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Healthcare Bill Part III; Obamacare
Topic Started: Mar 3 2014, 02:20 PM (48,662 Views)
Baldo
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Op-Ed: CBO quietly admits Obamacare costs are incalculable

Washington - Part of the Obamacare mantra was that it would reduce the deficit. The Congressional Budget Office, supposedly bipartisan, said it was so. Now, the CBO says "never mind," to borrow a phrase from Roseanne Roseannadanna.

Mr. Obama and Democratic Party leadership touted deficit reduction and promised Americans they could keep their doctors and their insurance under the massive Affordable Health Care act.
Judging by Mr. Obama’s comfortable reelection, most Americans believed the Democrats.
Unfortunately for millions of voters who thought Obamacare would save them money and allow them to keep their doctors while cutting the deficit - none of it was true. Turns out, the CBO can no longer estimate the unpopular healthcare bill’s long-term effects on the deficit. In addition, with Obamacare in its first year, Americans are now being told that millions of Americans lost their insurance and premium costs are about to jump significantly,

While tens of millions of patients could not keep their doctors, no one, not even the CBO, can estimate how much Obamacare will cost the government, businesses or individuals.

The latest punch to taxpayers was quietly delivered in April when CBO officials signaled that it can “no longer make that projection; that the law had been changed and delayed so much that there is no longer a credible way to estimate the long-term effects on the deficit of all elements of the program taken together.”

Not to toot the Republican’s horn, but isn’t this why, or at least partly why, not one of them voted for the Affordable Health Care Act?

Read more: http://digitaljournal.com/news/politics/op-ed-cbo-quietly-admits-obamacare-costs-are-incalculable/article/385749#ixzz33sq7KEgM


Translation:

It is going to cost a lot more
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wingedwheel
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Baldo
Jun 6 2014, 01:05 PM
Op-Ed: CBO quietly admits Obamacare costs are incalculable

Washington - Part of the Obamacare mantra was that it would reduce the deficit. The Congressional Budget Office, supposedly bipartisan, said it was so. Now, the CBO says "never mind," to borrow a phrase from Roseanne Roseannadanna.

Mr. Obama and Democratic Party leadership touted deficit reduction and promised Americans they could keep their doctors and their insurance under the massive Affordable Health Care act.
Judging by Mr. Obama’s comfortable reelection, most Americans believed the Democrats.
Unfortunately for millions of voters who thought Obamacare would save them money and allow them to keep their doctors while cutting the deficit - none of it was true. Turns out, the CBO can no longer estimate the unpopular healthcare bill’s long-term effects on the deficit. In addition, with Obamacare in its first year, Americans are now being told that millions of Americans lost their insurance and premium costs are about to jump significantly,

While tens of millions of patients could not keep their doctors, no one, not even the CBO, can estimate how much Obamacare will cost the government, businesses or individuals.

The latest punch to taxpayers was quietly delivered in April when CBO officials signaled that it can “no longer make that projection; that the law had been changed and delayed so much that there is no longer a credible way to estimate the long-term effects on the deficit of all elements of the program taken together.”

Not to toot the Republican’s horn, but isn’t this why, or at least partly why, not one of them voted for the Affordable Health Care Act?

Read more: http://digitaljournal.com/news/politics/op-ed-cbo-quietly-admits-obamacare-costs-are-incalculable/article/385749#ixzz33sq7KEgM


Translation:

It is going to cost a lot more
So now 0bamacare is incalculable like fraud in the pentagon. Just great!
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Mason
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Parts unknown
Baldo
Jun 6 2014, 01:05 PM
Op-Ed: CBO quietly admits Obamacare costs are incalculable

Washington - Part of the Obamacare mantra was that it would reduce the deficit. The Congressional Budget Office, supposedly bipartisan, said it was so. Now, the CBO says "never mind," to borrow a phrase from Roseanne Roseannadanna.

Mr. Obama and Democratic Party leadership touted deficit reduction and promised Americans they could keep their doctors and their insurance under the massive Affordable Health Care act.
Judging by Mr. Obama’s comfortable reelection, most Americans believed the Democrats.
Unfortunately for millions of voters who thought Obamacare would save them money and allow them to keep their doctors while cutting the deficit - none of it was true. Turns out, the CBO can no longer estimate the unpopular healthcare bill’s long-term effects on the deficit. In addition, with Obamacare in its first year, Americans are now being told that millions of Americans lost their insurance and premium costs are about to jump significantly,

While tens of millions of patients could not keep their doctors, no one, not even the CBO, can estimate how much Obamacare will cost the government, businesses or individuals.

