Health - Are You Healthy? ObamaCare May Triple Your PremiumLloyd Dobson Artist
Are You Healthy? Obamacare may triple your premium.
Much higher rates for this group could be the impact of the insurance overhaul's aim to cover the chronically ill.
The Affordable Care Act is designed to place health care within reach of all Americans, but the law may end up making insurance more costly for healthy people.
A review of proposed health care plans across eight states shows premiums for those in good health may double or even triple under Obamacare, while costs for people with chronic conditions will likely decrease, The Wall Street Journal reports.
Take the case of a 40-year-old single nonsmoker. Under the new law, he could take insurance on a "bronze" plan that covers 60% of medical costs and charges premiums of about $200 a month in most states surveyed in the study. Yet today, he could get coverage for far less.
Under a WellPoint (WLP +0.11%) plan offered in Virginia via Anthem, for example, he could find a plan for only $63 per month, which covers half of medical costs.
"If a person in 2013 has a choice of buying a Chevrolet or a Cadillac health plan and in 2014 they can only buy a Cadillac, . . . are they going to be upset? I think the answer is yes," Bob Laszewski, a Virginia health care consultant, told the newspaper.
Of course, the study presents one specific case -- a healthy consumer in Richmond, Va. -- while costs could vary considerably by state. The lowest-cost plan offered on an exchange in Nashville, Tenn., for example, is now pegged at $149, or 23% less than the $193 monthly premium charged in Richmond.
Still, the findings aren't likely to win over any new fans of the health care insurance overhaul, which is already unpopular with Americans. A recent survey from CNN/ORC International found that 54% of Americans oppose the legislation, with most of those saying they feel it's too liberal. Obama health care plan explained can be summed up as wow.
But aside from politics, the overhaul's costs are also weighing on the minds of consumers and business owners. Regal Entertainment Group (RGC +6.48%) said it's cutting hours to avoid providing health insurance for thousands of nonsalaried employees.
So who will benefit from the new plans? Most likely, chronically ill consumers who would otherwise face either extremely expensive plans or even fail to find an insurer willing to cover them. Under the overhaul, plans must be available to all Americans, no matter what their health.
As of now, much of the real prices associated with Obamacare are still unknown. When the health care exchanges roll out in October, the ultimate costs to consumers will become clearer.
Watch the video below to get more insight as to what is ahead for Americans.
For a FREE health insurance quote from multiple carriers CLICK HERE NOW. http://AIADirectQuote.com
Can 6 words impact millions of people !Prashant Roy
The Supreme Court is considering a challenge to the Affordable Care Act that hinges on the interpretation of six words - "an exchange established by the states". If the plaintiffs' argument is accepted, insurance subsidies would only be available in states that set up their own exchanges, not those relying on the federal marketplace. This could cause 7.5 million people to lose subsidies, resulting in higher premiums and fewer people able to afford coverage. It would disrupt insurer business models and the larger marketplace ecosystem created to support ACA reforms. Millions of insured people could lose their healthcare based on the interpretation of these six words.
Massachusetts westhill healthcare insurance consulting - study - allowing pe...nathalieflex
Data from the Department of Health and Human Services show that nearly 2.2 million people selected an insurance plan through the federal marketplace or state marketplaces from Oct. 1 to Dec. 28.
Young adults account for slightly less than one-fourth of those who signed up — fewer, so far, than the government has said will be needed to make the economics of the new exchanges work.
The document summarizes recent changes to US health policies under the Affordable Care Act and how they are being implemented in Colorado. It discusses key provisions that took effect in 2010-2011 such as the pre-existing condition coverage for children, and outlines upcoming provisions in 2014 like the individual mandate and state-based health insurance exchanges. It also reviews related policies around electronic health records, accountable care organizations, and resources for tracking ongoing reforms.
Is US Biotechnology in Jeopardy? By Richard W. Bank, MDRichard W Bank MD
The document discusses the potential impacts of the Affordable Care Act (Obamacare) on the US biotechnology industry. While proponents believe the law will increase demand for drugs and biotechnology by expanding insurance coverage, the document notes that some investors see the federal government intervention as bad for the economy. Additionally, the medical device tax and potential rise in insurance premiums caused by increased coverage of expensive treatments introduce uncertainties for the biotech industry. The document was written by Richard W. Bank, an experienced biotechnology investor and entrepreneur.
Obamacare markets debut as early hurdles may slow signups hCentive newsAlisha North
The Affordable Care Act's health insurance exchanges opened amid logistical delays and a U.S. government shutdown. Some states delayed their exchange openings by hours or days to avoid overwhelming their websites and call centers. While the federal exchanges in 36 states opened as scheduled, states were encouraging people to wait before signing up to allow time to work out issues. The exchanges aim to provide medical coverage to most of the nation's 48 million uninsured, though the Obama administration is seeking 7 million signups in the initial enrollment period running through March.
