Even More Obamacare Follies

#3,555
#3,555
hog88 said:
Say again?
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Medical Loss Ratio - Centers for Medicare & Medicaid Services

The Affordable Care Act requires health insurance issuers to submit data on the proportion of premium revenues spent on clinical services and quality improvement, also known as the Medical Loss Ratio (MLR). It also requires them to issue rebates to enrollees if this percentage does not meet minimum standards. MLR requires insurance companies to spend at least 80% or 85% of premium dollars on medical care, with the review provisions imposing tighter limits on health insurance rate increases.
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#3,556
#3,556
I love it - IRS just decided to not collect taxes due from some ACA enrollees due to IRS glitch.

On one hand it's nice to see the IRS admitting a mistake but they are simply ignoring the tax bill of some people because it would make ACA and their ability to manage it look bad.

Nothing surprises me anymore.
 
#3,560
#3,560
It's unclear some of you even understand how the ACA works.

It's the insurance companies, not the government, who set premiums, deductibles, and copays. That's how the "communist" marketplace operates.
 
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#3,561
#3,561
Velo Vol said:
It's unclear some of you even understand how the ACA works.

It's the insurance companies, not the government, who set premiums, deductibles, and copays. That's how the "communist" marketplace operates.
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They do not want to understand. They read a misleading tag line on a conservative blog, don't bother to check its veracity (and usually don't even read the story), and just Facebook link it or put it here and perpetuate the falsehoods.
 
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#3,562
#3,562
Velo Vol said:
It's unclear some of you even understand how the ACA works.

It's the insurance companies, not the government, who set premiums, deductibles, and copays. That's how the "communist" marketplace operates.
Click to expand...

It's clear that you don't understand who authored most of ACA.
 
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#3,563
#3,563
Velo Vol said:
It's unclear some of you even understand how the ACA works.

It's the insurance companies, not the government, who set premiums, deductibles, and copays. That's how the "communist" marketplace operates.
Click to expand...

This is interesting. Let's agree that the insurance companies are setting premiums, deductibles, and copays. Let's further agree the companies are solely autonomous with physician and facility enrollment and reimbursement. (Unlike Medicare's approach where physicians can choose a non participating and/or non assignment of reimbursement relationship with Medicare but are only legally allowed to ask the patient to pay a limiting fee which is established by medicare and typically low)

Insurance companies are now forced to insure demographics which were previously excluded. The increased risk to an insurance company means the financial risk is passed along to the enrollees. ICs set premiums, deductibles, and copays in proportion to the risk associated with the pool of enrollees.

Additionally, demographics of people who traditionally declined to enroll are now forced to enroll. The mandates to force compliance in this segment of society may be needed (depending on your perspective). Enrollees are charged premiums which now include medical services they will never utilize.

We can call it big government cronyism if it makes it more palatable but let's not pretend this is a free market solution.
 
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#3,564
#3,564
McDad said:
This is interesting. Let's agree that the insurance companies are setting premiums, deductibles, and copays. Let's further agree the companies are solely autonomous with physician and facility enrollment and reimbursement. (Unlike Medicare's approach where physicians can choose a non participating and/or non assignment of reimbursement relationship with Medicare but are only legally allowed to ask the patient to pay a limiting fee which is established by medicare and typically low)

Insurance companies are now forced to insure demographics which were previously excluded. The increased risk to an insurance company means the financial risk is passed along to the enrollees. ICs set premiums, deductibles, and copays in proportion to the risk associated with the pool of enrollees.

Additionally, demographics of people who traditionally declined to enroll are now forced to enroll. The mandates to force compliance in this segment of society may be needed (depending on your perspective). Enrollees are charged premiums which now include medical services they will never utilize.

We can call it big government cronyism if it makes it more palatable but let's not pretend this is a free market solution.
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Good McPost.

I'll add that it seems we got to this particular disagreement over CMS and Medical Loss Ratios. Anyone want to argue CMS isn't government or in fact is a private insurance company?
 
#3,566
#3,566
Biopsyman said:
Obama sold snake oil and the American people bought it... Now they complain...
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Not me bro...... I was shouting BS from the beginning. I'm hoping these sobs that were subsidized end up screwed on their taxes. Until people get dry humped they don't pay any attention..... Screw 'em hard.... Screw 'em fast..... And make it hurt!
 
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#3,567
#3,567
Carl Pickens said:
Not me bro...... I was shouting BS from the beginning. I'm hoping these sobs that were subsidized end up screwed on their taxes. Until people get dry humped they don't pay any attention..... Screw 'em hard.... Screw 'em fast..... And make it hurt!
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Hey Carl. Have you heard of Tennessee rural health through farm bureau.? You can get better insurance through them. But you will have to pay the penalty. But come out better in the long run.
 
#3,568
#3,568
RollinVol said:
Hey Carl. Have you heard of Tennessee rural health through farm bureau.? You can get better insurance through them. But you will have to pay the penalty. But come out better in the long run.
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Thanks for the tip..... I'll investigate it tomorrow
 
#3,569
#3,569
Velo Vol said:
It's unclear some of you even understand how the ACA works.

It's the insurance companies, not the government, who set premiums, deductibles, and copays. That's how the "communist" marketplace operates.
Click to expand...

The ACA was the first step to realizing the socialist wet dream of single payer government health care. The socialists will vilify the insurance companies as being greedy corporate thugs, and then come to the rescue. The only people who cannot see this are democratic voters. (and you and LG)
 
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#3,570
#3,570
SpaceCoastVol said:
The ACA was the first step to realizing the socialist wet dream of single payer government health care. The socialists will vilify the insurance companies as being greedy corporate thugs, and then come to the rescue. The only people who cannot see this are democratic voters. (and you and LG)
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Velo is a nanny state guy. If the government is growing, he's not going to complain.

Obamacare doesn't even meet it's own stated objectives or cost framework. The problems set out to be solved by Obamacare could have been done at a much lower expense, but it wouldn't have set the stage for single payer. Any honest proponent of the program will tell you this.
 
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#3,571
#3,571
SpaceCoastVol said:
The ACA was the first step to realizing the socialist wet dream of single payer government health care. The socialists will vilify the insurance companies as being greedy corporate thugs, and then come to the rescue. The only people who cannot see this are democratic voters. (and you and LG)
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LOL, it's not the first step.

It's about the fifth or sixth.
 
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#3,575
#3,575
Carl, I definitely feel your pain as far as premiums go. Medical alone I'm paying around 900 a month, when you add vision and dental I'm over a grand every month. It's painful, especially since the same coverage was about 450 pre ACA.

I am a believer that every citizen with the emphasis on citizen having access to healthcare. However, I don't feel that that access should burden the tax payer. What I would like to see, and I know it is highly improbable( meaning won't happen) is a decrease in all welfare programs to offset the cost for low income individuals/families. Also, I would propose that if you receive a healthcare subsidy you would no longer be eligible to receive a return for taxes paid.
 
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