Quote from The Financial Professional’s Guide to Healthcare Reform

November 4th, 2011 | Seminars & Publications

At our publications page http://www.cpa.net/publications/ you will find the flyer for the new book to be published next year by John Wiley & Sons. My Keynote at the VSCPA in Virgnia earlier this week featured the following conclusion, quoted from the chapter on Massachusetts’ Reform:

“The foremost lesson from the “Reform” in Massachusetts is that Insurance Reform involves more than simply expanding coverage and adding consumer protection provisions.  The Health Insurance System has multiple participants: Employers, Consumers or Insureds, Insurers and Providers.  The contractual relationships between Insurers and Providers are at the heart of the way the entire Health Insurance System works and these were not even addressed in the landmark 2006 Massachusetts Reform legislation.  This missing element is the direct cause of the accelerating growth in costs that took place in Massachusetts after 2006.  The backlash against the 2006 Massachusetts Reform led by small business in 2009 and 2010 is analogous to the consumer backlash against Managed Care at the end of the 1990s that led to the collapse of cost control efforts then – and the small business backlash mirrors the response of the Chamber of Commerce to the Federal Reform.  Where the Federal Reform was modeled point by point on the Massachusetts legislation, there seems little reason to believe the results will be any different.”

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