The document discusses potential litigation risks insurers may face related to implementation of the Affordable Care Act (ACA). It identifies two key expectations that may drive litigation if unfulfilled: 1) that everyone will have guaranteed, robust health insurance coverage; and 2) that costs associated with health insurance will stabilize or decrease over time. The document outlines four specific risk areas where insurers could face legal challenges, including challenges to benefit determinations and scope of coverage, issues related to the establishment of insurance exchanges, disputes over medical loss ratio calculations and rebates, and challenges to insurers' risk adjustment calculations. It concludes that insurers should plan ahead for potential litigation challenges as key ACA reforms are implemented.
Medicaid provides health coverage to over 60 million low-income families and individuals in the U.S. After the Affordable Care Act, many states reduced Medicaid coverage or did not expand eligibility. This has caused millions to lose coverage. States that have expanded Medicaid have seen more people able to access care and lower costs to the state overall. Expanding Medicaid in all states would greatly benefit low-income residents by providing them health coverage when they cannot otherwise afford it.
Health - Are You Healthy? ObamaCare May Triple Your PremiumLloyd Dobson Artist
Are You Healthy? Obamacare may triple your premium.
Much higher rates for this group could be the impact of the insurance overhaul's aim to cover the chronically ill.
The Affordable Care Act is designed to place health care within reach of all Americans, but the law may end up making insurance more costly for healthy people.
A review of proposed health care plans across eight states shows premiums for those in good health may double or even triple under Obamacare, while costs for people with chronic conditions will likely decrease, The Wall Street Journal reports.
Take the case of a 40-year-old single nonsmoker. Under the new law, he could take insurance on a "bronze" plan that covers 60% of medical costs and charges premiums of about $200 a month in most states surveyed in the study. Yet today, he could get coverage for far less.
Under a WellPoint (WLP +0.11%) plan offered in Virginia via Anthem, for example, he could find a plan for only $63 per month, which covers half of medical costs.
"If a person in 2013 has a choice of buying a Chevrolet or a Cadillac health plan and in 2014 they can only buy a Cadillac, . . . are they going to be upset? I think the answer is yes," Bob Laszewski, a Virginia health care consultant, told the newspaper.
Of course, the study presents one specific case -- a healthy consumer in Richmond, Va. -- while costs could vary considerably by state. The lowest-cost plan offered on an exchange in Nashville, Tenn., for example, is now pegged at $149, or 23% less than the $193 monthly premium charged in Richmond.
Still, the findings aren't likely to win over any new fans of the health care insurance overhaul, which is already unpopular with Americans. A recent survey from CNN/ORC International found that 54% of Americans oppose the legislation, with most of those saying they feel it's too liberal. Obama health care plan explained can be summed up as wow.
But aside from politics, the overhaul's costs are also weighing on the minds of consumers and business owners. Regal Entertainment Group (RGC +6.48%) said it's cutting hours to avoid providing health insurance for thousands of nonsalaried employees.
So who will benefit from the new plans? Most likely, chronically ill consumers who would otherwise face either extremely expensive plans or even fail to find an insurer willing to cover them. Under the overhaul, plans must be available to all Americans, no matter what their health.
As of now, much of the real prices associated with Obamacare are still unknown. When the health care exchanges roll out in October, the ultimate costs to consumers will become clearer.
Watch the video below to get more insight as to what is ahead for Americans.
For a FREE health insurance quote from multiple carriers CLICK HERE NOW. http://AIADirectQuote.com
Can 6 words impact millions of people !Prashant Roy
The Supreme Court is considering a challenge to the Affordable Care Act that hinges on the interpretation of six words - "an exchange established by the states". If the plaintiffs' argument is accepted, insurance subsidies would only be available in states that set up their own exchanges, not those relying on the federal marketplace. This could cause 7.5 million people to lose subsidies, resulting in higher premiums and fewer people able to afford coverage. It would disrupt insurer business models and the larger marketplace ecosystem created to support ACA reforms. Millions of insured people could lose their healthcare based on the interpretation of these six words.
Massachusetts westhill healthcare insurance consulting - study - allowing pe...nathalieflex
Data from the Department of Health and Human Services show that nearly 2.2 million people selected an insurance plan through the federal marketplace or state marketplaces from Oct. 1 to Dec. 28.
Young adults account for slightly less than one-fourth of those who signed up — fewer, so far, than the government has said will be needed to make the economics of the new exchanges work.
The document summarizes recent changes to US health policies under the Affordable Care Act and how they are being implemented in Colorado. It discusses key provisions that took effect in 2010-2011 such as the pre-existing condition coverage for children, and outlines upcoming provisions in 2014 like the individual mandate and state-based health insurance exchanges. It also reviews related policies around electronic health records, accountable care organizations, and resources for tracking ongoing reforms.
Is US Biotechnology in Jeopardy? By Richard W. Bank, MDRichard W Bank MD
The document discusses the potential impacts of the Affordable Care Act (Obamacare) on the US biotechnology industry. While proponents believe the law will increase demand for drugs and biotechnology by expanding insurance coverage, the document notes that some investors see the federal government intervention as bad for the economy. Additionally, the medical device tax and potential rise in insurance premiums caused by increased coverage of expensive treatments introduce uncertainties for the biotech industry. The document was written by Richard W. Bank, an experienced biotechnology investor and entrepreneur.
