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.

Category: Health and Wellness

Straight Talk: It’s Time to Go Back to Your Doctor

A few weeks ago, I started to notice some changes in the vision in my left eye. Black specks, flashes of light; everything I read about it said I might be getting a detached retina, which is a pretty big deal. I immediately called my eye doctor, who referred me to a retina specialist. Now, I hadn’t been to a doctor’s office since January so I really didn’t know what to expect, and I was, frankly, a bit nervous about it.

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Category: Health and Wellness

Podcast #10 | Re-opening Louisiana

Louisiana is opening back up. In this podcast, Blue Cross and Blue Shield of Louisiana Healthcare Economist Mike Bertaut talks about the adjustments we are all making and why we can’t let our guard down. Mike also discusses the strong safety net Louisiana currently has for residents who lose their jobs and their health insurance during this pandemic.

Mike talks about the remarkable number of telehealth claims Blue Cross is processing right now, and goes into details about about Blue Cross’ data-sharing partnership with the State of Louisiana, including details on a presentation that Blue Cross’s Chief Analytics & Data Officer, Somesh Nigam, led this week, during the federal Department of Health and Human Services’ Data Science CoLab Demo Day.

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Category: Health Insurance

Getting a Head Start: Blue Cross and Blue Shield of Louisiana’s Data Investment and COVID-19

The other day, I was lamenting the fact that I haven’t seen a disinfecting wipe container in any store in a few months. I find them VERY handy nowadays for wiping doorknobs and other frequently touched surfaces or using them at the gas station and grocery store. I was just about out of wipes when I popped open a seldom-used cabinet and found a whole new package — NEVER OPENED.

A couple of years ago, with no idea that we’d be battling COVID-19, I stashed those away. I wasn’t “planning for a rainy day;” it was just luck.

But thanks to the talented team of data scientists we have here at Blue Cross, luck isn’t our only method of being prepared and ready to respond to COVID-19. Read more

Category: Government Programs, Health Insurance

What’s “Special Enrollment” on Healthcare.gov and How Do I Qualify?

Sometimes, dealing with a big bureaucracy with a ton of rules can be really, really frustrating. Dealing with lots of rules and regulations often makes folks want to tear their hair out. Life can be pretty complex on its own, without tons of rules to follow.

Every now and then, though, having a bunch of rules and regulations is a good thing. Like the many different ways you can trigger a Special Enrollment Period on healthcare.gov. Many of these also work for seniors who are Medicare eligible. We’ll talk about each of those and their options for healthcare coverage. Read more

Category: ACA and Policy, Cost of Healthcare, Government Programs, Health and Wellness, Health Insurance

Podcast #9 | Don’t Delay Care, Payments to Hospitals, Elective Procedures

Welcome to our first podcast in the age of COVID-19. In this podcast, Mike and his producer, Lindsey, talk about what has changed at Blue Cross (about 90% of our employees are working from home), along with how we’ve adjusted programs and services for our members. And, he talks about what hasn’t changed — our commitment to continue serving our customers.

Mike explains why it’s vital to continue seeking treatment for regular health concerns. Emergencies like heart attacks and appendicitis don’t stop in the face of a public health crisis, but more Americans are delaying care for them, at a great risk. Mike discusses how telehealth can help you figure out if and when you need to head to the hospital. Read more

Category: Cost of Healthcare, Health Insurance

The Forecasting Process: Louisiana and Blue Cross After COVID-19

As healthcare economist for Blue Cross and Blue Shield of Louisiana, I figure my job looks pretty mundane to most people. Above all things, my job is studying, understanding, reporting and predicting, in that order.

I spend the vast majority of my time reading. Over the past 15 years, I’ve cultivated sources via journals, email blasts, Twitter, LinkedIn and blogs that help me keep track of trends in healthcare and our economy, both here in Louisiana and nationally, if I think it has ramifications for our state.

The real key to my process is to quickly identify things that could affect all of us, and our healthcare in Louisiana. Read more