Category Archives: Health Care Economics

Where’s Kaul on Health Cost Battle?

If ever an industry needed fundamental disruption, it’s the health care industry in America. I’m not talking about the pure medical side of the Medical Industrial Complex (MIC), which can be wonderful to the point of miraculous. I’m talking about … Read the rest

Wisconsin 4th highest for health costs; Rand, Indiana lead reforms

For decades, self-ensured employers have been fighting -- mainly by themselves -- to put the brakes on out-of-control health costs. But finally, believe it or not, help is on the way from the federal government. A new federal law requires … Read the rest

Rebel Companies go “BUCA-free” for health care

STEVENS POINT -- After some relief from health cost hyper-inflation during the COVID fall-off in treatments, costs are again rising, self-insured companies in central Wisconsin are revving up a rebellion against the Medical Industrial Complex. Among their tactics they are … Read the rest

Whither health care after election? Who knows?

Pre-campaign, the biggest issue facing the 2020 candidates was the cost and coverage of health care in America. In normal times, the political campaigns of President Trump and former Vice President Joe Biden would have clarified their game plans for … Read the rest

Bernie’s numbers look low for Medicare for All

Introduction: Since health costs are looming as the biggest issue in the 2020 presidential election and are by far the biggest economic issue facing the country, I will be writing a series of pieces on the management of health costs, … Read the rest

Pols need to check out real reforms by employers

Just as the national debate ramps up on a government take-over of the nation’s health care, it looks like employers and market forces have already worked out a business model that is taming previously out-of-control health costs. A lead article … Read the rest

Warren, Jami, Jeff, We Need Your Help on Health Costs

Memo to: Warren Buffet, Jeff Bezos, Jami Diamond Memo from: John Torinus, health care payer Subject: New Business Model for Health Care Fellow Victims of the Medical Industrial Complex (MIC): As three major payers for health care for your more … Read the rest

Health care insurers seek better business model

Ostensibly, health insurers have long been on the side of the insureds, namely employers and their employees who pay the nation’s health care bills. But tectonic plates are moving in the delivery of health care, and it’s not so clear … Read the rest

Will Aurora merger pay off for customers?

For the life of me, I can’s see how the proposed mega-merger between Aurora Health Care of Wisconsin and Advocate Health Care Network of Illinois will benefit payers like my company Serigraph or its co-workers. The main rationale for the … Read the rest

A third way: Default to Medicare Advantage for all

Most Republican leaders at state and national levels are proving that they are as clueless about reforming health care economics as the wonks who designed Obamacare. At the Wisconsin level, Republicans and Democrats on the Joint Finance Committee voted 16-0 … Read the rest