The document discusses three options for health care reform in the United States: 1) A less restrictive private insurance model where everyone must be covered; 2) A hybrid public-private system with private insurance competing with non-profit "co-ops"; 3) A hybrid system with private insurance competing with a government-managed plan like Medicare. The White House supports the second option but may have to accept the first. For individuals, all options will likely cost more through higher premiums, taxes, or lost benefits. The key debates are who will pay - individuals or employers - and whether health care should remain a profit-driven business.
This document discusses the current state of healthcare in America and three options for healthcare reform being debated. It begins by explaining how healthcare is currently a business with doctors getting paid through insurance companies. It then summarizes the three reform options: 1) Less restrictive private insurance that covers pre-existing conditions 2) Private insurance competing with non-profit cooperatives 3) Private insurance competing with a government-run public option. It analyzes how each option would impact costs for employed individuals with insurance coverage. In the end, it says the key debates are whether healthcare should be profit-driven and how costs will be paid under each reform approach.
Anthony Jones and Dan Roam team up again to offer an easy-to-understand but brutally-honest look at the current state of US healthcare. An all new, updated edition to BusinessWeek's 'World's Best Presentation' winner of 2009!
The document discusses three options for reforming the US healthcare system: 1) a private insurance model where everyone must be covered regardless of pre-existing conditions; 2) a hybrid private/public model with competition between private insurers and non-profit cooperatives; and 3) a hybrid private/public option with competition between private insurers and a government-run program. Conservatives prefer no change but will accept the first option, while the White House prefers the third option but knows it won't pass. Private insurers oppose all options as each threatens their profits in different ways.
The document discusses the current state of the U.S. healthcare system. It describes how healthcare used to be a simple transaction between a patient and doctor, but insurance companies now intervene. This has caused healthcare to split into two businesses - providing healthcare and providing payment. As these businesses fight over the patient's money through higher costs and restricted treatment, it bankrupts patients and employers. The government is now trying to intervene as patients and businesses are squeezed, but current reforms mainly target the insurance side rather than addressing the underlying issues.
This contains the entire 4-napkin health care series in one file. It makes more sense to read this one now than the others since it is the complete set all in one file.
An irrevocable life insurance trust (ILIT) allows individuals to avoid estate taxes on life insurance policy proceeds. The ILIT owns the life insurance policy, not the individual. Upon the individual's death, the ILIT beneficiaries receive the proceeds estate-tax free. To create an ILIT, an individual transfers an existing policy or purchases a new one for the trust. The trustee is responsible for administering the trust and its policies. Cash gifts to the ILIT qualify for annual gift tax exclusions if beneficiaries have withdrawal rights.
This document discusses the current state of healthcare in America and three options for healthcare reform being debated. It begins by explaining how healthcare is currently a business with doctors getting paid through insurance companies. It then summarizes the three reform options: 1) Less restrictive private insurance that covers pre-existing conditions 2) Private insurance competing with non-profit cooperatives 3) Private insurance competing with a government-run public option. It analyzes how each option would impact costs for employed individuals with insurance coverage. In the end, it says the key debates are whether healthcare should be profit-driven and how costs will be paid under each reform approach.
Anthony Jones and Dan Roam team up again to offer an easy-to-understand but brutally-honest look at the current state of US healthcare. An all new, updated edition to BusinessWeek's 'World's Best Presentation' winner of 2009!
The document discusses three options for reforming the US healthcare system: 1) a private insurance model where everyone must be covered regardless of pre-existing conditions; 2) a hybrid private/public model with competition between private insurers and non-profit cooperatives; and 3) a hybrid private/public option with competition between private insurers and a government-run program. Conservatives prefer no change but will accept the first option, while the White House prefers the third option but knows it won't pass. Private insurers oppose all options as each threatens their profits in different ways.
