Oh my

Blairsville, GA

#17759 Jul 10, 2013
Why No One Should Lose Sleep Because Big Insurers Are Taking a Pass on Exchanges
Posted: 07/02/2013 10:45 am
Wendell Potter
http://www.huffingtonpost.com/wendell-potter/...

Aetna made the wrong kind of headlines in California a few days back. The health insurance giant said it plans to stop selling individual coverage in the state and would not renew the individual policies it currently has in effect. That decision means about 50,000 Californians will have to find another insurer.

UnitedHealth Group, the nation's largest insurer, announced yesterday that it is following Aetna's lead and will also exit California's individual market, a move that will affect 8,000 people.

State Insurance Commissioner Dave Jones said he was disappointed because the departure of Aetna and UnitedHealth will reduce competition, but neither company has been able to be more than also-rans in California's individual health insurance market. Three other insurance companies with a much longer history in the state -- Anthem Blue Cross, Blue Shield of California and Kaiser Permanente -- collectively control about 90 percent of the Golden State's individual insurance market.

Aetna and UnitedHealth didn't make a big effort to increase their share of that market because, like Cigna, the big national insurer where I used to work, they prefer to sell coverage to employers, not individuals. So those companies' decisions didn't come as a surprise to anyone who has followed the recent trends in health insurance.

In fact, it is a stretch to even call the big companies insurers these days. The number of people whom those companies actually "insure" has been dwindling for a decade. Their preference is to encourage employers and other large groups to "self insure" and then hire the insurance companies as administrators. If you look closely at the big insurers' books of business, you will see their revenue from "administrative services only" (ASO) customers has been growing while cash from the selling of actual insurance has been falling.

...Some critics of the reform law are suggesting that if the big companies aren't willing to sell policies on all the exchanges, Obamacare is somehow fatally flawed and will surely fail to live up to the promise of lower premiums through more robust competition among insurers.

But I think we'll all be just as well off if the big companies stay out of the individual and small group market, which the exchanges are designed to serve. Those companies have overhead costs and are under constant pressure from their shareholders and Wall Street financial analysts to spend as little of their premium revenue paying claims as the law will allow.(Under the Affordable Care Act, insurers must now spend at least 80 percent of their policyholders' premiums on health care.)

That means most of those who are selling policies to individuals and small businesses will primarily be nonprofit companies, including the new co-op health plans that have received start-up loans from the federal government. Without the need to price their policies to cover a substantial profit and pay executives millions of dollars every year, the nonprofits should be able to sell coverage that is more affordable.
wait a minute

Douglasville, GA

#17760 Jul 10, 2013
...In addition, in less than three months, people who can't get coverage through their workplace can shop for it in a way that finally makes sense. They'll be able to buy it on the online marketplaces that every state and the District of Columbia must have up and running on Oct. 1.

PROBLEM: People can't afford healthcare insurance
SOLUTION: Force people to buy healthcare insurance

You and I will be paying for it. There is no shopping if you have no money!

Why can't you see this?
Who

Clarkesville, GA

#17761 Jul 10, 2013
wait a minute wrote:
...In addition, in less than three months, people who can't get coverage through their workplace can shop for it in a way that finally makes sense. They'll be able to buy it on the online marketplaces that every state and the District of Columbia must have up and running on Oct. 1.
PROBLEM: People can't afford healthcare insurance
SOLUTION: Force people to buy healthcare insurance
You and I will be paying for it. There is no shopping if you have no money!
Why can't you see this?

"Not Qualified For Obamacare's Subsidies? Just Lie -- Govt. To Use 'Honor System' Without Verifying Your Eligibility."


http://www.forbes.com/sites/theapothecary/201...
Oh my

Blairsville, GA

#17762 Jul 10, 2013
A GOP Idea That's Part of Obamacare Showing Signs of Working as Planned
Posted: 05/13/2013 3:34 pm
Wendell Potter
http://www.huffingtonpost.com/wendell-potter/...

The House of Representatives is expected to vote for the 40th time this week to repeal Obamacare, not because anyone believes the 40th time will be the charm, but because the exercise will enable Republican freshmen to vote for repeal and brag about it during their campaigns next year.