The latest punch to taxpayers was quietly delivered in April when CBO officials signaled that it can “no longer make that projection; that the law had been changed and delayed so much that there is no longer a credible way to estimate the long-term effects on the deficit of all elements of the program taken together.”

Not to toot the Republican’s horn, but isn’t this why, or at least partly why, not one of them voted for the Affordable Health Care Act?

Read more: http://digitaljournal.com/news/politics/op-ed-cbo-quietly-admits-obamacare-costs-are-incalculable/article/385749#ixzz33sq7KEgM


Translation:

It is going to cost a lot more
.

Anyone that has looked at one Government program knew this to be true the entire time.

Scores of Washington and Media liars lined up to say this was going to save each family $2500 a year and solve the debt and deficit.

If you remember back, this was going to ignite the economy with the great savings.

What Lies.

.
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kbp

That "touted deficit reduction" thingy was long gone by 2013.
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chatham
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http://www.nationalreview.com/corner/379784/400-connecticut-health-exchange-enrollees-information-may-be-compromised-jillian-kay
400 Connecticut Health-Exchange Enrollees’ Information May Be Compromised
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Mason
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chatham
Jun 6 2014, 07:16 PM
.

They only need to keep this buttoned up in the Press.


http://www.nationalreview.com/corner/379784/400-connecticut-health-exchange-enrollees-information-may-be-compromised-jillian-kay


.
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kbp

chatham
Jun 6 2014, 07:16 PM
There had been reports of some "navigator" offices having applications filled out as much as possible from data improperly shared by government agencies and the "navigator" office workers would knock on doors to complete the signups (in Houston, IIRC). My guess is it is related to that process.
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kbp


The FREE MONEY issue!

http://www.forbes.com/sites/michaelcannon/2014/06/06/obamacares-medicaid-expansion-equals-taxation-without-representation-are-you-listening-mike-pence/

ObamaCare's Medicaid Expansion Equals Taxation Without Representation (Are You Listening, Mike Pence?)

At the risk of stalking the Washington Post, here is a poor, unsuccessful letter to the editor I submitted regarding their incessant editorializing in favor of ObamaCare’s Medicaid expansion.

  • Over and over, the Post editorializes against Virginia Republicans’ senseless refusal to accept the $2 billion in federal funds available under ObamaCare’s Medicaid expansion [“The Virginia GOP’s Medicaid Plan: Just Say No,” May 30]. But who’s being senseless here?

    The U.S. Treasury would raise those funds by borrowing them. It is a mathematical and accounting certainty: if Virginia participates in the Medicaid expansion, the federal debt rises. The burden of paying for the expansion will fall on voters who haven’t even been born yet.

    It’s little wonder that every Democratic politician in Richmond and a few Republicans embrace this opportunity to spend the money of people who cannot vote them out of office. Or that ideologues and special interests are encouraging that impulse. That’s how we got a $13 trillion national debt. What’s amazing is that so many politicians are finally saying no. And for refusing to increase the federal debt, the Post pounds them almost daily.

    Would any members of the General Assembly support the Medicaid expansion if the cost fell on people who could vote them out of office? If it were financed, say, with a $2 billion increase in Virginia’s sales tax?

    Would the Post even support it?
The same goes for Indiana, where conservative Republican Gov. Mike Pence is trying to snooker his fellow conservative Republicans into implementing ObamaCare’s Medicaid expansion.
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kbp


Old news to us and any that cared to find out about it before Obamacare was passed...

http://www.courier-journal.com/story/news/2014/06/07/patients-flocking-emergency-rooms-obamacare/10181349/

More patients flocking to ERs under Obamacare


It wasn't supposed to work this way, but since the Affordable Care Act took effect in January, Norton Hospital has seen its packed emergency room become even more crowded, with about 100 more patients a month.

That 12 percent spike in the number of patients — many of whom aren't actually facing true emergencies — is spurring the hospital to convert a waiting room into more exam rooms.

