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DistrictDeacon said:
Seems very weird to criticize a company that is putting its employees wellbeing over its profits.
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I'm not criticizing them per se, I'm criticizing Plama's view that somehow this is a sustainable program that can be extrapolated successfully to the larger market and somehow we're all idiots for paying a lot of money for health insurance because our employer doesn't agree to just pay for it for us.
 
Wakeforest22890 said:
That still has nothing to do with the fact that your employer is paying way more for health insurance than they need to. They'd be making even more money if they ran everything super efficiently AND had a model like most other companies.

Plama's theory for healthcare: Walmart pays for all their employees to have healthcare.

Why didn't anyone just think of that?!?!
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no, his employer has simply decided to spend its healthcare dollars differently than most others - note they do not provide free coverage (or apparently even subsidized coverage) to dependents, just the employees

so compared with the KFF survey, in which the average employee pays 18% for self and 29% for family coverage, palma's employer has employees pay 0% for self and ~70% for family coverage (dependents costing ~70% of total cost, broad brush average)
 
palmab03 said:
So imagine how much they like me once I showed them that. It is hard to un-wind, however. That's the tricky part. We'll do it by the unusual route of partial self-funding for a small company. We can handle the risk.
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So you're shifting them over to employees paying or you shifted them to the current model?
 
thatguy2016 said:
no, his employer has simply decided to spend its healthcare dollars differently than most others - not they do not provide free coverage (or apparently even subsidized coverage) to dependents, just the employees

so compared with the KFF survey, in which the average employee pays 18% for self and 29% for family coverage, palma's employer has employees pay 0% for self and ~70% for family coverage (dependents costing ~70% of total cost, broad brush average)
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This is true, we are way under market for dependents. But if I add up all the dependents of all the employees its probably more like ~20-30%. Affluent people don't crank out as much kids, and most of the kids are adult aged. We have a buncha 60 year olds and 30 year olds, not much in between.
 
I would think the former given your job position and you in general. But maybe I suspect the worst of people.
 
Wakeforest22890 said:
I would think the former given your job position and you in general. But maybe I suspect the worst of people.
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I started just after open enrollment. Probably spent 15-25% of my working hours researching/strategizing/benchmarking. Found a way to provide even better coverage (At least in terms of OOP maxes) and cut 35% of the costs. Healthcare isn't that complicated.
 
Maybe on an individual scale where everyone in your immediate market is employed by the same company but it definitely is on a macro scale when considering unemployed individuals, sick people, and the role of government
 
Wakeforest22890 said:
Maybe on an individual scale where everyone in your immediate market is employed by the same company but it definitely is on a macro scale when considering unemployed individuals, sick people, and the role of government
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Its not hard to figure out, its hard to implement because of a pretty shitty structure of government. Wish we had a monarch or something to just fix it. #MAGA
 
palmab03 said:
Its not hard to figure out, its hard to implement because of a pretty shitty structure of government. Wish we had a monarch or something to just fix it. #MAGA
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If only our forefathers had thought about this before they declared their independence.
 
Wakeforest22890 said:
That still has nothing to do with the fact that your employer is paying way more for health insurance than they need to. They'd be making even more money if they ran everything super efficiently AND had a model like most other companies.

Plama's theory for healthcare: Walmart pays for all their employees to have healthcare.

Why didn't anyone just think of that?!?!
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My buddy from wake has a niche practice where he teaches law firms how to make money. He doesn't have many competitors in his field. The most profitable companies aren't the ones that model themselves like other companies. Its the ones that get away with the highest bill rates. What's your bill rate?

For as smart as lawyers think they are, they're generally really shitty businessmen he tells me.
 
I work for the government right now. And I don't think you'll get much of an argument from attorneys about being businessmen. It's not stressed in law school. Same can be said about businessmen and the law though.
 
tiltdeac said:
You are a smart guy, you don't have to play dumb here. You know exactly what I mean. Part of your employees compensation is the money you put toward their health care premiums. It sounds like you pay their entire premiums for them, which is great (and a pretty big tax break) for them.
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Interesting to learn you believe in trickle down economics , though. Caught me off guard.
 
Wakeforest22890 said:
I work for the government right now. And I don't think you'll get much of an argument from attorneys about being businessmen. It's not stressed in law school. Same can be said about businessmen and the law though.
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Most lawyers and doctors for that matter are shitty businessmen. They for the most part are making tons of dough but many of them in my town are upside down on loans and always looking for extra cash. The wife spending is so out of control its insane.
 
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