Tag Archives: Coverage

Surprise! New Stanford University study finds costs of Obamacare higher than estimated

I’m just kidding. I’m not surprised. Here’s the story from Reason magazine.

Excerpt:

Obamacare could cost a lot more than the official estimates, according to a new study by researchers at Stanford University.

That’s because the law will create big incentives for employers to drop worker health coverage so that employees can get health insurance through the law’s insurance exchanges. Anyone who buys insurance through an exchange and has a household income between 133 and 400 percent of the poverty line is eligible for publicly funded subsidies. So if a lot more people than expected end up in the exchanges, that means a lot more subsidies — and a much higher total cost for the law.

The study, published this week in the journal Health Affairs, estimates that some 37 million people would benefit from shifting out of employer coverage and into exchanges. What “benefit” means, in this case, is that those people would be better off getting cash from their employer instead of coverage, and then buying subsidized coverage on the exchanges.

If all 37 million people in this category were to switch into exchange-based coverage, it would result in a dramatic increase in the law’s cost: about $132 billion annually in additional federal outlays, according to the study.

[…]The paper concludes with a warning: policy makers “should plan for the possibility that the exchange subsidies may end up costing the federal government much more than currently projected.”

It’s a warning they should take seriously. It’s also one they ought to have heard before. Former Congressional Budget Office director Douglas Holtz-Eakin and James Capretta of the Ethics and Public Policy Center have been sounding this alarm for years. Back in 2010, they estimated that, because of the law’s incentives to drop coverage, 35 million more Americans than expected could end up in subsidized coverage through the exchanges.

On election day in 2012, I wrote this post that quoted Investors Business Daily’s warning about Obamacare:

Despite repeated promises that the more we knew about ObamaCare, the more we’d like it, the law has never been less popular. Just 38% now approve of it, down from 46% when it passed in March 2010, according to the latest Kaiser Family Foundation survey.

But unless voters defeat Obama on Tuesday, they’ll never get rid of his disastrous “reform.” Even before ObamaCare takes full effect, its damage is evident.

Insurance premiums, which Obama promised to slash $2,500 by the end of his first term, have climbed 14% since the law went into effect. Nearly six in 10 doctors say ObamaCare has made them less positive about the future of health care in America, and almost two-thirds say they’d retire today if they could, according to a Physicians Foundation survey.

Businesses are holding back on hiring, or are shifting workers to part time because of ObamaCare’s looming coverage mandate. Darden Restaurants, for example, has stopped offering full-time schedules at several of its popular eateries “to help us address the cost implications of health care reform.”

This is only one of the horrors ObamaCare will unleash if fully implemented in 2014. Among others:

  • ObamaCare will force as many as 20 million workers into government-run insurance exchanges after their employers drop coverage, according to the Congressional Budget Office.
  • More companies will follow Darden’s example, refusing to schedule workers more than 30 hours wherever they can to avoid the coverage mandate.
  • Insurance costs will explode. Even ObamaCare’s fans admit that its benefit mandates, marketplace rules and bans on coverage caps will force premiums to skyrocket. Jonathan Gruber, who helped design ObamaCare, says the law will add 30% to premiums in the individual market in the states he’s studied.
  • Doctor shortages will reach 90,000 in about a decade, according to the Association of American Medical Colleges.
  • Seniors will find it increasingly difficult to get treatments, as ObamaCare’s deep Medicare payment cuts cause one in six hospitals to become unprofitable and still more doctors to refuse to see Medicare patients.
  • Even when a patient does get to see a doctor, ObamaCare will intrude, using the law’s “Patient-Centered Outcomes Research Institute” to create top-down rules for what doctors can prescribe for any given ailment.
  • ObamaCare’s vast new taxes — including a crippling $20 billion surtax on the medical device industry and a $123 billion surtax on investors — will slow down medical innovation.
  • And when these and dozens of other new taxes fail to cover ObamaCare’s massive 10-year $1.76 trillion price tag, everyone will suffer a bigger tax bite.

Not to mention the fact that ObamaCare will, for the first time in our nation’s history, force people to buy a government-approved product, setting a frightening new precedent for federal intrusiveness.

That’s a warning that we should have heeded as voters in the 2012 election. But we didn’t. And 2014 is almost here.

Look, even when a person means well and wants to help others, if they don’t know what to do to help others, then we shouldn’t put them in charge. The best way to tell if someone knows how to do what they say they want to do is to look at their record and see if they have been able to do what they say they want to do in the past. That’s what a job interview is – it’s when the people doing the hiring look at the candidate’s record – not his rhetoric – and decide whether to hire him to do certain specific tasks. The requirements of the job should be key to the decision of whether to hire or not. Obama had no experience passing health care laws that lowered costs, improved access, and so on. He had never done anything remotely like that in all of his life. If we wanted to fix health care, then we should hire people like Bobby Jindal. People who know how to do the work because they’ve actually done the work before.

Blue Cross, Aetna, United, Humana opt out of Obamacare exchanges

From CNS News.

Excerpt:

Major health insurance companies – Blue Cross, Aetna, United, Humana – have fled the Obamacare health care exchanges in various states, which are scheduled to start on Oct. 1.

