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Taking the mystery out of health care prices
Lessons learned from auto insurance
Making the most of your health care dollars
Health Maven!
Personal Responsibility and Financial Incentives
Affordable Prescription Drugs
Make sure you understand the fine print on your health insurance policy
Using Urgent Care Centers instead of Emergency Rooms

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February, 2010 (5)
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August, 2009 (7)
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June, 2009 (8)
May, 2009 (7)
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The opinions expressed herein are my own personal opinions and do not represent my employer's view in any way.

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Total Posts: 127
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 Tuesday, June 23, 2009
Taking the mystery out of health care prices
Tuesday, June 23, 2009 7:43:03 PM (Central Standard Time, UTC-06:00) ( Transparency )
For many of us, the most unbearable part of going to the doctor is when the series of “post-visit” EOBs, bills, statements and paperwork start to arrive in the mail.  Wouldn’t it be nice to know your out-of-pocket costs BEFORE you visit a health care provider? 

In order for consumers to make informed choices, we need tools that provide accurate price and quality information.  Unfortunately, our current health care system lacks transparency and waiting around for health insurers or health care providers to solve this problem could take a long time.  In the meantime, we are starting to see some new tools that consumers can use to look-up price estimates for health care services and get an idea of a fair price for service.  The tools are not perfect, but it’s better than not knowing at all how much things cost.  In fact, whether you are insured or uninsured, it would be helpful to know up front what your out-of-pocket expenses will be --- before you visit the doctor!

 

So the next time you need to have an MRI, x-ray, mammogram, CT scan, colonoscopy, dental exam, eye exam, lab test or office visit, ---be sure to take a few minutes to visit some of these free websites so you have a better idea of fair prices for specific services.  You might even be able to use this information to negotiate a discount with your health care provider.

 

Tools to look-up prices for health care services

 

Healthcare Blue Book

Leslie’s List

MainStreetMedica

NewChoice Health

OutofPocket

Spectrum Health

USA HealthCare Costs

Vimo

 

An article in CNNMoney, Biggest Medical Mystery: The Bill, discusses obstacles and price transparency.

 

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 Wednesday, June 17, 2009
Lessons learned from auto insurance
Wednesday, June 17, 2009 10:43:20 AM (Central Standard Time, UTC-06:00) ( Consumer-driven health care | Transforming Healthcare )
The auto insurance industry has a rating system that offers safe drivers premium discounts.  What if the health insurance industry implemented a rating system, similar to the auto insurance industry, where “healthy members” get premium discounts when the members demonstrate healthy behaviors?  Some employers have adopted these financial incentives and their results demonstrate reduced employee health care spending after these programs are implemented.   

 My current auto insurance policy offers me discounts on my premium for: 

-       Save driver (accident free)    

-       Multi-car policy                     

-       Good grades for teenage drivers in the household

-       Anti-theft device installed in vehicle(s)

-       Air bags installed in vehicle(s)

 

What if health insurance policies started offering premium discounts for behaviors like:

-       Taking a health risk assessment

-       Exercising on a daily basis

-       Eating healthy

-       Reducing weight

-       Stop smoking

-       Lowering blood pressure

-       Lowering cholesterol

-       Monitoring and follow-up on chronic diseases 

 

As more consumers take personal responsibility for their own health, these kinds of tactics will become more common. 

 

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Making the most of your health care dollars
Wednesday, June 17, 2009 10:27:52 AM (Central Standard Time, UTC-06:00) ( Consumer-driven health care | Finding the Best Value for Health Care Services | High deductible Health Insurance )

CNNMoney.com published an article, “10 ways to beat the rising cost of health care.” This article includes some excellent tips for consumers.  Here are some great ideas that can help you manage your health care dollars.

 

1.       Before you visit a provider, ask “how much will this cost?”  Negotiating is important if you have a high-deductible plan, are uninsured, or using a provider out-of-network.  The good news --providers are becoming more accustomed to patients asking for discounts.   All you have to do is ask.

 

2.       Discounted prescription medications.  Medications can be very expensive.  If you can take advantage of mail-order pharmacies or even retail chains that offer generics for just $4 - you can save a lot of money.  There are hundreds of mail-order pharmacies, and you can find them by doing a Google search.

 

3.       Take advantage of employer sponsored Flexible Spending Accounts (FSAs).   According to Mercer, about 80% of large employers offer FSAs, but only 22% of employees enroll in these plans.  This is tax free dollars that you can set aside for health care expenses.  If you are in the 28% tax bracket, a $1000 FSA may save you about $350. Beware that money FSA dollars that aren’t spent by year-end are lost. 

