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Can Jeff Bezos, Warren Buffett and Jamie Dimon fix health care?


Amazon is partnering with Buffett's Berkshire Hathaway and JPMorgan Chase, the nation's largest bank, to get into the health insurance business. The three companies unveiled a yet unnamed company to provide their U.S. workers and families with a better option on health care. The statement said the new company will be "free from profit-making incentives and constraints."

As of a year ago, the three companies had 840,000 global employees between them, though they did not break down how many of those are in the U.S. As of now the companies are concentrating on a product for their own employees and family members, not a product to offer to other companies.

"The ballooning costs of health care act as a hungry tapeworm on the American economy," said Buffett. "We share the belief that putting our collective resources behind the country's best talent can, in time, check the rise in health costs while concurrently enhancing patient satisfaction and outcomes."
The three leaders of the companies - Buffett, Amazon (AMZN) founder Bezos, and JPMorgan Chase (JPM) CEO Dimon, are all friends who have talked for years about the problems involved with providing health care to their employees, especially those based in the U.S., according to an executive familiar with their discussions.
"It wasn't they saw each other one place and a light bulb went off," said the executive. "These guys talk all the time. It's the result of a lot of talks they've had both formally and informally over the years - 'No one has to deal with buying a product like this other than health care.'"

Experts say that given the resources of the companies, and their history of concentrating on the long-term rather than just the near-term, they have a chance to make significant changes in the way healthcare is provided. Still, it won't be an easy industry to change.

"Nothing in health care changes in short order," said Gary Claxton, vice president of the Kaiser Family Foundation. "There are many things that are wrong -- prices are very high. The provider markets are very consolidated. The insurance markets are very consolidated. Information is not readily available. And a lot of the money is spent on very ill people when money is not at the front of your mind."
But Claxton and other experts say they're encouraged to see these three companies partner together to try to make a change.

"These are very visible companies with very deep assets," said Dan Mendelson, CEO of Avalere Health, a healthcare consulting firm. "It's certainly a positive they're focused on it."
And while the companies are talking about focusing on their own employees, Mendelson said that based on his conversations with people involved in the effort, he doesn't expect it to remain limited to that group.
"They're going to be using their own spending and resources as a laboratory. But I think their aspirations are bigger than their employee bases," he said.

The joint effort will look to find a more efficient and transparent way to provide health care services to their employees and families, the companies said.

"The health care system is complex, and we enter into this challenge open-eyed about the degree of difficulty," said Bezos. "Hard as it might be, reducing health care's burden on the economy while improving outcomes for employees and their families would be worth the effort."

Mendelson said it makes sense for the companies to concentrate on providing more information to their employees because doing so would have a significant impact on both the cost and quality of healthcare.
"Experience shows that consumers will shop, and use price information, especially when it's paired with quality information," he said.
Even with the companies saying that they're aimed at providing the service for only their employees at this time, Amazon's reputation of disrupting the markets it enters helped to shake up investors in the healthcare sector.
Shares of established health insurers such as UnitedHealth, (UNH) Anthem (ANTX), Aetna (AET) and Cigna (CI) opened sharply lower Tuesday following the announcement, as did shares of Humana (HUM), a hospital operator, drugstore retailers CVS (CVS) and Walgreens (WBA) and prescription service Express Script (ESRX). Shares of Amazon opened slightly lower, while JPMorgan and Berkshire Hathaway were unchanged.
The companies said their efforts are only at an early stage. While each named one executive to work on the effort, they have yet to decide on a longer-term management team, a headquarters location or other operational details."

One of the executives named to the effort has ties to two of the three companies. Todd Combs, an investment officer of Berkshire Hathaway (BRKA), also serves on the board of JPMorgan Chase.

"The three of our companies have extraordinary resources, and our goal is to create solutions that benefit our U.S. employees, their families and, potentially, all Americans," said Dimon.
Berkshire Hathaway (BRKA), which owns the auto insurer Geico, is a major player in the insurance and re-insurance business but it hasn't offered health insurance.

CNNMoney (New York)