Obamacare markets debut as early hurdles may slow signups hCentive newsAlisha North
The Affordable Care Act's health insurance exchanges opened amid logistical delays and a U.S. government shutdown. Some states delayed their exchange openings by hours or days to avoid overwhelming their websites and call centers. While the federal exchanges in 36 states opened as scheduled, states were encouraging people to wait before signing up to allow time to work out issues. The exchanges aim to provide medical coverage to most of the nation's 48 million uninsured, though the Obama administration is seeking 7 million signups in the initial enrollment period running through March.
The document discusses potential litigation risks insurers may face related to implementation of the Affordable Care Act (ACA). It identifies two key expectations that may drive litigation if unfulfilled: 1) that everyone will have guaranteed, robust health insurance coverage; and 2) that costs associated with health insurance will stabilize or decrease over time. The document outlines four specific risk areas where insurers could face legal challenges, including challenges to benefit determinations and scope of coverage, issues related to the establishment of insurance exchanges, disputes over medical loss ratio calculations and rebates, and challenges to insurers' risk adjustment calculations. It concludes that insurers should plan ahead for potential litigation challenges as key ACA reforms are implemented.
Medicaid provides health coverage to over 60 million low-income families and individuals in the U.S. After the Affordable Care Act, many states reduced Medicaid coverage or did not expand eligibility. This has caused millions to lose coverage. States that have expanded Medicaid have seen more people able to access care and lower costs to the state overall. Expanding Medicaid in all states would greatly benefit low-income residents by providing them health coverage when they cannot otherwise afford it.
Obamacare markets debut as early hurdles may slow signups - hCentive newsAlisha North
The three-year effort to open the Obamacare health-insurance exchanges culminates today, beset by logistical delays and a U.S. government shutdown borne of Republican opposition to the Affordable Care Act.
Fraudulent healthcare claims decrease available funds for quality patient care in the US. While recent laws aim to prevent fraud, improper payments remain high. Current methods detect fraud after payment, which is costly to recover. Reducing fraud requires verifying provider identities upfront using analytics of identities, claims, and social networks. This "defense in depth" approach at the start of the claims process could eliminate billions lost to improper payments each year.
This document summarizes the 26th Annual Rate Survey published by Medical Liability Monitor. It provides a state-by-state overview of changing medical malpractice insurance rates as of July 1, 2016. The survey reports rates for three specialties - internal medicine, general surgery, and obstetrics/gynecology - from the major medical malpractice insurers in each state. While medical malpractice insurance rates have remained stable in recent years, factors like increasing severity of claims payments and consolidation among hospitals and physicians could impact rates and profitability for insurers in the future.
Parts of the country are in jeopardy of not having an insurer offering Obamacare plans next year.
Many counties already have just one insurer offering health plans in the Obamacare marketplaces, and some of those solo insurers are showing signs that they are eyeing the exits.
Protecting Patient Information - Feds Find Security Lapses in State and Local...Patton Boggs LLP
This document summarizes two recent announcements from the Department of Health and Human Services highlighting the need for state and local governments to regularly review their policies and procedures for protecting patient health information. An audit found serious cybersecurity lapses in 10 state Medicaid systems, including lack of security plans, encryption of laptops, and disaster recovery testing. Additionally, Skagit County, Washington agreed to a $215,000 settlement for exposing patient information on a public server in violation of privacy and security rules. Both announcements emphasize the importance of risk assessments, administrative and technical safeguards, and compliance with health information privacy laws.
The document discusses how spending on entitlement programs like Social Security and Medicare has doubled as a percentage of the federal budget over the past 40 years, now accounting for 39% of spending. This rapid growth is unsustainable given the rising costs of healthcare and aging population. Republicans argue these programs need restructuring to reduce spending, while Democrats accuse them of wanting to dismantle the social safety net. Fixing the programs will require steps like raising revenues, reducing benefits for future recipients, or both.
Media & the Politics of Implementation: Explaining Geographic Variation in Lo...soder145
This document summarizes a study that analyzed local TV news coverage of the Affordable Care Act (ACA) from October 2013 to April 2014. The study found that coverage varied significantly across local TV markets and identified several factors that influenced the volume of coverage, including: the number of uninsured in a market, accessibility of sources and materials, station characteristics like ownership, and structural factors of media markets. The study provided evidence that news production is variable and complex, shaped by both audience interests and competing influences on news producers.
Will Price Transparency Help Patients Find Lower Cost Care Mary Tolan
At the close of July, the Trump administration proposed new policies that would create greater price transparency among healthcare providers. The driving idea behind the new proposal is that patients will be better able to shop around for care and choose options that fit within their budgetary limits instead of seeking care from the nearest provider and hoping that the bill they receive after the fact isn’t out of their financial reach. It’s a measure meant to empower and facilitate cost-savings for overburdened consumers — and given the current sky-high state of healthcare prices in the United States, it may well be a welcome one.
