This is just an adminstration issue. Insurance companies can sell insurance in other states, as long as they are approved by the regulators. Almost all physicians have contracts with insurance providers. Imagine the overhead if you have 60 different insurers selling insurance in one city. How many different claim systems do you need? At the end, a doctor would only pick a couple insurers to work with. This limits your accessibility as a patient. Consolidations might happen over the long run, leading to a few major players dominating the entire country. However, this is not what the government wants and I am not sure if it's really good for the consumers.
快樂牛郎 發表於 2010-2-9 01:57 
US citizens are allowed to buy insurance with the state of their residence. This law is passed by the regulators at federal level. Selling health insurance across the state border is illegal. Therefore, this is not the fault of private sector. (It is like, a BC resident cannot buy health insurance offered from any provinces other than BC.)
What exactly do you mean by clinical care? You mean regular office visits and preventive care? It's inpatient stays in hospitals that are driving medical costs up. You talked about utilizations going up but didn't talk about the cost side. You could have a lot of office visits but each only costs $100 - $150 where as a hospital stay can cost you $100K.
快樂牛郎 發表於 2010-2-9 01:57 
Yes, I mean regular office visit. This is one of the reasons driving the premium up. The cost of outpatient usually is not high. But when this kind of service has to be included in health insurance, the premium will go up as the expected claims increase even the insureds do not claim it.
Inpatient stays in hospital is other issue caused by US federal regulation.
Many laws passed by the government are ridiculous. Lobbying in US by special interest groups and unions is a very serious problem. |