Those lawmakers probably won't tell their constituents that two of the most important provisions of the law they profess to hate were actually Republican ideas the Democrats embraced in hopes of getting bipartisan support for reform. The first such provision is the requirement that all Americans not covered by a public plan like Medicare or Medicaid must buy coverage from a private insurance company. The second provision: establishment of state health insurance marketplaces (called exchanges in the law) where private insurers compete online for customers.

...The reason Republicans once liked health insurance exchanges is that in theory they will facilitate choice and competition, which should bring down the cost of coverage. If the exchanges work as planned -- and as ObamaCare stipulates -- consumers will be able to make apples to apples comparisons among health plans and pick the one that seems to offer the best value.

Based on news out of Oregon last week, there is reason to believe that the theory is holding up and that consumers will indeed benefit from price transparency that until now had never been available to the layman.

Health insurers in Oregon were required to tell the state last week how much they planned to charge for the policies they would sell this coming fall on "Cover Oregon," the name of the state's exchange.

As reported in the Oregonian, when the state insurance department published the insurers' proposed rates in a chart, some of companies that had planned to charge the highest rates wasted no time in saying said they had made a serious mistake and would quickly revise their offerings with lower rates.

...While it's possible that some people will have to pay more -- especially those with low-benefit, high-deductible plans that are soon to be abolished -- most folks who have to buy coverage without an employer's help will likely pay less, thanks to income-based tax credits that will be available for the first time. As the Oregonian noted, at least half the people who buy coverage on the state's exchange will qualify for a tax credit. And they'll be able to determine quickly how much the tax credit will reduce their premiums simply by providing income information on the exchange website.

Americans in every state can look forward to these GOP-inspired consumer benefits and protections and the very real possibility of lower premiums, assuming ObamaCare goes forward. Which, of course, it won't if House Republicans' 40th attempt to repeal ObamaCare does indeed prove to be the charm.
Who

Clarkesville, GA

#17764 Jul 10, 2013
"The purpose of this law is to get health insurance for people who don’t have it now. If people say they don’t want to deal with it, or they haven’t gotten enough good information about it, that will leave enrollment to the unhealthier and older people, which will drive rates up even more,” Starkman says."

http://www.businessweek.com/articles/2013-05-...
Oh my

Blairsville, GA

#17765 Jul 10, 2013
It's CEO Pay Shock, Not Premium Rate Shock, That We Should Be Outraged About
Posted: 04/15/2013 11:45 am
Wendell Potter
http://www.huffingtonpost.com/wendell-potter/...

Among insurance executives, Aetna CEO Mark Bertolini has been among the most vocal in warning of "premium rate shock" when major provisions of Obamacare kick in on January 1.

"We've done all the math, we've shared it with all the regulators, we've shared it with all the people in Washington that need to see it, and I think it's a big concern," Bertolini told his company's big shareholders and Wall Street financial analysts in New York last December.

If Aetna does, in fact, hike premiums by more than 100 percent for some of its customers, as Bertolini suggested at the meeting, no doubt part of that money will go to covering his shockingly lucrative paycheck.

While many Aetna employees were lucky to get two percent raises last year, Bertolini's compensation nearly quadrupled. That's right, quadrupled.

Aetna disclosed in a filings last week with the U.S. Securities and Exchange Commission that Bertolini's total compensation in 2012 was $36.36 million, up from $9.7 million in 2011. If you include the $11.1 million in stock awards he was given that will vest later, his 2012 total jumps $47 million.

...One of the reasons Bertolini mentioned "premium rate shock" to his company's investors undoubtedly is that Aetna won't be able to continue selling some of its most profitable health plans next year -- the ones that have relatively low premiums but such limited benefits that they'll actually be banned next year.

...Often called 'junk insurance' by consumer advocates, limited benefit plans typically have an annual cap of $1,000 to $15,000 and have significant restrictions on specific types of care, especially hospitalizations. But the marketing materials for these plans seldom draw attention to what is not covered.

As a consequence, many people have been shocked to find that they are on the hook for hundreds of thousands of dollars in hospital care they thought would be covered by their insurance policy.

