County Clerk Connie Wade made the proposal to have employees pay premiums for their coverage in the coming fiscal year that begins Oct. 1. Health insurance costs the county roughly $9,000 to $10,000 per employee this year. "This is the greatest insurance plan I've ever seen," said Wade, who is chairwoman of the county Wellness Committee. "I just don't know if it can continue. I don't know if we'll ever see it again.
New payment formula recommends allocating health insurance dollars for vulnerable populations
A first-of-its kind payment formula developed at the University of Massachusetts Medical School recommends allocating some health insurance dollars for patients in vulnerable communities and for those subject to social risks, in addition to their medical issues. MassHealth's current payment model uses existing Medicaid data and reproducible methods to improve payment equity and support care for vulnerable beneficiaries. A key finding was that people who moved more than once in a year used over $500 more health care dollars than formulas that only accounted for medical risk. "A payment formula that accounts for medical problems but ignores social risk will underpay for treating vulnerable populations, potentially exacerbating already existing inequalities," said Arlene S. Ash, PhD, professor of quantitative health sciences and the study's author. "We describe a model to ensure that plans get more money for enrolling patients with greater medical and social needs.collected by :Lucy William
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