Absenteeism and Presenteeism

Should employers provide health insurance to their employees? There are many reasons why they should. One is that employees are attracted to firms that offer health insurance, especially since their are tax and cost advantages to group health insurance purchased through an employer. Another reason is that if a worker becomes sick, that reduces productivity.…

Risk Equalization and deductibles

In this blog, I have written about the Swiss (part one, part two) and Dutch healthcare system extensively. Both systems have a “regulated competition” where insurance is mandatory and insurance companies are mandated to provide a specific insurance benefit package. In the Swiss system, 85% of medical expenditures are financed by insurance premiums and 15%…

Health Insurance: Why rent when you could own?

Devon M. Herrick writes an article (“Why rent…“) creating a clever analogy comparing HSAs to equity in a house. He likens traditional health insurance to renting a home, while having a Health Savings Account (HSA) is more like owning the home. Making contributions to HSAs in essence gives you “equity” towards future health care expenses.…

Cross-border health insurance

The San Diego Union Tribune has an article (“Cross-border coverage“) profiling entreprenuer Jim Arriola and his low cost health insurance plan covering medical care in both the U.S. and Mexico. His company, Sekure Healthcare, provides a limited-benefit insurance program through employers along with a discount health card program. Both can be used by Sekure members…

GM-UAW deal

An explanation for the recent General Motors-United Auto Workers deal is pretty simple: it is a transfer of risk.  GM will set up a Voluntary Employee Beneficiary Association (VEBA) which will be controlled by the union.  According to the Detroit Free Press (” UAW ratifies”) GM will place about $30 billion dollars in the account…