Last week, we analyzed the major news that Blue Cross/Blue Shield (BCBS), a health insurance titan, is withdrawing from Minnesota's individual market due to Obamacare-caused financial losses. We wondered if this move might be a sign of things to come, as we saw with United Health's tiered departure from most Obamacare exchanges. Via the ever-watchful John Sexton, it's beginning to look like BCBS will face powerful market incentives to sever ties with Obamacare, particularly if their 2017 steep rate hike increase requests are rebuffed by government regulators. Investors Business Dailyreports:
Across the country Blue Cross affiliates are losing staggering amounts of money thanks to the law, and are putting in for premium hikes that would have been unimaginable before ObamaCare. For example, Health Care Services Corp. -- which owns Blue Cross affiliates in Illinois, Montana, New Mexico, Oklahoma and Texas -- lost $1.5 billion on its ObamaCare-compliant plans last year. As a result, it's requesting a nearly 60% rate hike in Texas, and almost 50% in Oklahoma. HCSC pulled out of the New Mexico exchange last year after the state turned down its 50%-plus rate increase. Blue Cross Blue Shield of Tennessee, meanwhile, lost about $300 million in ObamaCare's first two years and is likely to lose another $100 million this year. It wants a 62% increase in premiums, on top of the 36% it got last year. Highmark Group, which owns Blue Cross affiliates in Pennsylvania, Delaware and West Virginia, lost $266 million in just the first nine months of 2015. Blue Cross Blue Shield of North Carolina lost $280 million on ObamaCare in 2015. Earlier this year, CEO Brad Wilson talked about possibly pulling out of ObamaCare, saying that "we can't offer something for sale in this marketplace that we know every time it's purchased we're losing money." Arizona'S Blue Cross wants a 65% rate hike after reporting $185 million in losses in ObamaCare's first two years. In Alabama, Blue Cross figures it lost $135 million last year, and $64 million in Nebraska.
Blue Cross produced a landmark study demonstrating that new enrollees through Obamacare's exchanges cost 22 percent more to cover than consumers in the employer-based market. Why? The new marketplaces' risk pool demographics have been older and sicker than projected. Not enough young and healthy Americans -- whose premiums were supposed to subsidize others' care -- have purchased coverage through the program, largely because they cannot afford the "Affordable" Care Act's monthly rates and high out-of-pocket costs. And when lopsided risk pools fuel deep losses, insurers are faced with three choices: (1) Absorb the losses, which would be unsustainable and fiscally irresponsible, (2) raise rates significantly (as many are attempting), which will only drive away more younger and healthier consumers, or(3) flee the marketplaces, leaving Obamacare "beneficiaries" with even fewer options for coverage and care. The market's "stabilization" process isn't going very well, which helps account for why the failing law remains unpopular with the American people. Republicans unveiled a detailed alternative to Obamacare last week, an important and positive step. In case you missed it, here's a discussion about it, featuring Speaker Paul Ryan and several relevant committee chairmen:
Philip Klein notes that despite all the talk about this long-awaited "unified" plan, dissension in the ranks remains, with potential policy battles ahead. Finalized premium increases for next year will be announced to customers just days before the November election. Hillary Clinton first proposed the framework for Obamacare, including its widely-detested individual mandate tax. She says the law is working.
Townhall.com is a website that allows wingnuts to rant about anything too liberal for them, which is nearly everything. It is further to the right than the National Review Online. Like Salem Radio Network it is owned by Salem Communications. It represents all of the loudest sects of the American right, including hardline neoconservatism, the religious right, and some paleoconservatives.
For example, Health Care Services Corp. -- which owns Blue Cross affiliates in Illinois, Montana, New Mexico, Oklahoma and Texas -- lost $1.5 billion on its ObamaCare-compliant plans last year. As a result, it's requesting a nearly 60% rate hike in Texas, and almost 50% in Oklahoma.
Well, DH and I are on it. $1500/month for us and SS only. It $1300/month last year and went up in January. We've already been sent a letter saying it's going up $300/month next year. Our deduct is like two or three grand. Oh, and SS only gets six doctor visits a year and the too bad. He basically has catastrophic. Oh, and those letters they send you saying that you are indeed enrolled and have insurance so that on your taxes you don't have to pay the penalty? Guess when we got those tax letters that had to be filed by April 15? Take a guess. LAST WEEK.
Tangerine lives in Texas too and her son is on it. He can get a pelvic exam and birth control but not the things he really needs. LOL Love this stuff. Can't make it up.
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“You may shoot me with your words, you may cut me with your eyes, you may kill me with your hatefulness, but still, like air, I'll rise!” ― Maya Angelou
I said at the time, and I still think, it would have been much better to open up Medicaid to anyone who was poor, uninsured, and wanted to sign up.
