Lake Erie Conservative

thoughtful discussion(s) about issue(s)

Posts Tagged ‘Individual mandate’

… Now the Real Fun Begins [#ObamaCrapCare][#Employer Mandate]…

Posted by paulfromwloh on Monday,January 12th,2015

.. yup , starting January 1st , 2015 .

.. the Employer Mandate in ObamaCrapCare is now effective . Good Luck with employer – provided health insurance . Especially now . The effectiveness of the employer mandate brings with it the rest of ObamaCrapCare , including the Essential Benefits package . The E.B. package is , in effect , a Cadillac plan , one that gets taxes . Ouch ! …

.. [h/t — TAS.org]..
.. [link] to the opinion column..

.. even more is a surprise for primary care docs : cuts in Medicad reimbursements . Yes , that . They get screwed with a bait-and-switch on Medicaid reimbursement . Worse yet , they have no legal recourse to find a way to challenge it . Yikes …

.. Even more , people are really beginning to understand the financial impact of ObamaCrapCare . Paying the premiums is bad enough . They also have to pay the deductible cost , out – of – pocket , and the co – pays , as well . Double yikes !! …

.. you wanted it ? No . Tough . You are stuck with it . For now ….

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… The Daily Signal whiffed on This One [#ObamaCrapCare]…

Posted by paulfromwloh on Wednesday,January 7th,2015

.. well , they did ..

.. now , the employer mandate finally takes effect ..

.. it will make carrying health insurance for employees a colossal and royal pain in the neck …

.. [h/t — DailySignal.com]..
.. [link] to the news article …

.. then , there is the expansion of the individual mandate …. that is , presuming , a 6 to 3 majority does not rip the [bleep] out of the heart of it in June when King v Burwell is decided by the US Supreme Court ….

.. if that happens , then POTUS is going to have to come to Congresss in order to get a ObamaCrapCare repair bill passed . as a result , Congress will have a strong bargaining position in order to get substantial changes to the whole damn mess if His Lordship wants to get a bill passed …

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… Well , there Goes the Individual Mandate …

Posted by paulfromwloh on Thursday,March 20th,2014

.. that is the take from Dr. Charles Krauthammer from his commentary on Special Report with Bret Baier the other evening …

.. [h/t — NationalReview]..

.. [link] to Dr. Krauthammer ‘ s commentary …

.. it relates to the latest game – playing by the ObamaCrap Administration and the Department of Health and Human Services . They have created a ” hardship ” exemption that is so loose vitually anyone could conceivably apply for it …

.. given the law , the letter of the law , and the spirit , this is something that should come from a change in the law that comes from Congress . With the ObamaCraps , no salt . They open that , it opens the whole ball of wax …

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… Why is ObamaCrapCare unafffordable …

Posted by paulfromwloh on Monday,March 17th,2014

.. this is taking a riff from an article a friend of mine wrote on TAS on Monday . His name is David Catron …

.. [h/t — theAmerican Spectator]..
.. [link] to the aritlce …

.. why do i think that this stinker [ObamaCrapCare] is unaffordable :

[-] lack of tort reform — doctors et al will do a great deal of defensive medicine in order to cover their backsides . It becomes even more prevalent with specialists , where  the liability for medical malpractice has been pushed into the stratosphere .

[-] The legal system has become far too lenient with lawsuits and legal actions , just for lawyers to force a settlement . Those legal actions are most of  the time frivilous and unnecessary , driving up the costs for all of us …

[-] the Essential Benefits package — mandates were bad enough in the old days as  it was . The system could  have been adjusted for things like banning preexisting conditions without causing such a mess ….. But nooooooo . Now we have mandates upon mandates squared , with all of these unnecessary ” essential benefits . ” You only need to mandate a few basic ones , really simply , without causing such a mess , and jacking the costs up into the stratosphere …

[-]  guaranteed issue — this stinker allows people to game the system . They canwait  to get insurance until they get sick , then they know that they can get it no matter what the circumstances . This turns the economics and finances of traditional insurance , much less health insurance , inside out . The insurance system cannot withstand this game – playing …

[-] community rating — this one changes the cost curve into a politically correct one . Like with guaranteed issue , it turns the economics and finances of insurance inside out . Women and men ,  young and old do different things for different reasons . Community rating brings one part of the cost curve down , and  the other one too far up ; Ergo , it gets flattened . There are better ways to cover this than a P.C. cost curve , folks …

[-] penalties are too low — it is a similar problem for the individual mandate as it is for the employer mandate . The penalties for non – compliance are far too low . Given also the sky  – high insurance premiums with O.C.C. , it will accelerate the trend of people paying the penalty , and businesses dumping their employees onto the exchanges , instead of providiing health insurance …

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… Extending the Risk Corridors [ObamaCrapCare] …

Posted by paulfromwloh on Monday,February 24th,2014

.. this one is the insurer bailout provision ,folks .

