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Healthcare Bill Part III; Obamacare
Topic Started: Mar 3 2014, 02:20 PM (48,682 Views)
kbp

Link from Baldo...

Quote:
 
http://washingtonexaminer.com/significantly-fewer-uninsured-americans-gaining-coverage-under-obamacare-than-expected/article/2546552

Significantly fewer uninsured Americans gaining coverage under Obamacare than expected

With the official deadline for Americans to sign up for coverage through President Obama's health care law set for Monday at midnight, the Los Angeles Times is out with a story highlighting the millions of previously uninsured Americans who have gained coverage as a result of the law. But the numbers cited in the article are still significantly below projections of the Congressional Budget Office, both at the time the law was passed and as recently as February.

According to the Times, which cites a study from Rand Corp., "At least 6 million people have signed up for health coverage on the new marketplaces, about one-third of whom were previously uninsured." That suggests that two million uninsured Americans gained coverage as a result of the law.

Additionally, the article reports, "At least 4.5 million previously uninsured adults have signed up for state Medicaid programs." So between Medicaid and the private exchanges, that makes 6.5 million previously uninsured Americans who have now gained coverage.

At the time the law was passed, however, in March 2010, the CBO projected that in total, the ranks of the uninsured would be reduced by 19 million in 2014 relative to what would have been the case if not law had been passed.

It's true that since that time, the Supreme Court ruled that the Medicaid expansion, as designed, was unconstitutional, giving states the option of not expanding Medicaid -- which limited the effect of that provision.

But even as recently as February -- when analysts knew how many states weren't going along with the Medicaid expansion and were aware of the early technical glitches facing the rollout of Obamacare -- the CBO still projected that the law would reduce the number of uninsured by 13 million.

Even adding the 3 million young adults under 26 who were added to their parents' insurance policies, the resulting 9.5 million total would still be significantly below expectations.
[There are 10 states that have such laws, so they're counting 'under 26' as now covered by Obamacare when they were covered without Obamacare]

This doesn't even consider the number of people who have signed up for insurance through Obamacare who will actually be enrolled by consistently paying their insurance premiums.

The bottom line is that the best available evidence points to Americans gaining coverage due to the law -- a result that one would expect given the $2 trillion dedicated to that purpose over the next decade. But with all the progress that's been made since the exchanges were barely functional last fall, the gains are still well below expectations.

Something that bothers me is so many are citing numbers which are not empirical, but are fairly sound guesses going with the data we have. If they're comfortable using those guesstimates, why are they NOT using the CBO numbers then to show the overly expensive cost per person under Obamacare?

Edited by kbp, Apr 6 2014, 09:08 AM.
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kbp

Found in a comments:

Obamacare = stool sample.
"You have to pass it, to see what's in it."


....would it really be such a great thing if Medicaid enrollment did expand? Just more unfunded entitlement and poor-quality insurance. For this we are curtailing employment, increasing national debt, disrupting people's lives, worsening health care and literally contributing to early deaths...


How is expanding [Medicaid] a sign of success? Good government is measured by the number of people who are no longer dependent on government services.
Edited by kbp, Apr 6 2014, 05:52 PM.
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kbp

http://www.dailymail.co.uk/news/article-2597357/White-House-boasts-10-million-Americans-signed-Obamacare-Medicaid-enrollees-INMATES-added.html

White House now boasts that more than 10 million Americans have signed up for Obamacare- but only after Medicaid enrollees and PRISON INMATES are added
- Hit the 7 million target earlier this week but now Medicaid expansions mean that an additional 3 million will be added
- More than a dozen states pushing to have inmates added to the list of those who can qualify for Medicaid, and therefore Obamacare, coverage
- Prisoners already have their healthcare covered while in jail by state and local taxpayer dollars
-Under the proposed plan, that cost would be split with the federal government and coverage extended until after they leave jail


snip
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kbp

http://www.foxnews.com/politics/2014/04/06/states-sign-up-inmates-for-obamacare-shift-costs-to-federal-government/
Inmates getting coverage under ObamaCare, as states shift cost to feds
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Baldo
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Gallup survey suggests sign-ups under ObamaCare not as high as White House says

A major new Gallup survey suggests the ObamaCare sign-up numbers are not as soaring as the White House claims.

The massive survey, released on Monday, shows the number of uninsured has indeed fallen to its lowest level in years, likely thanks to the Affordable Care Act. The Gallup-Healthways Well-Being Index measured the share of adults without health insurance. That shrank from 17.1 percent at the end of last year to 15.6 percent for the first three months of 2014.