The document summarizes key healthcare topics and events from the 1st quarter of 2013. It discusses the expansion of HIPAA rules and enforcement starting in September 2013. It notes that 10% of new covered entities were selected for pre-payment meaningful use audits by Medicare and Medicaid audit agencies. It also discusses losses incurred by hospital-owned physician practices, increased RAC activity resulting in over $1.3 billion in claim denials in 2012, and the impact of sequestration cuts on healthcare spending. Finally, it provides updates on accountable care organizations and the growing trend of direct primary care and concierge medical practices.
The Proposed Health Care Reform’S Impact On MarketingStone Ward
The document summarizes key aspects of the proposed US health care reform plan, including:
1) It would require all Americans to have health insurance and businesses to provide it or pay a penalty. Subsidies would help lower-income families purchase insurance.
2) Health insurance exchanges would be created to allow consumers to compare plans starting in 2013.
3) While hospitals, doctors, and private Medicare plans oppose aspects of the plan, supporters argue it will reduce costs and improve care by covering more of the uninsured.
Healthcare Retrospect Part 3: Achieving The Triple AimBESLER
In part three of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, discusses the effects of the PPACA and the path towards achieving the triple aim.
The article discusses proposals to reform Medicaid in the U.S., including the House bill that would cap federal Medicaid funding. This could lead to a 26% reduction in federal support by 2026 and unprecedented financial risk shifting to states. The article argues that Medicaid reform proposals should consider the realities of the program, including that most enrollees and spending are for non-disabled adults, children, and older/disabled adults. It suggests bipartisan reforms could focus on increasing state flexibility, integrating physical and behavioral healthcare, and addressing high prescription drug costs. Overall, the greatest benefits will come from acknowledging Medicaid's successes and weaknesses to pursue tailored policies.
The document discusses the key provisions of the Affordable Care Act (ACA), also known as Obamacare, which was signed into law in 2010. It provides healthcare coverage to all Americans, allows children to stay on their parents' plans until age 26, prohibits denying coverage due to pre-existing conditions, expands Medicaid eligibility, and establishes health insurance exchanges. The Supreme Court upheld the law in 2012.
This document discusses healthcare and health financing in India. It notes that healthcare requires health infrastructure, services, and financing. Health insurance transfers risk from individuals and families to insurers and governments. There are over 1 billion people in India who need access to healthcare coverage. Models of health coverage include taxes, social or community insurance, private insurance, and medical savings schemes. Universal health financing in India will likely involve a mix of general revenues, social insurance, private insurance, and self insurance pools. Expanding health coverage faces constraints like most people working in the informal sector and being under or un-insured. The ideal system would be consumer centered and involve all stakeholders working together.
The document discusses the history of health care reform debates in the United States. It provides background on past reform efforts and outlines some of the key provisions and goals of the Affordable Care Act signed into law in 2010, including expanding access to health insurance coverage and aiming to reduce overall health care costs. The document also notes that health care reform remains a vital political issue and that significant obstacles have prevented major changes since 1965.
The document discusses several key issues around women's health insurance and costs in the United States. It notes that more than 17% of women are uninsured, health insurance premiums have increased 119% between 1999-2008, and 3 in 5 women are unable to pay medical bills. Additionally, it discusses rising costs being passed onto employees through higher deductibles, co-payments and coinsurance, as well as efforts to reduce costs through wellness programs and dependent audits. The document also examines health insurance issues facing young Americans, including high uninsured rates and concerns about shouldering costs for older populations under reforms.
Obamacare markets debut as early hurdles may slow signups - hCentive newsAlisha North
The three-year effort to open the Obamacare health-insurance exchanges culminates today, beset by logistical delays and a U.S. government shutdown borne of Republican opposition to the Affordable Care Act.
Fraudulent healthcare claims decrease available funds for quality patient care in the US. While recent laws aim to prevent fraud, improper payments remain high. Current methods detect fraud after payment, which is costly to recover. Reducing fraud requires verifying provider identities upfront using analytics of identities, claims, and social networks. This "defense in depth" approach at the start of the claims process could eliminate billions lost to improper payments each year.
This document summarizes the 26th Annual Rate Survey published by Medical Liability Monitor. It provides a state-by-state overview of changing medical malpractice insurance rates as of July 1, 2016. The survey reports rates for three specialties - internal medicine, general surgery, and obstetrics/gynecology - from the major medical malpractice insurers in each state. While medical malpractice insurance rates have remained stable in recent years, factors like increasing severity of claims payments and consolidation among hospitals and physicians could impact rates and profitability for insurers in the future.
Parts of the country are in jeopardy of not having an insurer offering Obamacare plans next year.
Many counties already have just one insurer offering health plans in the Obamacare marketplaces, and some of those solo insurers are showing signs that they are eyeing the exits.
Protecting Patient Information - Feds Find Security Lapses in State and Local...Patton Boggs LLP
This document summarizes two recent announcements from the Department of Health and Human Services highlighting the need for state and local governments to regularly review their policies and procedures for protecting patient health information. An audit found serious cybersecurity lapses in 10 state Medicaid systems, including lack of security plans, encryption of laptops, and disaster recovery testing. Additionally, Skagit County, Washington agreed to a $215,000 settlement for exposing patient information on a public server in violation of privacy and security rules. Both announcements emphasize the importance of risk assessments, administrative and technical safeguards, and compliance with health information privacy laws.
