Tag Archives: Insurance Companies

Bailout for health insurers? Less than 25% of Obamacare sign-ups under age 34

The Wall Street Journal reports.

Excerpt:

One-third of health plan enrollees in new insurance marketplaces are 55 or older, the Obama administration said Monday, a figure that insurers said makes the pool older than they would need to sustain their coverage at current premiums.

Administration officials said they are pushing to enroll more young people before a March 31 deadline for most people to get coverage for this year, and some cushions built into the law mean it won’t necessarily face trouble right away even if the 2014 pool of enrollees skews older.

Still, the release of the data, showing for the first time the age breakdown of people who had signed up for coverage through December, highlighted the challenge in persuading younger people who may not have a pressing need for health coverage to sign up for policies that can cost about $200 a month before subsidies.

“This is concerning to us that we’re seeing this portion come in so old,” said Marty Anderson, marketing director for the Wisconsin-based Security Health Plan, which serves rural counties in the state.

Just under a quarter of the roughly 2.2 million people who signed up for private plans nationwide by Dec. 28 were between the ages of 18 and 34, while one-third were in the 55-to-64 range, just short of the age at which most qualify for Medicare, the federal government program for the elderly.

[…]Under the 2010 Affordable Care Act, consumers no longer pay premiums based on their health risks. To prevent a sharp rise in premiums in 2015 and beyond, carriers say they need strong enrollment from younger people who are likely to be healthier. That would balance out the bills racked up by sicker and older people.

[…]”There’s no way to spin it: Youth enrollment has been a bust so far,” said Brendan Buck, a spokesman for House Speaker John Boehner (R., Ohio). “When they see that Obamacare offers high costs for limited access to doctors—if the enrollment goes through at all—it’s no surprise that young people aren’t rushing to sign up.”

So who is going to be on the hook when the insurance companies take far higher losses than the Democrats estimated?

YOU ARE. The Weekly Standard explains why in this article.

Excerpt:

Robert Laszewski—a prominent consultant to health insurance companies—recently wrote in a remarkably candid blog post that, while Obamacare is almost certain to cause insurance costs to skyrocket even higher than it already has, “insurers won’t be losing a lot of sleep over it.”  How can this be?  Because insurance companies won’t bear the cost of their own losses—at least not more than about a quarter of them.  The other three-quarters will be borne by American taxpayers.

[…]As Laszewski explains, Obamacare contains a “Reinsurance Program that caps big claim costs for insurers (individual plans only).”  He writes that “in 2014, 80% of individual costs between $45,000 and $250,000 are paid by the government [read: by taxpayers], for example.” 

In other words, insurance purchased through Obamacare’s government-run exchanges isn’t even full-fledged private insurance; rather, it’s a sort of private-public hybrid.  Private insurance companies pay for costs below $45,000, then taxpayers generously pick up the tab—a tab that their president hasn’t ever bothered to tell them he has opened up on their behalf—for four-fifths of the next $200,000-plus worth of costs.  In this way, and so many others, Obamacare takes a major step toward the government monopoly over American medicine (“single payer”) that liberals drool about in their sleep.

Laszewski adds, “The reinsurance program has done and will continue to do what it was intended to do; help attract and keep more carriers in Obamacare than might have otherwise come.”  Thus, Obamacare is being aided by having taxpayers subsidize big insurance companies’ business expenses.  (Who could ever have guessed that big government and big business might be natural allies?)

But, amazingly, it doesn’t stop there.  Laszewski writes that Obamacare also contains a “Risk Corridor Program that limits overall losses for insurers.”  So insurers not only don’t have to pay out all of their costs; they also don’t have to swallow all of their losses. 

Laszewski explains that if an insurance company expects its costs in a given year to be X, and those costs end up being more than X plus 2 percent, taxpayers will come to that insurance company’s rescue—thanks to Obamacare.  In fact, once an insurance company covers that initial 2 percent in unexpected costs, taxpayers will cover at least 80 percent of any additional costs the insurer accrues.

Does this sound familiar? Yes – this is exactly what caused the mortgage lending crisis and bailout in 2008. Democrats were very anxious to guarantee the bad loans of mortgage lenders with taxpayer money supplied through Fannie Mae and Freddie Mac. And they are doing it again with health insurers. (And they’ll do it again with student loans, just wait)

The best way to stop this madness is by electing Republicans in the 2014 mid-term elections. And then electing a conservative as President in 2016. Evict the children from the White House and Congress.

Health care premiums will increase due to Obamacare

Story in the Wall Street Journal. (H/T Hot Air)

Excerpt:

Health insurers say they plan to raise premiums for some Americans as a direct result of the health overhaul in coming weeks, complicating Democrats’ efforts to trumpet their signature achievement before the midterm elections.

