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The Massachusetts Attorney General’s Preliminary Report, Investigation of Health Care Cost Trends and Cost Drivers issued on January 29, 2010 faulted the leveraged based disparities among health providers in pricing as the principal driver in health care cost increases in Massachusetts over the past five years. In particular the study noted that providers with leverage due to size, geographic location and branding had a substantial leg up in negotiations with insurance companies driving their prices in some cases at levels that doubled those of their competitors for comparable services. Interestingly, the study note a number of health insurance contract provisions that had a substantial negative impact on cost containment. On of the principal contract provisions that tended to chill competition was the “payment parity provision” that tend to lock in payment levels and prevent innovation and competition based on pricing. If an insurance company gives a rate increase to providers it uses payment parity provisions to insure that the provider will insist on similar rate provisions from the insurance company’s competitors, so that all premiums will rise together and the initial insurer will not be at competitive disadvantage in giving a rate increase. Product Participation Provisions are contract clauses that high market leverage providers insert in health insurance provider agreements that prohibit insurers from created limited network products and tiered products that might steer patients away from them. Examples of these provisions are called “anti-steering”, “guaranteed inclusion” and “product participation parity” clauses. “Anti-steering clauses stop insurers from creating new products that might steer patients away from certain providers. “Guaranteed inclusion” clauses guarantee the participation of certain providers in certain products. On the insurance company side, “Product participation parity” provisions...
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Lipinski: Abortion, Contraception Health Plan Rules for Opposed Groups ... Patch.com table border=0 cellpadding=2 cellspacing=7 style=vertical-align:top;trtd width=80 align=center valign=topfont style=font-size:85%;font-family:arial,sans-serif/font/tdtd valign=top class=jfont style=font-size:85%;font-family:arial,sans-serifbr /div style=padding-top:0.8em;img alt= height=1 width=1 //divdiv class=lha href=http://news.google.com/news/url?sa=tamp;fd=Ramp;usg=AFQjCNFCUe_I1xyuH89UFZG57upYVg910wamp;url=http://lagrange.patch.com/articles/lipinski-abortion-contraception-health-plan-rules-for-opposed-groups-violates-rights-0e712373bLipinski: Abortion, Contraception bHealth Plan/b Rules for Opposed Groups b/b/b/abr /font size=-1bfont color=#6f6f6fPatch.com/font/b/fontbr /font size=-1b/b with the bhealth care/b bill requirement. By Ben Feldheim US Rep. Dan Lipinski (D-IL 3) stands alongside CJB bPrincipal/b Mary Iannucilli while giving the school a copy of his House resolution, thanking Catholic schools for all of their efforts. US Rep./fontbr /font size=-1 class=p/fontbr /font class=p size=-1a class=p href=http://news.google.com/news/more?pz=1amp;ned=usamp;ncl=d4-hJtvBmeasjEMnobrband morenbsp;raquo;/b/nobr/a/font/div/font/td/tr/table |
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New Guide Reveals Winning Strategies of The Principal 10 Best Companies MarketWatch (press release) table border=0 cellpadding=2 cellspacing=7 style=vertical-align:top;trtd width=80 align=center valign=topfont style=font-size:85%;font-family:arial,sans-serif/font/tdtd valign=top class=jfont style=font-size:85%;font-family:arial,sans-serifbr /div style=padding-top:0.8em;img alt= height=1 width=1 //divdiv class=lha href=http://news.google.com/news/url?sa=tamp;fd=Ramp;usg=AFQjCNGkZz5YRtgcWkp84UL5H0raM7-Nlgamp;url=http://www.marketwatch.com/story/new-guide-reveals-winning-strategies-of-the-principal-10-best-companies-2012-02-01bNew Guide Reveals Winning Strategies of The bPrincipal/b 10 Best Companies/b/abr /font size=-1bfont color=#6f6f6fMarketWatch (press release)/font/b/fontbr /font size=-1Today#39;s successful companies focus on tailoring bbenefits/b for the unique needs of their employees. That approach--and other successful employee bbenefits/b strategies--are highlighted in quot;Making it Personal,quot; a new, free guide from the bPrincipal/b Financial b/b/fontbr /font size=-1 class=p/fontbr /font class=p size=-1a class=p href=http://news.google.com/news/more?pz=1amp;ned=usamp;ncl=dNh-vjZB2iC-BSMnobrband morenbsp;raquo;/b/nobr/a/font/div/font/td/tr/table |
