 23% of New Mexico residents did not have health insurance coverage in 2007-2008.  Not only is the rate of uninsured in New Mexico the second highest in the country, but the 23% that were uninsured in New Mexico according to the report was measured prior to the current economic downturn that we have experienced over the last couple years.

Nationally, just over 15% of the adult population is uninsured.  Texas has the highest uninsured % in the country as about one in four Texas residents go without health insurance coverage.

More information about New Mexico health insurance.

The Senate Finance Committee is coming close to figuring out a healthcare reform bill according to Maggie Guo’s article on The Ethiopian Review site.  Health care cooperatives are still on the table, which has the idea of building large groups so that the price of expensive medical costs are spread out among members to reduce costs for everyone.

But Consumer Watchdog says this will not necessarily lower health insurance quotes for consumers.  They say that in practice there has not been enough members for cooperatives to carry out their function and people with less medical risk often opt out of joining. 

For a cooperative to be effective, member enrollment would need to be near 500,000 consumers according to some estimates.  There have been attempts in Texas, Florida and Colorado without much success.  There is also the concern that if small states get together to create bigger groups, then health insurance companies may insist on a suspension of state regulations because of the different types of customers they would be serving.  This would in turn cause a whole new type of oversight and possibly a lack of proper regulation. 

Recently released results show that 7.8% of Hawaii residents lack health insurance.  Nationally, the number of uninsured Americans has swelled to 46.3 Million according to the same report.

Hawaii has performed better than most other states when it comes to health insurance coverage,  because of Hawaii’s passage of the 1974 Prepaid Health Care Act that requires employers to provide health care coverage for employees who work at least 20 hours a week for four consecutive weeks.  As a result of this legislation, Hawaii has the country’s second highest coverage rate, trailing only Massachusetts.

More information about Hawaii Health Insurance.

As unemployment rises so does the number of people who need help finding health insurance.  A lost job usually means a loss in employer based health insurance as well.  According to the article on WISN.com, millions of Americans are an illness away from financial ruin because they are not protected by health insurance. 

Finding health insurance does not have to be difficult.  Consumer Reports supports checking to see if you qualify for Medicaid.  If you do not, another option is checking to see if your kids qualify for the Children’s Health insurance program (CHIPS). 

By visiting govbenefits.org you can see if there are any other government insurance programs you may be eligible for.  It’s important to shop around and educate yourself on the different types of health insurance options out there.

The Texas Health Insurance Pool website gives some history and background to what the pool is and how it benefits Texas residents.

The Texas Legislature created the Texas Health Insurance Pool to provide Texas health insurance benefits to eligible Texans who are unable to get coverage from commercial insurance companies because of previous or current medical conditions. 

The Pool is also an alternative means for individual health insurance coverage which guarantees transferring coverage to qualified residents who lose their coverage under an employer based plan, a church plan, or a state plan.  This is mandated by the federal Health Insurance Portability and Accountability Act of 1996, also known as HIPPAA.

According to the article “Fixing Health Care Is Good for Business” by Gary Locke on the Wall Street Journal’s website, without health insurance reform the price of an average household’s health insurance will almost double over the next 10 years from $13,000 to $25,000. 

This is why health care reform is so crucial.  47 million Americans are currently without health insurance and the rising health insurance costs are severely affecting American companies as well.  In 1960, companies spent about 1.2% of payroll on health insurance and by 2006 it was up to 9.9%.  This rate is unsustainable for companies and has to change because it is crushing US jobs. 

The Rand Corporation released a study which showed that excess health insurance costs were contributing to significant job losses.  Escalating costs are also causing flat wages and higher prices on products and services because money is going towards health care costs which have doubled over the last 9 years.  Health insurance reform appears to be around the corner so let’s hope some of these staggering statistics can be turned around.

About eight out of ten Americans favor a public option health insurance plan on the table in Congress right now.  This is according to the new poll underwritten by AARP and completed by Penn, Schoen & Berland Associates released Tuesday night at an AARP event in Denver. 

While most people seem to favor this public option, only four out of ten can accurately define what a public option health insurance plan means.  This is not good news for President Obama who may be facing possible defeat on his health care reform platform. 

The poll surveyed 1,000 Republicans, Democrats and independents across the nation earlier in August.  The survey does suggest that Americans agree on health care reform of some sort, but there is much less agreement on whether or not it’s worth higher taxes or higher health insurance rates. 

Most are still very concerned about having affordable health insurance.  65% oppose tax increases and 73% oppose higher health insurance premiums.  This information was found through the Wichita Business Journal in the article “AARP polling shows uncertainties about ‘public option’ insurance in health reform” by Neil Westergaard. 

According to the article “An affordable insurance quote requires careful research” on healthcare.com customers will benefit from doing their research when shopping for health insurance quotes.  You may find an affordable quote quickly, but read the fine print to prevent future issues with your policy. 

One potential issue is in and out-of-network stipulations.  PPO and HMO plans offer discounts to health providers that the insurance company has negotiated with to set reasonable rates.  Medical tests and various procedures are usually cheaper with in-network physicians.  Researching what is included in the in-network costs can save you a lot of time and money as you use the health care system.  There have been many scenarios where patients go to an in-network hospital but tests are sent to an out-of-network lab and the patient is left with the cost. 

To avoid such complications, compare options side by side and shop around for health insurance quotes.  Find out how benefits vary from providers to ensure you have the coverage best suited for your needs at reasonable costs. 

According to an article on news.prnewswire.com the US Census Bureau just published 2006 estimates of health insurance coverage for each county in the nation.  Small Area Health Insurance Estimates (SAHIE) use a variety of sources for their survey models. 

The Centers for Disease Control and Prevention uses SAHIE to support its National Breast and Cervical Cancer Early Detection Program.  Free cancer screenings are offered by the program to low income and uninsured women.

Marcus Plescia, the director of the CDC’s Division of Cancer Prevention and Control in Atlanta says that the health insurance estimates are helpful in determining the level of need for cancer screenings in counties nationwide.  The data permits them to plan various programs and figure out how to allocate resources.

This SAHIE program includes data from various different ages, gender, income, race and low income children.  SAHIE offers a snapshot of those without health insurance that can be extremely valuable to officials as they plan to assist the uninsured.

According to the article “Taxing Pricey Insurance: No Health-care Cure” by Kate Pickert on Time.com, Congress is trying to figure out a way to pay for the expensive health insurance reform and taxing health insurance benefits is on the table.  The plan may cost up to 1 trillion over the next 10 years and many are left wondering where this money will come from.  Employers have been offering tax free health benefits for more than 50 years and changing this system makes many people very uncomfortable.

Approximately 2/3 of Americans receive their health insurance through their employer so it may be here to stay.  One idea being considered is a cap on the amount of employer-sponsored health insurance that can be provided tax free.  This would leave only very expensive, elite plans to be taxed.  But even this proposal is being frowned upon.

This leads Congress to consider taxing health insurance companies.  The Senate Finance Committee has reportedly shifted towards a plan that would tax insurers who offer the most expensive health care plans.  This would generate some tax money as well as encourage more affordable health insurance.  The complex health care reform debate continues.