"We're seeing patients who probably should be seen at our (immediate-care centers)," said Lewis Perkins, the hospital's vice president of patient care and chief nursing officer. "And we're seeing this across the system."

That's just the opposite of what many people expected under Obamacare, particularly because one of the goals of health reform was to reduce pressure on emergency rooms by expanding Medicaid and giving poor people better access to primary care.

Instead, many hospitals in Kentucky and across the nation are seeing a surge of those newly insured Medicaid patients walking into emergency rooms.
[That cost savings from more primary and preventative care is not here, but we'll spend mo' money to train the newly insured!]

[...]

Medicaid up, and so is ER use
For many who research health care, the ER crunch is no surprise.

Studies have shown that Medicaid patients were among the most frequent ER users before health reform, and becoming newly insured only increases ER use by giving an avenue to get treatment to patients who had been forgoing care because they couldn't afford it.

A 2007 issue brief from the Kaiser Family Foundation said Medicaid patients made up 9 percent of the general population at the time but accounted for 15 percent of emergency visits.
[...]

Too few doctors
Bill Wagner, executive director of Family Health Centers, a Louisville-based network of clinics serving the poor, echoed many others about why people are flocking to ERs: "More than anything, this highlights the shortage of primary-care physicians."
[All they need to do is convince more students to get educations loans to pay for 6+ years and then work at facilities that pay salaries in line with the rates Medicaid pays!]
[...]

Need for education and solutions
Another reason the newly insured go to emergency rooms, experts say, it's what they're accustomed to doing.

"If people aren't used to the (health care) system, they may have problems accessing primary-care providers," said Diana Mason, who is president of the Washington, D.C.-based American Academy of Nursing and has researched the issue.
[See "mo' money" mentioned above]
[...]
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LTC8K6
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Assistant to The Devil Himself
Worse Than They Thought: House Confirms HALF Of All Obamacare Applications Flawed

http://dailycaller.com/2014/06/04/worse-than-they-thought-house-confirms-half-of-all-obamacare-applications-flawed/
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kbp

LTC8K6
Jun 8 2014, 08:40 PM
Worse Than They Thought: House Confirms HALF Of All Obamacare Applications Flawed

http://dailycaller.com/2014/06/04/worse-than-they-thought-house-confirms-half-of-all-obamacare-applications-flawed/
http://energycommerce.house.gov/sites/republicans.energycommerce.house.gov/files/20140504documents.pdf
From the actual CMS Sept 2013 document:
 
...Serco will have the ability to begin processing paper applications at the London, KY facility on Oct 1. [2013]
on down in the Sept 2013 doc:
 
...If backlogs and delays materialize with the paper processing, don’t throw us “under the bus.” The root cause of these challenges is the failure of the ESD system, not Serco.
Note that this appears to be related to the additional cost contract for manual labor to replace the exchange system until it was fully operational.

A few days before the open enrollment was closed (partially closed!), they had some estimated numbers to share.

After they've eliminated the duplicate "inconsistencies" there, they estimate there will be 3 million applications to attend to and it will consume 606,250 hours to complete (excluding the 16,625 hours necessary to verify exemptions).
as of March 27
2014:
...Of the 3 million inconsistencies that have been generated, only 90,000 documents that might clear an inconsistency have been uploaded by consumers.
There is a bit of a conflict as to the scheduling for a completion date for the calls to be made to encourage applicants to go online and correct the problems: either "a six week period" or "45 to 60 days from the time that begin this initiative."

Of course was only for time allowed to encourage applicants to correct themselves. The May 27 status doesn't look like they had much success clearing away the problems! I assume that is the status after paying for the 606,250 hours!

The article cites 4+ million "Obamacare sign-ups have flawed applications," but it is likely, judging from the data charts supplied, that there are applications with multiple flaws. I can't find a count for the actual number of individual applications that have flaws.

Anyway, of the 4,098,833 flaws to address, they had only "cleared" 96,924 applicants to be allowed to continue exchange coverage as of May 27.

Recall that the status reported in a presser from CMS was that the majority so far had been resolved in favor of the applicants! Well, it appears that was a flatout lie. As of 5/27, the score looks to have been 803,796 applications with INACCURATE data filed versus the 96,924 "cleared." Imagine that!