The document discusses the current state of the U.S. healthcare system. It describes how healthcare used to be a simple transaction between a patient and doctor, but insurance companies now intervene. This has caused healthcare to split into two businesses - providing healthcare and providing payment. As these businesses fight over the patient's money through higher costs and restricted treatment, it bankrupts patients and employers. The government is now trying to intervene as patients and businesses are squeezed, but current reforms mainly target the insurance side rather than addressing the underlying issues.
This contains the entire 4-napkin health care series in one file. It makes more sense to read this one now than the others since it is the complete set all in one file.
An irrevocable life insurance trust (ILIT) allows individuals to avoid estate taxes on life insurance policy proceeds. The ILIT owns the life insurance policy, not the individual. Upon the individual's death, the ILIT beneficiaries receive the proceeds estate-tax free. To create an ILIT, an individual transfers an existing policy or purchases a new one for the trust. The trustee is responsible for administering the trust and its policies. Cash gifts to the ILIT qualify for annual gift tax exclusions if beneficiaries have withdrawal rights.
This document discusses health care reform in the United States through a series of "napkins" outlining key issues. It summarizes the three main options for health care reform currently being debated: 1) A less restrictive private insurance model; 2) Private insurance competing with non-profit "co-ops"; and 3) Private insurance competing with a government-managed plan. Regardless of the option, costs for those currently employed and insured will likely increase through higher premiums, taxes, or loss of employment benefits. The document argues that while reform will increase costs for individuals, doing nothing will also increase costs due to rising health care expenditures already bankrupting the system. Individuals will have to choose how they want to pay for
The document discusses three options for reforming the U.S. healthcare system: 1) A less restrictive private insurance model where everyone must be covered; 2) A hybrid public-private system with private insurance competing with non-profit "co-ops"; 3) A public option where private insurance competes with a government-managed plan. Under all options, costs for currently insured individuals will likely increase through higher premiums, taxes, or lost benefits. The key debate is whether costs will be paid directly or through employers. Government intervention is seen as necessary because health costs are already bankrupting the system if left unchanged.
The document discusses proposed legislation (HB4936) that would abolish Michigan's auto no-fault insurance system. It argues the system works well, with $13.8 billion in assets and a 17:1 equity to expense ratio. However, the insurance industry claims the system is unsustainable and wants to cap benefits and shift costs to Medicaid. The document urges contacting state representatives to oppose the bill and protect lifetime medical benefits for car accident victims paid for by the existing no-fault system.
1. Life insurance provides a financial safety net for dependents by paying out a sum of money upon the death of the insured. It helps safeguard families and provides security and peace of mind.
2. The document discusses the history and development of the life insurance industry in India. It outlines key reforms like privatization and the establishment of an independent regulatory body.
3. Reliance Life Insurance was established as part of Reliance Capital to offer integrated financial services and life insurance solutions. Its goal is to adopt best practices and become a dominant player in India through innovation and customer focus.
This document outlines concerns with Congress's approach to health care and health insurance reform. It argues that Congress conflates health care costs with health insurance costs, when they should be addressed separately. The high cost of health care, not health insurance profits, drive rising insurance costs. A public option will not create competition to lower rates because insurance profits are already slim. To truly reform costs, Congress must address rising health care costs, not just insurance regulations. The letter urges Congress to be honest if its goal is a government-run system, and to tell citizens directly how their taxes will increase to pay for the uninsured.
Grain of salt as with anything, but since I share this article once in a while thought it may be helpful to you. I\'ve witnessed claim issues and people should know about what unfortunate things can occur. File can be found online at http://www.justice.org/docs/TenWorstInsuranceCompanies.pdf
Leading insurance carriers have withdrawn from the group long-term care insurance (LTCI) market, prompting employers to think twice about implementing new programs. What’s happening? Are we witnessing the death throes of worksite LTCI? No, just a shift to a flexible new form.
Parts of the country are in jeopardy of not having an insurer offering Obamacare plans next year.