The document discusses how spending on entitlement programs like Social Security and Medicare has doubled as a percentage of the federal budget over the past 40 years, now accounting for 39% of spending. This rapid growth is unsustainable given the rising costs of healthcare and aging population. Republicans argue these programs need restructuring to reduce spending, while Democrats accuse them of wanting to dismantle the social safety net. Fixing the programs will require steps like raising revenues, reducing benefits for future recipients, or both.
Media & the Politics of Implementation: Explaining Geographic Variation in Lo...soder145
This document summarizes a study that analyzed local TV news coverage of the Affordable Care Act (ACA) from October 2013 to April 2014. The study found that coverage varied significantly across local TV markets and identified several factors that influenced the volume of coverage, including: the number of uninsured in a market, accessibility of sources and materials, station characteristics like ownership, and structural factors of media markets. The study provided evidence that news production is variable and complex, shaped by both audience interests and competing influences on news producers.
Will Price Transparency Help Patients Find Lower Cost Care Mary Tolan
At the close of July, the Trump administration proposed new policies that would create greater price transparency among healthcare providers. The driving idea behind the new proposal is that patients will be better able to shop around for care and choose options that fit within their budgetary limits instead of seeking care from the nearest provider and hoping that the bill they receive after the fact isn’t out of their financial reach. It’s a measure meant to empower and facilitate cost-savings for overburdened consumers — and given the current sky-high state of healthcare prices in the United States, it may well be a welcome one.
The document summarizes key healthcare topics and events from the 1st quarter of 2013. It discusses the expansion of HIPAA rules and enforcement starting in September 2013. It notes that 10% of new covered entities were selected for pre-payment meaningful use audits by Medicare and Medicaid audit agencies. It also discusses losses incurred by hospital-owned physician practices, increased RAC activity resulting in over $1.3 billion in claim denials in 2012, and the impact of sequestration cuts on healthcare spending. Finally, it provides updates on accountable care organizations and the growing trend of direct primary care and concierge medical practices.
The Proposed Health Care Reform’S Impact On MarketingStone Ward
The document summarizes key aspects of the proposed US health care reform plan, including:
1) It would require all Americans to have health insurance and businesses to provide it or pay a penalty. Subsidies would help lower-income families purchase insurance.
2) Health insurance exchanges would be created to allow consumers to compare plans starting in 2013.
3) While hospitals, doctors, and private Medicare plans oppose aspects of the plan, supporters argue it will reduce costs and improve care by covering more of the uninsured.
Healthcare Retrospect Part 3: Achieving The Triple AimBESLER
In part three of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, discusses the effects of the PPACA and the path towards achieving the triple aim.
The article discusses proposals to reform Medicaid in the U.S., including the House bill that would cap federal Medicaid funding. This could lead to a 26% reduction in federal support by 2026 and unprecedented financial risk shifting to states. The article argues that Medicaid reform proposals should consider the realities of the program, including that most enrollees and spending are for non-disabled adults, children, and older/disabled adults. It suggests bipartisan reforms could focus on increasing state flexibility, integrating physical and behavioral healthcare, and addressing high prescription drug costs. Overall, the greatest benefits will come from acknowledging Medicaid's successes and weaknesses to pursue tailored policies.
The document discusses the key provisions of the Affordable Care Act (ACA), also known as Obamacare, which was signed into law in 2010. It provides healthcare coverage to all Americans, allows children to stay on their parents' plans until age 26, prohibits denying coverage due to pre-existing conditions, expands Medicaid eligibility, and establishes health insurance exchanges. The Supreme Court upheld the law in 2012.
This document discusses healthcare and health financing in India. It notes that healthcare requires health infrastructure, services, and financing. Health insurance transfers risk from individuals and families to insurers and governments. There are over 1 billion people in India who need access to healthcare coverage. Models of health coverage include taxes, social or community insurance, private insurance, and medical savings schemes. Universal health financing in India will likely involve a mix of general revenues, social insurance, private insurance, and self insurance pools. Expanding health coverage faces constraints like most people working in the informal sector and being under or un-insured. The ideal system would be consumer centered and involve all stakeholders working together.
The document discusses the history of health care reform debates in the United States. It provides background on past reform efforts and outlines some of the key provisions and goals of the Affordable Care Act signed into law in 2010, including expanding access to health insurance coverage and aiming to reduce overall health care costs. The document also notes that health care reform remains a vital political issue and that significant obstacles have prevented major changes since 1965.
The document discusses several key issues around women's health insurance and costs in the United States. It notes that more than 17% of women are uninsured, health insurance premiums have increased 119% between 1999-2008, and 3 in 5 women are unable to pay medical bills. Additionally, it discusses rising costs being passed onto employees through higher deductibles, co-payments and coinsurance, as well as efforts to reduce costs through wellness programs and dependent audits. The document also examines health insurance issues facing young Americans, including high uninsured rates and concerns about shouldering costs for older populations under reforms.
Healthcare will be one of the central issues of the 2020 election and Medicare-For-All will drive much of that debate. In a review of twenty-eight national surveys conducted over the last two years, I have attempted to decipher how voters view the issue of Medicare-For-All.