Good link, LTC!!!
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kbp

Added to last post....

As I understand it, all applicants that received coverage will continue to get it. That's with exception for the "Citizenship / Immigration Inconsistencies" flaws, though I did not notice any #'s for the applicants found to be ineligible.

Often the resolution should involve how much, if any, subsidy they receive towards their premium. So I'm not sure what this will do to the head count of the enrollment.
Edited by kbp, Jun 9 2014, 08:24 AM.
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kbp


It keeps going and going... well, until rates come out in mid 2016 anyway...

Quote:
 
http://dailycaller.com/2014/06/06/maryland-obamacare-insurer-hiking-premiums-30-percent/?advD=1248,153371

Maryland Obamacare Insurer Hiking Premiums 30 Percent

Maryland’s beleaguered Obamacare exchange released initial premium rates for 2015 late Friday, with one insurance plan proposing a 30 percent hike.

CareFirst of Maryland Inc. and Group Hospitalization and Medical Services Inc., both CareFirst companies, submitted filings to the Maryland insurance department requesting a 30.2 percent premium increase for individual plans in 2015. CareFirst Blue Choice Inc. requested a 22.8 percent increase for next year, citing an older average membership age and a sicker patient pool.

Maryland’s exchange has only five insurers which participated in 2014 and will add another insurer in 2015. All Savers Insurance, a subsidiary of UnitedHealthcare, requested a 4.8 percent. A nonprofit Kaiser Foundation plan offered a 12.1 percent rate reduction and Evergreen Health Cooperative, 10.3 percent reduction.

The non-profit Kaiser Foundation Health Plan reported that the primary reason it opted to lower rates is the “assumed risk adjustment recoveries” for 2015. Risk adjustment provisions in Obamacare collect and redistribute payments from Obamacare insurers to those who have the sickest pool of patients. Experts believe risk adjustment measures are keeping Obamacare premiums artificially low now, but expect drastic premium hikes when two such provisions run out in 2017.

Kaiser Foundation also noted that higher patient co-payments also contributed to the decision to lower the rates.

Evergreen Health Coop is offering new products and admitted in its proposal that it does not have its own data to base the proposal on. They noted that reduced physician reimbursements, increased co-pays for primary care services, pharmacy benefits and prescription drug changes contributed to their ability to lower rates.

Maryland’s insurance commissioner Therese Goldsmith released the rate proposals Friday but made sure to remind the public that the department may not approve all increases.

“We will conduct a thorough review and may require changes to the rates before they are approved,” Goldsmith said in a statement.

excerpt of data from Goldsmith:
 
http://www.mdinsurance.state.md.us/sa/news-center/2015-proposed-health-rates.html
...Carriers in the individual market this year have proposed the following changes to their rates, on average, for 2015:

  • Kaiser Foundation Health Plan of the Mid-Atlantic States – a 12.1 percent reduction;
  • Evergreen Health Cooperative – a 10.3 percent reduction;
  • All Savers Insurance (a UnitedHealthcare company) – a 4.8 percent increase;
  • CareFirst BlueChoice Inc. – a 22.8 percent increase;
  • CareFirst of Maryland Inc. and Group Hospitalization and Medical Services Inc. (CareFirst companies) – a 30.2 percent increase.
One consistency among them is passing along more of the out-of-pocket costs, which seems to me like a perfect formula to get the poor folks involved off the plans (83%+\- are on subsidies!).

The "Cooperative" is probably one of the systems set up to suck in federal funds when it was established, but I'm just guessing.

The BIGGER companies here are Kaiser and CareFirst (BlueCross). Kaiser may have some long-term plans in mind. Recall I had pointed out how the 3-R's was set up with an incentive to lose MORE money, as the pay back is better then.

Kaiser is going with reduced premiums and "higher patient co-payments." That may attract customers they can't lose money with this coming year and next (3-R's), while also weeding out those less likely to pay their part of the premiums. That's like a cost-free gamble that keeps them on top of the game until they see what the employer mandate does over this next couple years. Employers may just want to pay the $2,000 per employee fine to get out of the insurance management business, giving Kaiser an opportunity to get good customers.

