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<channel>
	<title>Walter Ray Holt</title>
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	<link>http://www.walterrayholt.com</link>
	<description>California Health Insurance Agent</description>
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		<title>5 Benefits of Offering Employee Benefits</title>
		<link>http://www.walterrayholt.com/2012/03/5-benefits-of-offering-employee-benefits/</link>
		<comments>http://www.walterrayholt.com/2012/03/5-benefits-of-offering-employee-benefits/#comments</comments>
		<pubDate>Wed, 07 Mar 2012 19:40:14 +0000</pubDate>
		<dc:creator>administrator</dc:creator>
				<category><![CDATA[Employee Benefits]]></category>
		<category><![CDATA[Small Business]]></category>
		<category><![CDATA[california small business]]></category>
		<category><![CDATA[employer health plans]]></category>
		<category><![CDATA[group health insurance]]></category>
		<category><![CDATA[group medical plans]]></category>
		<category><![CDATA[health insurance]]></category>

		<guid isPermaLink="false">http://www.walterrayholt.com/?p=210</guid>
		<description><![CDATA[When it comes to employee benefits, where does your company stand? Paid vacation? Tuition reimbursement? Medical insurance?  Unlimited vacation days? &#8230; wait, what?
That&#8217;s right, unlimited vacation days. This perk has become more common in today&#8217;s workplaces. Company&#8217;s like Red Frog Events have quite the attractive benefits package, which includes unlimited vacation days along with health/dental/vision [...]]]></description>
			<content:encoded><![CDATA[<h2>When it comes to employee benefits, where does your company stand? Paid vacation? Tuition reimbursement? Medical insurance?  Unlimited vacation days? &#8230; wait, what?</h2>
<p>That&#8217;s right, unlimited vacation days. This perk has become more common in today&#8217;s workplaces. Company&#8217;s like Red Frog Events have quite the attractive benefits package, which includes unlimited vacation days along with health/dental/vision insurance &amp; a 401k plan where they match up to 10% of salary. It doesn&#8217;t stop there. They also offer $100/ month in cell phone reimbursement, one work from home day per week, sabbatical, a trip abroad, a birthday massage, free food and drinks, and much much more.</p>
<p><img class="alignnone size-full wp-image-204" title="tree-house-slide" src="http://www.walterrayholt.com/wp-content/uploads/2012/03/tree-house-slide.jpg" alt="" width="575" height="270" /></p>
<p>This isn&#8217;t even what caught our attention. Their 17,000-square-foot office is home to computers, desks, a tree house complete with zipline, a rock climbing wall, and a conference table made of 50,000 Legos.</p>
<p><strong>A fun and creative work environment has surely has its benefits.</strong></p>
<ol>
<li><strong>Easier Recruiting.</strong> Simply, the more you have to offer you&#8217;ll start attracting top talent from even the most prestigious universities and company&#8217;s. Young innovative thinkers thrive for a creative work environment to express their talents.</li>
<li><strong>Mutual Appreciation.</strong> When employers invest in the office space it let&#8217;s employees know that they care that their work environment is comfortable, relaxing, and stimulating.</li>
<li><strong>Less Stress &amp; More Happiness.</strong> Creative spaces encourage innovation, increase productivity, and inspire better performance.</li>
<li><strong>Free PR.</strong> Just like you&#8217;re reading about it here. Your company will draw more attention and may land yourself the spot of &#8220;Best Company&#8217;s to Work For&#8221; in your city.</li>
<li><strong>Enhanced Creativity.</strong> A work environment that is conducive to growth through the synergy between creative thinkers in a creative environment.</li>
</ol>
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		<title>Short Term Health Insurance from Assurant</title>
		<link>http://www.walterrayholt.com/2012/01/short-term-health-insurance-from-assurant/</link>
		<comments>http://www.walterrayholt.com/2012/01/short-term-health-insurance-from-assurant/#comments</comments>
		<pubDate>Sat, 07 Jan 2012 18:32:09 +0000</pubDate>
		<dc:creator>administrator</dc:creator>
				<category><![CDATA[Short Term Health Insurance]]></category>
		<category><![CDATA[assurant health]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[insurance]]></category>
		<category><![CDATA[plans]]></category>
		<category><![CDATA[short term]]></category>
		<category><![CDATA[temporary]]></category>

		<guid isPermaLink="false">http://www.walterrayholt.com/?p=176</guid>
		<description><![CDATA[Between jobs? Waiting for employer benefits to kick in? Currently a temp or seasonal employee? Did you recently graduate from college and no longer under your parent&#8217;s health plan?