 

4.       Be sure to look into high-deductible health plans (HDHPs).  We are starting to see a higher rate of adoption for these plans because they encourage personal responsibility, create financial incentives for consumer to make informed choices for staying healthy and are successful at reducing health care expenses! These HDHPs offer lower-monthly premiums and can save you thousands of dollars a year on reduced premiums, but require you to satisfy your deductible before your insurance kicks in.  For many people, saving $5000-7,000/year on premiums and paying a $5000 family deductible is a great deal.  In a healthy year, you might not even have met your deductible!   Do some research to determine if this plan is right for you.

 

5.       Health Savings Accounts (HSAs).  With an HSA you can save pre-tax dollars to pay for health care expenses.   In 2009, a family can contribute $5950 and single person can contribute $3000.  As an extra bonus, American Chartered Bank offers free HSAs.  It’s definitely worth checking into.

 

6.       Walk-in retail clinics are less expensive than office visits for non-emergency, routine medical services.  They post their prices upfront and most now accept insurance.   

 

7.       Stay insured if you lose your job.  A federal subsidy covers qualifying individuals with 65% of the COBRA premiums. 

 

8.       Make healthy life style choices.  Employers are implementing wellness programs where they often reward employees for behavior changes (losing weight or quitting smoking).  The personal benefits of making healthy choices and taking personal responsibility are priceless! 

 

9.       Avoid Medicare mishaps.  Before you sign up for Medicare, or Medicare supplement programs like Medicare Advantage, make sure you understand what is covered and what is not covered. 

 

10.   Adding vision and dental expenses to your health plan can inflate your premiums.  If your health plan does not cover vision and dental, remember vision and dental expenses can be paid for through your FSA or HSA.  If you pay high monthly premiums for dental and vision, be sure to calculate the total cost of coverage vs. your annual expenses.  You might be surprised at the savings if you decide to opt out of dental/vision coverage and pay out-of-pocket.  And be sure to ask your dentist or eye doctor for a discount!

 

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 Tuesday, June 16, 2009
Health Maven!
Tuesday, June 16, 2009 12:10:46 PM (Central Standard Time, UTC-06:00) ( Transforming Healthcare )
outofpocket's on Wellsphere
Wellsphere's Health Maven
Wellsphere - Health Knowledge Made Personal

I recently received recognition from Wellsphere that the OutofPocket.com blog has been designated as a Health Maven! I joined forces with an amazing group of health care bloggers on Wellsphere to participate in a community of writers that share expert advice on a variety of health care topics. Wellsphere’s mission is to help millions of people live healthier, happier lives by connecting them with the knowledge, people and tools they need to manage and improve their health.

If you haven't visited Wellsphere.com yet, you should definitely check it out.

 

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Personal Responsibility and Financial Incentives
Tuesday, June 16, 2009 11:44:56 AM (Central Standard Time, UTC-06:00) ( Consumer-driven health care | Transforming Healthcare )
Last year I attended a health care conference in Chicago where Safeway gave a presentation on how they reduced employee health care expenses starting in 2005 by implementing wellness programs and adopting financial incentives.  The secret ingredient for Safeway was rewarding healthy behavior.  This was an outstanding presentation that I remember very well, and the results were so remarkable, I expected just about every corporation at that conference to follow Safeway’s lead. 

Recently in the Wall Street Journal, Steven Burd, the CEO of Safeway Inc., and founder of the Coalition to Advance Healthcare Reform, wrote an article on reducing health-care costs.  Mr. Burd discusses how market-based solutions can reduce the national health-care bill by 40% and the key to achieving these savings is health-care plans that reward healthy behavior.    While comprehensive health-care reform is extremely complicated and needs to address a number of critical issues, personal responsibility and financial incentives are the path to a healthier America.  This is a proven fact. The Safeway team calculates that if the nation adopted their approach in 2005, the nation’s direct health-care bill would be $550 billion less than it is today.

 

Financial incentives certainly help modify behavior.  Rewards like reduced premiums, rebates, discounts, gift cards, free health club memberships, bonuses, certainly help influence employees healthy behavior.   And the greatest rewards of all --ones that provides you with “feeling terrific, looking terrific” and “living healthier” are priceless.

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 Monday, June 15, 2009
Affordable Prescription Drugs
Monday, June 15, 2009 11:04:34 AM (Central Standard Time, UTC-06:00) ( Finding the Best Value for Health Care Services )
To reduce health care expenses, consumers have the option of ordering their prescription drugs online.  This not only saves money and provides convenience, but makes health care dollars go a lot further.  One company you should check out is CanUSAmeds.com, a Chicago area-based Canadian online pharmacy with a reputation for outstanding customer service and some of the most affordable pricing for prescription medications. 

