Employee Benefit Views

Medical officer warns employers against exchange-only health benefits model

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Posted December 18, 2012 by By Raymond Fabius, MD, CPE, FACPE at 11:40AM. Comments (5)

5 Comments

Posted by: Len C | December 31, 2012 7:37 AM

@Jeff B - I don't think the author is suggesting that we continue doing the same thing. He points out a couple of examples where employers did something different and got a different result.@tennisashoe - I agree that the mandate is necessary if we are to truly spread the cost/risk - a basic principal of insurance. I don't agree that the author ignored the preventive care requirement in the ACA. It is already in place in employer sponsored plans. I think the author is pointing out that the employer has the opportunity to leverage that provision in their sponsored plan. Of course nothing would prevent an employer to put in a wellness plan independent of how their employees access health insurance.,.

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Posted by: Rakesh S | December 24, 2012 12:41 PM

The important component of any healthcare is prevention. I think the real question would be do employers have more influence on motivating employees to use prevention means to stay well or the exchanges? I think ultimately it's the employees who have to change their behavior to utilize preventive care offered under any plan. The cost benefits are in prevention, increased employee productivity, regardless of source of the healthcare plan. You might find my article on this subject useful at http://www.promotehealthwellness.com/health-care-reform-and-preventive-care/

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Posted by: Jeff B | December 21, 2012 12:45 PM

I dont think anyone has the perfect solution, but if we think we can "keep doing the samethig and expect different results" we are kidding ourselves. So although this might not be the solution everyone would like, we have to start somewhere. It's easy to sit back and be critical, much harder to step up and present a solution knowing there will have to be ajustments along the way to inprove.

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Posted by: Jeff B | December 21, 2012 12:44 PM

I dont think anyone has the perfect solution, but if we think we can "keep doing the samethig and expect different results" we are kidding ourselves. So although this might not be the solution everyone would like, we have to start somewhere. It's easy to sit back and be critical, much harder to step up and present a solution knowing there will have to be ajustments along the way to inprove.

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Posted by: Amy T | December 19, 2012 1:51 PM

This article seems to ignore the pieces of PPACA that, while not perfect, should have some positive impact on cost: 1) the coverage mandate and 2) 100% preventive health coverage. Currently people without coverage get their care in a hospital ER and the cost is born by the community (or cost shifted). With better preventive care, there should be avoided claims down the road. Would like to hear more about how these provisions will help. Thank you!

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