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	<title>Comments on: In Defense of WellPoint</title>
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	<link>http://blog.corporateresearchgroup.com/2010/02/11/in-defense-of-wellpoint/</link>
	<description>Inside view on the business of healthcare</description>
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		<title>By: Carl Mercurio</title>
		<link>http://blog.corporateresearchgroup.com/2010/02/11/in-defense-of-wellpoint/#comment-873</link>
		<dc:creator><![CDATA[Carl Mercurio]]></dc:creator>
		<pubDate>Fri, 12 Feb 2010 18:01:35 +0000</pubDate>
		<guid isPermaLink="false">http://blog.corporateresearchgroup.com/?p=3523#comment-873</guid>
		<description><![CDATA[Actually, Jaan, I think we&#039;re essentially in agreement except I&#039;d say that the Obama Administration and Congressional Dems should focus their energies on getting tough and doing whatever it takes to push through reforms that really address the broken individual insurance market, fix the problem of the uninsured, ensure adequate coverage, and bend the trend.  The Senate/House efforts -- for all their flaws -- were a decent start.]]></description>
		<content:encoded><![CDATA[<p>Actually, Jaan, I think we&#8217;re essentially in agreement except I&#8217;d say that the Obama Administration and Congressional Dems should focus their energies on getting tough and doing whatever it takes to push through reforms that really address the broken individual insurance market, fix the problem of the uninsured, ensure adequate coverage, and bend the trend.  The Senate/House efforts &#8212; for all their flaws &#8212; were a decent start.</p>
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		<title>By: Jaan Sidorov, MD</title>
		<link>http://blog.corporateresearchgroup.com/2010/02/11/in-defense-of-wellpoint/#comment-872</link>
		<dc:creator><![CDATA[Jaan Sidorov, MD]]></dc:creator>
		<pubDate>Fri, 12 Feb 2010 17:50:36 +0000</pubDate>
		<guid isPermaLink="false">http://blog.corporateresearchgroup.com/?p=3523#comment-872</guid>
		<description><![CDATA[Hello Carl.  I respectfully disagree!  From my blog below…..

Egads, doesn&#039;t Ms. Sebelius have enough to worry about?  She faxed a letter to California-based Anthem Blue Cross, expressing how &#039;disturbed&#039; she was by &#039;unaffordable&#039; rate increases &#039;as much as 39%&#039; in the face of $2.7 billion profits. She calls for greater transparency on the ratio of medical vs. overhead costs and urges Anthem to &#039;cooperate fully&#039; with California&#039;s Insurance Commissioner, because [gulp!] she will be &#039;closely monitoring the situation.&#039;

I think this is really the latest example of perma-campaign mode political grandstanding.  Ms. Sebelius is not a national health insurance comissioner with jurisdication over state regulated plans. She’d do better with her considerable administrative and political skills addressing the government&#039;s 10.4% trend rate, relentless growth to the point of accounting for 50% of all health care costs, a budget increase in 2011 in excess of $80 million with close to 3000 additional FTEs, not having anyone at the helm at CMS, and a looming deficit that has perilous national security implications.

I can only hope Ms. Sebelius&#039; puffery wasn&#039;t completely orchestrated by the White House&#039;s Four Horsmen and that she actually took the took the time to personally look at Wellpoint&#039;s 2009 financials. If she did, she&#039;d know the company lost 1.4 milion members, mostly from its small group business. Operating revenue went down compared to 2008, the cost trend was high at 8.9% thanks to rising provider costs and investment income was lower. It all adds up to a toxic brew of premium increases due to a combination of higher medical costs and unfavorable underwriting: in the current economy, healthy persons that can do without insurance drop it, leaving behind relatively more sick persons with high health care costs. It can be argued that a rate increase was the responsible thing to do in the face of relentless health system cost increases - unless, of course, you&#039;re willing to trample on State&#039;s rights, fudge entitlements, print money and borrow from the Chinese.

Ms. Sebelius can fuss all she wants. The there are only so many premium dollars to cover the cost, the State of California is in charge, and the Obama Administration&#039;s time would be better spent on dealing with bigger problems that it can actually do something about.  In fact, I’m going to double down and predict that, once the news cycle moves on, Anthem will quietly provide all its pricing information to all the various Committee Chairs, Senators, Commissioners, Commissars and Potentates. After a requisite amount of nit-picking and face-saving adjustments, the bulk of the premium increases will stand. That&#039;s because, in this particular instance, health care inflation and the political process are the real problems, not the health insurance industry.

