“The Genesis and Development of Medicare”

The following is a timeline which summarizes the genesis and evolution of government provided health insurance in the United States. Major Foreign Events: 1883: Otto von Bismark, then Chancellor of Germany passes a compulsory health insurance bill for factory and mine workers 1911: Germany extends compulsory insurance coverage to almost all employees 1911: David Lloyd…

United Health CEO earned $124.8 million in 2005

Forbes magazine reports that William W. McGuire, CEO of UnitedHealth Group) received compensation of $124.8 million in 2005.  Managed Care Magazine also says that the average executive compensation (excluding unexercised stock options) for an executive of a ‘top 10 for profit health plan’ was $11.7 million and that was back in 2000.   Are these high…

Do small firms offer more generous health benefits?

Large firms offer more generous health insurance to employees…right???? While it is true that large firms are much more likely to offer insurance to their employees, small firms are actually more likely to offer insurance in which they pay for 100% of the costs. A December 2005 paper by Zawacki and Taylor (“Contributions to health…

Can varying co-payment rates by risk reduce cost and improve health outcomes?

A RAND study published in the American Journal of Managed Care (“Varying Pharmacy Benefits With Clinical Status: The Case of Cholesterol-lowering Therapy“) claims that managed care administrators may be able to vary pharmaceutical co-payment amounts by risk group in order to reduce cost and improve health outcomes.  Thus study looks at Cholesterol-Lowering pharmaceuticals.  Co-payments are…

State of the Union

In the State of the Union address, President Bush dedicated portions of the speech to the health care problems facing the United States.  A summary of his proposals is located on the White House website.  I will comment on a few noteworthy additions to the Bush plan, of which I was not aware of during my…