Healthcare

I always have had an ear for conspiracy theories. I still watch Oliver Stone’s “JFK” almost religiously and freeze frame during the shooting incidence. But when it comes to the health care exchanges created by the Patient Protection and Affordable Care Act, even I cannot start to consider a deep-seated conspiracy. The more I look at it, the more obvious the answer becomes: It's simple economics, that greatest leveler of them all.

McKinsey & Co. caused quite a stir not only around the insurance world, but all the way to Washington, when it recently revealed that 30% of employers will "definitely or probably" drop their coverage when the Patient Protection and Affordable Care Act takes effect in 2014.

If you're looking to build your revenue sources and help your clients introduce or expand their health benefits, voluntary benefit discount programs might be the perfect fit.

In 2012 the rate of medical inflation will continue to rise, PricewaterhouseCoopers reports. Employers are frustrated - not so much by the high cost of the medical as by the apparently intractable upward cost trend that is making benefits plans unsustainable.

The clock is ticking. The Patient Protection and Affordable Care Act's health insurance exchanges are targeted to come online in 2014, which means open enrollment must begin in the fall of 2013. Every state is determining its approach, and everyone in the industry is strategizing on how to tap into a projected market of 25 million enrollees by 2016. The states will take different approaches, but the common denominator is technology. This month we'll look at how technology will be utilized in exchanges and identify other corresponding services that will be necessary to make the exchanges a success.

It is certainly not news that most Americans are ill-prepared to retire with 70% income replacement. We can blame high fees, which the press and regulators seem to focus on, and a decade of low or negative returns, but the real problem is that most participants are not saving enough and are not actively engaged in the process of preparing for retirement. Then, some industry professionals are still implying that their services are free. But with sweeping disclosure regulations about to become law, that myth will be quickly debunked. It's time to debunk other myths and tell plan sponsors and participants the hard truth.

The top benefit advisers take their clients' needs very seriously. But Anthony (Tony) Madera, winner of this year's EBA Retirement Plan Adviser of the Year award, seems to take them personally.

The U.S. health care payments industry is undergoing changes as it grapples with inefficiencies in how patients, payers and providers exchange information and money. At the same time, it must respond to economic pressures, government reforms and other dynamics while it focuses on quality, value and cost reduction.

There's a lot of strategic talk in Big Sky Country these days about the power of biometric screenings, health care analytics, value-based pharmacy benefit management, captives insurance and state-run health cooperatives under the Patient Protection and Affordable Care Act.

Speaking on the power of technology, Arianna Huffington, editor-in-chief of the Huffington Post quoted "wise sage" Black Eyed Peas front man will.i.am: "People used to consume media at home. Now, they consume media while riding on the back of a horse."