Connect with us

Business Finance

Why are health insurance premiums higher in the healthiest areas?

(FINANCE) Rising health insurance costs are a perplexing mystery in some of the nation’s healthiest places to live, but why?

Published

on

health insurance

You would never guess it by the fit people, the Whole Foods Markets, the abundance of cycling and snow sports, but some of the highest insurance costs can be found in some of the county’s with the nation’s lowest mortality rates.

Counties home to famous mountain towns like Breckenridge, Aspen, and Vail are home to some of the highest insurance costs for individuals and families purchasing insurance in the marketplaces created by the Affordable Care Act.

According to research done by FiveThirtyEight, premiums in Summit County, home of Breckenridge, have gone up 32 percent for 2018 over the previous year. Summit County has the lowest mortality rate in the nation, yet still is home to some of the highest premiums provided by the ACA. This problem has even gotten itself some statewide recognition, being dubbed the “Summit County Paradox.”

Its not just Summit County. With the second and third lowest mortality rates in the country, Pitkin and Eagle counties are facing the same problem. Despite low rates of smoking and obesity, the unsubsidized lowest-cost bronze premium for a 40 year old in Summit, Eagle, and Pitkin counties (Eagle home to Vail and Pitkin home to Aspen) is above the 95th percentile when compared to the rest of the nation.

Generally, when rates are rising for insurance, it is due to the high cost of insuring sick people. But these counties show that this is not always the rule. Being healthy doesn’t always mean paying less for insurance.

Summit County officials are baffled by the high costs and are left searching for answers, “It’s something we’re scratching our head about,” Summit County Commissioner Dan Gibbs said. “It’s a crisis situation for many working families who can’t afford health insurance now.”

As one of the states that created its own ACA health insurance exchange, Colorado government has been very hands-on when it comes to managing insurance in their state, and their constituents have let them know that that something has gone awry here.

Two big reasons found for this spike in insurance cost are availability of services and residents of these counties’ needs for more thorough, and subsequently more expensive, services. In an area with so few people yet such high cost of living, convincing health care workers to move permanently to the area is difficult, without paying them through the roof.

While there are extra hospital wings open to treat ski injuries through peak seasons, the availability of services is extremely low compared to a big city.

Also, residents seem to be requiring MRI and other imaging services at a much higher rate than the rest of the nation, and not just looking for bone breaks and tendon tears, but for cancer and other problems as well.

With multiple reasons for this spike in cost, there is no simple solution. However, recent studies and reports are teaching us a lesson regarding overall healthcare costs. Not only do we need to worry about getting people healthy, it is also extremely important to make the best use of expensive care and overuse of expensive testing.

Will hails from Northern California, earned a B.A. in English from Texas A&M University, and now calls Austin, Texas home where he works at a tech startup. He likes riding his bike an ungodly amount of miles and his favorite aesthetic is an open road. If you see him around he'll likely be reading a classic American novel and drinking a Topo Chico.

Business Finance

The forgivable PPP loan may now not be as forgivable as before

(BUSINESS FINANCE) The SBA were handing out forgivable loans like flyers for your friends band, but after a few months it seems many are not quite as forgivable as before.

Published

on

paycheck loan

The Paycheck Protection Program (PPP), a federal forgivable loan program established by the CARES Act, was designed to alleviate the burden of companies who experience business disruptions during the coronavirus pandemic. But of course, with every government loan there are stipulations and guidelines for its use and its forgiveness. The main people that are going to have difficulty here are the small businesses however, which one might have thought that this program was for.

The program has guidelines that stipulate how much of it is forgivable. One of the main criteria is how the money is spent, openly requiring that 75% of the loan must be used to cover payroll for it to be forgivable, RED FLAG. What about small businesses that don’t have employees? Well some people may have thought that for a single person business, retirement and health-care would count towards that payroll total. Therefore, keeping costs down and keeping businesses alive. That’s not the case. Those expenses aren’t counted toward forgivable payroll costs, only salaries are.

Now others may have asked why that matters because someone can see that this type of loan wouldn’t be helpful for someone in those conditions. The problem comes in when the calculation for how much a business is able to borrow is done. The amount that can be borrowed through the PPP is based on payroll but it also includes health-care and retirement plan payments.

This is, as a matter of course, different for independent contractors and self-employed people that run their business income through a checking account. They were given a maximum amount that couldn’t exceed according to an April 20th interim final ruling. That amount is the lesser of eight weeks of their 2019 net profit or no more than ~$15K. As it stands currently neither retirement nor health-care premiums are eligible for forgiveness here either.

Something else that doesn’t seem to have been taken into account is rent and mortgage for these one person companies. The 25% that is stipulated in the program is no where near what is necessary for rent or mortgages in some places. The Small Business Administration (SBA) openly stated that they assumed that “many such individuals operate out of either their homes, vehicles or sheds and thus do not incur qualifying mortgage interests, rent or utility payments.” Personally, that small oversight is enough to make me wonder if these people have ever worked in the real world before.

What this means however is that people who have taken out the full amount that they are allowed and cannot stick to the requirement must pay the loan back in full on a two year deadline with an interest rate of 1%. As lawyers gather to attempt to filter through these murky waters and to hopefully make things better for those that need this relief we can only sit back and wait. Anyone looking to take out a loan from this program I highly recommend caution before jumping in.

Continue Reading

Business Finance

A closer look at the HEROES act, and who stands to benefit the most

(BUSINESS FINANCE) The HEROES act helps specifically unemployed, and those just returning to work, with assistance to get them back on their feet.

