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Co-Pays versus Coinsurance

Hoo, boy. Every day brings more surprises. Reading the House bill I came across a peculiar provision I haven’t seen mentioned anywhere. As part of Title II, Subtitle C, “Standards Guaranteeing Access to Essential Benefits” there is this

“In establishing cost-sharing levels for basic, enhanced, and premium plans under this subsection, the Secretary shall, to the maximum extent possible, use only copayments and not coinsurance.” (page 108)

For some reason the House of Representatives believes that co-payments are good and coinsurance is bad. It’s not that one is more affordable than the other. All “cost-sharing” is limited to $5,000 per individual and $10,000 per family per year.

Most corporate HR people are trying to move away from co-payments in favor of coinsurance after many years of experiencing each. Coinsurance reveals to the consumer the underlying cost of the services consumed, while co-payments hide that knowledge.

And maybe that’s the point. The legislation is already hiding the cost of the insurance coverage by providing income-based subsidies. What a consumer will pay for coverage has no relationship to the cost of the coverage. It is institutionalizing ignorance.

And now it seems that the cost sharing within the insurance will bear no resemblance to the cost of the service. The “price” people pay will be just what we say it is, no more and no less.

If information is power, this is a deliberate effort to keep citizens powerless and enhance the power of the elite. Only the elite will know the real cost of anything and the citizenry will be dependent on their goodwill for the prices we pay

View all comments (32) |

Michael F| 12.5.09 @ 10:22AM

Bravo, Mr. Scandlen! Health care will continue to be plagued with cost control problems if prices are ignored. The fear of markets runs deep among the elites and our legislators. I think the proponents or more consumer participation in health care purchases must be on to something.

Ken (Old Texican)| 12.5.09 @ 12:41PM

Greg,
Thank you for that peek.
...just yet another "devil" in the details isn't it.

I wrote here the other day: "I wouldn't trust these people to write and pass ANY bill. "

Sad state of affairs ain't it?

Pingback| 12.5.09 @ 12:47PM

Co-Pays versus Coinsurance links to this page. Here’s an excerpt:

…Co-Pays versus Coinsurance December 5th, 2009 Hoo, boy. Every day brings more surprises. Reading the House bill I came across a peculiar provision I havena t seen mentioned anywhere. Read the story on Topix Posted in News Leave a Reply Click here to cancel reply. Name (required) Mail (will not be published) (required) Website Copyright © 2009 theaudiobookstoreonline.com. All Rights Reserved. Designed by

Ken (Old Texican)| 12.5.09 @ 12:48PM

OKOK, (smile)

I haven't had much to say about the healthcare lies.

I shall observe the following, however:

Sarah nailed it: "Death Panels".

That is all we need to know, really. The government is in the process of legalizing the murder of us citizens , merely because we are too old or too sick....or in too much pain.

...Seems to me with passage of this bill, everything we do in the future is pure self defense.

Pingback| 12.5.09 @ 1:35PM

Twitter Trackbacks for The American Spectator : AmSpecBlog : Co-Pays versus Coinsura links to this page. Here’s an excerpt:

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The American Spectator : AmSpecBlog : Co-Pays versus Coinsurance « Work4Real | Blogs links to this page. Here’s an excerpt:

…… Content extracted from: http://blogsearch.google.com/blogsearch?q=greg&num=20&safe=active&hl=en&lr=lang_en&ie=ISO-8859-1 Source url: http://spectator.org/blog/2009/12/05/co-pays-versus-coinsurance If you are here you could be interested to those articles also: If you have not found what you are looking for try to search it filling the field below and pressing enter:…

Pingback| 12.31.09 @ 11:00PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…comments Leave a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance policies requiring that only fixed…

Pingback| 12.31.09 @ 11:00PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…Leave a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance policies requiring that only…

Pingback| 12.31.09 @ 11:00PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…comments Leave a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance…

Pingback| 12.31.09 @ 11:00PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance policies requiring that only fixed…

Pingback| 12.31.09 @ 11:00PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…Goto comments Leave a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance policies…

Pingback| 12.31.09 @ 11:00PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…Goto comments Leave a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance policies requiring that only fixed co-pays be used: “In…

Pingback| 12.31.09 @ 11:00PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…Goto comments Leave a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance policies…

Pingback| 12.31.09 @ 11:00PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance policies requiring that only fixed co-pays be…

Pingback| 12.31.09 @ 11:00PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…Leave a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance policies requiring that only…

Pingback| 12.31.09 @ 11:01PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…Leave a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance policies requiring…

Pingback| 12.31.09 @ 11:01PM

Political News Highlights and Controversy» House Health Care Bill Bans Coinsurance links to this page. Here’s an excerpt:

…Goto comments Leave a comment Hello there! If you are new here, you might want to subscribe to the RSS feed for updates on this topic. Powered by WP Greet Box Easy AdSense by UnrealAccording to Greg Scandlen, the House version of the government health care take over bans co-insurance in health insurance…

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chamilia | 12.24.10 @ 3:03AM

I'm reminded why I haven't ventured into the tcot or p2 hashes in a while. Leftists there R dumber than a bag of hammers.

More Blog Posts by Greg Scandlen

http://spectator.org/blog/2009/12/05/co-pays-versus-coinsurance

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