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American Health Care System Gets Positive Prognosis In US Health Care: The ... PR Web (press release) table border=0 cellpadding=2 cellspacing=7 style=vertical-align:top;trtd width=80 align=center valign=topfont style=font-size:85%;font-family:arial,sans-serifa href=http://news.google.com/news/url?sa=tamp;fd=Ramp;usg=AFQjCNEYec6Q42cbSpa4D6lt5phL-jPiaAamp;url=http://www.prweb.com/releases/2012/2/prweb9142313.htmimg src=//nt3.ggpht.com/news/tbn/X5dzBlyRUAwgjM/6.jpg alt= border=1 width=80 height=80 /br /font size=-2PR Web (press release)/font/a/font/tdtd valign=top class=jfont style=font-size:85%;font-family:arial,sans-serifbr /div style=padding-top:0.8em;img alt= height=1 width=1 //divdiv class=lha href=http://news.google.com/news/url?sa=tamp;fd=Ramp;usg=AFQjCNEYec6Q42cbSpa4D6lt5phL-jPiaAamp;url=http://www.prweb.com/releases/2012/2/prweb9142313.htmbAmerican bHealth Care/b System Gets Positive Prognosis In quot;US bHealth Care/b: The b/b/b/abr /font size=-1bfont color=#6f6f6fPR Web (press release)/font/b/fontbr /font size=-1One small community in the Colorado oil patch near the Utah border delivers the highest value-for-the-money bhealth care/b in the United States, and they cover nearly everyone in town in the process. How do they do it? Could other communities do it, too?/fontbr /font size=-1 class=p/fontbr /font class=p size=-1a class=p href=http://news.google.com/news/more?pz=1amp;ned=usamp;ncl=d503erUG8MdpJBMnobrb/b/nobr/a/font/div/font/td/tr/table |
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Making Cents: Not assessing your financial risks is chancy Bastrop Daily Enterprise table border=0 cellpadding=2 cellspacing=7 style=vertical-align:top;trtd width=80 align=center valign=topfont style=font-size:85%;font-family:arial,sans-serif/font/tdtd valign=top class=jfont style=font-size:85%;font-family:arial,sans-serifbr /div style=padding-top:0.8em;img alt= height=1 width=1 //divdiv class=lha href=http://news.google.com/news/url?sa=tamp;fd=Ramp;usg=AFQjCNETtlTP1AaB-pELvagxqzidQkhqPQamp;url=http://www.bastropenterprise.com/news/business/x132492221/Making-Cents-Not-assessing-your-financial-risks-is-chancybMaking Cents: Not assessing your financial risks is chancy/b/abr /font size=-1bfont color=#6f6f6fBastrop Daily Enterprise/font/b/fontbr /font size=-1Between low interest rates and losses on investment accounts, this issue is haunting retirees wishing to avoid digging into their bprincipal/b. Now we turn to protecting your health. Beyond basic bhealth insurance/b, which everyone should have, b/b/fontbr /font size=-1 class=p/fontbr /font class=p size=-1a class=p href=http://news.google.com/news/more?pz=1amp;ned=usamp;ncl=d1VGe-Rp-kwbCUMnobrband morenbsp;raquo;/b/nobr/a/font/div/font/td/tr/table |
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WEALTH A Prescription for Profits Palm Springs Life table border=0 cellpadding=2 cellspacing=7 style=vertical-align:top;trtd width=80 align=center valign=topfont style=font-size:85%;font-family:arial,sans-serif/font/tdtd valign=top class=jfont style=font-size:85%;font-family:arial,sans-serifbr /div style=padding-top:0.8em;img alt= height=1 width=1 //divdiv class=lha href=http://news.google.com/news/url?sa=tamp;fd=Ramp;usg=AFQjCNH6EmsHQWtSNUQg3nyqqhNzLwcKfQamp;url=http://www.palmspringslife.com/Palm-Springs-Life/February-2012/WEALTH-A-Prescription-for-Profits/bWEALTH - A Prescription for Profits/b/abr /font size=-1bfont color=#6f6f6fPalm Springs Life/font/b/fontbr /font size=-1Can the government force people to buy bhealth insurance/b? “This battle is creating a healthcare sector ripe with a great amount of opportunity,” notes Joshua Schachter, bprincipal/b and portfolio manager of Snow Capital Management in Sewickley, Pa./fontbr /font size=-1 class=p/fontbr /font class=p size=-1a class=p href=http://news.google.com/news/more?pz=1amp;ned=usamp;ncl=dLdbadht5qxBHSMnobrband morenbsp;raquo;/b/nobr/a/font/div/font/td/tr/table |