Published

on

HEROES act

Back in May, House Democrats proposed an economic relief bill to address the widespread consequences of COVID-19. The bill, entitled the “Health and Economic Recovery Omnibus Emergency Solutions” Act (HEROES for short), did not pass as quickly as the Democrats had initially hoped–indeed, it is still being examined as of today–but the likelihood that it does pass in some form seems high, according to White House officials. Here’s what you need to know about the HEROES Act and how it may affect you.

Spoiler alert: It’s mostly positive, but you may need to wait awhile.

We discussed recently the proposition to incentivize employees to return to work via a $450 weekly bonus upon reopening of the economy. This is a byproduct of the HEROES Act, which–according to its original conditions–posited that the unemployment bonus of $600 per week be extended past its initial July 2020 expiration. That idea was criticized by many as incentivizing unemployment, thus culminating in the $450 return-to-work bonus revision.

However, the HEROES Act addresses so much more than a weekly bonus that it’s somewhat overwhelming. The 1815-page bill covers a wide array of topics including state and local support, health care, worker protections, business support, and “other government support”, a category which addresses the United States Postal Service and the Census Bureau.

Primarily, Americans will be enthused to hear that the HEROES Act addresses a second round of stimulus checks totaling up to $6000 per household; while some sources (e.g., Forbes) speculated that the delivered amount per individual might be as high as $2000 per month, the HEROES Act in its original form does not appear to corroborate this claim. Additionally, this bill would provide billions in relief funds to the Department of Labor, housing assistance, and SNAP.

To any college students, the bill proposes “up to” $10,000 in student loan forgiveness.
The bill would also see at least $1 trillion in “state, local, territorial and tribal government” relief, with billions more allocated to utilities, highways, transit, and CDC resources. If that weren’t enough, the country would see a sweeping increase in funds to national health care services such as the Public Health and Social Services Emergency Fund, HRSA-funded Health Centers, and–not negligibly–funding to fight back against “COVID-19 fraud”.

As you probably know, first responders and frontline workers have shouldered the brunt of the COVID-19. The HEROES Act looks to establish a $200 billion “Heroes’ Fund” for hazard pay to “workers deemed essential during the pandemic”–a list that would feasibly include emergency workers, maintenance staff, and anyone else who was put at risk by way of their occupation.

Finally, the HEROES Act provides small businesses with some additional relief via expansion of the SBA’s Paycheck Protection Program; under this expansion, the PPP would include nonprofits, a move that warrants another $659 billion in aid.

As Forbes’ Jeff Rose reports, the current status of the HEROES Act is relatively healthy, if not entirely true to its original form. For example, House Republicans have proposed financial relief in the form of a tax cut instead of sending out checks, and some are suggesting cutting the unemployment bonus of $600 per week to $300 per week (or less) until 2021 instead of the aforementioned $450 weekly return bonus.

It’s also worth noting that the HEROES Act, a bill valued at around $3 trillion, is a bit on the pricey side where Republicans are concerned–which is why their counter-offer runs closer to $1 trillion. President Trump has, in the past, postulated that a $2 trillion price tag is actually feasible, so it appears that there is some wiggle room in how this bill proceeds.

If you’re waiting for another stimulus check, it’s best not to hold your breath–conservative estimates place the next round, if acted upon, no sooner than late July. Waiting to see how the economy responds to the invariable spike in COVID-19 cases is something for which Republicans have demonstrated a propensity, so don’t count your chickens just yet.

Continue Reading

Business Finance

How business owners should handle the trend of COVID-19 surcharges

(BUSINESS FINANCE) COVID-19 has caused a lot of money problems, but some places have decided to counter this with new surcharges, and hopefully they told customers about them.

Published

on

COVID-19 surcharges

Hidden surcharges have long been a subject of discussion among consumers. Banks, car dealers, hotels, and credit card companies are much more transparent than they once were. According to a 2019 survey by Consumer Reports, 85% percent of adult consumers were hit by an unexpected fee when paying for a service, so the practice is not completely gone. With COVID-19, some businesses are turning to surcharges to balance out their profit margins.

Can businesses add a COVID surcharge legally?

The impact of COVID-19 is continuing to unravel. FOX8 reports that a Missouri steakhouse and sushi restaurant included a surcharge related to the rising costs of food under the pandemic. A CBS affiliate in Midland, TX reminds consumers to check their bills, because restaurants and salons are adding surcharges. Some businesses are saying that state restrictions are increasing operational costs, while others relate it to the cost of goods. Even UPS has added surcharges to peak delivery slots. According to a librarian at the State Law Library, a private business in Texas has a lot of leeway in deciding what to charge.

A surcharge isn’t necessarily price gouging

In Texas, price gouging following a natural disaster is illegal. The surcharges that we’re discussing aren’t price gouging, just a way for businesses to temporarily raise prices without changing their menu or listing new prices. The Houston BBB recommends that if your business does add a surcharge, it should notify consumers about the charge before the bill arrives. Consumers who believe that they’ve been a victim of price gouging should file a complaint with the Texas Attorney General.

Transparency is part of good customer service

According to Consumer Reports, 96% of the consumers surveyed were annoyed with a hidden fee. I want to talk to the 4%, and find out why they weren’t. A surcharge under COVID-19 conditions can make sense. Cleaning and sanitizing takes time and money. Prices have increased. What’s bad business is trying to hide those surcharges until after the customer checks out. That’s not fair. Be transparent.

Continue Reading
Advertisement

Our Great Partners

The
American Genius
news neatly in your inbox

Subscribe to our mailing list for news sent straight to your email inbox.

Emerging Stories

Get The American Genius
neatly in your inbox

Subscribe to get business and tech updates, breaking stories, and more!