Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

jpak

(41,757 posts)
Tue May 23, 2017, 09:06 AM May 2017

Maine health insurance co-op emerges from $90 million deficit

Source: Bangor Daily News

Maine’s insurance co-op, Community Health Options, is back in the black after sustaining operating losses of nearly $90 million in the past two years.

A report from Maine’s Bureau of Insurance says in the first quarter of 2017, Community Health Options had a surplus of $3.7 million. The co-op’s Mike Gendreau says the company was able to pull itself out of a deficit by reducing administrative costs, increasing rates and educating members on when to go a doctor’s office or clinic instead of the emergency room.

“In certain cases, a sore throat for example, would be, call your provider. Talk with your provider. And they may be able to help you over the phone, or go into the office to see them, rather than access the most expensive care available,” he says. “It’s also having an impact to their own bottom line so as they access appropriate care in the appropriate setting, they may save money in the process, and it also reduces our own costs.”

Gendreau says Community Health Options is projected to remain profitable for the rest of 2017.

<more>

Read more: http://bangordailynews.com/2017/05/23/news/state/maine-health-insurance-co-op-emerges-from-90-million-deficit/



But...but...but...DEATH SPIRAL!!!1111

never mind...
9 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Maine health insurance co-op emerges from $90 million deficit (Original Post) jpak May 2017 OP
It's good to educate people on when to go to the doctor's office or clinic IronLionZion May 2017 #1
Unfortunately many employers require otherwise crazycatlady May 2017 #4
Thats just bad management. KTM May 2017 #5
Doctors are in offices and clinics too, not just the ER IronLionZion May 2017 #6
I take it you've never been at a job without insurance crazycatlady May 2017 #7
Times have changed a lot IronLionZion May 2017 #8
I agree the ER is not the answer crazycatlady May 2017 #9
Thank You for this post....k and r...nt Stuart G May 2017 #2
Great news. Thank you. n/t Judi Lynn May 2017 #3

IronLionZion

(45,433 posts)
1. It's good to educate people on when to go to the doctor's office or clinic
Tue May 23, 2017, 09:39 AM
May 2017

Since Republican politicans and average Trumper idiots have been promoting the dangerous myth that the ER is free socialist healthcare. ERs have been getting more crowded (on purpose) as a way for RW politicians to say see socialism is bad because of long waits.

The ER should be reserved for life threatening emergencies only and a last resort. And it is the most expensive type of care. So it is good that insurance co-ops are educating their members on when to call their provider or go to a walk in urgent care clinic or at least call them first to see where to go.

crazycatlady

(4,492 posts)
4. Unfortunately many employers require otherwise
Tue May 23, 2017, 10:04 PM
May 2017

I've worked for companies that require a doctor's note if you miss work due to illness. (This employer didn't offer insurance to PT employees-- the bulk of their staff).

IronLionZion

(45,433 posts)
6. Doctors are in offices and clinics too, not just the ER
Tue May 23, 2017, 11:12 PM
May 2017

a person can call up their doctor or walk into a walk in clinic and get the note without going to the ER.

crazycatlady

(4,492 posts)
7. I take it you've never been at a job without insurance
Wed May 24, 2017, 07:49 AM
May 2017

People in low-wage retail jobs don't just have a regular doctor they can call. Walk in clinics are pretty big now, but 15 years ago (when I worked for this company) that was not the thing. Company didn't provide health insurance for PT employees, yet required a dr's note for a callout.

IronLionZion

(45,433 posts)
8. Times have changed a lot
Wed May 24, 2017, 07:57 AM
May 2017

I'm glad things have gotten better for you.

I get it. I had no health insurance and no job several times in my life, including last year. I want everyone to have universal single payer coverage. The ER is not the answer.

crazycatlady

(4,492 posts)
9. I agree the ER is not the answer
Wed May 24, 2017, 08:27 AM
May 2017

However, at this store, management encouraged people to go to the ER. IT was a no win situation. You either go to the ER for a doctor's note or lose your job. (I was in another situation-- I was babysitting for a doctor's kids, so if I needed a doctor's note, she'd provide me with one).

I know (knew) someone who would go to the ER for sniffles. This person already had regular doctors (many) and in her 20s had more medical appointments than people in their 80s. She saw drug ads on TV and turned into the kid at Christmas when a toy ad was on TV. She actually went with her boyfriend on a date and they got MRIs together. She's just really obsessed with the medical industry and seeks their input for anything and everything.

Latest Discussions»Latest Breaking News»Maine health insurance co...