This document summarizes how millions of Americans are losing their health insurance due to the implementation of the Affordable Care Act (ACA). It discusses how a survey found that 45-50% of employers will likely drop coverage for employees after 2014 due to the law. It also provides examples of major health insurers exiting state markets, dropping certain plans, and reducing coverage options, impacting tens of thousands of individuals and small businesses. The author argues this is occurring due to onerous regulations in the ACA that are making it difficult for insurers to remain profitable and continue offering coverage.
The document discusses three provisions of the Affordable Care Act (ACA) that address market failures in the health insurance market:
1) Health insurance exchanges allow the uninsured to purchase qualified coverage, addressing missing markets. This increases insurance uptake and lowers overall healthcare expenditures.
2) Guaranteed issue prohibits denying coverage or charging more based on health status, addressing adverse selection. Risk adjustment offsets this by transferring payments between insurers.
3) Consumer protections like online tools provide information to allow informed plan choices, addressing high search costs in a complex market with little transparency.
The document discusses public and private health exchange models implemented as part of the Affordable Care Act. The public exchanges have primarily provided coverage to low-income Americans but at a high cost. Many states had issues developing the necessary IT infrastructure for their exchanges. Major private insurers have exited the public exchanges due to financial losses. Cover California is presented as a more successful public exchange model. Private exchanges have grown as employers shift costs to employees, but need more transparency and support for insurers and consumers. Both models need continued reform to improve outcomes.
Medical costs are once again rising rapidly, forcing health care .pdfAroraRajinder1
Medical costs are once again rising rapidly, forcing health care back into political prominence.
This issue direct affects you as a student, family member, employer, and/or employee. The
problem of medical costs is so pervasive that it underlies three quite different policy crises. First
is the increasingly rapid unraveling of employer-based health insurance. Second is the plight of
Medicaid. Third is the long-term problem of the federal government’s solvency which is largely
a problem of health care costs.
Write an eight page paper addressing each of these issues. Be sure to choose a position (of
which there are many) and substantiate that position with facts and economic data. Some of the
issues which need to be answered are:
Is health care spending a problem?
Is employer-based insurance unraveling?
Medicare and Medicaid
The inefficiencies of the health care.
Single-payer and beyond.
How much health care should we have?
Can we fix health care?
Solution
1. Is health care spending a problem?
In 1960 the United States spent only 5.2 percent of GDP on health care. By 2004 that number
had risen to 16 percent. At this point America spends more on health care than it does on food.
But what’s wrong with that?
The starting point for any discussion of rising health care costs has to be the realization that these
rising costs are, in an important sense, a sign of progress. Here’s how the Congressional Budget
Office puts it, in the latest edition of its annual publication The Long-Term Budget Outlook:
Growth in health care spending has outstripped economic growth regardless of the source of its
funding. The major factor associated with that growth has been the development and increasing
use of new medical technology. In the health care field, unlike in many sectors of the economy,
technological advances have generally raised costs rather than lowered them.
Notice the three points in that quote. First, health care spending is rising rapidly “regardless of
the source of its funding.” Translation: although much health care is paid for by the government,
this isn’t a simple case of runaway government spending, because private spending is rising at a
comparably fast clip. “Comparing common benefits,” says the Kaiser Family Foundation,
changes in Medicare spending in the last three decades has largely tracked the growth rate in
private health insurance premiums. Typically, Medicare increases have been lower than those of
private health insurance.
Second, “new medical technology” is the major factor in rising spending: we spend more on
medicine because there’s more that medicine can do. Third, in medical care, technological
advances have generally raised costs rather than lowered them although new technology surely
produces cost savings in medicine, as elsewhere, the additional spending that takes place as a
result of the expansion of medical possibilities outweighs those savings.
So far, this sounds like a happy story. We’ve found new ways to help people, an.
[LOOKING BACK... Insurance Advocate, 25 years ago]Mandate.docxgerardkortney
[LOOKING BACK... Insurance Advocate, 25 years ago]
Mandated Benefits, Good Or Bad?
At N.Y. Hearing, Reviews Are Mixed
By MARGO D. BELLER
Are mandatory health care benefits hazard
ous to the health of New York’s insurance and
business communities?According to these in
terests, being forced to offer such coverages
as outpatient treatment of alcoholism or sub
stance abuse, mammography screening, home
health care or maternity care coverage could
drive industry to sell insurance, increases the
Inumber of uninsured workers and deprive the
state of needed income from the businesses
that would be forced to close because of the
prohibitive cost of providing insurance.
Then there is the scenario voiced by medical
and other health care-related interests: without
mandated care, large numbers of people who
need health care coverage would not be able
to afford it; an expansion of mandated benefits
is needed.
Both sides voiced their views on October 25
when the Senate Democratic Task Force on
Health Insurance chaired by Sen. Martin M.
Solomon held a public hearing in New York
City.
"State mandated benefits are a predictable
strategy fora society whose fondness for public
services far exceeds its willingness to pay for
them," stated Jon R. Gabel, associate director
of Policy Development and Research with the
Washington, D.C.-based Health Insurance As
sociation of America. "One appealing facet of
employer-mandated benefits is that they seem
ingly extend the protection of society’s safety
net without raising taxes.