Best regards, 
Jaan]]></description>
		<content:encoded><![CDATA[<p>Hello Carl.  I respectfully disagree!  From my blog below…..</p>
<p>Egads, doesn&#8217;t Ms. Sebelius have enough to worry about?  She faxed a letter to California-based Anthem Blue Cross, expressing how &#8216;disturbed&#8217; she was by &#8216;unaffordable&#8217; rate increases &#8216;as much as 39%&#8217; in the face of $2.7 billion profits. She calls for greater transparency on the ratio of medical vs. overhead costs and urges Anthem to &#8216;cooperate fully&#8217; with California&#8217;s Insurance Commissioner, because [gulp!] she will be &#8216;closely monitoring the situation.&#8217;</p>
<p>I think this is really the latest example of perma-campaign mode political grandstanding.  Ms. Sebelius is not a national health insurance comissioner with jurisdication over state regulated plans. She’d do better with her considerable administrative and political skills addressing the government&#8217;s 10.4% trend rate, relentless growth to the point of accounting for 50% of all health care costs, a budget increase in 2011 in excess of $80 million with close to 3000 additional FTEs, not having anyone at the helm at CMS, and a looming deficit that has perilous national security implications.</p>
<p>I can only hope Ms. Sebelius&#8217; puffery wasn&#8217;t completely orchestrated by the White House&#8217;s Four Horsmen and that she actually took the took the time to personally look at Wellpoint&#8217;s 2009 financials. If she did, she&#8217;d know the company lost 1.4 milion members, mostly from its small group business. Operating revenue went down compared to 2008, the cost trend was high at 8.9% thanks to rising provider costs and investment income was lower. It all adds up to a toxic brew of premium increases due to a combination of higher medical costs and unfavorable underwriting: in the current economy, healthy persons that can do without insurance drop it, leaving behind relatively more sick persons with high health care costs. It can be argued that a rate increase was the responsible thing to do in the face of relentless health system cost increases &#8211; unless, of course, you&#8217;re willing to trample on State&#8217;s rights, fudge entitlements, print money and borrow from the Chinese.</p>
<p>Ms. Sebelius can fuss all she wants. The there are only so many premium dollars to cover the cost, the State of California is in charge, and the Obama Administration&#8217;s time would be better spent on dealing with bigger problems that it can actually do something about.  In fact, I’m going to double down and predict that, once the news cycle moves on, Anthem will quietly provide all its pricing information to all the various Committee Chairs, Senators, Commissioners, Commissars and Potentates. After a requisite amount of nit-picking and face-saving adjustments, the bulk of the premium increases will stand. That&#8217;s because, in this particular instance, health care inflation and the political process are the real problems, not the health insurance industry.</p>
<p>Best regards,<br />
Jaan</p>
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		<title>By: Carl Mercurio</title>
		<link>http://blog.corporateresearchgroup.com/2010/02/11/in-defense-of-wellpoint/#comment-871</link>
		<dc:creator><![CDATA[Carl Mercurio]]></dc:creator>
		<pubDate>Fri, 12 Feb 2010 15:59:15 +0000</pubDate>
		<guid isPermaLink="false">http://blog.corporateresearchgroup.com/?p=3523#comment-871</guid>
		<description><![CDATA[You say, &quot;Wellpoint -- just as any other private corporation -- has the right to make a profit.&quot;

I say, &quot;WellPoint seeks to raise premiums on a money-losing product...a completely logical action for a for-profit company.&quot;

Let&#039;s call the whole thing off.]]></description>
		<content:encoded><![CDATA[<p>You say, &#8220;Wellpoint &#8212; just as any other private corporation &#8212; has the right to make a profit.&#8221;</p>
<p>I say, &#8220;WellPoint seeks to raise premiums on a money-losing product&#8230;a completely logical action for a for-profit company.&#8221;</p>
<p>Let&#8217;s call the whole thing off.</p>
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		<title>By: The BoBo</title>
		<link>http://blog.corporateresearchgroup.com/2010/02/11/in-defense-of-wellpoint/#comment-870</link>
		<dc:creator><![CDATA[The BoBo]]></dc:creator>
		<pubDate>Fri, 12 Feb 2010 15:47:40 +0000</pubDate>
		<guid isPermaLink="false">http://blog.corporateresearchgroup.com/?p=3523#comment-870</guid>
		<description><![CDATA[How is this in defense of Wellpoint?  Apparently, you don&#039;t care about the unconstitutionality of federal government mandated health care?

Wellpoint - just as any other private corporation - has the right to make a profit in this country.  If you really want reform in the health insurance industry - get the federal government out of it - and let the states decide - as it is clearly stated in the 10th amendment.

Your so-called &quot;defense of wellpoint&quot; is just another liberal slanted smear against the health insurance industry and is taken out of the progressive playbook. I thought you guys were supposed to be looking out for the best interests of the insurance and managed care markets?

You couldn&#039;t tell that from this pro-Obamacare fluff piece.]]></description>
		<content:encoded><![CDATA[<p>How is this in defense of Wellpoint?  Apparently, you don&#8217;t care about the unconstitutionality of federal government mandated health care?</p>
<p>Wellpoint &#8211; just as any other private corporation &#8211; has the right to make a profit in this country.  If you really want reform in the health insurance industry &#8211; get the federal government out of it &#8211; and let the states decide &#8211; as it is clearly stated in the 10th amendment.</p>
<p>Your so-called &#8220;defense of wellpoint&#8221; is just another liberal slanted smear against the health insurance industry and is taken out of the progressive playbook. I thought you guys were supposed to be looking out for the best interests of the insurance and managed care markets?</p>
<p>You couldn&#8217;t tell that from this pro-Obamacare fluff piece.</p>
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