Quality? Years back, the DMCB recalls dealing with a large employer group that ended up buying a competing plan. The difference was that my company pitched a plan with first dollar coverage of colon cancer screening with some other preventive care benefits, while the competition offered a more stripped down insurance plan without any meaningful coverage for cancer screening.
That’s why the DMCB thinks amount of the monthly premium level is the first, the second and the third most important factors used by consumers when it comes to buying health insurance. So, whether the President knows it or not, the competition between the proposed public plan option and the private insurers is very likely to hinge on price.
Which may be what he and the other proponents of the public plan want all along. After all, a public plan will be able to dictate terms to providers, carry far less administrative overhead and not have to worry about additional cost shifting to the private insurers.
a) looking for other complex regulatory loopholes and cozy relationships that permit continuing bad behavior: even stricter interpretation of the medical benefit (denials), tougher contracting with providers (low ball fee schedules) and more aggressive underwriting whenever they can get away with it. Think the arms race, gamesmanship and bombast between the politicians and private insurers will cease with the passage of an HR 3200? Think again.