These are one of many reasons why you may need an Assurant Health short term medical insurance plan. Sudden illnesses and accidents can lead to large medical [...]]]></description>
			<content:encoded><![CDATA[<h2>Between jobs? Waiting for employer benefits to kick in? Currently a temp or seasonal employee? Did you recently graduate from college and no longer under your parent&#8217;s health plan?</h2>
<div id="_mcePaste">These are one of many reasons why you may need an Assurant Health short term medical insurance plan. Sudden illnesses and accidents can lead to large medical bills. Keep your financial future safe at a price you can afford with Short Term Medical temporary insurance. Coverage starts the day after you apply and you may keep your own doctors.</div>
<p>Between jobs? Waiting for employer benefits to kick in? Currently a temp or seasonal employee? Did you recently graduate from college and no longer under your parent&#8217;s health plan?<br />
These are one of many reasons why you may need an Assurant Health short term medical insurance plan. Sudden illnesses and accidents can lead to large medical bills. Keep your financial future safe at a price you can afford with Short Term Medical temporary insurance. Coverage starts the day after you apply and you may keep your own doctors.</p>
<p><img class="alignnone size-full wp-image-64" title="assurant-125" src="http://www.walterrayholt.com/wp-content/uploads/2010/03/assurant-125.png" alt="" width="125" height="125" /></p>
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		<title>Aetna Advantage Plan for Individuals</title>
		<link>http://www.walterrayholt.com/2011/12/aetna-advantage-plan-for-individuals/</link>
		<comments>http://www.walterrayholt.com/2011/12/aetna-advantage-plan-for-individuals/#comments</comments>
		<pubDate>Sun, 11 Dec 2011 18:23:02 +0000</pubDate>
		<dc:creator>administrator</dc:creator>
				<category><![CDATA[Aetna]]></category>
		<category><![CDATA[advantage]]></category>
		<category><![CDATA[affordable]]></category>
		<category><![CDATA[families]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[individuals]]></category>
		<category><![CDATA[insurance]]></category>
		<category><![CDATA[plans]]></category>
		<category><![CDATA[quality]]></category>
		<category><![CDATA[self-employed]]></category>

		<guid isPermaLink="false">http://www.walterrayholt.com/?p=159</guid>
		<description><![CDATA[If you live in California and are looking for a health plan that fits your needs you may want to take a look at the Aetna Advantage Plans for individuals, families, and the self-employed.
Aetna Advantage Plans offer some of the best choices and value to help meet your health coverage needs. We can help you [...]]]></description>
			<content:encoded><![CDATA[<h2>If you live in California and are looking for a health plan that fits your needs you may want to take a look at the Aetna Advantage Plans for individuals, families, and the self-employed.</h2>
<p>Aetna Advantage Plans offer some of the best choices and value to help meet your health coverage needs. We can help you choose an affordable health insurance coverage from Aetna. <a title="See Plans &amp; Pricing for Aetna Advantage" href="https://www51.aetna.com/iqs/cp/ipsRedirect.do?action=viewBrokerLink&amp;bid=RNNC7%2bt8Gm4%3d&amp;LoggedInUserId=RNNC7%2bt8Gm4%3d&amp;ipsRole=b7K7%2f97acLo%3d" target="_blank">See Plans &amp; Pricing for Aetna Advantage</a><br />
<img class="alignnone" title="Aetna Logo" src="http://www.walterrayholt.com/wp-content/uploads/2010/03/aetna-125.png" alt="Aetna Advantage Health Plans" width="125" height="125" /></p>
<h3>Affordable quality &amp; choices</h3>
<p>Choose from a wide range of health insurance plans that offer excellent quality. Aetna Advantage plans are designed for maximum value, with lower monthly premiums, plus benefits for preventive care.You can choose how much to spend in premiums versus out-of-pocket expenses.</p>
<h3>Robust coverage,competitive costs</h3>
<p>Aetna offer plans with valuable featureswhich may include: An excellent combination of quality coverage and competitively priced premiums.  The freedom to see doctors whenever you need to, with no referrals needed. Coverage for preventive care, prescription drugs, doctor visits and hospitalization.  No deductible for well-women exams when you visit a network provider.  No claim forms to fill out when youuse a network provider.  Aetna’s nationwide provider network offers you a vast selection of licensed physicians and hospitals.</p>
<h3>Family Coverage</h3>
<p>Apply for coverage for yourself, your spouse, and children, or even just your children. Coverage can include prescription drugs, doctor visits, hospitalization and preventive care services.</p>
<h3>Tax Advantages</h3>