“In reality, however, mandated benefits con
stitute a tax on employer-sponsored health in
surance — pricing out of the insurance market
many of the most vulnerable members of the
workforce.”
COST WILL INCREASE
“The cost for the mandate will continue to
increase every year, adding to the financial
burden on employers and employees. Costs
will increase not only because of the spiraling
increases in health care costs in general, but
also because health insurance coverage will
increase demand," argued Edward Reinfurt,
vice president of the Business Council of New
York State.
"Small employers often cannot afford to self-
insure. The only option for a small employer
faced with spiraling increases in health care
costs, exacerbated by mandated benefits, is to
eliminate employee health insurance entirely,”
warned Christopher Booth of Hinman, Straub.
Pigors & Manning, legislative counsel for the
New York State Conference of Blue Cross and
Blue Shield Plans.
Sitting in the middle is the state’s Insurance
Department. Outlining the department’s posi
tion was Mary A. Griffin, executive assistant
to Superintendent James Corcoran. All legisla
tion that would mandate benefits or services
of additional providers would be opposed by
the department "unless there was a potential
for cost savings or that the mandate involves
4
an overriding public policy of the state.”
However, she continued, the depa.
Effect of State Regulations on Health Insurance PremiumseHealth , Inc.
Overall, these results provide solid evidence that the state-level regulations of health insurance are correlated with higher premiums. The regression model estimates that the presence of health plan liability laws increases monthly premiums by $21.84. Laws that give subscribers direct access to specialists increase monthly premiums by $31.15. Provider due process laws increase premiums by
$16.62. Finally, each additional mandated benefit increases premiums by $0.75. All of these findings achieve statistical significance.
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The current American model (ACA) is based on private healthcare. Americans lack universal access to health, so they depend on private insurance for health care. There are three ways to get coverage in the US: through a job - companies with more than 50 full-time workers must pay for part of the policy - buying it individually or, in the case of people without resources and older age 65, through two public programs.
In the present year, 2020, the Covid-19 pandemic has brought into sharp focus the need for health care reforms that promote universal access to affordable care.
About half of Americans receive health coverage through their employer, and with record numbers filing for unemployment insurance, millions find themselves without health insurance in the midst of the largest pandemic in a century. Even those who maintain insurance coverage may find care unaffordable. (King, 2020)
Before the pandemic, research showed that more than half of Americans with employer-sponsored health insurance had delayed or postponed recommended treatment for themselves or a family member in the previous year because of cost. The loss of jobs, income, and health insurance associated with the pandemic will greatly exacerbate existing health care cost challenges for all Americans. (King, 2020)
The pandemic has wreaked havoc on the country's health system but at the same time has exposed the serious shortcomings of the American health system. However, it should not be hidden that before this event a health reform was necessary in which universal access to quality care for all Americans was guaranteed.
An adequate reform could be based on the Canadian health model, much like the British health model. In both countries, the health system is financed by the government and is based on five principles: it is accessible to all regardless of income, it offers complete services, it is publicly managed, and it is universally accessible to citizens and permanent residents. However, in the Canadian model some services such as dental and vision services are not covered. (Thomson, 2012)
Clearly, no health model will be 100% perfect and mishaps may arise along the way that must be addressed and improved, but health is a right that all people must have and a country that is a world power such as the United States, with excellent management can achieve a quality health system that is truly affordable for each and every one of its habitants.
10 essential health benefits in the ACA
Ambulatorypatient services
Emergencyservices
Hospitalization
Maternityand newborn care
Mentalhealth and substance use disorder services, including behavioral healthtreatment
Prescriptiondrugs
Rehabilitativeand habilitative services and devices
Laboratoryservices
Preventiveand wellness services and chronic disease manageme.
The Guide to Health Insurance Exchanges provides an overview of what the exchanges are and how they work, as well as reports on what happened right after they opened. The guide will help both employers and consumers to better understand exchanges by explaining the different types including public exchange for individuals, the SHOP exchange for small businesses, or a private marketplace for larger companies.
Austin health insurance brokers may be enrolling unaware Americans in bold movejthorn4
Rick Thornton, an Austin health insurance agent, echoed what was reported in that same article that a consumer’s first hint that something is wrong is a letter from the IRS or a delay in their tax refund.
The document discusses how the New Public Management (NPM) approach influenced the passage and implementation of the Affordable Care Act (ACA) in the United States. Key aspects of NPM like focusing on customers, marketization, and efficiency provided guidelines for the Obama administration. Through extensive negotiation and compromise, President Obama was able to pass the ACA in 2010 to address the rising costs of healthcare. While implementation faced some challenges, the ACA succeeded in significantly reducing the number of uninsured Americans. However, unequal access to coverage remains an issue and political opposition continues.
