“Health insurance companies strayed from their roles as insurance companies and became prepaid healthcare service companies mucking around with the equivalent of car tune-ups, tire changes and the like. Imagine if we had co-pays, deductibles, Explanation of Benefits for tune-ups and tire changes. We would be paying a 40% insurance bureaucracy tax there as well. Health insurance companies created a ‘system’ that can be charitably described as a Gordian Knot designed by Rube Goldberg. …

“This should be a cautionary tale not only for health insurance companies, but providers and pharma as traditional industry demarcations are disappearing. It’s time to get the lead out and realize that patients are more than a vessel to attach billing codes to.” — Dave Chase of Avado writes a thoughtful piece about how insurance companies are transforming themselves into anything but insurance companies, and why: Aetna: Scaring Its Competition and Delighting Startups | Avado.com – Connecting Providers and Patients.

Jeanne Pinder  is the founder and CEO of ClearHealthCosts. She worked at The New York Times for almost 25 years as a reporter, editor and human resources executive, then volunteered for a buyout and founded...