Medicaid is already that. And, it pays SQUAT to doctors and hospitals and providers. How long do you think that can be sustained? It can't.
Yes, many doctors don't take (just) Medicaid. But there are thriving "Medicaid Mills" practicing reasonably good medicine taking large numbers of Medicaid patients.
The hospitals look at anyone with both Medicaid and Medicare as cash cows.
It's high volume, fast turnover medicine, much better than nothing.
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The Principle of Least Interest: He who cares least about a relationship, controls it.
I said at the time, and I still think, it would have been much better to open up Medicaid to anyone who was poor, uninsured, and wanted to sign up.
Medicaid is already that. And, it pays SQUAT to doctors and hospitals and providers. How long do you think that can be sustained? It can't.
Yes, many doctors don't take (just) Medicaid. But there are thriving "Medicaid Mills" practicing reasonably good medicine taking large numbers of Medicaid patients.
The hospitals look at anyone with both Medicaid and Medicare as cash cows.
It's high volume, fast turnover medicine, much better than nothing.
My mother is in medicare. She has to drive 2 counties away for treatment. There is not a Dr within 70 miles that will see her...
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America guarantees equal opportunity, not equal outcome...
And you start calling them and none of them will take you.
My rheumatologist options were 45 minutes away, in the next state, or 2 hours away in the same state.
And he only did bare minimum because he was getting about 18 cents per visit.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.
Obamacare is a disaster, written by congressional aides that know nothing about the healthcare industry, not read by those that passed it, and it does not work in practice. Writing laws is about more than what sounds good on paper - they have to be applicable to real life.
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LawyerLady
I can explain it to you, but I can't understand it for you.
Some parts of the ACA were great - getting rid of the pre existing condition clause, allowing kids to stay on their parents' insurance until age 26 (through grad school), and eliminating the lifetime maximum. Those were all awesome! The rest of it totally blows.
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Out of all the lies I have told, "just kidding" is my favorite !
And the OP is happening in my state. People are saying that they should not be allowed to only do business with some people in the state. If you want to do business in MN, you should have to do business on the exchange as well.
Our main issue here is our proximity to the Mayo Clinic. No one wants to insure us because Mayo's costs are so damn high. Yet Mayo owns the hospitals in the small towns too. I am an hour away from Mayo and they own the hospital in my town. But we all know that if you have something really wrong with you, you are going to head to Mayo. It's expensive as all heck and insurance companies don't want to pay for it. I know that at the Cleveland Clininc, docs get paid a flat fee, not by the procedure, so the standard of care is the same but it's much cheaper because no one is trying to pad the bill. I wish more hospitals would go this route.
-- Edited by Mellow Momma on Saturday 2nd of July 2016 10:39:37 AM
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Out of all the lies I have told, "just kidding" is my favorite !
Some parts of the ACA were great - getting rid of the pre existing condition clause, allowing kids to stay on their parents' insurance until age 26 (through grad school), and eliminating the lifetime maximum. Those were all awesome! The rest of it totally blows.
Except those causes much higher expenses that were not properly prepared for.
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LawyerLady
I can explain it to you, but I can't understand it for you.
Some parts of the ACA were great - getting rid of the pre existing condition clause, allowing kids to stay on their parents' insurance until age 26 (through grad school), and eliminating the lifetime maximum. Those were all awesome! The rest of it totally blows.
Except those causes much higher expenses that were not properly prepared for.
Keeping healthy early 20's adults on didn't cause much expense. If anything, it helped dilute the risk. But yes, the other two did need to be planned for. But they were ridiculous clauses to begin with. My DD was born with eczema. So for the rest of her life, if we changed insurance companies, dermatologist appointments to treat it were not covered. That's ridiculous. And one catastrophic disease or occurance and your insurance would be maxed out. One serious accident and you would be lucky if your insurance didn't run out. And then its a catch 22 because you now have a preexisting condition that you can't get covered. Sucked. But it did need to be planned for.
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Out of all the lies I have told, "just kidding" is my favorite !
There is a gap that a whole heck of a lot of people are falling through.
Neither Caitlyn nor Jesse have insurance.
They can't stay on mine, they can't afford it even through the exchange, and they are exempt.
I have to get a letter every year from the exchange saying they are exempt.
Aaron will be like that as soon as he graduates high school this year.
But here's the thing.
I can get them treatment, doctor appointments when they are sick and medications a whole lot cheaper than if they had insurance.
I mean yeah, something catastrophic might happen, if it does, we will deal.
But most healthy 20 year olds are going to fine.
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A flock of flirting flamingos is pure, passionate, pink pandemonium-a frenetic flamingle-mangle-a discordant discotheque of delirious dancing, flamboyant feathers, and flamingo lingo.