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Whats really scary is that 95% goes out a payments on medical in this state and the premiums are so friggin high.
Rockefeller MLR Report & Public Comments to HHS
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Whats really scary is that 95% goes out a payments on medical in this state and the premiums are so friggin high.
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If you went shopping and everything was a $35 copay would you load up the cart?
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- #13
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Only if this included cigarettes and box wine.
Furthest from truth because there is no free market and there is guaranteed issue with no mandate, which is essentially what is coming nationally in 2014, since the mandate is basically a joke.
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- #15
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Then help me understand why the HHS is having 30 days of public opinion on how MLR is to be calculated? I agree court battles are coming, but I haven't heard in reference to MLR only the mandate.
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There will be court battles but the problem is that the government has almost unlimited power to provide voluntary inducements that are less than voluntary in a wide, wide, wide range of areas.
The feds wont enact a federal seatbelt law. No problem. If a state chooses to get its hightway funds it will. Schools are under the jurisdiction of the states and localities? No problem. It is just that you wont be getting your federal dollars for education unless you do X, Y, and Z. And so on and so forth.
Don't want to accept mandate in your state? No problem, then your state just chose to not be eligible for a whole bunch of subsidies and tax credits to lower the cost of health insurance and health care and you (the local politicians) can explain that to the folks.
Republicans can toss grenades and elect people in the fall that will make this happen a llittle bit slower but that is about it. There are no legal challenges that cannot be overcome by just backing off and going down a different route which the dems are plenty prepared to do.
And of course the northern states are busy falling all over themselves trying to enact elements of maocare before the feds do so there is that issue. Probably CA falls in there too.
The Repubicans had a golden opportunity in January after Scott Brown was elected and obamacare was dead in the water. I don't know how you put the genie back in the bottle now. Strong Republican leadership with a powerfully articulated Plan B would help. It would especially would have helped two years ago, one year ago, and this year. Sigh, maybe next year when there will be even more of an egg to try to unscramble.
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Congress does a lot of things but that doesn't mean it is legal. Most of what they do is nothing more than bullying tactics.
In this case, they picked the wrong battle IMO.
The carriers do not have to play by their rules, either state by state or on a national basis. Just because a few choose to play in NY, ME, MA and a few other goofy states doesn't mean everyone does.
I expect the MA battle to come to a head before too long. The choice, from the carrier perspective, is to lose money writing at last years rates or pay a fine.
My money is on the carriers winning this, one way or the other.
They get their rate increase, or enough to go forward. Or they pay the fine and pull out of that market.
DC is playing hardball with the banks but they quickly found they have no leverage, even with the banks that took TARP money. Most of that money has been paid back which means even less leverage.
The SEC is going after Goldman Sachs over selling CMO's to investors claiming the deal was fraudulent. Since Fannie & Freddie were in the thick of that, what about them? Rather than selling off CMO's they stuck the taxpayer with the bill.
No difference in my mind.
On that topic, watch for FHA mortgages to start crumbling and falling apart.
Back to insurance regulation . . .
The states were given the power to regulate insurance under McCarran-Ferguson. Unless that law is overturned, the feds have no direct authority, so it is really up to the states to follow through or not.
The Obamacare risk pool is already catching flack. States like IL were ready for it to come so they could dump the folks in the IL risk pool into Obamacare.
Only one problem.
Since those folks have coverage now they can't get in the Obamapool. They will be stuck paying the high premiums vs the lower, taxpayer subsidized premiums of the O-pool.
Going to be some angry folks over that one.
As for the hearings by HHS, just saber rattling.
If they take control of the House and Senate, they can control/influence the budget going forward. Unless they trip on their pud, they will take the House. Senate is a bit more iffy but possible.
By controlling the budget they can eliminate funding for Obamacare and some of the other deals which will effectively kill it.
In this case, they picked the wrong battle IMO.
The carriers do not have to play by their rules, either state by state or on a national basis. Just because a few choose to play in NY, ME, MA and a few other goofy states doesn't mean everyone does.
I expect the MA battle to come to a head before too long. The choice, from the carrier perspective, is to lose money writing at last years rates or pay a fine.
My money is on the carriers winning this, one way or the other.
They get their rate increase, or enough to go forward. Or they pay the fine and pull out of that market.
DC is playing hardball with the banks but they quickly found they have no leverage, even with the banks that took TARP money. Most of that money has been paid back which means even less leverage.
The SEC is going after Goldman Sachs over selling CMO's to investors claiming the deal was fraudulent. Since Fannie & Freddie were in the thick of that, what about them? Rather than selling off CMO's they stuck the taxpayer with the bill.
No difference in my mind.
On that topic, watch for FHA mortgages to start crumbling and falling apart.
Back to insurance regulation . . .
The states were given the power to regulate insurance under McCarran-Ferguson. Unless that law is overturned, the feds have no direct authority, so it is really up to the states to follow through or not.
The Obamacare risk pool is already catching flack. States like IL were ready for it to come so they could dump the folks in the IL risk pool into Obamacare.
Only one problem.
Since those folks have coverage now they can't get in the Obamapool. They will be stuck paying the high premiums vs the lower, taxpayer subsidized premiums of the O-pool.
Going to be some angry folks over that one.
As for the hearings by HHS, just saber rattling.
If they take control of the House and Senate, they can control/influence the budget going forward. Unless they trip on their pud, they will take the House. Senate is a bit more iffy but possible.
By controlling the budget they can eliminate funding for Obamacare and some of the other deals which will effectively kill it.
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Somarco, Excellent analysis : "By controlling the budget they can eliminate funding for Obamacare and some of the other deals which will effectively kill it." Who believes this is true? Again, this is a great analysis. Anybody else wanna chime in on this point in particular above?
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- #20
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Correct. Write a letter on my link above to HHS.
Very few carriers protect your existing commissions, and if they have to honor it they will force your clients into new plans (with lower commissions) or just close up shop.
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