HOW - A Proposal
Healthcare of Wisconsin [HOW] is a proposed statutory healthcare plan for Wisconsinites without using tax dollars. HOW, a market-based alternative to the traditional insurance-based system, purchases healthcare not health insurance. HOW provides medical services and promotes healthcare equity.
HOW – Trust Fund
HOW establishes a trust fund [FUND] into which covered Wisconsinites pay premiums. HOW uses deductibles, copayments, and refund tax credits to lower premiums. FUND covers the payments to medical services providers for their goods and services supplied to covered Wisconsinites. The State of Wisconsin Investment Board manage
HOW – Trust Fund
HOW establishes a trust fund [FUND] into which covered Wisconsinites pay premiums. HOW uses deductibles, copayments, and refund tax credits to lower premiums. FUND covers the payments to medical services providers for their goods and services supplied to covered Wisconsinites. The State of Wisconsin Investment Board manages FUND, including the requisite initial capitalization and reserves.
HOW – What it provides?
HOW provides the following services: ambulatory patient, emergency, pregnancy, maternity, newborn care, mental health, substance abuse disorder, rehabilitative and habilitative care and devices, laboratory, preventative and wellness care, pediatric care, pediatric and adult oral and vision care, and medical managem
HOW – What it provides?
HOW provides the following services: ambulatory patient, emergency, pregnancy, maternity, newborn care, mental health, substance abuse disorder, rehabilitative and habilitative care and devices, laboratory, preventative and wellness care, pediatric care, pediatric and adult oral and vision care, and medical management programs (for specific needs like weight management, back pain, and diabetes)..
HOW creates a network, [NETWORK] of medical services providers, licensed in Wisconsin. Medical services providers set their prices for goods and services. They set procedures for referrals, prior authorizations, patients’ appeals, payments, etc. They appoint NETWORK as their agent to negotiate a healthcare-requirements contract with Wisconsin for covered Wisconsinites.
Covered Wisconsinites are residents of Wisconsin not covered by Medicare, Medicaid, Veterans Health Administration and other government programs. Covered Wisconsinites pay premiums. HOW uses reasonable deductibles, copayments, and refund tax credits to lower premiums. HOW affords employers and employees the flexibility to design healthca
Covered Wisconsinites are residents of Wisconsin not covered by Medicare, Medicaid, Veterans Health Administration and other government programs. Covered Wisconsinites pay premiums. HOW uses reasonable deductibles, copayments, and refund tax credits to lower premiums. HOW affords employers and employees the flexibility to design healthcare benefits. With about four million covered Wisconsinites in the group, HOW achieves the lowest costs.
HOW creates a state agency with a board of trustees, comprised of members from the healthcare industry and Wisconsin ex officio members. This state agency manages HOW operations, processes and pays the claims from the sale of healthcare goods and services to covered Wisconsinites and negotiates with NETWORK.