...Beginning January 1, Aetna and other companies that have made millions of dollars in profits from such plans, including Cigna, where I used to work, will no longer be able to sell them, thanks to the consumer protections in Affordable Care Act. Policies will have to provide decent coverage for hospitalization and other "essential benefits," and the annual and lifetime caps will be banned. Insurers will also have to provide information in plain language about what is covered and in a format that will enable consumers to make apples-to-apples comparisons among plans.

Aetna CEO Bertolini probably was thinking of the thousands of people who are currently enrolled in limited benefit plans when he warned of premium rate shock. And he has a point. The premiums for such plans are low compared to policies that actually cover medical care doctors and nurses provide to cure you once you've been hospitalized. It's not unreasonable to think that Aetna would charge its existing limited benefit customers more for real insurance -- maybe even twice as much. But because insurers market limited benefit plans to low income workers, most likely will qualify for subsidies to help them pay the premiums.

Indeed those people might be shocked when Aetna tells them how much they'll have to pay for a plan that is not "virtually worthless."
Who

Clarkesville, GA

#17766 Jul 10, 2013
"Canada Considering Moving Away From Socialized Health Care."

"Dr. Anne Doig says patients are getting less than optimal care and she adds that physicians from across the country - who will gather in Saskatoon on Sunday for their annual meeting - recognize that changes must be made."

http://www.deadfishwrapper.com/blog/canada-co...
Who

Clarkesville, GA

#17767 Jul 10, 2013
Everything you would want to know about healthcare. The good, the bad, and the ugly.


http://www.healthpaconline.net/rekindling/Art...
wait a minute

Douglasville, GA

#17768 Jul 10, 2013
http://firstread.nbcnews.com/_news/2013/07/09...

“What,” the hard-nosed student scribes inquired, according to a White House pool report,“is your favorite food?”

Flip-flopping.(In response to a similar question last year, Obama indicated in an interview with Oprah that “pizza nights around the White House are pretty great.” Scholastic Inc. cited his love for "chili, french fries, and pork chops" during last year's campaign.)

He is incapable of telling the truth even to kids.

Since: Jul 12

Douglasville, GA

#17769 Jul 10, 2013
wait a minute wrote:
Question:
Who is going to pay for the deadbeats insurance?
They don't have $$ for it now.
How will they when it passes?
If it ever does.
Ask Informed Opinion.

Since: Jul 12

Douglasville, GA

#17770 Jul 10, 2013
Informed Opinion wrote:
<quoted text>
Oh those freeloading deadbeats have the money.
You see them every day having lunch at restaurants ordering extra fries with their Triple Poppa Bacon Burger,(on whole wheat bun - for the health benefits), getting married at Disney Parks wearing their best Sleeping Princess costumes, at the school signing their kids up for free lunch, buying their six 12-packs of long neck beer, at the E.R. when their 4 year old ran his personal ATV through the shed door and into the new F-150 pick-up.
If you miss them there, check for those on government run, taxpayer funded Medicare, who wouldn't give that up for a million bucks,
or
Just look for whose whining that they don't have the money to buy "no insurance."
I see that you replied to "wait a minutes" question, as I didn't get to your post until now. That is why I posted the post to "wait a minute", to ask you.
You did reply but you did not answer his question.
Your always bragging at how you travel and are doing this and that. You are always eating a huge stake in some exotic place. I bet you have a nice vehicle and live well off all that union retirement. The government needs to come and see you and get their money. You seem to have plenty. You should be willing to give till it hurts. Don't be stingy.
This is your own idea so what do you think?