<p>Aetna also offer High Deductible plans thatare compatible with tax-advantaged Health Savings Accounts (HSAs). You can contribute money to your HSA tax-free. That money earns interest tax-free. And qualified withdrawals for medical expenses are tax-free, too.</p>
<h3>Coverage when you travel</h3>
<p>Like to travel? You have access to covered services from a nation wide network of doctors and hospitals that accept Aetna’s negotiated fees.</p>
]]></content:encoded>
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		<title>Tax-free compensation: Health care</title>
		<link>http://www.walterrayholt.com/2011/04/tax-free-compensation-health-care/</link>
		<comments>http://www.walterrayholt.com/2011/04/tax-free-compensation-health-care/#comments</comments>
		<pubDate>Mon, 18 Apr 2011 17:41:11 +0000</pubDate>
		<dc:creator>administrator</dc:creator>
				<category><![CDATA[Small Business]]></category>
		<category><![CDATA[California health insurance]]></category>
		<category><![CDATA[employee benefit plans]]></category>
		<category><![CDATA[employee health insurance]]></category>
		<category><![CDATA[group health plans]]></category>
		<category><![CDATA[insurance]]></category>
		<category><![CDATA[nontaxable compensation]]></category>
		<category><![CDATA[premiums]]></category>
		<category><![CDATA[tax free compensation]]></category>
		<category><![CDATA[tax free income]]></category>

		<guid isPermaLink="false">http://www.walterrayholt.com/?p=152</guid>
		<description><![CDATA[When you&#8217;re due for a raise, ask your company to get creative in your compensation. There are numerous ways to receive nontaxable compensation. Let&#8217;s look at some of the best alternatives to taxable earned income. Any time you can convert taxable income into nontaxable income, you&#8217;ve given yourself a raise. And when both you and [...]]]></description>
			<content:encoded><![CDATA[<p>When you&#8217;re due for a raise, ask your company to get creative in your compensation. There are numerous ways to receive nontaxable compensation. Let&#8217;s look at some of the best alternatives to taxable earned income. Any time you can convert taxable income into nontaxable income, you&#8217;ve given yourself a raise. And when both you and your company save money, it&#8217;s a win-win situation.</p>
<p>For example, health coverage. Health and hospitalization insurance premiums paid by your current or former employer are tax-free &#8212; a huge benefit. Let&#8217;s say your health insurance premiums come to $280 a month, or $3,360 a year (for an HMO policy for a family of four with a $1,500 deductible). If you&#8217;re in the 25% tax bracket and have to pick up the bill, the real cost to you would be $4,480. That&#8217;s $3,360 for the premiums and $1,120 for additional income taxes because you&#8217;ll be paying for the coverage in after-tax dollars. Having your company pick up the cost helps both of you. Your employer doesn&#8217;t have to pay the salary necessary to get you even, and it gets to write off the full cost of the coverage. Plus, neither of you has to pay the 7.65% payroll taxes on the premiums. And you, of course, boost your disposable income substantially.</p>
<p>By Jeff Schnepper, MSN Money</p>
<p><a title="Tax Free Compensation : Health Care" href="http://money.msn.com/taxes/8-types-of-income-the-irs-cannot-touch-schnepper.aspx?cp-documentid=6788063" target="_blank">read full article</a> or <a title="Group Health Insurance Quotes for Fresno Small Businesses" href="http://www.walterrayholt.com/small-business-group-health-quotes/"><strong>See Quotes for Group Health Plans</strong></a></p>
]]></content:encoded>
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		<title>Health Care Reform Update: June 11, 2010</title>
		<link>http://www.walterrayholt.com/2010/06/health-care-reform-update-june-11-2010/</link>
		<comments>http://www.walterrayholt.com/2010/06/health-care-reform-update-june-11-2010/#comments</comments>
		<pubDate>Sun, 13 Jun 2010 17:46:56 +0000</pubDate>
		<dc:creator>administrator</dc:creator>
				<category><![CDATA[Anthem Blue Cross]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[action]]></category>
		<category><![CDATA[care]]></category>
		<category><![CDATA[congress]]></category>
		<category><![CDATA[debate]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[legislation]]></category>
		<category><![CDATA[medicare]]></category>
		<category><![CDATA[network]]></category>
		<category><![CDATA[public]]></category>
		<category><![CDATA[reform]]></category>

		<guid isPermaLink="false">http://www.walterrayholt.com/?p=138</guid>
		<description><![CDATA[Health Care Reform Debate Alive and Well: Democrats continue to sell their plan for health care reform to Americans in the face of mixed public opinion, simultaneously battling Republicans pushing for its repeal.