Aetna Inc., some BlueCross BlueShield plans and other smaller carriers have asked for premium increases of between 1% and 9% to pay for extra benefits required under the law, according to filings with state regulators.

These and other insurers say Congress’s landmark refashioning of U.S. health coverage, which passed in March after a brutal fight, is causing them to pass on more costs to consumers than Democrats predicted.

The rate increases largely apply to policies for individuals and small businesses and don’t include people covered by a big employer or Medicare.

[…]Many carriers also are seeking additional rate increases that they say they need to cover rising medical costs. As a result, some consumers could face total premium increases of more than 20%.

[…]In addition to pledging that the law would restrain increases in Americans’ insurance premiums, Democrats front-loaded the legislation with early provisions they hoped would boost public support. Those include letting children stay on their parents’ insurance policies until age 26, eliminating co-payments for preventive care and barring insurers from denying policies to children with pre-existing conditions, plus the elimination of the coverage caps.

Weeks before the election, insurance companies began telling state regulators it is those very provisions that are forcing them to increase their rates.

Aetna, one of the nation’s largest health insurers, said the extra benefits forced it to seek rate increases for new individual plans of 5.4% to 7.4% in California and 5.5% to 6.8% in Nevada after Sept. 23. Similar steps are planned across the country, according to Aetna.

Regence BlueCross BlueShield of Oregon said the cost of providing additional benefits under the health law will account on average for 3.4 percentage points of a 17.1% premium rise for a small-employer health plan. It asked regulators last month to approve the increase.

In Wisconsin and North Carolina, Celtic Insurance Co. says half of the 18% increase it is seeking comes from complying with health-law mandates.

When you require insurance companies to force all of their customers to pay for new mandatory coverages and you remove limits on payouts, it makes the premiums go up! Obviously – somebody has to pay for the happy-talk eventually.

MUST READ: How Nancy Pelosi plans to bankrupt private medical insurers

Story here at Director Blue. (H/T Fausta’s Blog via ECM)

Here’s section 2714 of the health care reform bill.

(a) In General- Each health insurance issuer that offers health insurance coverage in the small or large group market shall provide that for any plan year in which the coverage has a medical loss ratio below a level specified by the Secretary (but not less than 85 percent), the issuer shall provide in a manner specified by the Secretary for rebates to enrollees of the amount by which the issuer’s medical loss ratio is less than the level so specified.

Unless I am mistaken, this means that medical insurers will be forced to pay out 85% of premiums collected as either losses (claims) or as rebates to customers.

So, private medical insurers will only be able to use 15% of all premium collected for operating expenses, such as salaries, rate dvelopment, claims processing, etc. But is 15% of income from premiums enough to keep a business afloat?

Director Blue writes:

Why would a loss ratio that permits only a 15% administrative margin for insurers cause companies to fail? Consider that the administrative expenses include collecting premiums; processing and paying claims; monitoring patient care; staffing customer service functions; paying costs to state and federal regulators; paying sales agents; and general overhead (rent, power, heat, light); etc.

I repeat: No company has ever survived with a loss ratio approaching 85%.

What are we to make of Obama’s claim that we could keep our health plan if we liked it, in light of this new evidence? If what Director Blue has argued is true, you will be depending on the federal government for health care. You will have no choice. And whatever they tell you to do, you will do it. They will be the sole provider of health care for you  and your family. This is how liberty dies – to thunderous applause.

What the Democrat’s health care bill means to you

Director Blue also has a post up about what the Democrat health care bill means to you, in 90 seconds.

Excerpt:

The CBO now estimates health bill spending at $3 trillion over 10 years. Since the CBO historically underestimates expenses, assume massive new deficits for a country that can ill afford them.

You’ll be required to buy a ‘qualified’ health plan. A family earning $102K a year will pay $1,700 a month in premium and out-of-pocket expenses. ‘Willful’ failure to buy a plan will result in a fine of up to $250,000 and ‘imprisonment of up to five years’. Illegal immigrants are exempt from fines and imprisonment.

Every business in America must provide a ‘qualified plan’ for employees and pay 72.5% of the cost. Failure to do so results in an 8% payroll tax.

Read the rest. I would think that some people who worked for medical insurers voted for Obama. Actually, one of the strongest Democrats I know actually left our company recently to go work for a medical insurer. He said that health care was a safe industry during a recession. He’s going to learn the importance of studying economics if this bill passes.

How the Democrats got endorsements from the AMA and AARP

One last thing. ECM also sent me this article on how the Democrats were able to get endorsements from the AMA and the AARP.