Since: Jul 12

Douglasville, GA

#17771 Jul 10, 2013
Informed Opinion wrote:
<quoted text>
And by the way ...
What's wrong with insurance companies getting to insure only healthy people and leave those sick turkeys for the taxpayers to take care of, and then canceling coverage of them healthy folks that gets sick.
That's how they make their profits, and the onliest people screwed is the taxpayers cause they got to provide medical care to the sick, sicker, and sickest.
Sounds line good capitalism to me - the instance companies make huge profits and the taxpayers get screwed.
We worship the God of Capitalism in this Country by God (of Capitalism) and anything that interferes with profits, in any way, is just damn sinful - and I, for your information and gonna be part of no sinnin.
I thought that you hated capitalism, now I know for sure. You actually think that insurance companies shouldn't make any money? If they make no profit then they wouldn't exist. You would have no insurance. The same goes for Ford Motor Company. If they do not make any money on the cars they sell, they are out of business. You have no car to drive.
Don't you realize that the older a person gets the more costly the insurance becomes? That is because the older person will cost the insurance company more. The insurance company isn't stupid.
If insurance companies are forced to insure people that are very old and sick, they must charge them much higher rates to cover the cost of their illness's. If they do not charge them more than there are only 3 choices. Either charge the younger insured more for their policies or go out of business. The third is a single payer, a government controlled system that pays for everybody. Guess what? Someone is going to pay those medical bills. It will be the taxpayer that gets screwed again as the money must come from somewhere. That would be you bigshot! Get ready to shell out as that is what you and your hero Obamas really want. A single payer system. That would be called socialized medicine.

Since: Jul 12

Douglasville, GA

#17772 Jul 10, 2013
This is a really interesting and informative article of how and why both political parties are selling us out on the Immigration Bill.

http://www.wnd.com/2013/07/experts-both-parti...
OMTE

Ford City, PA

#17774 Jul 10, 2013
Bigdave1 wrote:
This is a really interesting and informative article of how and why both political parties are selling us out on the Immigration Bill.
http://www.wnd.com/2013/07/experts-both-parti...
It's like they want to replace the poor American workers with illegal criminal immigrants, for cheap labor and drugs. Ya know? Only problem where do the poor Americans go? The rich only care about profits. The rich care nothing for the poor American. They'd rather have illegal immigrants. They don't talk back and can afford to take a lower wage, because they don't pay taxes. What our government is doin to the south is wrong on so many levels. It's almost like giving the south to mexico. I don't know about you, but I love south Ga. and I d*mn sure ain't leavin and/or lettin the mexican have it. There is no way that bill will pass the House.
Informed Opinion

Cape Coral, FL

#17776 Jul 10, 2013
Bigdave1 wrote:
<quoted text>I see that you replied to "wait a minutes" question, as I didn't get to your post until now. That is why I posted the post to "wait a minute", to ask you.
You did reply but you did not answer his question.
Your always bragging at how you travel and are doing this and that. You are always eating a huge stake in some exotic place. I bet you have a nice vehicle and live well off all that union retirement. The government needs to come and see you and get their money. You seem to have plenty. You should be willing to give till it hurts. Don't be stingy.
This is your own idea so what do you think?
Why be mad at me ?

I'm not a freeloading deadbeat. I have health care insurance. I even subsidize my employees' health care insurance.

Be mad at those freeloading deadbeats who want to force taxpayers to provide free hospital and medical care for them and their families.

Be mad at those hypocritical blowhards who enjoy Medicare, Medicare Part D, V.A. medical care, Tri-Care, or have their mommas enjoying Medicaid beds in nursing homes - and whine about "socialist" health care.

God bless the F.O.P.!

Be happy for me and my co-workers. We battled those management scabs every step of every way for 22 years - and scratched and clawed decent pay and benefits - then those freeloading deadbeat scabs enjoyed the benefits we obtained.

Now, my friends and I collect 80% to 100% pensions, for life - because we fought for our rights, instead of standing around whining - and trying to keep our fellow Americans from getting better pay and benefits.

Travel is easy.

Thanks to corporate tax law, almost every trip is a legitimate business expense, so almost every trip is a write-off. And yes, I have a CPA, Enrolled Agent who does our taxes and makes sure we follow every tax law to the absolute letter.

or it's completely free, because its paid for by a company that wants to do business, and the trip is required.

If you want to invest in Central or South America, you have to travel to Central and South America.

Ever wonder why the doctors like to have their conventions in Hawaii - thanks taxpayers.

