Cap the profits of health care insurers.

Former CIGNA executive Wendell Potter reports that in the early 1990s health insurance companies devoted more than 95% of every premium dollar to paying doctors and hospitals to reimburse them for health care provided to insurers. Things have changed:

Today, insurers only pay about 81 cents of each premium dollar on actual medical care. The rest is consumed by rising profits, grotesque executive salaries, huge administrative expenses, the cost of weeding out people with pre-existing conditions and claims review designed to wear out patients with denials and disapprovals of the care they need the most.
They keep profits high by creatively denying claims, canceling individual policies when insureds get sick, kicking unprofitable insureds out of the insurance pool, and issuing confusing benefit statements to insureds. Potter, with the support of Senator Al Franken, makes the case that Congress should pass legislation requiring health insurers to pay at least 90% of the premiums for real health care. According to Potter, the difference between 81% and 95% is $112 billion a year, which would amount to a significant reduction in premiums or a significant improvement in coverage. Wendell Potter is a voice we can trust when it comes to health care reform. A few months ago, I posted regarding his lengthy interview with Bill Moyers. See, also, Potter's recent interview at MSNBC, indicating that the health care industry owns the U.S. Senate. Potter makes clear that there is no reform taking place with current "reform" legislation.

Continue ReadingCap the profits of health care insurers.