Primary elections were held in 11 states this week as lawmakers returned to Washington, D.C., to face a growing list of unfinished legislative [...]]]></description>
			<content:encoded><![CDATA[<h3>Health Care Reform Debate Alive and Well: Democrats continue to sell their plan for health care reform to Americans in the face of mixed public opinion, simultaneously battling Republicans pushing for its repeal.</h3>
<p>Primary elections were held in 11 states this week as lawmakers returned to Washington, D.C., to face a growing list of unfinished legislative business including a jobs bill and environmental issues stemming from the Gulf crisis. Meanwhile, President Barack Obama launched a public relations campaign to combat skepticism around his new health care reform legislation and to promote the early implementation of certain provisions of the law.</p>
<p><span id="more-138"></span>Congressional lawmakers address concerns about the new health care reform legislation, particularly among senior citizens , who make up a disproportionate share of voters in midterm elections. Democrats and the administration are eager to publicize certain provisions of the bill, like retaining young adults on their parents&#8217; plans until age 26, as a way to gain support and to turn voters away from Republicans who called for its repeal.</p>
<p>On Tuesday, President Obama held a nationally televised town hall meeting at a senior center in Maryland to highlight the distribution of $250 rebate checks for senior citizens who hit the so-called &#8220;doughnut hole &#8221; in Medicare&#8217;s prescription drug coverage. The first round of checks was mailed yesterday and serves as the law&#8217;s first monetary benefit.</p>
<h3>State Battle Against Health Care Reform Law Continues:</h3>
<p>On Monday, Virginia Attorney General Ken Cuccinelli disputed the administration&#8217;s claim that the state lacks standing to challenge the new federal health care reform law. The lawsuit filed by Cuccinelli in the Eastern District Court cites a Virginia law that exempts state residents from being required to have health care coverage. Sebelius argued that states cannot simply pass a statute that would nullify a federal law. A hearing to determine next steps is set for July 1.</p>
<h2>Public Opinion</h2>
<p>Americans Want Repeal of Health Care Reform: A recently released Rasmussen report suggests that Americans are strongly in favor of repealing President Obama&#8217;s health care reform law. Fifty-eight percent of those polled favor repeal, while 62 percent believe the new legislation will increase the budget deficit. In addition, 57 percent predict health care costs will increase, while 51 percent feel the quality of care will decrease as a result of the new health care reform law.</p>
<h2>Looking Ahead</h2>
<p>Democrat lawmakers are expecting to pass the jobs bill next week but will need Republican support in order to get the 60 votes needed for passage. One provision of the bill, a 21 percent cut in Medicare payments to doctors, is being delayed as the bill moves through Congress and would ultimately be blocked if the legislation passes.</p>
<p>As the health care reform debate continues to take shape this year, we encourage you and others to engage members of Congress by visiting the <a title="Health Action Network" href="http://www.healthactionnetwork.com/" target="_blank">Health Action Network</a>.</p>
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		<title>This Week in Health Care Reform: June 4, 2010</title>
		<link>http://www.walterrayholt.com/2010/06/this-week-in-health-care-reform/</link>
		<comments>http://www.walterrayholt.com/2010/06/this-week-in-health-care-reform/#comments</comments>
		<pubDate>Sat, 05 Jun 2010 04:23:28 +0000</pubDate>
		<dc:creator>administrator</dc:creator>
				<category><![CDATA[Anthem Blue Cross]]></category>
		<category><![CDATA[Individual & Family]]></category>
		<category><![CDATA[cobra health plan]]></category>
		<category><![CDATA[dependent coverage]]></category>
		<category><![CDATA[graduating student health plan]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[health plans]]></category>
		<category><![CDATA[medicare]]></category>
		<category><![CDATA[student coverage]]></category>

		<guid isPermaLink="false">http://www.walterrayholt.com/?p=131</guid>
		<description><![CDATA[Health Care Reform
As lawmakers complete a week long recess in their home states, Obama administration officials move forward on implementing certain provisions of the health care reform legislation. Recent national polling shows a majority of Americans strongly favor repeal of the law.
