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Health Insurance Reform Elements: A Look at Wellness, Adverse Selection and Consumer Based Health Plans

Recorded on June 24, 2008

Location: The Heritage Foundation's Lehrman Auditorium

The Heritage Foundation is pleased to co-host this event with the Employee Benefits Research Institute and Milliman, Inc.  EBRI is the only accepted neutral authority promoting the understanding and furtherance of employee benefits national policy.  The EBRI mission is to contribute to, encourage, and enhance the development of sound employee benefit programs and public policy through objective research and education.  Milliman is a leader in providing actuarial consulting services to the health industry.  Known for their technical acuity and comprehensive knowledge, they also develop and maintain sophisticated healthcare tools and products that are industry standards.  We hope you will be able to join us for this important discussion.

CDHPs Behave Like Actuaries Say They Should.  So far, the evidence about consumer driven health plans is that they behave almost exactly like high deductible health plans.  There is virtually no "real" savings beyond what highter deductibles or favorable selection bring.  But consumers don't yet have the tools to choose quality, outcomes or cost.  In the current environment who benefits from CDHPs?

Wishing Wellness - Is It Magic?  Many healthcare reform proposals seem to lead with "wellness" as a solution, but the economic and health benefits are far from proven, and the most reliable estimate is that wellness will add to cost.  Don't throw your coins down that well yet.

Living with Adversity - Managing Despite Adverse Selection.  Adverse selection can happen, it does happen, and it happens all the time.  Insurers learn to deal with it, and not just through up-front underwriting.  How much adverse selection is tolerable?  And, what does that mean for healthcare reform?