Many counties already have just one insurer offering health plans in the Obamacare marketplaces, and some of those solo insurers are showing signs that they are eyeing the exits.
This document discusses the role of government intervention in healthcare markets. It outlines different types of government intervention including informing, regulating, financing, providing, and taxing/subsidizing goods. It also discusses types of goods like public goods and merit goods that are prone to market failures. The key reasons for government intervention are to address market failures from public goods, externalities, incomplete markets, and market power. However, the document also notes potential government failures from capture by special interests, bureaucracy, and lack of capacity. There is no consensus on the appropriate role of public versus private sectors in different countries.
Medical malpractice insurance premiums are rising significantly each year, threatening the sustainability of the healthcare system. The high costs are due to a flawed legal system that allows for exorbitant pain and suffering awards in medical malpractice lawsuits, even in cases where doctors followed appropriate standards of care. While insurance companies seek caps on awards, they resist limits on premium increases. Doctors are forming cooperatives to gain more control over rising costs, but remain vulnerable to large awards. Reform is needed to ensure a fair process and reasonable compensation for valid claims.
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This document discusses health care reform in the United States through a series of "napkins" outlining key issues. It summarizes the three main options for health care reform currently being debated: 1) A less restrictive private insurance model; 2) Private insurance competing with non-profit "co-ops"; and 3) Private insurance competing with a government-managed plan. Regardless of the option, costs for those currently employed and insured will likely increase through higher premiums, taxes, or loss of employment benefits. The document argues that while reform will increase costs for individuals, doing nothing will also increase costs due to rising health care expenditures already bankrupting the system. Individuals will have to choose how they want to pay for
The document discusses three options for reforming the U.S. healthcare system: 1) A less restrictive private insurance model where everyone must be covered; 2) A hybrid public-private system with private insurance competing with non-profit "co-ops"; 3) A public option where private insurance competes with a government-managed plan. Under all options, costs for currently insured individuals will likely increase through higher premiums, taxes, or lost benefits. The key debate is whether costs will be paid directly or through employers. Government intervention is seen as necessary because health costs are already bankrupting the system if left unchanged.
The document discusses proposed legislation (HB4936) that would abolish Michigan's auto no-fault insurance system. It argues the system works well, with $13.8 billion in assets and a 17:1 equity to expense ratio. However, the insurance industry claims the system is unsustainable and wants to cap benefits and shift costs to Medicaid. The document urges contacting state representatives to oppose the bill and protect lifetime medical benefits for car accident victims paid for by the existing no-fault system.
1. Life insurance provides a financial safety net for dependents by paying out a sum of money upon the death of the insured. It helps safeguard families and provides security and peace of mind.
2. The document discusses the history and development of the life insurance industry in India. It outlines key reforms like privatization and the establishment of an independent regulatory body.
3. Reliance Life Insurance was established as part of Reliance Capital to offer integrated financial services and life insurance solutions. Its goal is to adopt best practices and become a dominant player in India through innovation and customer focus.
This document outlines concerns with Congress's approach to health care and health insurance reform. It argues that Congress conflates health care costs with health insurance costs, when they should be addressed separately. The high cost of health care, not health insurance profits, drive rising insurance costs. A public option will not create competition to lower rates because insurance profits are already slim. To truly reform costs, Congress must address rising health care costs, not just insurance regulations. The letter urges Congress to be honest if its goal is a government-run system, and to tell citizens directly how their taxes will increase to pay for the uninsured.
Grain of salt as with anything, but since I share this article once in a while thought it may be helpful to you. I\'ve witnessed claim issues and people should know about what unfortunate things can occur. File can be found online at http://www.justice.org/docs/TenWorstInsuranceCompanies.pdf
Leading insurance carriers have withdrawn from the group long-term care insurance (LTCI) market, prompting employers to think twice about implementing new programs. What’s happening? Are we witnessing the death throes of worksite LTCI? No, just a shift to a flexible new form.
