How Does an Insurance Company Feel About the Affordable Care Act?

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I think there are a few things in the Affordable Care Act like any large bill. When you put a large bill together, you make certain compromises. Those sides would say that there are things that ought to be changed in the bill. I frankly think it would on affordable care. We shouldn't have revenue raising items on the bill because those revenue raising items wind up getting passed back to the consumer.

In my mind, the Affordable Care Act was an instigator, if you will. It got a lot of the activity moving in the market place. You look around the country right now, there are more alternative payment arrangements, meeting things like a carnival care organizations patients centered medical homes those kinds of arrangements in place.

In the private sector, many multiples of what has been done in the government ACOs because the private sector is good at innovating. it moves with speed, it doesn't have all the bureaucracy in place, and so I I think the Affordable Care Act actually lid a fire that allow the private sector to move on and move quickly and bring the parties together, so I give it a lot of credit for that but I do think the private sector is going to create some of the most innovative and forward thinking arrangements in the marketplace, and we absolutely want the government as a partner.

Medicare and Medicate moving to payment models that get created, and get driven in the private sector, will create off a lot of synergy to really transform the entire health marketplace. The first thing about that from an economic standpoint is that you've all kinds of people today, who aren't covered but who are getting care, and they are getting it in the most ineffective way possible.

They are coming in for emergency room, and they are coming in an acute state, that's not effective for anybody, and it ends up being uncompensated care, and so the payment for that, gets shifted to all those people who are paying the bill. So, today's system is fraudulent in very many ways just on the economic level.

On the delivery system side of that, I think we're going to see very different models than we have in place today, covering children aged 26, I think a very appropriate thing. Something we jumped on and we voluntarily did very early on, pre-existing condition exclusion. That's not something the industry wanted to have in place, but if people have the option to pick in or out then you have to have something that protects the riskful if you will.

I am looking to align ourselves with those people who are serious about improving the quality and the effectiveness of our health system, no matter where they come from on the political spectrum.