MY CONVERSATION WITH STEVEN S. MARTIN OF BLUE CROSS BLUE SHIELD OF NEBRASKA
October 8th, 2009For those of you who may not have been following along, I sent an open letter to Steven S. Martin, CEO of Blue Cross Blue Shield of Nebraska (BCBS). In my letter, I described the outrage I felt when I found out my health insurance premium will increase by 46% for 2010. In writing the letter, my goal was to get through to BCBS that I was angry. Sometimes you have to publicly announce your concerns in order to get a response.
Well, I certainly succeeded in getting a response. Mr. Martin himself sent me an email expressing his desire to address my concerns. So today at 2 pm we spent a total of 45 minutes discussing my situation and what caused the increase. To be absolutely fair to BCBS and Mr. Martin, I was mistaken in thinking they did this to increase their profits. I admit that I was wrong. BCBS, as Mr. Martin explained, is a non-profit health insurance provider. They reinvest their profits back into a reserve fund. But I will also say that because BCBS did not explain the reason for the increase to me initially, I was pretty much left to make up my reason. My fault for assuming something, but it’s also their fault for not clearly communicating.
So on to the explanation. Mr. Martin said the increase is due to the fact that many healthy people who were in my insurance pool have left. Those of us that remain have to pick up the slack. Unfortunately, there’s a lot of slack to pick up. 10% of the people in our pool account for 50% of the premiums being paid out. The next 10% account for an additional 20% of the premiums being paid out. So essentially 20% of the people take 70% of the money. Pretty close to the old 80/20 rule. So as a healthy person, I’m financing the health care of the sick people in my pool.
We discussed all the issues surrounding the health care debate. In most cases I agree with Mr. Martin. Health care costs are completely out of whack. Politicians are coming up with solutions that really won’t benefit us. This issue is so complex, so unbelievably intricate, that I can honestly say that I believe the entire thing is going to collapse. Unless we wipe the slate clean and start from scratch we will continue to be weighed down by this issue.
Which brings me to my last item. I told Mr. Martin that my goal wasn’t to complain and solve my own problem. Many of you expressed to me that you’re in the same boat, so I asked that BCBS be a leader in this effort and help us all solve the problem of health insurance costs. I told him that small business owners don’t feel like they have a voice. No one is lobbying for us. In response, he suggested we put together a group of small business owners that will meet with BCBS to discuss our issues. This is a very encouraging step forward. If insurers and the people they serve can begin to talk through these issues, understanding where each other is coming from, then perhaps we can develop solutions together and keep the lawmakers from doing something drastic and unnecessary.
If you are interested in being a part of this group please send me an email. We’ll be a setting up a meeting in the next couple of weeks to discuss these issues. This is our chance to have a voice. I hope you decide to be a part of it.







