Health-care costs hit home

ick Munn pays as much for his health insurance each month as he does for his mortgage. The chief financial officer of Merit Electric, 4700 Innovation Drive, has seen the company deal with 30 to 40 percent increases in health-care costs and accompanying cuts in coverage.
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He has also seen many younger employees risk going without health care. And Munn is not alone.

Prepare to pay up for health benefits.

As another year approaches, Fort Collins employers are facing the same nationwide dilemma plaguing other business – managing the increasing costs of health care.

The continued hikes – driven by changes in medical technology and rising drug costs – show no sign of abating although the growth seems to be slowing.

United States companies will notice a nearly 10 percent rise in health-care costs for 2006, following a 9.2 percent increase for 2005 – the lowest rate increase in six years, according to Hewitt Associates, a global human resources services firm.

Employees will still notice additional out-of-pocket expenses for the year ahead. Total health care employee contribution and out-of-pocket costs are projected to jump 12 percent to $3,136 in 2006, according to Hewitt.

As a result, companies across Fort Collins are looking at ways to cut or modify health-care coverage in a move to save costs — and employees are noticing the difference.

“The costs continue to go up and limit what we can provide,” Munn said. “At some point it becomes limited by personal cash flow.”
Hitting home

Fort Collins’ largest employer is planning to look at alternative coverage ideas in the future to deal with the rising cost of health care.

Colorado State University may explore the possibility of health savings accounts and coverage changes to increase cost efficiency in the coming years.

In 2006, healthcare costs at CSU will rise 9 percent, on top of a 5 percent increase in 2005, said Carol Shirey, director of human resources for CSU.

The university covers about 2,400 employees on three different plans and determines their rate increases by evaluating the U.S. Department of Labor’s medical Consumer Price Index and individual claims history, as well as talking with benefits consultants, Shirey said.

“We knew there’d be a rate increase, it was just a matter of how much,” she said.

CSU carries a “cafeteria-style benefit plan” with no employer subsidies and a monthly reserve for the purchase of health-care options that best fit the employee’s needs, Shirey said.

CSU will pay about $335 per employee for the purchase of benefits, up from $321 per month in 2005.

City of Fort Collins employees can also expect some changes as the city shifts $1 million from its health care burden to employees.

“Things are going to be changing quite a bit,” said Rick DeLaCastro, director of human resources for the city of Fort Collins.

As a result, total employee premiums will increase $600,000 while employees will face higher co-pays and deductibles.

Employees who once paid a 5 percent premium saw their premium rise to 15 percent in 2005 and will continue to see a 5 percent increase for 2006 and 2007, DeLaCastro said.

Still, the city’s 1,200 covered employees have several options within the system.

There are four levels of coverage, which range from no increase to a 35.5 percent hike for coverage in 2006. The city will still have a plan with no monthly fee and a high deductible.

Conversely, the highest level of coverage would cost an employee and their family $255.65 a month in 2006, nearly $67 more than the 2005 price.

“We’ve seen an increase every year, but 2005, at least year-to-date, has been the lowest increase,” DeLaCastro said. “While the slope is still increasing, it is not increasing as fast as it was in previous years.”

Poudre Valley Hospital employee Lina Gonzales just received her 2006 benefit information. It’s going up about $40 per month. Still, she believes insurance is worth the additional cost.

“I look at it as kind of being bad, but I think I’d rather pay that every month, than spend $150 to $170 to see a doctor without insurance,” said Gonzales, 40. “It’s better to pay more for insurance than to not have it at all.”

Doctors fight balance-billing ban on out-of-network costs to survive

Doctors fight balance-billing ban on out-of-network costs to survive

The battle continues on balance billing, but it comes down to someone just paying the bill for health care once more. Are we looking for blood from a turnip here? Hospitals need money, doctors need money, contracts keep getting lower every year,so if 50% of our hospitals in the US were not on the verge of being insolvent, some of this would not even be making the news.

So we are back to who’s going to pay the bill once more. If you have read the news of late, even hospitals in good financial standing are cutting back so as not to go over the edge. This is truly a no win battle for everyone, patients should be covered and health providers paid for their time and if that were the case, this issue would not even exist.

Problem is we are cutting costs, much of it being justified by using technology; however, the education process here is extremely lacking, so throw out the new bone for consumers to jump on and wish for the best? That is pretty much what is happening here and the knowledge that is offered out there is so fragmented and changes daily, how can you win, you don’t.

As fancier and more complicated algorithms are created and their interpretations sent to consumers, it’s not going to get any better any time soon and this just leaves way for more issues on who’s going to pay the bill, so have we finally reached bottom here? Studies show that money can be saved, and yes there is truth in this, but the implementation and competition certainly is not doing more than just simple clouding the issues. Every day you can log on and there’s someone new with a bigger and better plan, right? Not really, just some new algorithms created to try and shuffle money used to pay Peter to now pay Paul. The available money is not increasing, just the formulas for marketing healthcare is the challenge, and again they change with the direction of the wind, which leads me back to a prior post on the 2 Hot Words in Healthcare today, Algorithms and Whistleblowers, those who write them and those who catch the fallacies are the 2 making the money and the news today, while the poorly informed and educated consumers are the ones carrying the brunt of the system, less healthcare and fewer dollars to cover, and the stress and obnoxious processes in place to have to fight for one’s health.

We are trying to help consumers take hold and take part in controlling their health and adding personal health records to help create more informed patients, but again where’s that at today? Same thing, too many confusing markets and at a result nothing is getting done in a hurry and all the new data technology that is created to help the process just stifles, so until efforts are made to truly use technology and properly educate the US consumers, there appears to be no end to this battle as well, so all these reports on savings are not doing anyone any good at present as the bills continue to be debated and mount, and the algorithms and whistleblowers process continues. BD