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THCB: Comments on Mr HSA’s comments

Greetings from Europe where I’ve been engaged in the mother of all consulting projects.  Thanks to Mr JiB for keeping THCB going in my absence.  Meanwhile I’ve been having some emails complaining about Ron Grenier using the comments as advertising for his HSA business.  Do you feel Ron does that? And what do you think THCB can or should do about it?  The thread is all yours and I’d love to hear any other views about the comments (including whether anyone apart from the "regulars" ever reads them!)

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Matthew HoltEric NovackMacJoe Oncologyrdg Recent comment authors
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Ron Greiner
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Ron Greiner

His name is Eric not Greg. Secondly, don’t ever contact me for insurance because I’m probably not licensed in your state. All that will happen is I’ll spend a whole bunch of time discussing what are your best options and then tell you where to go locally. Lucky that nobody has ever contacted me because of this blog. But I do advertise on 50,000 Watt radio stations and get calls that I have to do exactly what I have discribed above. Eric took his link off of here? If he did I’m still going to listen to his interview with… Read more »

Matthew Holt
Guest

I think that the sum of this is that Ron keeps posting if we can persuade him to remove the personal attacks (e.g. on Greg’s capabilities as a surgeon). He’s already removed his web link, and I don’t mind him giving himself a bit of publicity. THCB readers can tell the propaganda from the intersting stuff, and if Ron thinks that appearing here so often is really going to spice up his buiness, well I’d be surprised!

Ron Greiner
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Ron Greiner

H.R. 1872 1. Premium deductibility for HSA insurance for all Americans. — So HSA insurance would be the only game in town with individual health insurance. 2. Small business tax credit. — Here we have discrimination against HSA individual health insurance. Business owners (100 employees or less) would get a tax credit up to $500 for employer HSA deposits into an employees’ family HSAs. But, employees must be on a group employee insurance plan. An employer who has employees with HSAs and individual insurance doesn’t get the tax credit with employer deposits. I have never heard President Bush ask for… Read more »

Ron Greiner
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Ron Greiner

Eric, I did listen to your show with the MICA CEO today. It was a good show. Carland said they paid more in claims than collected premiums. That’s a very bad sign. I want to thank you for all that you are doing for HSAs. You beat the media in displaying current HSA legislation. I expect the media to censor all HSA information. The media suggests that they care about the level of uninsured Americans but when legislation is introduced in the House and the Senate to help the uninsured, they refuse to report. You on the other hand posted… Read more »

Eric Novack
Guest

Generally, one only resorts to ad hominem attacks when one’s reasoned arguments are failing. Thank you for the constructive criticism about the show and keep listening!

Ron Greiner
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Ron Greiner

eric, OK, I just listened to your interview with Newt Gingrich. I took notes on every question you asked and every answer Newt gave you. Newt and Scanlen are from the same school. I’ll say it again, they combine HSAs and HRAs together and call them “Consumer Driven” health care then eliminate the HSA, because of federal regulation, and suggest everybody get an HRA. I will make this very simple for you: THEY ARE HRA SALESPEOPLE. Eric you asked Newt: Is health insurance from your employer better or individual insurance better? Newt answers you with: “It’s going to come from… Read more »

eric Novack
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Perhaps we are not completely understanding each other. I realize that currently HSAs are essentially always “attached” to provider networks- either “owned” or “leased”. The broader issue I am addressing is what consumer-driven healthcare advocates are trying to achieve– increasing patient choice/ responsibility for healthcare as a means to both improve healthcare outcomes/ overall health as well as reduce costs of the healthcare system as a whole. One of the problems with the healthcare system is the number of “middlemen” that come between the consumer (patient) and provider (doctor). As this number has grown (administrators, etc.), costs have increased. HSAs… Read more »

Ron Greiner
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Ron Greiner

Eric, without a PPO clients would not be assured of no balance billing like current insurance contracts provide. You also write: “If referral to an orthopedic surgeon is felt to be indicated by the primary care doctor, then an orthopedic surgeon from the approved list for his insurance must be chosen. When he finally arrives at the orthopedist, there is likely a copay, followed by a coinsurance bill. An inefficient system to say the least.” This is not HSA insurance. First, we for example, have no primary care doctors. A referral to see a specialist is not required. Second, an… Read more »

Eric Novack
Guest

“Balance billing” is the charging of the patient for the rest of the billed charges after copays, coinsurance and insurance payment. The current system is a lot like buying airine tickets, to borrow from your analogy. The person in the next room may be paying much more or much less, depending upon their insurance status and which insurance plan. A physician mayu have contracts with 15-20 different insurance plans. Each plan has several products (PPO, HMO, Medicare Advantage…). The “contracted rate” for the physician could be different for each of these. So to say “It would be too easy to… Read more »

Ron Greiner
Guest
Ron Greiner

Eric, you wrote: “The concept of HSAs and “consumer-driven healthcare” has, as one of its central goals, the elimination of “provider networks”. This would then allow a patient to truly demand “transparency” in pricing. You ought to be able to “shop” around for medical opinions and make your own best decision.” I have never heard that HSAs central goal is the elimination of “provider networks”. Provider networks provide no “balance billing” which is an important consideration for those who require medical care. People may choose HSA insurance with or without provider networks today and I recommend a program with a… Read more »

Eric Novack
Guest

The concept of HSAs and “consumer-driven healthcare” has, as one of its central goals, the elimination of “provider networks”. This would then allow a patient to truly demand “transparency” in pricing. You ought to be able to “shop” around for medical opinions and make your own best decision. HSAs as passed in the Medicare Modernization Act are but the first step in a move toward “consumer-driven healthcare”. Beware the critics of HSAs- many are really advocates for a government controlled system and anything that moves away from that goal is inherently bad. The Cardinal’s quote above inherently means that physicians… Read more »

Mac
Guest

Medical care is a human right, and the “morass we have today” is the result of this kind of uniquely American I’ve-got-mine-so-screw-you attitude. So much for the greatest nation in the world.
To quote Cardinal Joseph Bernardin, Chicago Archiocese:
“Health care is an essential safeguard of human life and dignity and there is an obligation for society to ensure that every person be able to realize this right.”

Joe Oncology
Guest

I’m amazed at the number of people on here that unfairly criticize Ron’s posts. I find his discussions very informative and educational on HSA’s of which I’m admittedly ignorant. I also appreciate his link to his site which allowed me to read up more on HSA’s. I’m surprised Ron kept his restraint as long as he did after the repeated personal attacks by KPHawaii and Sue. Most on here act like health insurance coverage is a constitutional right! It isn’t. Life is not fair and it never will be. The federal government beginning in the 1930’s has taken personal responsibility… Read more »

rdg
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rdg

As far as Ron’s comments are concerned, I have found some of them to contain usefull information that matches my experience in dealing with COBRA and individual insurance. I have also seen some questionable comments that make me wince. As far as a free market in health care, I don’t think we know what a free market in health care would result in. I don’t think we currently have one. The system is rigged and the tax code provides incentives for certain activities and not others. I think one of the most important points that Ron has made has been… Read more »

Ron Greiner
Guest
Ron Greiner

Dear Abby, //let’s say you open HSA insurance for your kid at birth. Can he take over the HSA and the policy when he is 18, 21 or 24?// Children as Primary Insureds. Insurance purchased on a “child only” almost has to be individual insurance today. As long as the parent or guardian purchases “Individual Medical” (IM) (their only choice) the child won’t lose the insurance because of reaching a majority age, with any company. The big exception is that millions of poor children are on the State’s Children Health Insurance Program or S-CHIP. “Parents pay” (usually about $20 a… Read more »