Patient protection and affordable care actShandaleStitts
The Patient Protection and Affordable Care Act (PPACA), also known as Obamacare, was passed in 2010 to increase healthcare affordability and access. The goals of the PPACA were to provide insurance to all Americans and ensure quality and affordable healthcare. Key provisions included expanding insurance options through state health exchanges, requiring insurers to cover people with preexisting conditions, and mandating that individuals obtain health insurance or pay a penalty. The PPACA has increased the number of insured Americans and aims to reduce the number of uninsured to less than 25 million by 2019, though it has also increased government spending and premium costs.
The document discusses implementing the Affordable Care Act in New Jersey. It notes that President Obama has said states could have flexibility to implement their own healthcare reforms as long as they cover as many people as comprehensively and affordably as the ACA. States would need to apply for a waiver. The document discusses how New Jersey has already received federal funding to implement parts of the ACA, and how the state's small employer healthcare law already tracks parts of the federal law. It examines options for what a reformed small employer market might look like in New Jersey, including the potential for an insurance exchange to leverage purchasing power. However, it notes challenges in reducing costs and expanding access given the state's struggling economy.
Uninsured Americans And The Health Care CrisisAngela Hays
The document discusses several key topics related to uninsured Americans and the healthcare crisis:
- It describes who is considered uninsured and some of the challenges uninsured people face in accessing healthcare.
- It discusses how the Affordable Care Act aimed to increase access to healthcare insurance and lower uninsured rates.
- Statistics are provided on the number of uninsured Americans both before and after the Affordable Care Act.
- Ways to potentially improve the Affordable Care Act are explored, such as expanding Medicaid coverage in more states.
The Affordable Care Act touches the lives of most Americans. In fact, nearly 21 million will be at risk if Obamacare is struck down, and may even lose health insurance completely if the law is ruled unconstitutional. This webinar will discuss what the outcome may be if ACA is repealed.
The document discusses the Affordable Care Act (ACA) and its impact on socioeconomic inequality from an interdisciplinary perspective. It analyzes the ACA through the lenses of economics, political science, and communication. While the ACA aims to expand access to healthcare, it has also increased costs and reduced access for some. There are also issues with unclear communication about the ACA and lack of cooperation from some state governments in implementing aspects of the law. The document argues that an interdisciplinary approach is needed to fully understand and address the complex problems posed by the ACA.
- The passage discusses the impacts of the Affordable Care Act (Obamacare) on individuals, households, small businesses, and the overall economy.
- President Obama promised that people could keep their existing health plans and doctors, but millions lost their plans due to new requirements.
- Small businesses will soon be negatively impacted as they will be unable to afford providing health insurance that meets new standards.
- Rising healthcare costs and reduced job opportunities are expected to further hurt the economy and middle class Americans.
Similar to Study: Obamacare didn't necessarily lead to health plan cancellations (20)
Study: Obamacare didn't necessarily lead to health plan cancellations
1. Study: Obamacare didn't necessarily lead to health plan
cancellations
President Obama took some serious heat last year when insurers started dropping millions of
Americans from health plans that were no longer Obamacare-compliant, seemingly breaking his
promise, "If you have insurance that you like, then you will be able to keep that insurance."
A new study, however, backs up the administration's claims that the cancellations were part of the
normal churn of the individual health market.
After analyzing patterns in the nongroup health coverage market from 2008 to 2011, Harvard
professor Benjamin Sommers found that the market was characterized by high turnover before the
Affordable Care Act was implemented. Additionally, Summers found that most people who left the
nongroup market acquired other insurance within, suggesting that the cancellations attributed to
Obamacare are unlikely to have a significant impact on overall coverage rates.
Relying on data from the Census Bureau's Survey of Income and Program Participation for his study,
Sommers used a sample of 4,199 respondents under 65 years old with nongroup coverage in their
first month in the survey.
Over one-third of those respondents no longer had nongroup insurance coverage after just four
months, Sommers found. Just 42 percent had stable nongroup coverage after one year. After two
years, just 27 percent had stable coverage.
Given that there were an estimated 10.8 million people in the nongroup market in 2012, as many as
6.2 million people could be leaving that market place in a given year, Sommers notes. "This suggests
that the nongroup market was characterized by frequent disruptions in coverage before the ACA and
that the effects of the recent cancellations are not necessarily out of the norm," he wrote in the
study's abstract.
Additionally, Sommers found that most people leaving the market found coverage elsewhere: Fifty
percent of people who experienced a coverage change found employer-sponsored insurance by the
study's first year. Another 20 percent had regained nongroup coverage, 6 percent had Medicare or
Medicaid, and 4 percent had other coverage. The remaining 20 percent were uninsured a year into
the study.
Given that two-thirds of the sample had incomes at or below 400 percent of the poverty line, the
study suggests that most people in the nongroup market would be eligible for federal subsidies on
the new Obamacare marketplaces or Medicaid coverage.
Sommers' study is the first to take a nationwide look at stability in the pre-Obamacare, nongroup
health insurance market. Other research focused on the nongroup market at the state level, but
there has been significant variation across different regions.
When news started trickling out about consumers losing coverage -- presumably because their bare-
bones insurance plans on the individual market did not meet Obamacare's minimum coverage
standards -- Mr. Obama defended his law, pointing out that insurers "routinely dropped thousands of