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Insurance Costs Under Obamacare - Page 3

post #31 of 739
Well the cost of insurance for those who previously didn't have to buy health insurance because they were young and healthy will certainly increase. Thank goodness we have so many young people we can burden with the cost of supporting the fat and the aged.
post #32 of 739
Quote:
Originally Posted by rnoldh View Post

For some Pio, for some

Insurance Prices Could Jump

Premiums for California consumers who buy their own insurance could be sharply higher next year on average because of the federal health-care law, while government subsidies will offset the impact for lower-income people, according to a new report.


http://online.wsj.com/article/SB10001424127887323361804578388830865791380.html

Then again, what do you know about health care delivery? LOL

What you are missing is that those government subsidies might change the out of pocket costs to those health care consumers but it does not change the net addition to % of GDP of the cost of health care in the US. I notice that even that science rejecting flunkie Sebellis has recently admitted the % of GDP spent on health care is bound to rise in 2014.
post #33 of 739
Does anyone actually think that the government is capable (or even equipped) to identify and rationalize savings to offset the increase in costs?

Fundamentally its really pretty simple - supply and demand. We're going to add 12+ million people to the healthcare system, does anyone actually think we're going to find enough doctors to service this increase in demand? If not, what do you think is going to happen?

Either the quality of care is going way down or the prices are going way up.

Absent this dynamic (which is obviously not good) insurance carriers are going to raise premiums, they will have to. Young, healthy people will have to shoulder the burden of old, sick people dis-proportionally (sound familiar to people? social security). Rates will raise to a point that these people will pay the fine and subject themselves to pay-as-you-go insurance. This will be the never ending nightmare for insurance companies and will water down our healthcare system. The best doctors will establish their own practices and opt'd out of the system - charging cash for services rendered to rich people.
post #34 of 739
The last several years has already seen a number of physicians semi-opt'ing out. Some of the best GPs are starting concierge service practices where one needs to pay a material membership fee to become a patient of the practice. This effectively weeds out adverse selection quite well and helps assure the physician of a patient pool with the ability to pay.

This will surely be made illegal soon.
post #35 of 739
Quote:
Originally Posted by Piobaire View Post

The last several years has already seen a number of physicians semi-opt'ing out. Some of the best GPs are starting concierge service practices where one needs to pay a material membership fee to become a patient of the practice. This effectively weeds out adverse selection quite well and helps assure the physician of a patient pool with the ability to pay.

This will surely be made illegal soon.

I expect the off-shoring of our medical profession will continue. Medical tourism ftw!
post #36 of 739
Piob, has there been any good layman's reporting you can recommend for reading? Not only are your trade tomes too dense they are likely also inaccessible.
post #37 of 739
Ed, the best stuff is also stuff that's outside my area of expertise and a dense read for me too. The best stuff is being put out by companies like CBIZ, which has a division of benefits specialists support to organizations, probably because they are deeply vested in this but are not an actual insurance company. The fact of the matter is no one really knows how things like these exchanges will exactly pan out so carriers are going to hand out across the board kick ass increases next year. I am hearing 30% as a baseline for increases in 2014.

On the flip side (provider) everyone knows Obama is going to cut Medicare rates more. Obamacare has all kinds of claw back mechanisms, capitation requirements, etc. and it's pretty given he is cutting various rates for FFS type folks. Additionally state Medicaid programs are getting cut as their tax revenues are deeply down due to the economy. None of this means a consumer can be given a lower quality experience. Providers just have to suck it up and that means they will have to move/shift the burden of costs more onto private payers and private insurance. So count on the rates companies like United Health Care have to pay for member benefits, which of course, means another source of upward pressure on premiums.

Just count on everyone getting reamed and me constantly repeating, "Bend the cost curve down" in a disgusted and ironic fashion.
post #38 of 739
Quote:
Originally Posted by Piobaire View Post

The last several years has already seen a number of physicians semi-opt'ing out. Some of the best GPs are starting concierge service practices where one needs to pay a material membership fee to become a patient of the practice. This effectively weeds out adverse selection quite well and helps assure the physician of a patient pool with the ability to pay.

This will surely be made illegal soon.