As health care reform legislation continues to take shape this year, we encourage you [...]]]></description>
			<content:encoded><![CDATA[<p><span style="font-size: small;"><strong><strong>Health Care Reform</strong></strong></span></p>
<p>As lawmakers complete a week long recess in their home states, Obama administration officials move forward on implementing certain provisions of the health care reform legislation. Recent national polling shows a majority of Americans strongly favor repeal of the law.</p>
<p>As health care reform legislation continues to take shape this year, we encourage you and others to engage members of Congress by visiting the Health Action Network.</p>
<p><span id="more-131"></span></p>
<p><strong><em>Young Adults Might Not Be Covered Ahead of Schedule:</em></strong>WellPoint&#8217;s affiliated health plans and other insurers began extending medical coverage for qualifying graduating students on June 1, well in advance of the September 23deadline. However, many employers plan to wait to provide the extended coverage until they are legally required to do so, with an effective date of January 2011 for most employers.</p>
<p><strong><em>Senate Fails to Extend Bill for Doctors: </em></strong>Before leaving for the Memorial Day recess, House Democratic leaders scaled back health care language from the jobs bill before passing the bill. In the package, doctors who treat Medicare patients would see a 2.2% payment increase for the remainder of this year and a 1% payment increase in 2011. Extensions of COBRA subsidies and additional Medicaid funding for states were removed from the bill. Lawmakers in the Senate will vote on the bill when they return from recess next week.<strong> </strong></p>
<p><strong><em>Florida Judge Denies Government&#8217;s Motion: </em></strong>Health and Human Services Secretary Kathleen Sebelius asked a federal judge in Florida for a one-month extension to respond to the joint lawsuit filed by 20 states&#8217; attorneys general who challenged the constitutionality of the new health care reform law. U.S. District Judge Roger Vinson denied the administration&#8217;s request for an extension and instructed HHS officials to respond by the June 16 deadline. <strong> </strong></p>
<p><strong>Public Opinion</strong><strong> </strong></p>
<p><strong><em>Americans Want Repeal of Health Care Reform: </em></strong>A recently released Rasmussen report suggests that Americans are strongly in favor of repealing President Barack Obama&#8217;s health care reform law. Sixty percent of those polled favor repeal, while 62% believe the new legislation will increase the budget deficit. <strong> </strong></p>
<p><strong><em>Majority of Americans Unhappy with Reform: </em></strong>According to a new Quinnipiac University poll, 51% of Americans are unhappy with the new health care reform legislation and 70% are &#8220;dissatisfied&#8221; or &#8220;very dissatisfied&#8221; with the way things are going for the nation. <strong> </strong></p>
<p><strong>Looking Ahead</strong></p>
<p>Lawmakers return to Washington on Monday ahead of a contentious primary runoff in Arkansas between Democrats Sen. Blanche Lincoln and Lt. Gov. Bill Halter, with health care reform at the center of the debate. The winner of Tuesday&#8217;s Democratic nomination will face Republican Rep. John Boozman in the November elections. <strong> </strong></p>
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		<title>Health Care Reform Myths Vs. Realities</title>
		<link>http://www.walterrayholt.com/2010/04/health-care-reform-myths-vs-realities/</link>
		<comments>http://www.walterrayholt.com/2010/04/health-care-reform-myths-vs-realities/#comments</comments>
		<pubDate>Wed, 28 Apr 2010 03:24:10 +0000</pubDate>
		<dc:creator>administrator</dc:creator>
				<category><![CDATA[Aetna]]></category>
		<category><![CDATA[california]]></category>
		<category><![CDATA[coverage]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[HMO]]></category>
		<category><![CDATA[individual]]></category>
		<category><![CDATA[initiative]]></category>
		<category><![CDATA[insurance]]></category>
		<category><![CDATA[medicare]]></category>
		<category><![CDATA[medicine]]></category>
		<category><![CDATA[ppo]]></category>
		<category><![CDATA[premiums]]></category>
		<category><![CDATA[quotes]]></category>
		<category><![CDATA[reform]]></category>

		<guid isPermaLink="false">http://www.walterrayholt.com/?p=123</guid>
		<description><![CDATA[Myth: Higher health care costs are the result of continually rising insurance premiums, inflating the price of health care.
Fact: Just the opposite is true. Because insurance is a means of financing health care, premiums have to track the underlying cost of health care services. Those underlying costs have been rising and insurance premiums have simply [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Myth: Higher health care costs are the result of continually rising insurance premiums, inflating the price of health care.</strong></p>
<p><strong>Fact: Just the opposite is true. Because insurance is a means of financing health care, premiums have to track the underlying cost of health care services. Those underlying costs have been rising and insurance premiums have simply kept pace.</strong></p>
<p><strong><span id="more-123"></span></strong></p>
<p>Health care costs drive insurance premiums, not the other way around. Over the last decade, health care costs have risen about 7.7 percent a year on average, and insurance premiums have also risen at 7.7 percent.1 The overall rise in health care costs is a result of higher rates of chronic conditions such as obesity, diabetes and heart disease, more expensive technologies and procedures becoming available, and &#8220;cost shifting by the government&#8221; – that is, doctors and hospitals charge privately insured patients more to offset the losses that come from Medicare/Medicaid underpayments that do not cover costs. In fact, about 11 percent of the average family commercial Preferred Provider Organization (PPO) premium stems from government cost shifting.2 Other drivers of cost include waste in the system and how providers are reimbursed for delivering health care services; they are paid by procedure, which many believe leads to unnecessary care.</p>