The decline of 1.5 percentage points would translate roughly to more than 3.5 million people gaining coverage.

But the numbers, released a week after the close of the health law's first enrollment season, also suggest a far more modest impact on coverage than statistics cited by the Obama administration.

The administration says 7.1 million have signed up for subsidized private plans through new insurance markets, while 3 million previously uninsured people gained coverage through the law's Medicaid expansion.

Why the huge difference? For starters, the administration's numbers include people who switched their previous coverage, as well as people who have not paid their first month's premium, and who would therefore still be uninsured.

The administration is also counting sign-ups dating back to October, though enrollment in the first few months was relatively low.

According to Gallup, the number of uninsured has fallen by a greater amount since the start of open enrollment on Oct. 1. Gallup shows the percentage spiked to 18 percent at the end of the third quarter.

But the spike could be attributed in part to people being kicked off their prior coverage, due to changes in the health care law. A look back at mid-2013 shows the percentage of uninsured, before the run-up to open enrollment, was also at 17.1 percent. So the number of people gaining coverage since then would still be roughly 3.5 million.

Still, it's not quite an apples-to-apples comparison. Gallup is counting just adults, while the administration figures include children as well.

It may take much of the rest of the year to get a true bottom line of the health care law's impact on coverage. The Gallup survey noted that those signing up for coverage during an extended enrollment period could further drive down the number -- though, some enrollees will ultimately choose not to pay their premiums, could would drive the number up.

But Gallup's numbers do show an improving trend. The share of Americans without coverage is at its lowest since late 2008, before Obama took office, the survey found.

That's independent validation for the White House, and shows the country at least is not suffering from a net loss of insurance coverage due to cancellations....snipped

http://www.foxnews.com/politics/2014/04/07/gallup-survey-suggests-sign-ups-under-obamacare-not-as-high-as-white-house-says/
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LTC8K6
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Assistant to The Devil Himself
http://www.powerlineblog.com/admin/ed-assets/2014/04/RAMclr-040714-titanic-IBD-COLOR-FINAL.gif.cms_.gif
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kbp

Fox's commentator, I think Bill Hemmer, just claimed the uninsured number was 30 million, correcting Rep Phil Gingrey's (R-GA) claim it was something like 45 million. What a dipstick! The CBO put it at 55 million in May 2010 with illegals included.
Edited by kbp, Apr 8 2014, 09:41 AM.
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kbp

Baldo
Apr 7 2014, 09:06 AM
Gallup survey suggests sign-ups under ObamaCare not as high as White House says

snip

The decline of 1.5 percentage points would translate roughly to more than 3.5 million people gaining coverage.

snip

The administration says 7.1 million have signed up for subsidized private plans through new insurance markets, while 3 million previously uninsured people gained coverage through the law's Medicaid expansion.

snip

According to Gallup, the number of uninsured has fallen by a greater amount since the start of open enrollment on Oct. 1. Gallup shows the percentage spiked to 18 percent at the end of the third quarter.

But the spike could be attributed in part to people being kicked off their prior coverage, due to changes in the health care law. A look back at mid-2013 shows the percentage of uninsured, before the run-up to open enrollment, was also at 17.1 percent. So the number of people gaining coverage since then would still be roughly 3.5 million.

Still, it's not quite an apples-to-apples comparison. Gallup is counting just adults, while the administration figures include children as well.

snipped

http://www.foxnews.com/politics/2014/04/07/gallup-survey-suggests-sign-ups-under-obamacare-not-as-high-as-white-house-says/
The amazing numbers game certainly is confusing when you do not get all of them!

The newly insured seems to come from 3 categories: Obamacare Exchange, Obamacare Medicaid Expansion, and Obamacare Regulation for Under-26-Coverage through parents plan.

The breakdown on where they are to have reduced the number of uninsured, going with the most generous pro-Obamacare count, would be:
4M - Obamacare Medicaid Expansion
3M - Obamacare Regulation for Under-26-Coverage
3M - Obamacare Exchange
10M - Total

Going with the less optimistic numbers:
3M - Obamacare Medicaid Expansion (average of Avalere Health estimate)(some estimates as low <1M)
1M - Obamacare Regulation for Under-26-Coverage (Avik Roy's numbers)
2.8M - Obamacare Exchange (7.1M-20%=5.6Mx50% at best... probably less than 2M)
6.8M - Total

The CBO estimates were 13M (Feb 2014) to 14M (May 2013) without the Under-26-Coverage, so they've missed their mark by 7M to 8.8M. It would probably be a larger shortage if I could find how many Under-26 they had predicted.

