"While I believe UnitedHealthcare has been active in health system reform, it would be interesting to know where UHC stands on issues of real impact, such as promotion of the various provisions related to payment reform and changes in how care is delivered," says Larry Boress, president and CEO, Midwest Business Group on Health. The group's 100 members represent over 3 million lives and spend more than $3 billion on healthcare benefits each year.
I had follow up questions for insurers about the issues raised by Larry Boress and others; unfortunately, I was referred back to their original press statements for answers.
Surely health insurers realize that stakeholders, including providers and members, will be looking for more information about how healthcare reform will continue in a non-ACA world. "The tougher discussion, if the individual mandate is set aside, will be how the guaranteed issue and community rating requirements of the ACA will be negotiated. Otherwise, plans will have no choice than to raise premiums substantially," says Paul Keckley, Ph.D., executive director, Deloitte Center for Health Solutions.