My Account | Free Trial | Sign In
Submit site feedback
National Journal.com

nationaljournal.com > Under the Influence

NationalJournal.com Home Under the Influence Home Under the Influence Home

National Journal's Under the Influence

Monday, August 24, 2009 4:49 PM

Amid an August dominated by debate over the "public option," WellNet, a health technology company, maintains that the conversation is overlooking a critical variable: cost control.

The key to clamping down on health care costs will be increased transparency and information, said WellNet President Keith Lemer. Lemer's company creates software tools that help employers manage and understand their health care costs and advocates for two measures that would increase transparency and competition: leveling the playing field and unbundling benefits.

Leveling the playing field would mean eliminating "most favored nations" (MFN) clauses. Under MFNs, a health care provider cannot offer a lower rate than it does to the dominant insurer. To "unbundle benefits," employers would purchase medical and pharmaceutical coverage separately, resulting in greater clarity of the costs between the two. Presently, employers often purchase medical and pharmacy coverage together, hence the reason most people use the same insurance card at the doctor's office and at the pharmacy.

Before passing any major legislation, Lemer hopes lawmakers will take a step back to make sure they are addressing the root of problems with health care costs, not just expanding access.

Leave a response



Get Print-friendly version of this page E-mail this page to a friend Subscribe to comments for Cost Control Lost Amid Public Option Debate Follow us on Twitter
About    Contact    Employment    Reprints & Back Issues    Privacy Policy    Advertising
Copyright 2012 by National Journal Group Inc.
The Watergate · 600 New Hampshire Ave., NW Washington, DC 20037
202-739-8400· fax 202-833-8069 · NationalJournal.com is an Atlantic Media publication.