 

Doctors in private practice can and do refuse patients. These businesses are well within their rights to choose not to accept certain insurance plans, Medicare/Medicaid patients, patients who previously have not paid for services rendered, patients who previously threatened with/pursued legal action, etc. Do not confuse private practice with emergency room treatment.

 

No one in any position of authority is suggesting to prevent private practice physicians from doing this. Not now, and not after 2014.

post #39 of 739
Quote:
Originally Posted by az64q View Post

Doctors in private practice can and do refuse patients. These businesses are well within their rights to choose not to accept certain insurance plans, Medicare/Medicaid patients, patients who previously have not paid for services rendered, patients who previously threatened with/pursued legal action, etc. Do not confuse private practice with emergency room treatment.

No one in any position of authority is suggesting to prevent private practice physicians from doing this. Not now, and not after 2014.

Yeah, that's my problem, I confuse these issues. I would not know a Stark law from an EMTALA law if it bit me in the arse. I can, however, usually detect sarcasm when I read it.
post #40 of 739
Quote:
Originally Posted by Piobaire View Post

Yeah, that's my problem, I confuse these issues. I would not know a Stark law from an EMTALA law if it bit me in the arse. I can, however, usually detect sarcasm when I read it.

Piob stop talking out of your ass. It's clear you know nothing about this issue. Better to keep silent than speak and prove your ignorance.
post #41 of 739
Imma just leave this here: http://money.cnn.com/2013/04/03/news/economy/health-insurance-exchanges/index.html?hpt=hp_t2
Quote:
Most individual health insurance isn't good enough for Obamacare

Huh.
Quote:
So what happens to the plans that don't meet the new minimum standards? They will likely disappear. A handful of existing plans will be grandfathered in, but the qualifying criteria for that is hard to meet: Members have to have been enrolled in the plan before the ACA passed in 2010, and the plan has to have maintained fairly steady co-pay, deductible and coverage rates until now.

Huh.
Quote:
Most individual plans sold next year, even the lowest-level "bronze" plans, are likely to charge higher premiums than today's most bare-bones individual insurance.

Wow. Who could have seen that coming?
Quote:
"Now, they buy a policy and when they get sick, they may go broke anyway because the policy leaves them with so much to pay," she said, noting that deductibles of $10,000 are not uncommon.

So 10k is going to make someone "go broke?" I suppose if you take that 10k bill (that you can make very small payments on often times) away these people would not "go broke" from the interruption in their income stream a major illness often causes? Short and long term disability mandates coming soon? confused.gif
post #42 of 739
Quote:
Originally Posted by racetrack View Post

Not that I care about 'merican politics, but you would think the folks at MIT are a little bit better at math than the average person:

http://www.politico.com/news/stories/1109/29959.html


So who is right?

BS in Economics does not make you good at math, it gives BS next to your name that is all.
post #43 of 739
I love the MIT response, so weak. You can stack economists together and never get the same answer and in fact the profession in general has become very political. I work in the industry and spend most of my time talking to senior execs. Two things are certain, prices are going up and quality is going down. You don't need an economics professor to tell you that....
post #44 of 739
Well, don't forget this article from from November of 2009. I think we can answer the question at this point of, "What really happened in the first years of Obamacare?" We all know premiums have jumped drastically and much/most of it was due to requirements being implemented under Obamacare. We now have insurance companies telling us what their planned premium intentions are for 2014. We now know Medicare had the rates for many providers cut but up to 20% on October 1, 2011. We now know Obama is talking about more Medicare cuts, many insurance products will no longer be offered in 2014, and the exchanges are kind of a crap shoot at this moment.
post #45 of 739
Quote:
Originally Posted by Medwed View Post

BS in Economics does not make you good at math, it gives BS next to your name that is all.

"During the 2008 election he was a consultant to the Clinton, Edwards and Obama Presidential campaigns. During 2009-2010 he served as a technical consultant to the Obama Administration and worked with both the Administration and Congress to help craft the Patient Protection and Affordable Care Act."

http://en.wikipedia.org/wiki/Jonathan_Gruber_(economist)

Not exactly a neutral source.
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