superpunk

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On Thursday, California officials revealed insurance companies’ opening bids for the state’s Obamacare marketplace in 2014. The numbers are great for consumers — and terrible for right-wing fear mongering over the health law.

Covered California, the agency tasked with constructing and maintaining the Golden State’s insurance marketplace, announced in a press release that rates submitted by 13 insurers for the 2014 individual marketplace were far lower than initially expected, ranging from a stunning 29 percent below the current average premium for small business health plans to only two percent above them.

For Californians who will gain coverage in the marketplace, that means affordable health plans with a minimum base of ten “essential health benefits,” including prescription drug services, mental health care, and maternity services. And the announced rates are even better for consumers considering that they don’t take Obamacare’s federal insurance subsidies into account. Depending on income, the average middle-aged Californian would pay anywhere from $40 to $300 per month for a mid-level “Silver” health plan on the marketplace. Younger, healthier Americans looking to buy bare-bones “Bronze” health plans would end up paying less than $170 per month — or even nothing at all — if they make less money and receive federal Obamacare subsidies.

That stands in stark contrast to heated GOP rhetoric and outlandish insurance company predictions about Obamacare. Last week, the Republican-led House of Representative voted to repeal the Affordable Care Act for the 37th time. During a House Energy and Commerce Committee hearing on Obamacare “rate shock” last week, House Republicans predicted hikes as high as 66 percent for Californians’ premiums based on internal documents from 17 major U.S. insurance companies.

Such claims may make for good politicking — but as the California numbers underscore, they aren’t actually reflected in reality. During last week’s House hearing, Topher Spiro, Vice President for Health Policy at the Center for American Progress (CAP), warned against making hysterical claims about health insurance rates under Obamacare. He noted that independent analyses have shown that an influx of Americans into the insurance pool and marketplaces designed to foster competition would actually end up lowering Americans’ premiums, especially in high-population states like California.

As it turns out, Spiro was right. Although some insurers have used Obamacare as an excuse to gouge profits, many have been actively working with doctors, hospitals, and regulators to offer Americans quality, affordable coverage at competitive rates. Plans on the California marketplace reduced their profit margins down to two or three percent. “It’s a revolutionary improvement to move from a broken market where people are charged by how sick they are, to a competitive market where people pay what they can afford, based on a percentage of their income, on a sliding scale,” Anthony Wright, executive director of the health advocacy group Health Access, told Reuters in an interview.

And California isn’t the only state to release such positive initial numbers for its marketplace. Earlier this month, several Oregon insurers actually requested to lower their opening bids for the state’s insurance marketplace after they realized that their initial offerings weren’t competitive enough.
Numbers for marketplaces in Washington and Vermont have also been encouraging.

As more and more of Obamacare is implemented, the gulf between the political talking points about the law and its actual effects has become increasingly evident. With open enrollment for the marketplaces only five months away, the initial verdict on Obamacare is in: so far, so good.

:B&B:
 

superpunk

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Obamacare Will Be A Debacle — For Republicans
The Affordable Care Act, aka Obamacare, is a policy Rube Goldberg device — instead of doing the simple, obvious thing, which would just be to insure everyone, it basically relies on a combination of regulations and subsidies to rope, coddle, and nudge us into a rough approximation of a single-payer system. There were reasons for this, of course, mainly political: a complete displacement of the existing system would have been both too destructive of powerful interests and too radical for voters.

Still, the question is whether this cobbled-together system will work, and there have been many conservatives rubbing their hands with glee over the prospect of failure.

Whoops.

We won’t really know how Obamacare works until it has been in operation for a while; but we do know that essentially the same system has been running in Massachusetts since 2006, and is doing pretty well. The question, then, is whether other states that don’t have MA’s initial advantages — especially an already low uninsurance rate and an already operating system of community rating — can make this thing work. The big fear has been of sharply rising premiums as insurers are required to cover people with preexisting conditions. And the biggest test case was always going to be California.

Well, the preliminary numbers for CA are in — and they’re looking very good, with costs coming in below expectations. At this point, it looks as if this thing is indeed going to work.

And think about the political dynamics. Because the Supreme Court decided to let states opt out of the Medicaid expansion, some states — notably Texas — will have a pretty dysfunctional version of Obamacare in 2014, although even those systems will provide significant benefits to many people. Still, the whole political calculus was supposed to be that Republicans in red states could point to the horrors of Obamacare and ride them to political victory. Instead, it looks as if we’re going to see blue-state residents reaping the benefits of a functional health care system, while red-state residents are denied many of those benefits, for what looks like no better reason than mean-spirited spite — because what’s going on is, indeed, mean-spirited spite.

Predictions that Obamacare will be a big political issue are probably right — but not in the way gleeful conservatives imagined.
 

JBond

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Just curious who you think will be forced to make up the shortfall. Where will the money come from?

70/30 coverage is not very good. How long will they guarantee those rates?
 

JBond

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Maryland Offers Glimpse At Obamacare Insurance Math

In the latest preview of prices for health coverage under the Affordable Care Act, Maryland’s dominant insurer says proposed premiums for new policies for individuals will rise by 25 percent on average next year.

That’s lower than what some had predicted. Just three weeks ago, the insurer, CareFirst BlueCross BlueShield, had been looking at a proposed 50 percent increase. But the company revised that initial estimate, citing worries about affordability for consumers.

“Not only were we concerned about a potential hit to subscribers, but we were also concerned about price levels that were unattractive” to young customers seen as an important stabilizing force for the market, CareFirst CEO Chet Burrell said in an interview Wednesday.