<p>When Aetna sets its premiums for the year, it looks at how such costs are expected to grow and prices accordingly.  The primary factors responsible for price increases can and should be addressed through health care reform that emphasizes, for example, the importance of wellness and preventive medicine, administrative simplification, investment in health information technology (HIT), emphasis on evidence-based medicine and health delivery payment reform.</p>
<p>Aetna wants to slow rising costs, “bending the cost curve” of medical treatment. To draw more national attention to this issue, Aetna and the Aetna Foundation, along with the Commonwealth Fund, sponsored the September/October 2009 edition of Health Affairs, the leading journal of health policy, focused exclusively on cost drivers in health care.</p>
<p>More information is available about the <a href="http://www.bendingthecostcurve.com/" target="_blank">special edition of Health Affairs</a> and the real <a href="http://www.aetna.com/about/aoti/data/Cost_of_healthcare.pdf" target="_blank">drivers of rising health care costs</a> <img title="PDF" src="http://www.aetna.com/assets_aetnaCom/images/aetnaCom_rebrand/Icons/pdf_small.gif" border="0" alt="PDF" /><span style="font-family: 'Times New Roman'; font-size: small;"> (PDF).</span></p>
<p><strong>Myth: Health care companies reap huge profits and benefit from the status quo.</strong></p>
<p><strong>Fact: The average profit margin of health care companies stands at only 5 percent, lower than many other industries and other players in the health system. It is better for everyone if we get and keep all Americans covered.</strong></p>
<p>While there’s plenty of talk about “insurance company profits,” the truth is that health insurance companies’ five-year average profit margin is about 5.3 percent. That means for every dollar of revenue Aetna takes in, we make about 5 cents in profit. This is significantly less than drug companies (18.4 percent), cigarette manufacturers (13.4 percent) or computer software companies (22.5 percent).3 In fact, in 2008 Aetna paid about as much in taxes as it made in profit.</p>
<p>It also means that language casting health insurance companies as the villains in rising health care costs is inaccurate. In fact, Aetna has taken the lead in trying to bring down costs in health care through various initiatives, such as by investing $1.8 billion in health information technology since 2005 much of it to help patients interact more effectively with their doctors and to help doctors have access to information that greatly improves patient care. Health insurance companies in general, and Aetna in particular, are investing constantly in helping to improve American health care.</p>
<p><strong>Myth: Medicare is more cost-efficient than private insurance because its administrative costs are half as much as private plans.</strong></p>
<p><strong>Fact: Comparing Medicare&#8217;s claim costs and private plans&#8217; administrative costs is an apples-to-oranges comparison.  In areas of similarity (e.g., claims processing, actuarial and underwriting services), Medicare and private plans are much closer together on equivalent costs.</strong></p>
<p>Private health insurance administrative costs have led some to claim Medicare is a much more effective system and that a similar government-run program would be the most cost-effective option for Americans under 65. A closer look at administrative costs for Medicare and private plans paints a very different picture.</p>
<p>First, it is important to recognize that Medicare and private plans serve different populations. Medicare patients are older and require more care than the general population, which means that the average claim in Medicare ($10,003 in 2007) is two-and-a-half times more than the average claim for the under-65 population ($3,946).4 Consequently, Medicare&#8217;s administrative costs represent a much smaller percentage of total Medicare costs than does administrative costs in the non-Medicare world. Also, traditional Medicare does not provide the full spectrum of services that private plans do. For instance, Medicare does not promote care coordination, wellness, or disease management. As a result, Medicare may face higher overall costs &#8212; due to unnecessary care or erroneous payments &#8212; for reasons beyond the age of Medicare&#8217;s population. This means that as a percentage of claims, Medicare administrative costs are relatively small and comparisons to non-Medicare are misleading. The result is the same whether you look at total spending or total premiums paid. Add to this the fact that Medicare&#8217;s numbers only include claims processing, and the comparison is truly apples to oranges.</p>
<p>The bottom line: When you look solely at those administrative functions traditional Medicare performs, private plans perform them at lower cost. A new study found that when comparing based on functions performed by Medicare and private plans, Medicare has higher administrative costs of $13.19 per member per month versus private plan costs of $12.51 per member per month.5</p>
<p>Learn more about the value private insurers bring to Medicare by reading a <a href="http://www.ahip.org/content/default.aspx?bc=39|341|321" target="_blank">Medicare Advantage summary</a> prepared by America&#8217;s Health Insurance Plans.</p>
