PPACA Benefits What Zip Codes Most?

[Ann H]

Does that mean that the law was successful? Or does that mean that it was unsuccessful?

There's a case for both sides based upon those stats ... and coincidentally, it proves the point that Mitt Romney made about poor people.

Well, interesting... I guess it means the law was successful in creating universal coverage, successful in covering the poor through expanded medicaid to 133% of FPL and successful in giving subsidies to many. However, it was unsuccessful in reigning in underlying medical costs, controlling premium that escalates in areas where Guaranteed-Issue is already in force, and controlling taxes to pay for all of this.
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So from what I gather, they are only looking at the pool which includes currently uninsured, or current IFP client. Correct?

If so, the other 80% make too much money, and will gladly purchase from a private health exchange. 50 million uninsured = 40 million prospects. my zip was in the teens

methodology states:

The percentages shown represent the share of people under age 65 who are in families with incomes up to 400% of federal poverty who at the time they were surveyed either (1) were not covered by public or private health insurance or (2) were covered by health insurance that they purchased directly and were not covered by any other type of public or private health insurance.

Thanks for finding the basis of the report. I'm not sure if "covered by health insurance that they purchased directly..." means IFP only or IFP and employer-sponsored. If it doesn't include employer-sponsored, then there might be many more that get subsidies, and hence the reason why small group might implode. However, if small group implodes that would also mean many employees who DON'T get subsidies and who enter the private IFP market outside the exchanges.

 

[djs]

So from what I gather, they are only looking at the pool which includes currently uninsured, or current IFP client. Correct?

If so, the other 80% make too much money, and will gladly purchase from a private health exchange. 50 million uninsured = 40 million prospects. my zip was in the teens

The 80% and gladly purchase from a private health exchange seem like a stretch to me.

Of the uninsured, I assume a large number make little money, they don't qualify for medicaid but still don't make any money and therefore will end up on the expanded medicaid rolls.

I also assume they were looking at full population, not subsetting it, so the group insured were listed which is why the numbers are as low as they are. I'm not sure I understand the rules enough to know how many groups will bust up to move employees to IFP plans. Some, I'm sure. Many??? Waiting for the unwritten rules to know about this.

Personally, I hope the individual mandate falls by the wayside. Unfortunately, this would mean no new prospects.

Dan

 

[Crabcake Johnny]

Using Obama's own numbers, about 44 million don't have health insurance. Even the Gallop poll puts it at 1 out of 6 don't have health insurance.

Obamacare claims that PPACA is the solution. It is not, because a vast majority of the "44 million" uninsured don't believe in health insurance. I know. I've spoken with countless hundreds of them since 2003. I walked out of $500,000 homes with no deal because the $350 family rate was "too expensive." I've walked into countless businesses where the owner didn't have coverage and couldn't given a sh*t less about it.

This law will not change that. HHS stated that a main reason 44 million don't have coverage is due to the evil underwriting rules, so they established the PCIP which by any measure is a complete flop.

Why? They didn't take into account that people still don't want to pay for it.

I've spend years trying to walk people through affordable MHIP coverage and free MCHIP coverage. About 90% of the conversations ended with "Can we go over this another time?"

 

[VolAgent]

So from what I gather, they are only looking at the pool which includes currently uninsured, or current IFP client. Correct?

If so, the other 80% make too much money, and will gladly purchase from a private health exchange. 50 million uninsured = 40 million prospects. my zip was in the teens

methodology states:

The percentages shown represent the share of people under age 65 who are in families with incomes up to 400% of federal poverty who at the time they were surveyed either (1) were not covered by public or private health insurance or (2) were covered by health insurance that they purchased directly and were not covered by any other type of public or private health insurance.

So basically these numbers don't take into account are the numerous people who may leave a group plan to get subsidized coverage from an exchange.

 

[somarco]

Medicaid rolls will expand by 15 - 20 million. The balance of the uninsured will mostly fall in the subsidized categories.

But what about those that have group health now and their employer decides to drop coverage?

There are so many moving parts and so many "what if's" that even if the mandate survives and exchanges are established there simply isn't enough money to pay for everything.

 

[djs]

There are so many moving parts and so many "what if's" that even if the mandate survives and exchanges are established there simply isn't enough money to pay for everything.

Don't worry, a new printing press is on order.
There is a problem with getting the paper required though, apparently you have to cut down trees to get the paper and someone just figured that part out. Its an environmental issue.

Speculation is, all of this will result in doing away with the penny (and nickels and dimes) and authorizing a new $1,000,000 bill. Obama just doesn't like getting the ink on the side of his face for when they try to print his picture on the bill. I guess nobody told him that he doesn't personally have to use his face to be on the bill. Till they sort this out, there won't be a resolution though.

Dan

 

[TXINSURANCE]

It will be interesting to see if the carriers proactively roll your book to new exchange plans and stop paying you commissions.

 

[CHUMPS FROM OXFORD]

Good to see you back!

 

[somarco]

Dan, think bigger. MUCH bigger.

 

[Yagents]

That's a lot of zero's !! Scary when you look at it this way. But, we only need 16 of these to pay off the debt.