Author: Michael Bertaut

Healthcare Economist Michael Bertaut (BURR-toe) is a Certified Health Consultant and Professional of the Academy of Healthcare Management. He has more than 30 years of analytical experience in the healthcare, telecom and retail industry sectors. On the ground in D.C. when the healthcare reform law (PPACA) was written, Michael has taken part in more than 1,100 public discussions on healthcare costs and the impact of reform since 2009. Mike is a fellow of the Academy of Applied Politics at Louisiana State University, and author of this Hermes Award winning healthcare blog. Michael earned his MBA and BA from Louisiana State University and just celebrated his 35th year as a cancer survivor. Michael is recognized as a national commentator on healthcare reform, quoted in the Washington Post, Chicago Tribune, and state and local publications. He is a regular guest on the Talk Louisiana radio show.

A little over 10 years ago, I was sitting in a tiny hotel room in Washington, D.C., waiting for a phone call from a friend who is a lobbyist for our Blue Cross and Blue Shield Association. It was Christmas Eve 2009, and we were awaiting the final vote of the U.S. Senate on the Affordable Care Act (ACA). I remember very clearly thinking that there was nothing to stop the then-Democratic majority from passing the ACA. Certainly, they had put a ton of work, time and effort into the law. But — they put much less time into gaining the trust of the opposition.

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I was so blessed growing up. I was a small-town boy (Morgan City was a city in name only!), an oldest child with four brothers and sisters, and had an incredibly talented, hard-working mom who stayed home with us until I was in high school. I was raised with a hard-working, strong moral character of a dad who had a job that allowed him to spend two out of every four weeks at home. And just for a little spice, his mom, a hard-charging, widowed “Maw-Maw,” lived two blocks away and worked well into her 70s. My Paw-Paw, her husband, passed away three years before I was born, when she was in her 40s. She never remarried.

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Update: A late night ruling on Sept. 24 in U.S. District Court has ordered the federal government to extend counting for the 2020 Census for one more month, until Oct. 31. However, experts expect the ruling to be appealed.

Blue Cross and Blue Shield of Louisiana urges Louisianians to complete the census by the original Sept. 30 deadline. Being counted helps Louisiana get our fair share of federal funds, Congressional seats and electoral college votes.

I was watching a young mom the other day in my neighborhood, trying to get her kids to come inside for dinner. She got so mad, she started counting! “I’m only go

ing to give you to THREE, and then you’re gonna get it!”

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One of the more interesting things the Affordable Care Act did to the private health insurance business was to tell health insurance companies that the Feds were now in control of their profit margins. What does that mean?

Imagine you are the CEO of your own health insurance company. In fact, let’s call it Your Own Health Insurance Company, or YOHIC for short! How do you think you would feel if YOHIC collected $1 billion in premiums over a year, but only had to pay out $500 million in healthcare costs? Sounds like YOHIC is doing really well, turning a 50% profit. Does YOHIC get to keep the rest of the premiums for its own payroll and profits?

Since 2010, the answer to that question is a resounding NO! Read more

I’m taking a break from my series on COVID-19 data to talk about something more pressing – our state’s recovery from Hurricane Laura.

If, like me, you’ve spent many years in Louisiana, you’ve dealt with a lot of hurricanes that caused a lot of damage and destruction. I have memories of my childhood home in Morgan City being pummeled so hard by Hurricane Betsy in 1965 (I was a preschooler!) that water was blowing through the bricks and into the sheetrock. The walls of our brand-new house were flexing, like the house was “breathing,” and a telephone pole dropped right onto our roof. Terrifying. Let’s just say my family never stayed for any other hurricane after that one.

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I’m not usually one to dive into topics that are just horribly grim, but everything I’m going to tell you next is important to how we are forecasting and tracking COVID-19, and, in my personal opinion, needs to be said.

As I write this (week of Aug. 20), COVID-19 is killing around 30 of our family, friends and neighbors in Louisiana every day. Nearly 4,500 Louisianians have died since we started tracking COVID-19 deaths in February. In fact, nationwide, COVID-19 is now the THIRD-leading cause of death in the United States, behind only cancer and heart disease. That means COVID-19 is now killing more people than accidents, injuries, strokes, lung disease, diabetes, Alzheimer’s and many, many other causes. We have to take this virus very seriously, especially the trends of Louisianians dying from it. Read more