Tag: healthcare

Finding out what’s in it: Because of significant loses due to Obamacare, the nation’s largest health insurance company, UnitedHealth, will cut participation in all but a handful of public health exchanges next year

CEO Stephen Hemsley said Tuesday that the company expects losses from its exchange business to total more than $1 billion for this year and last. He added that the company cannot continue to broadly serve the market created by the Affordable Care Act’s coverage expansion due partly to the higher risk that comes with its customers. The state-based exchanges are a key element behind the Affordable Care Act’s push to expand insurance coverage. But insurers have struggled with higher than expected claims from that business.

UnitedHealth Group Inc. said it now expects to lose $650 million this year on its exchange business, up from its previous projection for $525 million. The insurer lost $475 million in 2015, a spokesman said. UnitedHealth has already decided to pull out of Arkansas, Georgia and Michigan in 2017, and Hemsley told analysts during a Tuesday morning conference call that his company will not carry financial exposure from the exchanges into 2017.

And why have they been losing so much money? It seems that only sick people are signing up, resulting in expensive claims that the insurance companies cannot afford to pay because they have too-few healthy customers buying their insurance. And why do they have too few healthy customers? They can’t avoid the higher prices for insurance that Obamacare has forced upon them.

This monstrous law, which the American public never wanted, should never have been passed. The sooner it can be repealed, the better for everyone.

Finding out what’s in it: Healthcare insurance companies are warning that because of Obamacare they either must be allowed to raise rates significantly or they will have to close down.

The rate increases will be on top of gigantic increases already imposed. Read it all. None of the news is good, and it is only going to get worse.

Finding out what’s in it: Federal investigators have found significant security problems with the Obamacare health insurance websites in the states of California, Kentucky, and Vermont.

The GAO report examined the three states’ systems from October 2013 to March 2015 and released an abbreviated, public version of its findings last month without identifying the states. On Thursday, the GAO revealed the states’ names in response to a Freedom of Information request from the AP.

According to the GAO, one state did not encrypt passwords, potentially making it easy for hackers to gain access to individual accounts. One state did not properly use a filter to block hostile attempts to visit the website. And one state did not use the proper encryption on its servers, making it easier for hackers to get in. The report did not say which state had what problem.

According to the story, it appears that nothing has been done in two of the three states to fix the problem. Worse, the study suggests similar problems exist at other state websites.

Hey, let’s solve the problem by voting for Clinton or Sanders! Both say the solution is to give the governments that screwed up here more power, money, and control. What could go wrong?

Finding out what’s in it: Link here.

I haven’t described this time any specific discovery about this monstrous law because the article at the link describes too many different examples where the law is failing. Here’s just one to give you a taste:

Insurers say they’ve also been hurt by customers who appear to be waiting until they become sick to buy coverage. The companies blame liberal enforcement of the ACA’s special enrollment exceptions. The law provides an annual enrollment window for several weeks starting in the fall. This is the main chance most people have to enroll or change coverage. But customers can enroll outside that window if insurance needs change because they’ve moved, gotten married or had a child, among other exemptions.

Exchanges have not been asking for birth certificates, marriage licenses or other proof of these life-changing events. Insurers say that leaves them vulnerable. The Montana Health Co-Op had a severely ill customer in a hospital sign up for its coverage in October and then drop a $250,000 bill on the insurer. CEO Jerry Dworak said he asked the exchange operator for details on whether the patient had a legitimate reason for the special enrollment. The exchange would only say that the patient changed ZIP codes.

“They’ve got to do something about the special enrollment because we just got killed on that,” Dworak said.

Read it all. The story also describes how the law’s health exchanges are failing, how healthy people are not signing up, how the law has caused health costs to skyrocket, and how it is causing heath insurance businesses to go bankrupt.

Other than these minor details, however, we all have been able to keep the insurance plans we like, and costs per family have dropped by $2500, just as Barack Obama promised! Let’s hire as our next President his former Secretary of State, who actually first conceived a similar Hillarycare proposal in the 1990s!

Finding out what’s in it: A GAO report has found that the Obamacare bureaucracy gave out millions of dollars in subsidies to more than 35,000 applicants who did not qualify.

Worse, the GAO decided to test the system directly, and created twelve fake applicants whose applications had problems that should have prevented them from receiving subsidies The result?