Since: Jul 12

Douglasville, GA

#17777 Jul 10, 2013
Why just blame the rich for our immigration problems? The rich could not have any legislation passed if it were not for the Congress and Senators passing bills for them. There is one standing president and one past president now pushing this immigration reform bill. These are the people that are the guilty ones, as they write and pass these bills into law.
The rich are like a kid asking his Dad for twenty bucks. Dad says sure take 50 bucks. The kid goes out and buys 50 bucks worth of dope. The Dad could have and should have said no I am not giving you the twenty bucks. The kid didn't make Dad give him the fifty bucks. It is as simple as saying NO.
I think the house might rewrite the bill and it will be good enough that Obama, Rubio and his buddies will get 75% of what they really wanted anyway. In other words they will be selling us out while trying to make us think that they fought for us. I have very little faith in our politicians or our system anymore.

Since: Nov 08

Location hidden

#17778 Jul 10, 2013
Informed Opinion wrote:
<quoted text>
Notice you have no rebuttal argument.
We'll put you down as one of those freeloading deadbeats who enjoy my paying for your medical care.
Let's see... You want to force the taxpayers to provide you and your family with free hospital and medical care because you won't accept personal responsibility.
That makes you the liberal socialist commie Libtard ?
I want freeloading deadbeats to be forces to buy insurance to pay for their own and their families medical costs because I believe in personal responsibility.
That makes me a true conservative.
Uh oh ... You're in trouble now.
Hey... Since you want us taxpayers to give you free medical care ...want us to stop by and do your laundry too ?
I refuted every single point you made. Your cluelessness continues, IObamabot from Libroid. Also, I posted an article showing you just how insane you are in regard to your OPINION about Obmacare and the way people feel about it.

Since: Nov 08

Location hidden

#17779 Jul 10, 2013
Informed Opinion wrote:
<quoted text>
Damn you !!!
Stop with the facts.
On Right Wing Planet "We don't need no stinkin facts." or logic, or reason, or knowledge, or history, or science.
If God wanted us to have insurance He'd of provided it, or had the guvment give us Medicare, or guvment Medicare Part D, or the Guvment V.A. medical system, or Guvment Tri-Care, or let us Momma in the nursin home in a guvment Medicaid bed....
Ah... hell... We admit it.
We just a bunch of freeloadin deadbeats who want the taxpayers to pay our hospital and medical bills.
Sorry for botherin ya.
Just more of the same old blah blah blah from IOBamabot from the planet LIbroid.

Since: Nov 08

Location hidden

#17780 Jul 10, 2013
Informed Opinion wrote:
<quoted text>
By the way, how did those Right Wing Wacko Georgia Senators vote on the immigration bill ?
Yaaaaaaaay. They voted: NO!

Since: Nov 08

Location hidden

#17781 Jul 10, 2013
Informed Opinion wrote:
<quoted text>
Notice you have no rebuttal argument.
We'll put you down as one of those freeloading deadbeats who enjoy my paying for your medical care.
Let's see... You want to force the taxpayers to provide you and your family with free hospital and medical care because you won't accept personal responsibility.
That makes you the liberal socialist commie Libtard ?
I want freeloading deadbeats to be forces to buy insurance to pay for their own and their families medical costs because I believe in personal responsibility.
That makes me a true conservative.
Uh oh ... You're in trouble now.
Hey... Since you want us taxpayers to give you free medical care ...want us to stop by and do your laundry too ?
Notice you didn't rebutt the article on post 17742. Not surprised.

Tell me when this thread is updated:

Subscribe Now Add to my Tracker

Add your comments below

Characters left: 4000

Please note by submitting this form you acknowledge that you have read the Terms of Service and the comment you are posting is in compliance with such terms. Be polite. Inappropriate posts may be removed by the moderator. Send us your feedback.

Brunswick Discussions

Title Updated Last By Comments
considering moving to the Brunswick area Apr 29 JWB 7
Anyone know? Apr 21 Snuffy 1
News Student faces weapons charge Tyler Heinze, 17, ... (Mar '11) Apr 15 UKk 19
Looking for info on Felisha Ponsell Apr 14 me2youlol 8
Part 12 Guy Heinze Jr. (May '10) Apr 12 Get_a_Clue 1,197
Miles Crews Apr 12 SumYungGuy 2
US DEPARTMENT Of Labor are worst scum We have i... Apr '15 SAY NOTHING 1
More from around the web

Brunswick People Search

Addresses and phone numbers for FREE

Personal Finance

Mortgages [ See current mortgage rates ]