I know. We talk about honey bees on this site. But my head is about to explode from thinking about health care reimbursement reform. Besides, the bees are catching some R and R during the winter. What more can be said about them? Lend me some slack . . .
It so happens that I get paid to push paper. A lot of the paper I push around on any given day has to do with complying with various health care reimbursement regulations.
In order to become a more proficient paper pusher, sometimes I go to school. Not long ago, for example, I went to a two day seminar designed specifically to cram new information about health care reimbursement regulations into my brain.
One of the presenters, speaking to a group of several hundred lawyers about health care reform, offered that it was unclear what the final bill would contain, but that our group should be hearing, “Ka-Ching, Ka-Ching” whenever we heard the words “Health Care Reform Bill.” She went on to say that an alternative title for the bill might be, “Full Employment Act for Lawyers”.

My School Book From Two Day Seminar on Health Care Compliance
Keep in mind that the seminar was not about medicine or medical malpractice. It had only to do with the business of heath care.
My school book was too heavy for me to carry home on the plane. I had to mail it to myself for $35.00 (luckily, UPS set up a booth right there in the hotel–pretty enterprising.)
If you are an ordinary citizen, it may have eluded you that a big fat chunk of your doctor bill, your hospital bill, and your health insurance premium already goes to ensuring “compliance” and to supporting the paperwork associated with filing reimbursement claims. If you have heard your doctor complain about the amount of work associated with billing health insurance companies or the government, you should take pity on her or him. She or he has a valid reason to kvetch. Every hospital, and every medical practice of any size, has a billing department and a “compliance” department. So every time someone gets a physical or has an appendix removed, a portion of his or her bill goes toward covering the cost of “compliance”.

Topical Tabs From My Health Care Compliance School Book
This should crank you up a bit. You paid the $35.00 to get my book from school back to my office. It is built into your health care bills. I don’t even dare tell you how much the tuition cost. But that was on your tab, too. And trust me, I’m a modestly paid small fry. Many of my colleagues are big fry, and they are quite handsomely paid.
My recent seminar covered some of the bazillion regulations already in place. The health insurance reform bill that was recently passed by the U. S. Senate contains more than 2000 pages of new stuff. Next time I go to school, I’ll probably get a hernia carrying my book to the UPS booth.
It doesn’t take 2,000 pages to tell health insurance companies that they can’t deny you coverage due to a pre-existing condition or that they can’t kick you off the policy once you get really sick. So, what’s in the bill? Who knows? But I plan to ask my Congresswoman a couple questions, and you should do the same.
Like, what does it mean that an insurance company can charge higher premiums based on age, gender, or family composition?
Is the tax on the so-called ‘Cadillac plans’ (those that cost about $8,000 for an individual or $23,000 for a family) indexed, or will I be paying a tax on my crappy plan in a few years because its cost rises about 15% each year?
How come carpenters with 5 employees will be compelled to buy insurance for employees, but a company making widgets and employing 49 people, will be excluded from the obligation to buy insurance?
Honestly, I would rather spend my days watching bees than wrangling about policies over which I have little or no impact. Spring will be more than welcome.
