Health insurance insured paying extra to cover uninsured: Study

Posted : Wed, 08 Jun 2005 20:12:00 GMT
By : Jack Myers
Category : Health
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Families that are insured for health care would have to shell out an average of US$ 922 in additional premiums in 2005 to make up for the cost of treatment of those without insurance, a report published by consumer group Families USA has said.

The study, conducted by noted economist Kenneth Thorpe who is an Emory University professor, said that about US$ 1 out of every US$ 12 spent on paying premiums for health insurance goes into the treatment of the uninsured. He said that this amount would increase to an average of US$ 1,502 within the next five years if the increase in insured patients were not curbed.

This was because the cost of healthcare for the uninsured was being subsidized by the insured. Thorpe’s report found that uninsured Americans took care of only one-third of the health care costs. This resulted in hospitals footing a bill of around US$ 43 million, an amount that was subsequently passed on to the insured.

“The large and increasing number of uninsured Americans is no longer simply an altruistic concern on behalf of those without health coverage but a matter of self-interest for everyone,” said Ron Pollack, executive director, Families USA.

According to US Census Bureau estimates, around 45 million Americans did not have health-care insurance in 2003. This figure is increasing on a year-on-year basis.

Thorpe’s report, which was drawn up on data from federal agencies like the Census Bureau, the National Center for Health Statistics, and the Agency for Healthcare Research and Quality, calculated the cost that uninsured patients were passing on to insured families.

The findings showed that insured families in the states of Arkansas, New Mexico, Montana, Oklahoma, Texas and West Virginia would have to pay an additional premium of more US$ 1,500 in 2005 to take care of the expenses incurred by the uninsured. The list would spread to Alaska, Arizona, Florida, Idaho, and Washington by 2010.

“These extra costs place unacceptable burdens on all families, as well as our small businesses and our medical providers. We must find affordable ways to cover more workers and their families. States must work with the federal government to make such coverage a reality,” said Kathleen Sebelius, the governor of Kansas State.

Center for Studying Health System Change’s Paul Ginsburg said, “Ten years ago, I might have been skeptical about a study like this, but in 2005, I’m not. It’s a vicious circle that will not end until we as a nation take steps to solve the underlying problems.”

Susan Pisano of America’s Health Insurance Plans echoed his thoughts. “This report shows there are many reasons for us to address the reasons for lack of insurance. One is to improve the health of the population and the other is to get a handle on the cost problem,” she said.

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    paying more to cover uninsured
    By: Tom Wilson , Sat, 18 Jun 2005 05:05:42 GMT

    Don't just blame the uninsured. I left work to care for ailing parents and continued my workplace health insurance throuh COBRA. As I can only carry that for 18 months I have been trying to replace it. Guess what, those cheap and greedy insurance companies don't want to insure me because of a ruptured disk which occured more than 5 years ago and a diagnosis of carpal tunnel more than 4 years ago. I have no problems with either except a very occasional visit to the chiropracter. I haven't even been there for over six months. Yet, I am apparently too great a risk to be issued individual health insurance. This is the kind of treatment that puts many people like me into the category of the uninsured. So tell me, is it the uninsured you should be blaming or perhaps the insurance companies who are unwilling to insure them?


    Uninsured pay more
    By: Bud Chalecki , Thu, 09 Jun 2005 05:11:07 GMT

    It is well documented that the uninsured often pay "list price" for health care (see below). Medicare, Medicaid and Health insurers pay far less because of "group buying power". This difference can be three to ten-fold. Was the data in the Families USA report normalized for this multi-tiered "cost" structure? The report mentions that the uninsured pay one third of their health care costs out of their own pockets from savings, loans, selling of property. By inflating uninsured charges, the hospitals get normal re-imbursement and a tax break.

    The conclusions of the report appear to be inaccurate if based on the "real" cost of treating the unisured.

    Ms. Nix Confronts Facts of Health-Care:
    The Uninsured Are Billed Sharply More

    "The hospital where Ms. Nix was treated, New York Methodist in Brooklyn, typically bills HMOs about $2,500 for an appendectomy with a two-day stay, compared with the $14,000 -- plus doctors' fees -- that Ms. Nix was billed."

    Normally, "Brooklyn surgeons get an average of $600 (from an HMO) for a laparoscopic appendectomy" and "Medicaid pays $160" for the same one hour procedure.

    Including doctor's fees, "her bills for the surgery totaled nearly $19,200". WSJ 3/17/2003

    What was the real cost of treating uninsured Ms. Nix? Why should the insured pay higher premiums? Why should the uninsured get fleeced?

    It was reported that an uninsured woman was hospitalized in FL for two days to treat a severe ear infection. Total bill was $19,000 vs $3,000 if insured. We have a trend. The uninsured pay $9,500 per hospital day vs $1500 for an insured day, 600% more.

    The report conclusion should be uninsured patients subsidize insured patients and get a bad credit score as a bonus. Insurance premiums should go down as more people go uninsured.


    Insured covering uninsured?
    By: Jim , Thu, 09 Jun 2005 02:27:21 GMT

    As an individual who can pay my own way or do without, I contend that I am paying higher costs for medical treatment due to others using medical insurance. Medical insurance drives up the cost of care due to a third party being involved. PPO's and HMO's be damned, they have no altruistic drive to aid the consumer, they are driven by profit - nothing else.

    Brilliant!!!!! "one is to improve the health of the population and the other is to get a handle on the cost problem". I believe I heard that in the '50's or was it the '40's?

    There is no free lunch, pay your own way! For those who can't, let's go back to the teaching hospitals where students learn, patients get competent care and lawyers lurk for a bone.


    Costs
    By: Steve Savage , Wed, 08 Jun 2005 21:38:04 GMT

    Cost shifting is what insurance is all about anyway. Its just that now with the sagging stock market the insurance industry can't make scads of money anymore to keep the investors happy, so they must soak the policyholders for cash.



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