Parts of the country are in jeopardy of not having an insurer offering Obamacare plans next year.
Many counties already have just one insurer offering health plans in the Obamacare marketplaces, and some of those solo insurers are showing signs that they are eyeing the exits.
This document discusses the role of government intervention in healthcare markets. It outlines different types of government intervention including informing, regulating, financing, providing, and taxing/subsidizing goods. It also discusses types of goods like public goods and merit goods that are prone to market failures. The key reasons for government intervention are to address market failures from public goods, externalities, incomplete markets, and market power. However, the document also notes potential government failures from capture by special interests, bureaucracy, and lack of capacity. There is no consensus on the appropriate role of public versus private sectors in different countries.
Medical malpractice insurance premiums are rising significantly each year, threatening the sustainability of the healthcare system. The high costs are due to a flawed legal system that allows for exorbitant pain and suffering awards in medical malpractice lawsuits, even in cases where doctors followed appropriate standards of care. While insurance companies seek caps on awards, they resist limits on premium increases. Doctors are forming cooperatives to gain more control over rising costs, but remain vulnerable to large awards. Reform is needed to ensure a fair process and reasonable compensation for valid claims.
Similar to Healthcarenapkinall 090816001957 Phpapp01 (10)
3. Health care in America is a business
governed by a simple equation:
I get sick. My Doc fixes me. My Doc gets paid.
3
4. In the last several years there’s been a shift
in the equation:
Insurance jumped in between me and my doctor.
Insurance now rations my treatment and health costs.
4
5. That happened because health care is
really two different businesses:
There’s the business … and then there’s
of providing health… the business of
providing payment.
5
6. I’m in the middle.
Me, my health, and my money
sit in between these two businesses.
6
7. When I’m healthy, insurance loves me:
I pay premiums that insurance collects, and
they don’t have to pay anything back.
7
8. When I’m sick, providers love me:
Through my insurance, I pay Doctors, hospitals,
and pharma for their products and services.
8
9. These two businesses hate each other.
(Ultimately, I’m the only source of money for both.)
9
10. They have conflicting interests and fight
over my money. (It’s a zero-sum game.)
Providers like to prescribe Insurers charge more
new and expensive (and allow less) to keep
treatments to keep money money flowing in.
flowing in.
10
11. As the providers and insurers fight, my
costs keep going up. (Bankrupting me and my employer.*)
I’m the only one adding money INTO the
equation, so I get squeezed. *more on this later.
11
12. Now government steps into the picture:
Government is
worried: people and
businesses are both
too squeezed.
12
13. Government thinks most of the changes
are on the insurance side:
Almost all legislation being debated
impacts the insurance side of the equation.
13
14. Next napkin:
What health care
reform is really about.
(It isn’t health care.)
14
17. Remember how all the reforms are
focused on the insurance side?
All the big changes the White House is demanding are
directed towards the private insurance companies.
17
18. The White House should call it what it is:
If the White House wins, it will be the private insurance
companies sitting on the outside looking in.
18
19. Is that fair?
The only value private insurers bring to the
equation is to keep costs down for members.
(And pay shareholders. Remember: this is a business.)
19
20. Is that fair? YES. Without a doubt.
Private insurers have failed miserably at keeping costs down.
If they can’t manage member costs, why do they exist?
20
21. Private insurers had a remarkably
profitable 2008. (Yes, in the recession.)
2008: Detroit dies.Wall Street tanks. 9.5% unemployed.
Private insurance does just fine.
21
22. Is anybody else being asked to reform?
Yes, but not so much:
Me: Providers:
Take better care of myself. Be more efficient.
Try not to get sick. Order fewer procedures.
Don’t get fired. (Ha!) Revamp malpractice. (how?)
(Pharma is being asked to
pay an $80 billion gift.)
22
23. In the end, who will pay for any reform?
Me.
