Astronomical Salaries for Health Insurance Salaries in the US

The Center for Public Integrity reports:

If health insurance companies announce big premium increases on policies for 2015, I hope regulators, lawmakers and the media will look closely at whether they are justified, especially in light of recent disclosures of better-than-expected profits in 2013, rosy outlooks for the rest of this year and soaring CEO compensation.

Almost all of the publicly traded health insurers reported big increases in revenue and profits last year. The big winners have been the top executives of those companies, led by Mark Bertolini, CEO of Aetna, the nation’s third largest health insurer. Bertolini’s total compensation of $30.7 million in 2013 was 131 percent higher than in 2012.

If the stock prices of these firms keep growing at the current pace, Bertolini and his peers can expect to be rewarded even more handsomely this year, especially if they can hike premiums high enough to satisfy shareholders.

According to Health Plan Week, a trade publication, the CEOs of the 11 largest for-profit companies were rewarded with compensation packages last year totaling more than $125 million.

Over the past several weeks, several of them have told shareholders and Wall Street financial analysts that their companies likely will have higher profits at the end of this year than they expected, despite having to pay more medical claims as a result of the new Obamacare customers they picked up.

Those announcements have been music to the ears of shareholders, who are considerably wealthier today than they were this time last year.

Of those 11 companies (Aetna, Centene, Cigna, Health Net, Humana, Molina, Triple-S Management Corp., UnitedHealth Group, Universal American, Wellcare, and WellPoint) nine saw their stocks close near 52-week highs this past Friday.

The biggest gainer has been Humana, one of the largest operators of Medicare Advantage plans, whose share price has increased more than 53 percent over the past year.

The increases have been equally impressive at most of the other big companies. Aetna’s share price is up 31 percent, Cigna’s 32 percent. United’s is up 28 percent. And WellPoint’s is up 39 percent.

But it is the CEO compensation that has been the most eye-popping, especially at two of the publicly traded companies that specialize in managing Medicaid enrollees in several states: Centene and Molina.

Centene’s CEO Micheal Neidorff saw his compensation increase 71 percent last year, from $8.5 million to $14.5 million. Even more impressive was the 140 percent raise Molina’s J. Mario Molina got. His compensation jumped from $4.95 million in 2012 to $11.9 million in 2013.

 

The question we continue to ask is: Should the salaries of CEOs in publicly-held companies be capped?  Would this help inequality?

Executive Pay

The Immeasurable Advantages of Being Rich

Lawrence Summers, Presidential Advisor, Harvard professor and President, remarks that it is not the the middle and lower classes resent what the wealthy have, but that they want more themselves.  How can this be achieved as we address the issue of inequaility.

Summers suggests that two important aspects of income inequality will not be effected by income redistribution: health care and education.

“Barry Bosworth and his colleagues at the Brookings Institution have examined changes in life expectancy starting at age 55 for the cohort of people born in 1920 and the cohort born in 1940. They found that the richest men gained roughly six years in life expectancy, middle-income earners gained roughly four years, and those in the lowest part of the distribution gained two years. To put this in perspective, the elimination or doubling of cancer mortality would mean less than a four-year change in life expectancy.”

Children of the affluent go to college more than others in part because they have 6000 hours of extra curricular activities that enhance their education.

In addressing the issues of inequality, Summers suggest that focus should be placed on the health and education of the lower 99% as well as the taxation of the 1%.

Education

 

Inequality: Will Taxation Solve the Issue

Rachel Black, writing in Fortune, makes these suggestions:  Economist Thomas Piketty is proposing a global wealth tax to battle inequality, but that won’t help Americans build wealth. It’s time U.S. policymakers helped all households save more. It’s not often that a lengthy economics book gets very much attention, but by now, many have heard of French economist Thomas Piketty’s Capital in the Twenty-First Century. The 685-page book has unexpectedly become a bestseller; Piketty analyzes hundreds of years of tax records throughout the world and arrives at a harsh reality: The rich are indeed getting richer.

A lot of attention has been paid to incomes, but as Piketty highlights, the divide is much wider when it comes to wealth. While he has broadened the debate about inequality, what’s often been missing from the discussion is what should we do about it?

At least in the U.S., the prescriptions have overwhelmingly focused on raising incomes; hardly a day goes by when the media, a city mayor or Washington lawmakers make the case for raising workers’ minimum wage. While that might help equalize incomes, it does nothing to help Americans build wealth.

Piketty suggests levying a global wealth tax, but taxing the rich isn’t necessarily the answer. What could help average Americans, particularly low-income households, is policies that help them build wealth by helping people to save more. This is an approach recently articulated by my New America Foundation colleague, William Elliott. In his report, Harnessing Assets to Build an Economic Mobility System, he argues that the richest Americans already enjoy extensive government subsidies on their savings. This year, the top 20% of income earners will capture two-thirds of the $140 billion in subsidies for retirement, according to estimates by the Congressional Budget Office.

Lower-income Americans don’t have this type of support. In fact, they’re explicitly discouraged from saving more if you look at rules over federal food and income assistance programs that can make families with less than $1,000 in the bank ineligible to participate.

As a result, higher income families are rewarded for long-term planning and investment and low-income families are penalized for doing so. The point is that it takes money to make money, so how about making sure that everyone starts out with some?

There are multiple ways: Senator Ron Wyden (D-OR) has recently voiced his support for a universal savings accounts for children, modeled on the ASPIRE Act. ASPIRE would provide all children born in the U.S. with a $500 savings account that could be put toward the cost of college, buying a home or retirement. Up to $2,000 could be deposited into the account annually on a tax-free basis, and lower-income families would quality for a federal match of up to $500 a year. Representative Joe Crowley (D-NY) has supported a similar approach.

There are certainly other measures that need to take place to make sure that an approach like that is successful, such as getting rid of asset limits that cast savings as a liability in the minds of low-income families, as well as helping families build a financial cushion in the form of flexible savings, as the Financial Security Credit would do.

As Piketty rightly observes, the continued consolidation of wealth is deeply problematic. This is true on a macro scale as well as in the day-to-day lives of families trying make ends meet and get a few steps ahead. Replacing our flawed public policies that exacerbate this problem with a system that facilitates the creation of new wealth would go a long way toward allowing more Americans to share in such a powerful driver of economic success.

Savings?

 

College Debt Greater than Credit Card Debt in US

Eizabeth  Warren’s bill to penetrate the dilemma of college debt did not survive debate in the US Senate.  Senate Majority Leader Harry Reid will try to bring it up again.   The bottom line in Warren’s argument and President Obama’s is that the massive student debt held by Americans is slowly economic growth and is fundamentally unfair.

As to the economic issue, there is no question that recent graduates crippled by the burden of student debt, live at their parents’ home instead of renting or buying their own homes, do not buy cars, and keep their expenses to a minimum.  Freed from at least a portion of their debt, they would probably contribute to the nation’s growth by buying more.

It is also true that other groups are given advantages students are not.  Banks in TARP, subsidies to banks represented by Federal Deposit Insurance, and corporate tax advantages are among the obvious skews to that industry.

While real questions about who should go to a four year college and on to professional education, and who should be trained in two year colleges for available work remain, and are often too politically charged in America to even be debated, something is very wrong if college debt exceeds credit card debt in the US.

Student Loan Debt