[…]The ACA requires every American to have health insurance, or pay a penalty.  Individuals who are not covered by their employer can enroll in the state or federal government-run health care “marketplace,” which will provide subsidies to individuals between 100 and 400 percent of the poverty line.

Aetna, a fortune 100 company with $34.2 billion in revenue, has pulled out of public exchanges in three states, and will not be part of the individual health insurance exchange in its home base, Connecticut.

[…]Aetna will also not participate in California’s exchange, and a spokesperson told CNSNews.com that the company never intended to do so.

“We did not withdraw exchange plans in California, as we never planned participation nor filed [Qualified Health Plans] QHPs to participate in the California exchange,” a spokesperson said.

Anthem Blue Cross has withdrawnfrom its bid to participate in the state’s small business exchange, as well.

United Health Group, the largest health insurer in the United States, has also taken a pass on the Golden State’s individual insurance market under Obamacare.

As a result, roughly 8,000 policyholders will be left searching for new insurance.

[…]Only three companies remain in Connecticut’s “Access Health CT” exchange, following Aetna’s departure.

Similarly, only five plans are participating in the exchange in Georgia, after Aetna and Coventry Health Insurance dropped out last week.

The Savannah Morning News noted that this will “leave residents of some parts of the state with limited choice.”

[…]Two of the three largest health insurers in Wisconsin will also not participate in the state’s online marketplace under Obamacare, it was announced on Wednesday.

But I thought that Obama said that people who liked their current health care plan could keep it?

“No matter how we reform health care, we will keep this promise: If you like your doctor, you will be able to keep your doctor, period,” Obama said on June 15, 2009.

“If you like your health care plan, you will be able to keep your health care plan. Period,” he said.  “No one will take it away. No matter what.”

That promise, however, has been revised by the Department of Health and Human Services (HHS), which now says, “you may be able to keep your current doctor” in the health insurance marketplace.

Oh I see, once the election is over, then the truth comes out. But it doesn’t matter, because Obama already won the election on the strength of the lie.

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Aetna pulls out of Obamacare exchanges in Maryland – can’t operate at a loss

Left-leaning Reuters reports on the implementation of Obamacare in Maryland.

Excerpt:

Aetna Inc pulled out of Maryland’s health insurance exchange being created under President Barack Obama’s healthcare reform law after the state pressed it to lower its proposed rates by up to 29 percent.

Under the law, often called Obamacare, each U.S. state will have an online exchange where Americans will be able to buy insurance plans, starting on October 1. The government is counting on about 7 million people to enroll next year for this insurance, many of whom will qualify for subsidies.

The success of the exchanges, as well as the expansion of the government’s Medicaid program for the poor, are key elements in the political battle between Republicans and Democrats. State officials say the price of the new insurance plans will help determine whether enough people sign up.

In an August 1 letter sent to the Maryland Department of Insurance, Aetna said the state’s requirement for rate reductions off its proposed prices would lead it to operate at a loss. The rate reductions include products from Aetna and Coventry Health Care, which it bought this spring.

“Unfortunately, we believe the modifications to the rates filed by Aetna and Coventry would not allow us to collect enough premiums to cover the cost of the plans, including the medical network and service expectations of our customers,” Aetna said in the letter to insurance commissioner Therese Goldsmith.

According to online documents, Aetna had requested an average monthly premium of $394 a month for one of its plans and the agency had approved an average rate of $281 per month.

Aetna Chief Executive Officer Mark Bertolini said earlier this week during a conference call to announce financial results that it was closely looking at its plans for the exchanges since buying Coventry.

Like most other large U.S. insurers, Aetna has taken a cautious approach to the new products which must include a broader set of benefits and be sold to all people regardless of their health.

Doug Ross blogged about the cost of health insurance in Ohio a while back. He linked to this article from Forbes magazine.

Excerpt:

[O]n Thursday, the Ohio Department of Insurance announced that, based on the rates submitted by insurers to date, the average individual-market health insurance premium in 2014 will come in around $420, “representing an increase of 88 percent” relative to 2013…

[…]It’s called “rate shock,” but it’s not shocking to people who understand the economics of health insurance. In August 2011, Milliman, one of the nation’s leading actuarial firms, predicted that Obamacare would increase individual-market premiums in Ohio by 55 to 85 percent. This past March, the Society of Actuaries projected that the law would increase premiums in that market by 81 percent…

[…]What are the drivers of the increase? According to Milliman, the two biggest drivers are (1) risk pool composition changes, such as forcing the young to subsidize the old, and the healthy to subsidize the sick; and (2) Obamacare’s required expansion of insurance benefits, particularly its mandated reductions in deductibles and co-pays…

Doug makes the point that we already knew what happens to the cost of health care when government imposes price controls – we get a shortage of health care, and prices go up. We knew that. Obamacare is nothing but a further intervention into free market to impose more price controls. Guess what? It’s going to do the exact same thing. The only way out of this mess is going to be for government to ration care by reducing the number of doctors and delaying treatment with waiting lists – exactly what happens today in Canada.

During the election campaign, Obama promised everyone that his health care policy would result in lower premiums. What reasons did we have to believe him when he said that? Did he have a record of competence on health care policy, like Louisiana governor Bobby Jindal does? Did he have a career in private sector health care to draw on, like Mark Bertolini does? No. Obama had nothing but talk. And we were too busy watching television to care.

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