Whatever the number may be, it looks likely that they've missed their mark for the newly insured by more than they have in the total Exchange sign up.
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kbp

Quote:
 
https://www.youtube.com/watch?v=vfiIW_-6ILQ
Elise Viebeck misinforms caller on Obamacare
(2 minute video)

On 4/7/2014 Elise Viebeck [of The Hill] misinformed viewers about pending litigation with respect to the subsidy provision of Obamacare. It appears this reporter who "reports only facts" on Obamacare is painfully unaware about four cases in the courts currently challenging the illegal IRS interpretation of the plain text of the law. The caller asks what happens if these cases win and individuals who have been promised subsidies aren't able to get them. Elise spins away with misinformation and partisan attacks on Republicans.

What a dipstick! SCOTUS has not ever ruled on this matter.
Edited by kbp, Apr 8 2014, 12:11 PM.
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kbp

Just found her tweet in response...

Elise Viebeck ‏@eliseviebeck 5h
@mfcannon @jadler1969 @kerpen @ingramlaw Yes, in the moment the cases slipped my mind. I'll correct myself the next time I'm on the show.


It must have slipped her mind because she was too busy FABRICATING a SCOTUS ruling and slamming Republicans!
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Baldo
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The S & P 500 index for the Health Industry is down over the last month. This sector index had a great run over the last year, but is now starting to turn downward(-1.82%)

That pretty much tells you what the Markets are thinking about. If Obama-care was a success it would continue going higher
http://us.spindices.com/indices/equity/sp-500-health-care-sector
Edited by Baldo, Apr 8 2014, 12:22 PM.
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kbp

http://www.forbes.com/sites/scottgottlieb/2014/04/07/health-plan-premiums-are-skyrocketing-according-to-new-survey-of-148-insurance-brokers-analysts-blame-obamacare/

Health Plan Premiums Are Skyrocketing According To New Survey Of 148 Insurance Brokers, With Delaware Up 100%, California 53%, Florida 37%, Pennsylvania 28%

Health insurance premiums are showing the sharpest increases perhaps ever according to a survey of brokers who sell coverage in the individual and small group market. Morgan Stanley’s healthcare analysts conducted the proprietary survey of 148 brokers. The April survey shows the largest acceleration in small and individual group rates in any of the 12 prior quarterly periods when it has been conducted.

The average increases are in excess of 11% in the small group market and 12% in the individual market. Some state show increases 10 to 50 times that amount. The analysts conclude that the “increases are largely due to changes under the ACA.”


The analysts conducting the survey attribute the rate increases largely to a combination of four factors set in motion by Obamacare: Commercial underwriting restrictions, the age bands that don’t allow insurers to vary premiums between young and old beneficiaries based on the actual costs of providing the coverage, the new excise taxes being levied on insurance plans, and new benefit designs.

The prior survey conducted in January also showed rates rising during the fall of 2013, but the new increases will come on top of those hikes and are even sharper. That prior survey of 131 brokers found that December 2013 rates were rising in excess of 6% in the small group market, and 9% in the individual market.

The hikes in the small group market, on average, have been largest for the Blues plans, which reported average rate increases of almost 16% year-over-year for renewing contracts. In the individual market, the publicly traded health plans had higher increases than the blues, at an average of more than 11%, and private and not-for-profit plans had the highest average increases overall at 13%.

For the individual insurance market (plans sold directly to consumers); among the ten states seeing some of the sharpest average increases are: Delaware at 100%, New Hampshire 90%, Indiana 54%, California 53%, Connecticut 45%, Michigan 36%, Florida 37%, Georgia 29%, Kentucky 29%, and Pennsylvania 28%.

For the small group market, among the ten states seeing the biggest increases are: Washington 588%, Pennsylvania 66%, California 37%, Indiana 34%, Kentucky 30%, Colorado 29%, Michigan 27%, Maryland 25%, Missouri 25%, and Nevada 23%
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kbp

http://dailycaller.com/2014/04/07/survey-u-s-sees-sharpest-health-insurance-premium-increases-in-years/

Survey: US sees sharpest health insurance premium increases in years
By Sarah Hurtubise

Americans have recently been hit with some of the largest premium increases in years, according to a Morgan Stanley survey of insurance brokers.

