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Just Answers - Affordable Health Insurance Options in Ohio: An Interview With Ohio Department of Insurance Director
According to the United States Census Bureau, 87.7 percent of Ohioans had some form of health insurance coverage during 2005, while 12.3 percent were not insured at any time during the year. Additionally, 14 percent of Ohio residents under the age of
According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
sixty-five did not have health insurance during 2005.
AFFORDABLE HEALTH INSURANCE OPTIONS IN OHIO
Most Ohioans who have health insurance are covered by either employer based plans or government programs. What options are available for individuals
AFFORDABLE HEALTH INSURANCE OPTIONS IN OHIO
Most Ohioans who have health insurance are covered by either employer based plans or government programs. What options are available for individuals
; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.
Examples of combination products may in
Examples of combination products may in
ho do not have access to such coverage? Ohio Department of Insurance Director, Ann Womer Benjamin, references the “increasing number of options with Health Savings Accounts. There may be a person, or a family, generally comfortable paying for health
lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.
care costs, but wants a high deductible policy. Also, for fairly young, fairly healthy individuals, an HSA coupled with a High Deductible Health Plan could really work.”
Health Savings Accounts are not feasible for everyone. Ohio residents who are
Health Savings Accounts are not feasible for everyone. Ohio residents who are
here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
ot interested in HSAs should try to take advantage of alternative plans and programs. “Ohio has an Open Enrollment Program that takes (uninsured individuals) regardless of pre-existing conditions, but is likely costly”, Womer Benjamin explains.
HEAL
HEAL
d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.
Combination pro
Combination pro
H CARE COVERAGE LEGISLATION
There are currently two bills in the Ohio Legislature, Senate Bill 272 and House Bill 5 / Senate Bill 5 that are generally supported by the Ohio Department of Insurance as methods of expanding access to health insurance co
There are currently two bills in the Ohio Legislature, Senate Bill 272 and House Bill 5 / Senate Bill 5 that are generally supported by the Ohio Department of Insurance as methods of expanding access to health insurance co
ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
erage.
Senate Bill 272 would repeal the Open Enrollment Program, as well as the Open Enrollment Reinsurance Program. In its place, the Ohio Health Insurance Risk Pool would be created to provide health care coverage to individuals who are unable to
Senate Bill 272 would repeal the Open Enrollment Program, as well as the Open Enrollment Reinsurance Program. In its place, the Ohio Health Insurance Risk Pool would be created to provide health care coverage to individuals who are unable to
easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
obtain affordable health care coverage in any other manner. This would eliminate the annual periods of open enrollment that sickness and accident insurers, health insurance corporations, and multiple employer welfare arrangements (MEWAs) are currentl
nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
required to hold. “The Ohio Health Insurance Risk Pool would provide a state fund for those without health insurance coverage. We would support this concept and have various suggestions for funding. We would theoretically be able to reach ten time
and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
more individuals than the Open Enrollment Program does currently”, says Womer Benjamin.
House Bill 5 / Senate Bill 5 would permit small employers to offer health care plans that do not provide benefits otherwise required by law. The bill provides f
House Bill 5 / Senate Bill 5 would permit small employers to offer health care plans that do not provide benefits otherwise required by law. The bill provides f
ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
r the operation of health savings accounts that are consistent with federal law, and places a limit on an insured’s liability for co-payments and deductibles under a health benefit plan. ODI Director Womer Benjamin asserts that the bill “would provid
ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.
Following aspects would a
Following aspects would a
more options for small businesses, and we are hopeful that that will pass”.
THE MASSACHUSETTS EXAMPLE
On April 4, 2006, Massachusetts House Bill 4850 was overwhelmingly passed by the state legislature. All Massachusetts residents will be required
THE MASSACHUSETTS EXAMPLE
On April 4, 2006, Massachusetts House Bill 4850 was overwhelmingly passed by the state legislature. All Massachusetts residents will be required
dd to the challenges in developing combination products:
Which markets to tap where the combination products can do fairly well?
Which combination prod
Which markets to tap where the combination products can do fairly well?
Which combination prod
o obtain health insurance coverage by July 1, 2007. The state’s plan dictates that businesses with more than ten employees that do not provide health insurance coverage will be charged a fee of as much as $295 a year for each employee. Government su
cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin
sidies to private insurance plans will provide affordable health insurance to a greater number of the working poor, and individuals who can afford private health plans will be penalized on their state income taxes if they do not have coverage. Should
tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
What would be the developing cost?
How to tackle the risks encountered during combination product developmen
Ohio consider a similar plan in order to achieve nearly universal health insurance coverage? Ohio Department of Insurance Director Ann Womer Benjamin says that we need to “watch Massachusetts and evaluate the plan’s success and funding”. “Ohio has
t?
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
larger number of uninsured individuals and is different than Massachusetts, politically.”
Ohioans have a large selection of health insurance carriers and government programs to choose from. Regardless of the provider, it is extremely important for
Ohioans have a large selection of health insurance carriers and government programs to choose from. Regardless of the provider, it is extremely important for
ping new procedures for reviewing their safety, efficacy and quality.
Professional from academic institutions, pharmaceutical industries, health care indust
Professional from academic institutions, pharmaceutical industries, health care indust
ndividuals to obtain a health insurance plan. Director Womer Benjamin emphasizes that she is “concerned with people who don’t think they need health insurance coverage”.
About The Ohio Department of Insurance
The Ohio Department of Insurance (ODI)
About The Ohio Department of Insurance
The Ohio Department of Insurance (ODI)
y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
s an informative resource for those seeking information regarding health insurance options in the state. ODI asserts that its mission is to be “responsive to and safeguard consumer interests through education and vigilance while promoting a stable an
.
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
competitive marketplace among insurance providers”. The Ohio Department of Insurance can help uninsured persons sort through their options, depending on their individual circumstances. For more information, call the ODI Consumer Hotline at 1-800-68
elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.
Companies that provide selfless information through particip
Companies that provide selfless information through particip
-1526.
The Department is headed by Director Ann Womer Benjamin, who was appointed in January of 2003, and is the first woman to hold this position. Prior to this appointment, Womer Benjamin served in the Ohio House of Representatives for eight years
The Department is headed by Director Ann Womer Benjamin, who was appointed in January of 2003, and is the first woman to hold this position. Prior to this appointment, Womer Benjamin served in the Ohio House of Representatives for eight years
tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products
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