<p><strong>Myth:  Paying more for health care guarantees better treatments and better outcomes.</strong></p>
<p><strong>Fact: People who spend more often do not get better results, and in many cases, higher costs lead to worse results.</strong></p>
<p>People often assume that because a procedure or medication is more expensive, this signifies that such a treatment is newer, more advanced or better than some cheaper alternative. The truth is that what is effective and what is expensive are not always the same, and in many cases, can be quite the opposite. Studies have shown that states that spend the most per person on health care generally have the worst results. Texas and Louisiana have the most expensive health care in America. They are also two states with lower quality care than other states.</p>
<p>Research shows that when regional differences in spending and outcomes of care are examined, the higher-spending regions (compared to lower-spending regions) experience worse adherence to evidence-based care guidelines; higher mortality following acute myocardial infarction, hip fracture and colorectal cancer diagnosis; worse access to care and greater waiting times; worse inpatient experiences; and no difference in patient-reported satisfaction with ambulatory care.6</p>
<p>High-cost treatments need to take a back seat to high-value treatments; those procedures and medicines that provide the best medical results for the lowest cost. This doesn’t mean random cost-cutting of expensive procedures. It means intelligently examining what works and what doesn’t and directing our money there. In many cases, true cost-effectiveness studies on treatment aren’t done. When they are, the results are not always used by doctors. It is essential that health care reform put the emphasis on evidence-based medicine.</p>
<p>1 CMS, National Health Expenditures Data, 2009.<br />
2 Milliman, &#8220;Hospital and Physician Cost Shift,&#8221; December 2008.<br />
3 www.thestreet.com Ratio Comparison Chart for Industry, published March 2009.<br />
4 Centers for Medicare and Medicaid Services, National Health Expenditures, historical series, 2008.<br />
5 Sherlock Company, &#8220;Administrative Expenses of Health Plans,&#8221; 2009.<br />
6 The Dartmouth Institute for Health Policy &amp; Clinical Practice, &#8220;Health Care Spending, Quality and Outcomes: More Isn&#8217;t Always Better,&#8221; 2009.</p>
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		<title>April 2010 &#8211; Update on the Health Care Reform</title>
		<link>http://www.walterrayholt.com/2010/04/kaiser-update-on-the-health-care-reform/</link>
		<comments>http://www.walterrayholt.com/2010/04/kaiser-update-on-the-health-care-reform/#comments</comments>
		<pubDate>Wed, 28 Apr 2010 03:07:06 +0000</pubDate>
		<dc:creator>administrator</dc:creator>
				<category><![CDATA[Kaiser Permanete]]></category>
		<category><![CDATA[adult]]></category>
		<category><![CDATA[california]]></category>
		<category><![CDATA[children]]></category>
		<category><![CDATA[coverage]]></category>
		<category><![CDATA[federal]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[kaiser]]></category>
		<category><![CDATA[reform]]></category>

		<guid isPermaLink="false">http://www.walterrayholt.com/?p=118</guid>
		<description><![CDATA[The new federal health care reform law may change how some consumers access health care and health care coverage. Kaiser Permanente is currently working to interpret and implement changes mandated by the new law in accordance with the schedule outlined by Congress. In some cases, like the coverage of adult children, the law calls for [...]]]></description>
			<content:encoded><![CDATA[<p>The new federal health care reform law may change how some consumers access health care and health care coverage. Kaiser Permanente is currently working to interpret and implement changes mandated by the new law in accordance with the schedule outlined by Congress. In some cases, like the coverage of adult children, the law calls for the benefit to be offered six months from the date the bill became law. Other provisions of the law will take effect in future years. In almost all cases, the government will need to put new regulations in place before we can make these changes.</p>
<p><a href="http://xnet.kp.org/reform/">Go to kp.org/reform</a> to get detailed information about Kaiser Permanente&#8217;s principles and perspective on health care reform.</p>
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		<title>Kaiser Permanente Makes the Link Between Sustainability and Health</title>
		<link>http://www.walterrayholt.com/2010/04/kaiser-permanente-makes-the-link-between-sustainability-and-health/</link>
		<comments>http://www.walterrayholt.com/2010/04/kaiser-permanente-makes-the-link-between-sustainability-and-health/#comments</comments>
		<pubDate>Wed, 28 Apr 2010 02:58:49 +0000</pubDate>
		<dc:creator>administrator</dc:creator>
				<category><![CDATA[Kaiser Permanete]]></category>
		<category><![CDATA[california]]></category>
		<category><![CDATA[center]]></category>
		<category><![CDATA[environment]]></category>
		<category><![CDATA[family]]></category>
		<category><![CDATA[green]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[individual]]></category>
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		<category><![CDATA[recycling]]></category>

		<guid isPermaLink="false">http://www.walterrayholt.com/?p=108</guid>
		<description><![CDATA[Kaiser Permanente&#8217;s commitment to responsible and sustainable construction practices is visible well before foundations are poured for new buildings. When workers demolish old structures, they separate for recycling metals, concrete, asphalt, and other materials. For example, 96 percent of the debris from the demolished buildings at the site of the new Oakland (Calif.) Medical Center [...]]]></description>
