Posted in Access to healthcare, Affordable Care Act (ObamaCare), Community Underwriting, Economic Issues, Employee Benefits, Essential Benefits under the ACA, Government Regulations, Health Insurance, Healthcare financing, Individual Market, Individual ObamaCare Market, Individual Underwriting Standards, Insurance subsidies, Large group insurance market, Medicaid, Medicaid Expansion, Medical Costs, Policy Issues, Uncategorized

Analysis of the ACA: A Public Policy “Devil in the Details”

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Individual Health Shrinkage Drives Up Uninsured Rate: CBO Data

~Enrollment in every other major type of coverage grew or held steady~

The subtitle in the article above is correct: Enrollment in every other major type of coverage grew or held steady.

But this should not surprise anyone.

“Why the other major types of coverage increased, is the more important question. And examining this also reveals that the real, or net, uninsured rate probably went up much less than 5%.

The CBO data, based on their own definition of “insurance”, was destined to over-state the number of uninsured based on these data…

“CBO includes only major medical insurance that meets ACA minimum essential coverage standards in that definition. It excludes people who belong to health care cost sharing ministries. It also excludes people who are using products such as short-term health insurance as alternatives to major medical coverage.”

Nor does the number of “uninsured” mean that those folks went without care, especially those who might have cash-friendly Primary Care providers, or a Direct Primary Care physician.

And, as premiums continue to rise in the individual market we will see a shift from Unsubsidized plans to subsidized plan; and just as the data indicates we’ve witnessed a 300,000 shift in that direction.

Let’s examine some recent history as a perspective.

The first two enrollment periods after implementation of ACA in late 2013 and 2014, which also corresponded to economic recovery (no cause and effect) showed that the largest portion of newly insured (following the nadir of the uninsured rate) came from the Employer group market as hiring increased; and the second largest portion came from Medicaid and the smallest percentage from the individual market in form of ACA exchanges.

When you measure the effects directly attributable to ACA, the largest percent gains in insured rate have come from new Medicaid, followed by subsidized ACA plans.  This is a crowd-out phenomenon at work, catalyzed by subsidized coverage (Medicaid expansion) on one end and rising premium prices in the Individual market on the other.

This is horrible public policy as it doesn’t promote insurance to be more affordable or efficient, it simply shifts the burden to the public sector while making premiums more expensive.  And those premium increases are a direct result of regulations placed on the Individual Market: Community Rating, guaranteed issue and compression of the age ratios to 3:1, in an attempt to force it to “behave” more like the group market.

So does it really make sense to purposefully, by design, cause the price of insurance to rise and then turn around and subsidize the same product to make it “affordable”?  I guess we know how they justify the name… Affordable Care Act… but there certainly isn’t any buyer protection from soaring prices!

All of which goes to show, that the net effect of the ACA has been to make the individual market UNAFFORDABLE which effectively shunts the demand into gov’t sponsored and/or subsidized coverage!

This is NOT a sound healthcare policy.  But it is a very effective form of legal plunder accomplished by using the law to benefit a few special interests at the expense of the many.

Posted in Access to healthcare, Affordable Care Act (ObamaCare), DC & Related Shenanigans, Economic Issues, government incompetence, Health Insurance, Individual Mandate, Individual Market, Individual ObamaCare Market, Medical Costs, News From Washington, News From Washington, DC & Related Shenanigans, Patient Safety, Policy Issues, Uncategorized, Welfare State

Obama Speechwriters Laugh About ‘You Can Keep It’ Obamacare Lie – Matt Vespa

So, basically, these clowns are laughing at selling a lie to the American people that the president’s health care plan is going to be affordable. It’s not. More Americans are opting to remain uninsured because it’s more economical for them—that’s failure. UnitedHealth, one of the largest health care providers in the country, pulled out of the Obamacare exchanges in two states after incurring horrific losses, and might pull out from the individual market altogether by 2017. The last remaining Obamacare exchanges are on the brink of collapse, and the billions have been wasted as a result. In a recent CBO projection, Obamacare’s enrollment numbers for 2016 are off by 24 million. Since the law went into effect, 9 million people (5 million employer-based, 4 million on individual plans) have lost their health insurance plans. I’m sure they find this hilarious, bros.

Last time I checked, laughing at millions of people who got their insurance gutted because you put to paper a bold-faced lie is sort of messed up.

Source: Obama Speechwriters Laugh About ‘You Can Keep It’ Obamacare Lie – Matt Vespa

Posted in Access to healthcare, Affordable Care Act (ObamaCare), DC & Related Shenanigans, Economic Issues, Government Regulations, Government Spending, Health Insurance, Medicaid, Medical Costs, Medicare, News From Washington, Organizational structure, Policy Issues, Reforming Medicaid, Reforming Medicare, Subsidies, Tax Policy, Uninsured

Government Math and Healthcare | Anthony Wunsh | LinkedIn

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Anthony Wunsh

I have been reviewing some Census Data and trying to make sense of what we have created relative to what it costs us versus what it could cost us as a nation, more on the public side to provide and receive healthcare. And the more I look at it the more convinced I am that the people we are sending to government must have failed all their math and statistical classes. In fact it may be why they went into government in the first place.

So some basic information to build context for my thoughts is needed.

via Government Math and Healthcare | Anthony Wunsh | LinkedIn.

Posted in Access to healthcare, Affordable Care Act (ObamaCare), Economic Issues, Government Spending, Medical Costs, News From Washington, News From Washington, DC & Related Shenanigans, Policy Issues, Uncategorized, Uninsured

PPACA: A lesson In Diminishing Returns

obamacare-33Now let this sink in. Lets look at the impact of the ACA based on the governments own numbers as it relates to an increasing the number of insured. The insured as a percent of the non-elderly population is estimated at 89% in 2015. By end of 2025, estimates have it topping out at 92%. So after a budget busting 10+ years and over a trillion dollars the ACA has only increased the insured percentage from 89 to 92%. Only in government would that be called a success!

 

 

Source: https://www.scribd.com/doc/253801993/CBO-January-2015-Outlook-on-Obamacare