Massachusetts health care performing badly?

Today’s WSJ has a rather negative article on the state of our state’s universal health insurance program.

Before everyone at BMG has a cow just because it was the WSJ that leveled this criticism, perhaps you can read the (free) op ed piece  and comment on some of the metrics reported.

Yes, yes, I know it’s on the Op Ed page, but I’m hoping you’ll address the facts.  Are they accurate? Here are some important ones:

  • $47 million deficit in 2010 (that’s what?  6% deficit?)
  • 5% budget increase over 2010 to $913 million for 2011
  • 6.7% annual spending growth
  • highest in the nation premiums
  • 30% premium growth in the individual market since 2006 (but when was the plan implemented?)
  • medical loss ratio of 112%, a blueprint for provider bankruptcy

    The WSJ further reports that Patrick may consider capping premiums?  Did I read that right?  Insurers already pay $1.12 in benefits for every $1.00 in premium collected.  

    How will capping premiums not create health care service shortages?  At what point do insurers simply fold up shop?

    Is not having 15% higher relative costs for health care than other states, after adjusting for the higher wages and salaries and other cost of living factors, a disincentive for employers to expand or relocate to MA?

    I’m not adverse to our state’s universal health coverage, from a practical point of view (though certainly I am philosophically,) but if the WSJ report is true, how is any of this sustainable?

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    8 Comments . Leave a comment below.
    1. The link is behind a pay wall.

    2. The facts, are they accurate?

      I don't know. You're the one posting the diary.

    3. Interesting (but not surprising) results from State healthcare assessment

      Source: DemConWatch, January 17, 2010:

      The Massachusetts Division of Health Care Finance and Policy performed a study. You can read it in its entirety after the jump (they made a nice PowerPoint.) A few highlights from the sole state with 96% insurance coverage:

      Non-elderly adults were the most likely to report difficulty obtaining health care, at 28%.  17% of children and 24% of the total population had difficulty obtaining health care in Massachusetts in 2008 despite the fact that the official (and inflated) estimates claim that about 97% of the populace now has health insurance. -------------- Non-elderly adults in fair or poor health were more likely to report difficulty obtaining health care than those in better health (40% versus 27%). -------------- The principle reason care is difficult to obtain is that re-imbursements under subsidized plans is extremely low, resulting in many doctors freezing their practices and refusing to admit new patients.  Thus the pressure on Emergency Rooms continues. 26% of the Massachusetts residents report an ER visit in the past 12 months. --------------- 16% of residents with medical problems report difficulty paying medical bills. Remember, these numbers do not even include the 21% who reported going without needed healthcare because they could not afford it. ---------------- Unmet need for care because of cost was highest among non-elderly adults with family income between 150% and 299% FPL (Federal Poverty Line). Some 40% of residents in this income group skipped needed health care in the past 12 months, compared with 15% of those with family income at or above 500% FPL. ----------------- Non-elderly adults in fair or poor health were more likely than those in better health to have gone without needed health care because of cost (43% versus 24%). ----------------------- Non-elderly adults with a disability were more likely than those without a disability to have gone without needed health care because of cost (38% versus 23%).

      Link to the Imaged MDHCFP Presentation:

    4. Small Businesses Group Market under 50 employees

      Have seen 30% + increases.

    5. Performing badly

      because it was a retarded idea in the first place, setting up Massachusetts as the pilot state for UnConstitutional mandated insurance.  Far above who pays for what just about every health related topic is a complete disaster.  From toxic food additives to GMOs,forced vaccines and hypocondriac inducing 24/7 "ask your doctor for" ads. Oh, yeah, I could go on and on.

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    Thu 20 Jun 6:44 AM