Late Tuesday Maryland regulators posted proposed rates and benefits for health plans to be sold through an online exchange, a step required under the health act, known as the Maryland Health Connection.

Maryland is an important state to watch because it has embraced Obamacare’s insurance reforms, setting up its own marketplace. But there have been serious concerns that the insurance offered there — and on every other exchange across the country — might be too expensive for people to buy.

Many have warned that guaranteeing coverage at regulated prices for sick people would drive up the cost of insurance in the individual market. The ACA prohibits charging sicker members substantially more but allows plans to adjust premiums for age and other factors, within strict limits.

Taking those factors into account, CareFirst premiums for individual plans could rise as high as 150 percent next year for healthy young men and decrease slightly for someone older and sicker, Burrell said.

Maryland law requires the nonprofit CareFirst to promote health care affordability and accessibility. With the new, lower projected premiums, Burrell said, “we’re not expecting to make money. We’re expecting to lose money. If we’re going to lose it we’re going to lose it on behalf of subscribers and the community.

Sound like a reasonable sustainable plan.

http://www.kaiserhealthnews.org/Sto...ryland-aca-premiums-carefirst-blue-cross.aspx
 

JBond

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Seriously, say a guy paying $40 a month gets prostate cancer because the government has recommended less preemptive screenings, who is going to pay for his treatment?
 

Dodger12

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California Fudges the Math on Obamacare

Some supporters of Obamacare are willing to try every trick in the book to convince a skeptical public that the law may actually lower health insurance premiums.

Case in point: Covered California, the state-run health insurance exchange, yesterday heralded a conclusion that individual health insurance premiums in 2014 may be less than they are today. Covered California predicted that rates for individuals in 2014 will range from 2 percent above to 29 percent below average small employer premiums this year.

Does anything about that sound strange to you? It should. The only way Covered California's experts arrive at their conclusion is to compare apples to oranges -- that is, comparing next year’s individual premiums to this year’s small employer premiums.

They’re making this particular comparison, they explain, because they believe that the marketplace for individually purchased insurance will look like the marketplace for small employer-purchased insurance next year. For example, the state already requires insurers to issue policies to all comers in the small employer market. Premiums are therefore higher today for small employers than for individuals purchasing coverage on their own.

What this means, however, is that Covered California is creating for itself a very favorable and already higher baseline from which to compare next year’s individual health insurance premiums. That’s how they’re able to create the appearance that Obamacare’s reforms will lower individual premiums.

To put it simply: Covered California is trying to make consumers think they’re getting more for less when, in fact, they’re just getting the same while paying more.

Yet there are many plans on the individual market in California today that offer a structure and benefits that are almost identical to those that will be available on the state’s health insurance exchange next year. So, let’s make an actual apples-to-apples comparison for the hypothetical 25-year-old male living in San Francisco and making more than $46,000 a year. Today, he can buy a PPO plan from a major insurer with a $5,000 deductible, 30 percent coinsurance, a $10 co-pay for generic prescription drugs, and a $7,000 out-of-pocket maximum for $177 a month.

According to Covered California, a “Bronze” plan from the exchange with nearly the same benefits, including a slightly lower out-of-pocket maximum of $6,350, will cost him between $245 and $270 a month. That’s anywhere from 38 percent to 53 percent more than he’ll have to pay this year for comparable coverage! Sounds a lot different than the possible 29 percent “decrease” touted by Covered California in their faulty comparison.

While Covered California acknowledges that it’s tough to compare premiums pre- and post-Obamacare, at the very least, it could have made a legitimate comparison so consumers could fairly evaluate the impacts of Obamacare.

Unfortunately, what California authorities have done here is all too common in efforts to make Obamacare look like a good deal for American consumers. In recent weeks, Democrats have pointed to projections from some of the country’s most heavily regulated states, including Vermont and Maryland, to argue that premium increases next year won’t be as bad as people think. But many of these states -- including California -- already have in place some or all of the reforms that Obamacare mandates.

To see the true impact of the law, we’ll have to wait for less-heavily-regulated states to reveal what next year’s premiums will look like. Let’s hope they don’t resort to the same misleading tactics that California authorities did.

http://www.bloomberg.com/news/2013-05-24/california-fudges-the-math-on-obamacare.html
 

Dodger12

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And I wonder if this Obamacare insurance is so good why the President and select politicians AND their families are exempt. You people are sheep.
 

JBond

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And I wonder if this Obamacare insurance is so good why the President and select politicians AND their families are exempt. You people are sheep.

Dodger...They are better people than us. They deserve better coverage. How dare you demand that the rulers live by the rules they expect us little people to live under.
 

superpunk

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and where will they get the money?

The same place they always have.

And I wonder if this Obamacare insurance is so good why the President and select politicians AND their families are exempt. You people are sheep.

Everyone is "exempt" if they can afford it. That's like asking why the Obamas aren't on medicaire. A question for dumbasses.
 

JBond

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The same place they always have..

and this will reduce health care cost by.......?

Everyone is "exempt" if they can afford it. That's like asking why the Obamas aren't on medicaire. A question for dumbasses.

This does not make even a little bit of sense. They are rich so they legally exempted themselves from the mandates the rest of us have to live under? Why the legal exemption? Why were over 1200 waivers issued?
 

superpunk

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Like the police force, fire department, and US infrastructure I absolutely agree.

Glad we had this talk jb.
 

jeebus

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California should not be held up as an example of functioning in anything...
 
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