.. it seems that His Lordship wants to extend it beyond 2016 …

.. with what controlling legal authority one might ask . The risk corridors program expires at the end of 2016 . So that is that …. or with this crowd , is it ? …

.. from HotAir [Allahpundit] …

White House weighing plan to extend ObamaCare’s “risk corridor,” i.e. bailout, program beyond 2016?

posted at 4:41 pm on February 18, 2014 by Allahpundit

The program’s supposed to be transitional, sunsetting in 2016 after the new exchanges have had a few years to launch and then stabilize.

Emphasis on “supposed to be.”

Industry insiders told the Washington Examiner a plan to extend the Affordable Care Act’s “risk corridors” are under discussion, but that administration officials have not made a final decision…

The Obama Administration is now weighing a plan to grant an additional three-year extension for non-complaint plans on the individual market. Such a move would prevent millions of people from losing their policies in the critical weeks and months before the 2014 election.

But it would also allow people on the individual market to keep non-compliant plans beyond the risk corridor’s 2016 expiration date, leaving health insurance companies serving the exchange vulnerable to financial losses as the more healthy customers continue to stay out of the exchanges.

Health insurance companies are looking for something in exchange for the three-year extension, which will make it much harder for them to sign up healthier and younger customers. Extending the risk corridor program is part of that conversation with the White House, industry sources said.

Remember back in November when Obama was eating truckloads of crap for breaking his “if you like your plan” promise? His solution was to let insurers “un-cancel” canceled plans — but lost in the hubbub at the time was the fact that he said he’d allow it for just one year. The obvious problem with that timeline is that it means this issue will bubble up again this fall, just in time for the midterms. New solution, then: Quietly allow insurers to keep un-canceled plans in effect past the midterms, for another three years. That’s how Obama just “solved” his little electoral problem with the employer mandate, isn’t it? Three-year extensions across the board, to minimize the damage to Democrats from his pet boondoggle in November. The problem is, because the old un-canceled plans are typically cheaper than expensive new “comprehensive” ObamaCare exchange plans, the extension means insurers are suddenly looking at less revenue than they counted on all the way through 2017. That’s where the “risk corridors” come in. Assuming the Examiner’s report is true, the White House is going to make this worth the industry’s while by extending the timeline for the bailout program too. Any losses they suffer in 2017 would, presumably, be partly offset by Uncle Sam even though the “risk corridor” is supposed to have terminated by then. Your tax dollars will buy insurers’ complicity in yet another illegal extension.

Bob Laszewski kinda sorta saw this coming, by the way. Last month he published a post arguing that, for all its faults, ObamaCare won’t cause a death spiral in the insurance industry anytime soon. The reason: The “risk corridor” program. Since Uncle Sam’s on the hook for any heavy losses in the industry, insurers are under no immediate pressure to raise premiums, the potential trigger of a death spiral. They can keep premiums artificially low — at least for a few years, until the “risk corridor” sunsets. Laszewski figured insurers would give the White House one more chance next year to get their act together on implementation and to start signing up the uninsured en masse; if they failed, he said, he expected companies to start parachuting out of the exchanges in 2016 before the “risk corridor” program expires. Which is to say, it’s very much in the White House’s interest to keep the program in effect, if it can, to keep insurers from abandoning the exchanges, especially if HHS has reason to think the risk pools they’re projecting will be less young and healthy than they had hoped. (And they do have such a reason at the moment.) The last thing Democrats need in a presidential election year is “Insurers give up on ObamaCare” headlines. Promise them some more sugar and you can avoid that. Maybe.

It seems naive at this point to ask whether the White House could extend the “risk corridor” unilaterally or whether that would be illegal. If they want to do it, they’ll do it regardless. O’s theory in issuing periodic delays or extensions for ObamaCare’s provisions is that, during the law’s transitional phase, he has some latitude legally to tweak implementation to make it go more smoothly. Extending the “risk corridors” past 2016, though, would mean the “transitional” phase had lasted past the end of his own presidency. It’s dubious, but it’s also in character. Here’s a question, though: Why would insurers leak this info now, when Marco Rubio’s trying to build support within the GOP for a bill to repeal the “risk corridor” program? He’s had little luck getting it on the leadership’s radar but his luck could change now that rumors are swirling that the bailout provisions might be extended into 2017 and beyond. The recent CBO numbers that found that the “risk corridor” could actually make money for taxpayers is a problem for the GOP, but (a) CBO’s numbers can be challenged and (b) CBO assumed that the “risk corridor” would be gone by 2016. Even if O decides to unilaterally extend the program, a new Republican Senate next year could join forces with some red-state Dems and Boehner’s House majority to repeal it, forcing Obama to either acquiesce in the repeal or to veto it and be seen as singlehandedly defending indefinite bailouts for insurers. Very strange that insurance industry sources, who stand to benefit, would be blabbing about this now.

… from the Washington Examiner [Susan Ferrechio] …

Obamacare changes may include extension of risk corridors

 Susan Ferrechio                             | FEBRUARY 17, 2014 AT 5:18 AM

The Obama Administration may extend beyond 2016 a federal reimbursement program for health insurance companies that lose money by participating in the newly created health care exchanges.