...The non-profit Kaiser Foundation Health Plan reported that the primary reason it opted to lower rates is the “assumed risk adjustment recoveries” for 2015.

I wish we had all of the statement from Kaiser. That quote reads like they are intentionally abusing the 3-R's to grab market!
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Baldo
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The Nation's Most Vicious Obamacare Fight Just Took A Wild Turn

Last year, the widening partisan split over the Affordable Care Act produced the first federal government shutdown in 17 years. Almost one year later, Virginia's state government is on a collision course that could cause that state's first-ever shutdown.

Like the federal shutdown, the law known as Obamacare is to blame for the bickering in Virginia, which has become a national political bellwether.

Virginia's Democrats, led by freshman Gov. Terry McAuliffe, and Republicans have engaged in an increasingly partisan and nasty fight over the past few months over an expansion of the federal Medicaid program under the Affordable Care Act. The dispute has come to a head because Virginia must pass a budget by July 1 to avoid a shutdown.

McAuliffe and the state Senate, which up until this week was narrowly controlled by Democrats, have bickered with the Republican-controlled House of Delegates in Virginia over the expansion, which the governor says could expand coverage to as many as 400,000 Virginians.

But late Sunday, Virginia Republicans effectively teamed up with one Senate Democrat and threw the debate for a loop. State Sen. Phillip Puckett is set to resign on Monday, a move that led some Democrats to accuse Republicans of "buying" Senate control.

Puckett's resignation leads the way for him to get a job as deputy director of the state tobacco commission and for his daughter to be confirmed for a state judgeship. Depending on how you look at it, it's politics at its worst — or best.

"Republicans I've talked to are chortling," Larry Sabato, founder and director of the University of Virginia Center for Politics, told Business Insider. "They think it's one of the cleverest things they've done."

"And yet," he added, "one of them asked me, 'Do you think Democrats would not have done the same thing if they had the opportunity?' And of course they would have. It's yet another reason people hate politicians."

The developments give Republicans 20-19 majority in the state Senate, meaning they now hold the upper hand in the budget battle and the Medicaid fight.

All of this maneuvering comes back to Obamacare. Republicans will now control both the House of Delegates and the Senate, and McAuliffe may be backed into a corner.

The Affordable Care Act provides resources for states to expand Medicaid after a landmark Supreme Court decision in 2012 said states could decide on expansion for themselves. So far, 26 states and the District of Columbia have expanded Medicaid to cover people below 133% of the poverty line — about $15,500 in annual income for an individual and about $31,700 for a family of four. Virginia is one of a handful of states still actively debating whether to expand the program.

McAuliffe campaigned on a promise to expand Medicaid, which had been resisted by then-Republican Gov. Bob McDonnell. However, Republicans have nearly a two-thirds majority in the House of Delegates. And, as Sabato explained, the only way most of them can lose is through a Republican primary in which they are not viewed as conservative enough....snipped

http://finance.yahoo.com/news/nations-most-vicious-obamacare-fight-160301947.html
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Baldo
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More bad news as issues are merging

Poll: Voters Increasingly Sour On ObamaCare

In the wake of the still ongoing Veterans Affairs scandal, a new poll indicates "less than a third of voters believes that the government will do a better job with ObamaCare than the VA did managing care for vets (31 percent). Over half believe it won’t (55 percent)."

Furthermore, a majority of voters regret ObamaCare was passed into law and think the nation is worse off because of it.

By a 55-38 percent margin, people wish the Affordable Care Act had never passed and the 2009 system were still in place. That includes a quarter of Democrats (25 percent), a majority of independents (58 percent) and most Republicans (85 percent).


Over half of voters under age 35 (53 percent) along with a majority of those ages 65 and over (58 percent) regret ObamaCare passed.

Nearly 60% of Americans disapprove of Obama's job performance when it comes to healthcare, despite ObamaCare being his so called signature legislation.

In terms of approval, Obama has seen his numbers decrease, "Overall, 39 percent of voters approve of the way President Obama is handling health care, down from 43 percent last month."

http://www.breitbart.com/InstaBlog/2014/06/09/Poll-Voters-Increasingly-Sour-On-ObamaCare


The Big BSer from 2008 & 2012 is getting caught by REALITY!
Edited by Baldo, Jun 9 2014, 10:13 PM.
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