The Current State Of ObamaCare - ACA

[Ann H]

This would kill the small group market:

Small-group cash for health coverage bill nears House vote | LifeHealthPro

It probably would have killed the group market 2-3 years ago, but now people are running INTO group rather than out of it. Group has PPOs with broad networks, lower premiums, lower rate increases, better coverage, pre-tax dollars, and many carriers.

For the most part, businesses feel they can hire and retain better employees by saving them OUT of the exchanges with its HMOs and numerous problems.

In 2014, all groups wanted quotes 3 ways - group, IFP, subsidized

After that, they didn't want the intense comparisons, because their 2014 decision was firm. They heard the IFP horror stories, and saw many employees return to group as safe ground.

Now that IFP is turning into narrow network HMO, with huge rate increases, and few choices, group looks even better.

After saying that, I must add that my post is general in nature. Small groups with very low income employees, might like this better because of subsidies. In some regions, the local culture leans more to IFP than group. In some regions, certain industries (like Blue Collar for instance) really hate group insurance. In other regions, it's the opposite. But generally speaking, group insurance is now a better benefit than ever, and IFP is worse than ever.

 

[kgmom219]

It probably would have killed the group market 2-3 years ago, but now people are running INTO group rather than out of it. Group has PPOs with broad networks, lower premiums, lower rate increases, better coverage, pre-tax dollars, and many carriers.

For the most part, businesses feel they can hire and retain better employees by saving them OUT of the exchanges with its HMOs and numerous problems.

In 2014, all groups wanted quotes 3 ways - group, IFP, subsidized

After that, they didn't want the intense comparisons, because their 2014 decision was firm. They heard the IFP horror stories, and saw many employees return to group as safe ground.

Now that IFP is turning into narrow network HMO, with huge rate increases, and few choices, group looks even better.

After saying that, I must add that my post is general in nature. Small groups with very low income employees, might like this better because of subsidies. In some regions, the local culture leans more to IFP than group. In some regions, certain industries (like Blue Collar for instance) really hate group insurance. In other regions, it's the opposite. But generally speaking, group insurance is now a better benefit than ever, and IFP is worse than ever.

Group=PPO
Indy=Small Networks and HMO

You either need the PPO to be a competitive employer or you don't care and your employees are On Exchange.

Nothing is going to change.

 

[Ann H]

Group=PPO
Indy=Small Networks and HMO

You either need the PPO to be a competitive employer or you don't care and your employees are On Exchange.

Nothing is going to change.

Agreed. I also agree with this statement, "If you don't care about your ee's (or want them to be subsidy eligible), they are already on Indy. These groups aren't all of sudden going to be excited and start giving money away in 2017."

 

[tonyisme]

https://petitions.whitehouse.gov/petitions?page=3

 

[Yagents]

This guy completely ignores the other 95% of their business, which was probably the same 95% of the financial report he didn't read.

Did United Health Really Lose Money On The ACA Exchanges Last Year?

 

[tonyisme]

The comment section of that link is a good read. The author of that article is a pissed-off physician

 

[Yagents]

You better have a password on your phone

Cellphone loss leads to $650,000 HIPAA settlement | LifeHealthPro

 

[Yagents]

Down to 62 WBE's, from high of 87 WBE's. Wonder why? Is it that No commissions to agents means you can't get agents to pay the fee?


HealthCare.gov Web broker list shrinks | LifeHealthPro

 

[Yagents]

Even the Huff Post is finally waking up to the implosion:

The Health Care Industry May Not Be Able To Wait Until November

More than half of the co-ops have folded and are now off the market. As the cost shifts to the insurers, one has to wonder in the government believes a $100 billion dollar tax on insurers is a good idea. Clearly there are disconnects between Congress and what is actually happening with the ACA.

So what happened here and what needs to be done before the system collapses?

Simply put, the government, in passing the legislation, didn't assess the population. For evidence of that look no further than the insurance coops. These plans went under first because they didn't have a pre-existing healthy population to absorb the cost of those less healthy that flooded the system under the ACA. No one looked at how this new population would increase the cost. Theoretically, the next population coming in after this initial surge to insurers should bring better balance. But if their entrance is delayed, that oft discussed "death spiral" will become real.

Elections aside and the future of the ACA with it, we need to start taking a holistic view of the impact this legislation is having on the health care industry. And that assessment needs to happen now with attention to some inherent imbalances lest we face a critical care situation even before a new President is sworn in.

 

[somarco]

Too little, too late.

The demise of the individual health insurance market is upon us. That market has tanked, they just don't know it yet. Someone needs to go ahead and pull the plug.

Roughly 40% of the population gets free or almost free health insurance from the govt courtesy of those who still work and pay taxes. Won't be long before 40% becomes 50% and by then it is too late.

The moocher class wins.