Assuming I’m presently employed and covered,
I’m the only player putting money into the system.
23
24. And where will the money I pay go?
(There are 3 possibilities.)
1. Increase 2. Fund new 3. Fund a new
profits for non-profit government
Private Insurers. insurance insurance plan (no
exchanges. profit allowed).
Yes, it is that simple.
24
25. Next napkin:
What plans are really
on the table?
(And what is just hype?)
25
28. Today, we have a purely business-driven
insurance model.
Today, health care in America is a profit-
oriented business where costs are mainly
controlled by restrictive private insurers.
28
29. There are 3 options on the table:
#1 is a less restrictive private model.
The first option is less restrictive private insurance.
Everyone must be covered by a private plan, and no one
may be excluded because of pre-existing conditions.
29
32. Who is behind each?
The conservatives didn’t The White House
want any change, but they wanted this, but now
know change is coming. knows it won’t get it.
32
35. Insurance sees the first option as the least bad*, so
they’ve poured money into sinking the others.
* Then again, if
they play this
right, they could
make $trillions!
35
36. Coming on the 4th napkin:
Business and politics aside,
what do the options mean to
me?
39. Quick review: 3 insurance options are on
the table:
All 3 require universal coverage for all citizens.
The difference is the amount of government-backed coverage.
39
40. Note: when the debate started, there was
a 4th, all-government option.
Reps. Conyers (D-MI) and
Kucinich (D-OH) proposed
H.R. 676, an all-government
national health insurance plan.
40
41. This “single-payer” option has been
removed from the debate.
The White House has pulled support.
H.R. 676 is effectively dead.
41
42. At the end of the day, what
do the 3 options mean to me?
42
43. 1) If I’m presently employed and insured,
all options will cost me more.
Higher premiums Indirect taxes Direct taxes.
as private insurers’ through loss of
costs rise to cover untaxed
more people. insurance benefit.
43
44. So why reform? Because if we do nothing,
it’s going to cost even more.
People concerned that reforms will bankrupt the USA need
to recognize that health costs are already bankrupting us.
44
45. The additional costs are unknown. All I can
choose is how my money will be taken
from my pocket.
I’ll pay higher I’ll lose a presently I’ll pay more
private insurance untaxed employment direct taxes.
premiums. benefit.
45
46. 2) A key issue to debate is whether I will
pay directly or through my employer.
Switching the tax benefit to a tax credit will give the government an
additional $250 Billion per year with no impact on my compensation.
46
47. 3) In all cases, my actual health will at least
not get worse.
All plans let me All plans let me All plans will help
keep my existing keep my existing more people be
coverage. providers. covered.
47
48. Although today’s debate is really insurance
reform, there are issues on the other side:
Although they’re not core to today’s insurance debate, we
need to address cost-cutting options on the provider side.
48
49. In the end, how we each decide to support
reform will be guided by 3 questions:
Should health be Change is coming; Will I be better
a profit-driven how do I want to off shouting or
business? pay for it? thinking?
49
50. Dan Roam dan@danroam.com www.thebackofthenapkin.com
51. Dan Roam is author of the
international bestseller
"The Back of the Napkin:
Solving Problems and
Selling Ideas with Pictures“, the ‘best
innovation book of 2008’ according to Anthony Jones is a health care
BusinessWeek and Fast Company. and life sciences marketing
strategist and founder of Next
Dan has helped leaders at Microsoft, Wal- Lifesciences. Over more than 20
Mart, and the United States Senate solve years, he has held senior
complex problems through visual thinking. management positions at Scient,
Dan and his whiteboard have been featured Deloitte Consulting and Reuters
on CNN, MSNBC, ABC News, and NPR. as well consulted to several
Fortune 1000 and emerging
market companies.
Dan Roam
dan@danroam.com
www.thebackofthenapkin.com C. Anthony Jones, M.D.
www.digitalroam.typepad.com tony@nextlifesciences.com