Industry insiders told the Washington Examiner a plan to extend the Affordable Care Act’s “risk corridors” are under discussion, but that administration officials have not made a final decision.

The risk corridor program was written into the 2,700-page health care bill to help the insurance companies offset losses if they enroll too few healthy customers and sign up too many people with high health care costs.

Risk corridors are aimed at keeping premiums from skyrocketing by requiring the government to “share in the risk associated with the new marketplace,” according to the health care lobbying group America’s Health Insurance Plans (AHIP).

Insurance companies pay into a pool to cover losses for companies that fare poorly but the federal government must step in if there is widespread loss, which some say could happen due to the lack of participation on the health care exchanges from young and healthy individuals.

The program, however is only meant to be short term, AHIP said, to “ease the transition between the old and new marketplace.”

But the disastrous rollout of the law resulted in millions of people on the individual market losing health care policies that did not include the “essential benefits” required under the new health care law, including maternity care and pediatric dentistry. The resulting public outcry prompted President Obama on Nov. 14 to announce that health insurance companies could allow customers to keep their old plans for an extra year.

The Obama Administration is now weighing a plan to grant an additional three-year extension for non-complaint plans on the individual market. Such a move would prevent millions of people from losing their policies in the critical weeks and months before the 2014 election.

But it would also allow people on the individual market to keep non-compliant plans beyond the risk corridor’s 2016 expiration date, leaving health insurance companies serving the exchange vulnerable to financial losses as the more healthy customers continue to stay out of the exchanges.

Health insurance companies are looking for something in exchange for the three-year extension, which will make it much harder for them to sign up healthier and younger customers. Extending the risk corridor program is part of that conversation with the White House, industry sources said.

“If the extension increases adverse selection, premiums will go up and taxpayers will be on the hook for more money through extending the risk corridors,” Mike Tanner, a health care policy scholar at the Cato Institute, a libertarian think tank, said. “The question is, how much? And I don’t think anybody knows because I don’t think anybody knows how many people we are talking about.”

John C. Goodman, the president and CEO of The National Center for Policy Analysis, believes insurance companies participating on the exchanges are headed for significant losses as the sickest and most medically vulnerable get dumped into the exchanges and waivers and delays are granted to the healthy.

In Detroit, for example, city officials are considering pushing onto the health care exchanges municipal retirees who are too young to qualify for Medicare.

“I can understand why they are talking about extending the risk corridors because I think the losses are going to be quite large,” Goodman said.

Health care law supporters point out that the federal government can make money off risk corridor programs. A Congressional Budget Office report last week predicted the federal government won’t lose a dime through the risk corridor program but will end up netting $8 billion.

The CBO based its estimate on the performance of risk corridors established under the Medicare Part D prescription drug benefit program passed by a Republican-led Congress and signed into law by President Bush in 2003.

“The risk corridor program was a good idea during the Bush administration, and it worked,” Rep. Elijah Cummings, D-Md., said during a recent hearing on the program. “Rather than a bailout for insurance companies, the program has resulted in $7 billion in net gains to taxpayers. But now since these same mechanisms are part of the Affordable Care Act, Republicans argue that they are a bailout for insurance companies.”

Critics in and out of Congress want legislation to repeal the risk corridors and warn that Obamacare won’t yield the same kind of results as Medicare Part D because of the much larger size and scope of the new health care law and the potential for a much larger pool of sick and unhealthy on the exchanges.

“Medicare Part D made money, but I don’t think that’s going to be true here,” said Douglas Holtz-Eakin, the former director of the Congressional Budget Office who now runs American Action Forum, which describes itself as a center-right policy institute.

Sen. Marco Rubio, R-Fla. has introduced legislation to repeal the risk corridor provision in the health care law, but Senate Majority Leader Harry Reid, D-Nev., has no plans to take up the bill.

… LEC here again — no controlling legal authority …

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… ObamaCrapCare enrollments are in the Toilet …

Posted by paulfromwloh on Friday,December 20th,2013

.. so , His Lordship makes another unilateral change ?

.. It appears that POTUS & Co have made another unilateral change to ObamaCrapCare . They did it once again without any consultation with or the agreement of Congress . As is supposed to be done under our Constitution …

.. Those who have lost their insurance policies under ObamaCrapCare have been made temporarily exempt from the individual mandate . I believe that it does not apply to those folks who have lost their policies this year [2013] … I think that the ObamaCraps have the folks who will lose their policies in the coming year [2014] in mind . It is not only that …

.. They have now been made (somehow) eligible for the catastrophic insurance policies . These policies were supposed to only be open to those under 30 years of age . Now , those catastrophic policies will be open to many , many more people . Not just several hundred thousand people , though . It will result in millions being made eligible for those policies …

.. Remember , it is not just this year (2013) that is in mind , but 2014 as well . I can imagine the insurance companies are just going to love this . Another unilateral change that screws with the metrics of their business ….
if it keeps up , then , sooner or later , it is going to cause one or more companies to withdraw further from the states , in order to preserve their remaining business , and concentrate on the state(s) where these folks are the strongest …

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