The investment bank’s April survey of 148 brokers found that this quarter, the average premium increase for customers renewing an insurance plan is 12 percent in the small group market and 11 percent in the individual market, according to Forbes’ Scott Gottlieb.

The hikes — the largest in the past three years, according to Morgan Stanley’s quarterly reports — are “largely due to changes under the [Affordable Care Act],” analysts concluded. Rates have been growing increasingly fast throughout all of 2013, after a period of drops in 2012.

While insurers were hiking premiums since 2012 by smaller amounts, the lead-up to the Obamacare’s launch has seen the average rate at which premiums are growing fourfold.

The small group market saw a jump from a growth rate of close to 3 percent during Morgan Stanley’s September 2013 survey to just above 6 percent three months later in December — the month before a surge of Obamacare regulations hit insurance companies.

Over the next three months, the rate doubled again to the current average small growth premium growth rate of 12 percent.

Individual policies saw a much starker jump after the Obamacare exchanges launched, in anticipation of the health care law going live in 2014. Morgan Stanley’s September 2013 survey, like the previous three quarters, found a fairly constant growth rate around 2 percent — but in December, the rate had shot up to above 9 percent.

Morgan Stanley’s results echo what consumers are already seeing: the Affordable Care Act’s intensive regulation of the insurance market is driving health care premiums up strikingly.

The survey found that premium increases are due to several specific Obamacare policies. The most talked about may be the new benefits all insurance plans are required to offer and excise taxes targeted at insurers themselves, Forbes reports.

But there are two other big contributors to the rise in costs. Age restrictions on premiums prevent the insurer from charging older customers who cost more to cover a higher premium — hiking the costs for young and healthy people disproportionately. Commercial underwriting restrictions also bump up insurers’ costs and are reflected in premiums.

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Baldo
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Latest ObamaCare surprise: Most won't be able to buy health insurance until end of year

There is yet another ObamaCare surprise waiting for consumers: from now until the next open enrollment at the end of this year, most people will simply not be able to buy any health insurance at all, even outside the exchanges.

"It's all closed down. You cannot buy a policy that is a qualified policy for the purpose of the ACA (the Affordable Care Act) until next year on January 1," says John DiVito, president of Flexbenefit which has 2,500 brokers.

John Goodman of the National Center for Policy Analysis in Dallas adds, "People are not going to be able to buy individual and family policies, and that's part of ObamaCare. And what makes it so surprising is the whole point of ObamaCare was to encourage people to get insurance, and now the market has been completely closed down for the next seven months."

That means that with few exceptions, tens of millions of people will be locked out of the health insurance market for the rest of this year.

Only about one in four subsidy-eligible people signed up for health insurance," says Robert Laszewski of Health Policy Associates. "That means about 13 million subsidy-eligible people have not yet signed up for health insurance."

Add to that millions more who waited, or thought the policies under ObamaCare were too expensive and decided just to pay the tax penalty.

Although those who failed to buy insurance during the enrollment period could face a government penalty, most will not have to pay that penalty until they do their taxes next year.

“In all likelihood," says Laszewski, "we've only signed up somewhere between one in five and one in seven people who were uninsured prior to the start of ObamaCare."

That means millions are left outside the health insurance market. There is short term insurance, but anyone with a pre-existing condition can be turned down.

The reason sales of health insurance were crammed into short enrollment periods was so insurance companies would have some certainty about who would be in the risk pool, allowing them to set their rates accordingly.

Goodman explains, "they fear that the only people who will try to buy are people who are sick, and they are going to be expensive. So it’s built into the screwy logic of the whole ObamaCare system."

DiVito puts it this way: "So can you imagine that on July 1, an indvidual's walking down the street, they get hit by a car, the ambulance comes and picks them up and inside that ambulance is an insurance salesman selling them a policy. That is exactly what the insurance industry was trying to avoid."

There is one way consumers can still sign up, but only under limited circumstances.

"If you have a qualifying event, a life qualifying event, which means you get married, you get divorced, you get fired from your job" says Goodman. Or you have a child, or lose a spouse or have a change in income...snipped

http://www.foxnews.com/politics/2014/04/08/latest-obamacare-surprise-most-wont-be-able-to-buy-health-insurance-until-end/
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LTC8K6
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Assistant to The Devil Himself
Surely you can just lie about a qualifying event...
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