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92. My Biggest Worry … Erosion of Coverage

92. My Biggest Worry … Erosion of Coverage

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 A combination of events come together to create a worrisome erosion of coverage in the next decade, driving up both the uninsured and underinsured counts. About The Podcast: Millions of Americans feel confused and frustrated in their search for quality healthcare coverage. Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change. Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare. Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name. Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare. Tune in every week as Marc examines the latest developments in the space, offering analysis, insights, and predictions on the changing state of healthcare in America. About The Episode: On this episode, Marc discusses a worrisome erosion of coverage in the next decade, driving up both the uninsured and underinsured counts. Key Takeaways: Two forces are coming together to further erode coverage in America. They are surging utilization and the OBBBA. Some of the surging utilization can be explained – a return to normal post pandemic utilization, increased expensive drug introductions, aging and more. But some of it cannot. While healthcare actuaries anticipate a slowing of annual healthcare growth in a few years, I think we could be in a new era of even more robust annual growth. When utilization spikes, as much as employers try to protect employees, more costs are foisted upon them or coverage evaporates. While the GOP says no one will lose coverage unless it is fraudulent or they want to be tossed, we know this is far from the truth. With the expiration of Exchange premium enhancements, 15 million will lose coverage in Medicaid and the Exchanges. We have seen very low uninsured rates due to coverage expansion. That will increase dramatically through 2034. The bigger problem could be the rise in the underinsured rate. Surging utilization, costs, and the fallout from the OBBBA will mean more and more fall into the ranks of the underinsured. Latest statistics say about 8% to 9% of adults are uninsured, 12% had a gap in coverage over the past year, and 23% were underinsured (they had coverage for a full year that didn’t provide them with affordable access.) We are in a crisis. It is clear that the uninsured and underinsured rates will rise because of misguided policies and the lack of true healthcare reform. Connect With Marc: Marc on LinkedIn Marc on Twitter THL Podcast Resources: THL’s Newsfeed THL’s Blog The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance
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