It was able to secure $2,500 a month subsidies for 11 of those applicants. When CMS [the bureaucracy administering Obamacare] asked for documents to resolve inconsistencies in the files, GAO either sent fake documents or simply didn’t send anything. In both cases, CMS sent letters acknowledging receipt of documents and stating the matter had been resolved. Again, this was the case even when GAO had sent nothing in response to the initial CMS query. In the end, GAO was able to keep all 11 fictitious applicants on subsidies throughout 2014, each one directing about $30,000 in federal funds to an insurer under false pretenses. And it’s worth noting that, later on in the report, GAO makes clear it created this fake applicants with no prior or inside knowledge of any verification procedures that might be applied. This was something that anyone could have done.

There’s more at the link, such as the fact that the bureaucracy also decided, quite arbitrarily, to send subsidies to applicants who claimed they were not in prison, even if those applicants were on the official database of individuals in prison (and thus not qualified for subsidies according to the law).

But hey, Bernie Sanders, Hillary Clinton, and even Donald Trump want to use the government to administer health care. Trump might say he wants to get rid of Obamacare, but he also wants the government to run the system he will create to replace it. What could possibly go wrong?

Finding out what’s in it: Independent studies have found that the average cost for health insurance under Obamacare in 2016 will be about $300 a month for the program’s silver plan.

That’s not the biggest problem, according to analysts. For many, their health insurance has dramatically changed under Obamacare. Deductibles and out of pocket expenses are higher, so many of their medical expenses are no longer covered. Some consumers who say they had good, affordable plans prior to the Affordable Care Act say they can no longer afford the new plans, which are substandard in terms of what they cover.

Obviously, this means the voters should throw their support to the Democratic Party and any one of their presidential candidates, all of whom have promised to fix this disaster of a law with even more government-imposed rules.

Finding out what’s in it: The Obama administration and health insurers are discovering that, because of the high cost of health insurance forced on consumers due to Obamacare, those consumers are improvising ways to “game the system”.

The article describes a whole range of tricks citizens are discovering that allow them to get insurance companies to pay for their health costs while paying those same insurance companies as little as possible. This example, which is not the focus of the story, encapsulates for me the entire insane nature of this monstrous law, forced upon us by Obama and the Democratic Party:

[Insurance companies] note many people have figured out they need pay for only nine months to get a full year of coverage. An enrollee might buy an ACA policy, get their health needs addressed and then let their coverage lapse — without having to pay the penalty for being uninsured.

It is only going to get worse. By not letting the free market function, the government is forced to ration care and impose restrictive rules, which people naturally try to improvise their way around, either legally or in a black market. The solution proposed in the article is even more restrictive rules and rationing.

The only real solution is to dump the whole thing and go back to the basic American principle of a free market. Such a system carries risk, but it forces the industry and the citizenry to find the most efficient solutions. It also depends on a very radical concept: personal responsibility.

Finding out what’s in it: The White House last month admitted that millions of healthy Americans have decided it is cheaper to pay the Obamacare penalty for not having health insurance than pay for insurance that is too expensive and does them little good.

Because so many young and healthy people are doing the math and refusing to pay for a product they don’t need and costs them far more than it is worth, the insurance pool is, as predicted, increasingly made up of sick people only. Such a pool is not viable for the insurance companies, and guarantees that they will eventually go bankrupt.

But hey, Obama and the Democrats promised us all that Obamacare would lower costs and make everyone happy. They wouldn’t lie to us, would they?

Finding out what’s in it: Facing the possibility that they won’t be paid because of the failure of the New York Obamacare health insurer, doctors there are now refusing to see patients without an upfront cash payment.

Though the article describes examples where patients were turned away, what is really happening is that the doctors would be glad to treat them, as long as the patient pays for the treatment first. Their insurance ain’t worth anything, and the doctor rightly does not wish to work for free.

Meanwhile, our reality-challenged president, who somehow thought Obamacare would cut health premiums by $2500 and wouldn’t require anyone to change their health plans or doctors, is in Paris this week (which experienced a mass shooting only two weeks ago) telling the world that mass shootings only occur in the United States.

Sadly, the entire Democratic Party generally agrees with him on all issues. Let’s vote for them again!

Finding out what’s in it: Health insurance premiums in 2016 will rise more than 20%, three times more than predicted by Obama officials.

The discrepancy is because the government excluded price data for three of the four Obamacare health insurance plans when the officials issued their recent forecast claiming enrollees would face only a 7.5 percent average rate increase in 2016. When data for all four plans are included, premium costs will actually rise on average 20.3 percent next year.

In other words, Obama administration officials purposely manipulated the numbers to hide the actual rate increase. Then, not surprisingly, “The mainstream media was quick to embrace the 7.5 percent number, claiming it reflected the real-world experience of most Obamacare customers,” when it truth the number was a lie.