Customer Resource Centers Digital Locker Performance management That’s why some employers are taking the directive into their own hands, said David Lansky, chief executive officer of the San Francisco-based nonprofit business coalition Pacific Business Group on Health and chairman of the Health Care Transformation Task Force. The task force’s membership, which includes health insurers and health-care providers, among others, has committed to having 75% of its businesses in value-based models by 2020. But it is hard work, said Jeff Micklos, the task force’s executive director, with numbers this year showing overall progress toward the goal at just over 40%.
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Your Credit What we agree on, broadly, is that the rules should apply to everyone. But we’ve yet to put this moral principle into practice. The challenge for any plan is to avoid the political perils of a big, overnight switch that could leave many people with higher costs and lower benefits. There are, however, many options for a gradual transition. Just this June, the Nevada legislature passed a bill that would have allowed residents to buy into the state’s Medicaid plan—if the governor hadn’t vetoed it. A similar bill to allow people to buy into Medicare was recently introduced in Congress. We need to push such options forward. Maintaining the link between health coverage and jobs is growing increasingly difficult, expensive, and self-defeating. But deciding to build on what’s currently working requires overcoming a well of mistrust about whether such investments will really serve a shared benefit.
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Arnold, with his code of self-reliance, had eliminated nearly all sources of insecurity from his life. But here was one that was beyond his control. “The biggest worry I have would be some sort of health-care need,” he said. A serious medical issue would cost him his income. As an independent contractor, he isn’t eligible for unemployment benefits. And, having passed the age of fifty, he was just waiting for some health problem to happen.
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Insurance Basics “Who’s responsible for the health-care dollar? First in line is Medicare. Next in line is self-insured employers, or just employers,” Terry said. “We’re seeing more interest from employers than health plans.”
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