It starts. Today is the beginning of open season. Time to choose our health care plan. Or, if you are like me and entitled to Medicare, today is the day to decide to ADD to the mandated service. Because years ago, the government cut Medicare provisions. Now, we need to choose a drug plan and a Medicare Advantage plan to cover all those things that aren’t covered. Or pay through the nose.
I am sure you know that part of our services is to prepare payroll and tax submissions on behalf of clients. (Our fees are better than ADP and Paychex- and we go beyond simply providing you paychecks.). But, we also refuse to pay the taxes on behalf of our clients. A few of them are pretty annoyed- at first.
Several years ago (ok, a little more than a decade ago), I was contracted to manage the finances (and rehabilitation) of a multi-site, multi-unit apartment complex that stretched from Baltimore to Hagerstown to Silver Spring (all in Maryland) to Loudon (Virginia). During that time, we increased occupancy to over 95% in three of the units- and kept the fourth at 80%, so we could rehab a section of units at a time.
I am sure you are all wondering what’s been happening about the dialysis patient organizations- and, now, it seems that some dialysis clinics- are paying the health insurance premiums for dialysis patients. (I first discussed this issue here). There is a new complainant- it’s not just private insurance companies now.
Yesterday, we spoke about how PPACA (Obamacare) has been attenuating the US healthcare cost spiral. Over the past few years, the overall cost growth has dropped dramatically. But, many of us don’t feel the love- because our employers and our insurance companies have been playing the “cost shifting” game. They’ve changed our co-insurance, they’ve raised our deductibles- claiming that when we have ‘skin in the game’, we are more attentive to the costs of our healthcare.