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  #41  
Old 11-04-2019, 12:57 PM
WhosOnFirst WhosOnFirst is offline
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Originally Posted by Westley View Post
What's the difference between a deductible and a copay, in health care? Seems like copay is just the same as a deductible, except it might vary depending on where you are (primary versus ER versus urgent care, etc)?
I'm assuming that you don't mean the text book difference between the two.

I think the idea is that there is a flat known cost going into a procedure or for a drug. If you are focused on the member side of the equation and reducing their costs, this is one solid way of doing so. I've long advocated for straight copay plans for this very reason. The difficulty is that high utilizers end up being nickled and dimed to death but I imagine that the out of pocket max is designed to eliminate some of that feeling.

I doubt this lowers cost for the plan though. It is possible if the copays are high enough I guess.
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  #42  
Old 11-04-2019, 01:10 PM
WhosOnFirst WhosOnFirst is offline
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Or what if we just owned all the hospitals and only allowed members to use our locations?


I'm just innovatin my butt off over here.
Great ideas. We should try those at some point.

I just took a quick look at the Haven website. Their leadership team doesn't have a chief actuary listed. I'm thinking this is a great opportunity for you!
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  #43  
Old 11-04-2019, 01:10 PM
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Originally Posted by Childish Gambino View Post
Or what if we just owned all the hospitals and only allowed members to use our locations?


I'm just innovatin my butt off over here.
Also see how they looped in CIGNA and Aetna. They found an external party - a third party if you will - to help 'administer' the plan.
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Butt-chugging seems like the best solution.
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  #44  
Old 11-04-2019, 01:14 PM
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Also see how they looped in CIGNA and Aetna. They found an external party - a third party if you will - to help 'administer' the plan.
Wait. Only administrative services? That's loony
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  #45  
Old 11-04-2019, 01:26 PM
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George Frankly George Frankly is offline
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Wait. Only administrative services? That's loony
I hope Warren and Bernie are taking notes.
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Butt-chugging seems like the best solution.
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  #46  
Old 11-04-2019, 02:00 PM
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ElDucky ElDucky is offline
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Health insurance should be more like car insurance. It covers low frequency high severity costs. You pay regular maintenance and upkeep. But for some reason we have this idea that insurance should pay all health costs, and government healthcare should cover everything as well. Although, people staying healthy with free care keeps them from needing expensive care in the first place. Hmmmm.

Can we just pay people to exercise?
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  #47  
Old 11-04-2019, 02:36 PM
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Or what if we just owned all the hospitals and only allowed members to use our locations?


I'm just innovatin my butt off over here.
Novel! You're a prime candidate for upper management.
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  #48  
Old 11-04-2019, 02:48 PM
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Novel! You're a prime candidate for upper management.
I see what you did there with 'prime'...as in amazon prime. woah..
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  #49  
Old 11-04-2019, 02:59 PM
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Is Upper Management allowed bathroom breaks or do they just hook you into a catheter and feeding tubes?
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  #50  
Old 11-04-2019, 03:21 PM
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So - Amazon, Berkshire and JPMorgan created another health exchange?
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