It is February 2010. The Obama Presidency is one year old. Health reform as passed by the House and the Senate in late 2009 is essentially dead—these bills cannot be reconciled. So, it is time for Republicans and Democrats to come together, focus on their areas of agreement, and pass a smaller, incremental, and low cost health reform bill.

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On Tuesday, the people of Massachusetts cast their votes, the process that makes America great. Their message was similar to the messages were sent by voters last November in Virginia and New Jersey. But what exactly is the message?

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In your efforts to manage health benefit costs, do you wait until 2 to 3 months before your renewal and then invite one or more brokers to submit a bid? It does create competition, but we would argue the wrong kind of competition. To quote one of my clients, “There has to be a better way.”

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According to 2006 data from Medicare, the average annual cost per beneficiary for people residing in Honolulu, HI, was $5,311. In contrast, Medicare recipients in Miami each cost the government $16,351 in 2006, over three times as much. Why the difference?

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Risk Management Partners LLC would like to wish its clients and friends a happy, healthy, and prosperous year in 2010. Keep an eye on these pages for current information on the important deliberations in Washington, DC over the future of our healthcare system (see notes from my fall visit to the White House).

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