 

CanUSAmeds has been in prescription consultation since 2001. Some of the benefits of ordering your prescriptions from CanUSAmeds include:

 

  • Speak directly to owners when you call their toll free number --not a call center
  • Offer very competitive prices, from 30-80% off retail
  • Email prices@canusameds.com or call their toll-free number (877) 469-9616 to ask questions/place an order
  • Located centrally in the Chicagoland area for exceptional customer care
  • Dedicated to providing U.S. consumers with the highest quality and service in the pharmaceutical industry
  • Affiliated with one of the largest fully licensed pharmacies in Canada, to provide you with the highest quality pharmaceutical products
  • Use licensed Canadian Physicians to carefully review your specific prescription needs

Canusameds has many options for you. A very customer –friendly approach is their philosophy. They go the extra mile for you for your choice of options. There is no pressure; they are there to consult with you for no upfront fee. They also can connect with you with low cost lab tests, and imaging.

 

Here are some examples of the discount prices you will received at CanUSAmeds:

 

Drug

Size

Quantity

Typical Price

www.CanUSAmeds.com

1-877-469-9619

Lipitor

20 mg

90            

$359.97

$102.31    Save 71%

Zetia

10 mg

100

$339.68

$121.30    Save 64%

Prevacid

30mg

90

$477.96

$125.08    Save 73%

Plavix

75mg

100

$477.73

$133.22    Save 72%

Actonel

35mg

12

$291.24

$112.65    Save 61%

Celebrex

200 mg

90

$356.99

$99.89      Save 72%

Advair

250/50

3 Disks

$590.99

$231.04    Save 60%

Singulair

10mg

90

$347.08

$132.18    Save 62%

Topamax

100mg

600

$4286.76

$585.58    Save 86%

Crestor

10mg

90

$338.61

$136.75    Save 60%

Nexium

40mg

90

$469.97

$109.51    Save 76%

Prices were quoted on May 1st, 2009 and are subject to change.  This is only a sample.

 

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 Friday, June 05, 2009
Make sure you understand the fine print on your health insurance policy
Friday, June 05, 2009 11:36:45 AM (Central Standard Time, UTC-06:00) ( Consumer-driven health care )

Most consumers’ sign up for health insurance plans without fully understanding the 100+ pages of detail that go over the plan specifics.  In fact, most of us select our health plans based a high-level  outline and never bother to read the fine print details that describe coverage limitations that spells out what’s covered and what’s excluded, identifies lifetime limits/coverage caps , deductible terms--- basically things you need to know so you can understand the out-of-pocket you will be expected to pay.  It’ all very confusing and complicated.  And let’s face it, it’s written in a language that consumers find it practically impossible to understand. 

 

An article in the Wall Street Journal written by Anna Wilde Mathews, The Importance of Deciphering Your Insurance, does an excellent job describing the consequences and complications resulting from not understanding your health policy.  Anna describes how confusing this is to consumers and discusses some specific situations where consumers were stuck with large medical bills because they did not understand their coverage limitations (the fine print) when they purchased their health policy.

 

Some things to look over very carefully when evaluating a health policy:

·         Know your out-of-pocket maximum, which represents the most you should have to pay for care in a given year

·         Pay attention to the terms of your deductible

·         Understand how your plan covers out-of-network providers

·         Check for excluded benefits and coverage caps, including lifetime and annual limits on payouts

·         Know what services are covered and what services are not covered

 

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 Thursday, June 04, 2009
Using Urgent Care Centers instead of Emergency Rooms
Thursday, June 04, 2009 9:58:48 AM (Central Standard Time, UTC-06:00) ( Finding the Best Value for Health Care Services )

Urgent care centers are an affordable option for patients needing non-critical medical care. At urgent care centers, patients are treated by highly trained staff of physicians, nurses and health care technicians for many non-critical medical problems.  If you haven’t heard of urgent care centers, perhaps you are more familiar with some of the other names they are called:

  • Immediate Care
  • Convenient Care Clinic
  • Express Care Center
  • After-hours Facility
  • Minor Illness & Injury Center
  • On-call Doctor/ Physician
  • Quick Care Center
  • Now Care Facility
  • Prompt Care Clinic

The centers are typically open late nights; require no appointments, accept insurance or cash payment and walk-ins are welcome.  The centers usually guarantee you will receive medical care in less than 30 minutes and their services cost considerably less than visiting an emergency room. 

To find an urgent care center near you, you can use search engines:

  • Google - search on urgent care and include your city/state
  • Bing - search on urgent care and include your city and state
  • Find Urgent Care - a directory to help consumers find centers in their area
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