			<content:encoded><![CDATA[<p>Kaiser Permanente&#8217;s commitment to responsible and sustainable construction practices is visible well before foundations are poured for new buildings. When workers demolish old structures, they separate for recycling metals, concrete, asphalt, and other materials. For example, 96 percent of the debris from the demolished buildings at the site of the new Oakland (Calif.) Medical Center was recycled and diverted from landfills.</p>
<p><object width="560" height="340"><param name="movie" value="http://www.youtube.com/v/oZMTRbuExwI&#038;hl=en_US&#038;fs=1&#038;rel=0&#038;color1=0x2b405b&#038;color2=0x6b8ab6"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/oZMTRbuExwI&#038;hl=en_US&#038;fs=1&#038;rel=0&#038;color1=0x2b405b&#038;color2=0x6b8ab6" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="560" height="340"></embed></object></p>
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		<title>New Initiative Addresses Dependent Coverage Gap</title>
		<link>http://www.walterrayholt.com/2010/04/new-initiative-addresses-dependent-coverage-gap/</link>
		<comments>http://www.walterrayholt.com/2010/04/new-initiative-addresses-dependent-coverage-gap/#comments</comments>
		<pubDate>Thu, 22 Apr 2010 18:51:31 +0000</pubDate>
		<dc:creator>administrator</dc:creator>
				<category><![CDATA[Anthem Blue Cross]]></category>
		<category><![CDATA[benefits]]></category>
		<category><![CDATA[children]]></category>
		<category><![CDATA[coverage]]></category>
		<category><![CDATA[dependents]]></category>
		<category><![CDATA[extended]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[health care]]></category>
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		<category><![CDATA[plans]]></category>
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		<category><![CDATA[reform]]></category>
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		<guid isPermaLink="false">http://www.walterrayholt.com/?p=103</guid>
		<description><![CDATA[Just announced: New initiative addresses dependent coverage gap, helps parents keep their adult children covered.
It was announced earlier this week that our parent company is taking steps to prevent a gap in coverage that could leave many young Americans uninsured.
Each year in June, many young people &#8211; because of their age, student status or other [...]]]></description>
			<content:encoded><![CDATA[<h2>Just announced: New initiative addresses dependent coverage gap, helps parents keep their adult children covered.</h2>
<p>It was announced earlier this week that our parent company is taking steps to prevent a gap in coverage that could leave many young Americans uninsured.</p>
<p>Each year in June, many young people &#8211; because of their age, student status or other factors &#8211; become ineligible as dependents on their parents&#8217; insurance policies. Health care reform legislation, signed into law last month, will extend dependent coverage to age 26 for plan years beginning September 23, 2010. While this is great news, it also means that many members would face a coverage gap during the months before this provision is fully implemented.</p>
<p><span id="more-103"></span></p>
<p>To help these members, we&#8217;re working, in collaboration with the U.S. Department of Health and Human Services and state regulators, to allow young men and women to remain on their parents&#8217; group and individual health policies even before this health care reform provision takes effect. Beginning June 1, we will continue to provide health benefits to those dependents that would otherwise lose coverage because of their age, student status or other factors during the gap period between June 1, 2010, and the September 23, 2010, effective date. This extension of coverage will not be retroactive, however, for those who have dependents who aged out prior to June 1, 2010. Those individuals will be able to add their dependents back onto their policies with the new plan year beginning on or after September 23 in accordance with the new law.</p>
<p>Our ASO, and any fully or partially self-funded accounts over 100 lives, will have the option of not offering this extended coverage. We will work with these groups individually to ensure their needs and the needs of their employees continue to be met. We&#8217;re developing additional information that will help these groups opt out, if they choose to.</p>
<p>Some states already have provisions that allow for dependents up to the age of 26 to be included on their parents&#8217; policy. However, in many states this new coverage will allow for many more dependents to remain on their parents&#8217; policies, so we will provide additional details regarding how this decision coordinates with state mandates and dependent coverage in future communications.</p>
<p>As with every subsidiary of our parent company, it&#8217;s our priority to protect access to health benefits for our members. We believe this initiative will help do this, while giving our members the chance to get even more from health care reform. For details, please take a look at this <a title="Extension of Dependent Benefits Frequently Asked Questions" href="http://click.email.anthem.com/?ju=fe2116767d610274741776&amp;ls=fdf91d727167057977127270&amp;m=feff1074766104&amp;l=fe56157673670d757017&amp;s=fe24157773610c7d711375&amp;jb=ffcf14&amp;t=" target="_blank">Q&amp;A</a> and <a title="WellPoint Announces Plan to Extend Health Care Coverage" href="http://click.email.anthem.com/?ju=fe2016767d610274741777&amp;ls=fdf91d727167057977127270&amp;m=feff1074766104&amp;l=fe56157673670d757017&amp;s=fe24157773610c7d711375&amp;jb=ffcf14&amp;t=" target="_blank">news release</a>. You can also expect more information as it becomes available.</p>
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