Wisconsin
Related: About this forumState board approves self-insurance for state workers
Wisconsin will move to self-insure state workers beginning next year after the controversial plan was adopted Wednesday by the Group Insurance Board, but it still must be approved by the state Legislatures budget committee.
After years of discussing the idea, the insurance board voted 10-1 to change the way the state finances a $1.5 billion health insurance program that covers about 250,000 state and some local government workers and their dependents. Instead of paying premiums to 17 HMOs, which accept the risk for medical claims, the state intends to pay benefits directly and take on the risk.
Well be leaving money on the table if in the end we do not move to (this) model, said Michael Heifetz, a board member who is state Medicaid director. What the board is doing is controlling more of what it can control, rather than ceding that authority to folks with whom we contract.
Under the plan, Dean Health Plan, part of SSM Health, and Quartz, which includes UW Healths Unity Health Plan, will administer the self-insured program in Dane County and surrounding counties.
http://host.madison.com/wsj/news/local/health-med-fit/state-board-approves-self-insurance-for-state-workers/article_3c4ff3e6-f878-54e4-845c-88d67f675f60.html
denverbill
(11,489 posts)I must be missing something. This actually sounds like a good thing to me. There must be something I'm missing
Freethinker65
(10,017 posts)The last self insured plan my family was in (a major "bank" was one of those high deductible HSA type plans. Took a "pay cut" to return to a job with a standard PPO and ended up ahead financially.
TexasTowelie
(112,151 posts)that will require prior authorization and I would definitely want to be an employee that needs rehab for drug or alcohol programs since the confidentiality of that treatment would be jeopardized in a state administered plan. There are also other issues for people being treated for workers compensation claims. All in all, I would consider it a mixed bag.
denverbill
(11,489 posts)Not positive though.
Just amazing to me that Koch brothers butt-buddy Scott Walker wants to implement a program way more socialist than Obamacare, which in itself was a libertarian proposal from the 90s.
Even a shitty state run program is still state run. And given that both Republicans and many Democrats want to privatize prisons, schools and every other govt function, I find this rather jaw dropping.