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	<title>Comments on: How the Curve is Already Bending</title>
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	<description>Insights into the uncertain world of healthcare</description>
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		<title>By: Weekend Roundup &#171; See First Blog</title>
		<link>http://www.seefirstblog.com/2009/08/25/how-the-curve-is-already-bending/comment-page-1/#comment-430</link>
		<dc:creator>Weekend Roundup &#171; See First Blog</dc:creator>
		<pubDate>Tue, 13 Oct 2009 14:17:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.seefirstblog.com/?p=1109#comment-430</guid>
		<description>[...] Dr. David Cutler, writing in the New England Journal of Medicine wonders &#8211; will the cost curve bend, even without reform? Related thoughts here. [...]</description>
		<content:encoded><![CDATA[<p>[...] Dr. David Cutler, writing in the New England Journal of Medicine wonders &#8211; will the cost curve bend, even without reform? Related thoughts here. [...]</p>
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		<title>By: My Quick Six Reactions to the Baucus Plan &#171; See First Blog</title>
		<link>http://www.seefirstblog.com/2009/08/25/how-the-curve-is-already-bending/comment-page-1/#comment-381</link>
		<dc:creator>My Quick Six Reactions to the Baucus Plan &#171; See First Blog</dc:creator>
		<pubDate>Tue, 22 Sep 2009 00:13:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.seefirstblog.com/?p=1109#comment-381</guid>
		<description>[...] are one of things that have worked for major employers as a way to improve employee health and control health care [...]</description>
		<content:encoded><![CDATA[<p>[...] are one of things that have worked for major employers as a way to improve employee health and control health care [...]</p>
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		<title>By: Evan Falchuk</title>
		<link>http://www.seefirstblog.com/2009/08/25/how-the-curve-is-already-bending/comment-page-1/#comment-343</link>
		<dc:creator>Evan Falchuk</dc:creator>
		<pubDate>Thu, 03 Sep 2009 21:47:25 +0000</pubDate>
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		<description>Hi Lisa, it&#039;s always nice to hear from you....although it&#039;s not so nice to see those awful figures.

Individuals and small groups get a very bad deal in the US market.  I&#039;ve blogged a lot about that &lt;a href=&quot;http://www.seefirstblog.com/category/why-insurance-is-so-expensive/&quot; rel=&quot;nofollow&quot;&gt;here&lt;/a&gt;.

Comparing your experience with that of the Aon survey really illustrates that point.  It&#039;s very different it for large employers who get to opt-out of the insurance market by self-insuring.  

They can, to some degree, control health care costs, while you are at the mercy of whatever it is that led your insurer to give you those wildly fluctuating rates.

Thanks again for commenting!

Evan</description>
		<content:encoded><![CDATA[<p>Hi Lisa, it&#8217;s always nice to hear from you&#8230;.although it&#8217;s not so nice to see those awful figures.</p>
<p>Individuals and small groups get a very bad deal in the US market.  I&#8217;ve blogged a lot about that <a href="http://www.seefirstblog.com/category/why-insurance-is-so-expensive/" rel="nofollow">here</a>.</p>
<p>Comparing your experience with that of the Aon survey really illustrates that point.  It&#8217;s very different it for large employers who get to opt-out of the insurance market by self-insuring.  </p>
<p>They can, to some degree, control health care costs, while you are at the mercy of whatever it is that led your insurer to give you those wildly fluctuating rates.</p>
<p>Thanks again for commenting!</p>
<p>Evan</p>
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		<title>By: Lisa Emrich</title>
		<link>http://www.seefirstblog.com/2009/08/25/how-the-curve-is-already-bending/comment-page-1/#comment-342</link>
		<dc:creator>Lisa Emrich</dc:creator>
		<pubDate>Thu, 03 Sep 2009 19:17:01 +0000</pubDate>
		<guid isPermaLink="false">http://www.seefirstblog.com/?p=1109#comment-342</guid>
		<description>Well, this might be nice for employers but it is not the experience of this self-employed person.  Here were the percentage increases in premiums from 2000-2009 for my individual PPO plan:

2001   4.6%
2002   2.5%
2003  22.2% 
2004  18.2%
2005   1.3%
2006  -2.5% (yes, a decrease)
2007  19.9%
2008  18.8%
2009  31.0% (yes, 31.0%!!!!!)

Yes, 186% increase in 9 years (from $151 to $431) for an underwritten policy.</description>
		<content:encoded><![CDATA[<p>Well, this might be nice for employers but it is not the experience of this self-employed person.  Here were the percentage increases in premiums from 2000-2009 for my individual PPO plan:</p>
<p>2001   4.6%<br />
2002   2.5%<br />
2003  22.2%<br />
2004  18.2%<br />
2005   1.3%<br />
2006  -2.5% (yes, a decrease)<br />
2007  19.9%<br />
2008  18.8%<br />
2009  31.0% (yes, 31.0%!!!!!)</p>
<p>Yes, 186% increase in 9 years (from $151 to $431) for an underwritten policy.</p>
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		<title>By: Arnold Williams</title>
		<link>http://www.seefirstblog.com/2009/08/25/how-the-curve-is-already-bending/comment-page-1/#comment-329</link>
		<dc:creator>Arnold Williams</dc:creator>
		<pubDate>Sun, 30 Aug 2009 16:25:35 +0000</pubDate>
		<guid isPermaLink="false">http://www.seefirstblog.com/?p=1109#comment-329</guid>
		<description>The employers can approach this in two ways: not hiring or downsizing those who use their sick leave, or getting employees discount memberships at a nearby gym and making a little room in the day for employees to use it.

One of these is easier than the other.</description>
		<content:encoded><![CDATA[<p>The employers can approach this in two ways: not hiring or downsizing those who use their sick leave, or getting employees discount memberships at a nearby gym and making a little room in the day for employees to use it.</p>
<p>One of these is easier than the other.</p>
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		<title>By: Bill Howland</title>
		<link>http://www.seefirstblog.com/2009/08/25/how-the-curve-is-already-bending/comment-page-1/#comment-312</link>
		<dc:creator>Bill Howland</dc:creator>
		<pubDate>Wed, 26 Aug 2009 21:07:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.seefirstblog.com/?p=1109#comment-312</guid>
		<description>That is compelling data and positive news, but double-digit expense growth remains tough to endure over time.

I expect businesses (especially smaller employers) in mature and highly competitive industries will still struggle to sustain growth that allows them to deal with that rate of expense growth.</description>
		<content:encoded><![CDATA[<p>That is compelling data and positive news, but double-digit expense growth remains tough to endure over time.</p>
<p>I expect businesses (especially smaller employers) in mature and highly competitive industries will still struggle to sustain growth that allows them to deal with that rate of expense growth.</p>
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