The Dismantling of ObamaCare - Ongoing Updates.

[AllenChicago]

Molina to exit exchanges who could have seen that one coming

In what part of the country is Molina a big player? We don't have that company in Illinois.

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February 21, 2017

FYI...Excerpts From: Obamacare delays pile up: Feds just want more time

"Two new actions by the Trump administration suggest that the Affordable Care Act may be around for at least a little while more — if not longer.

Both moves underscore the difficulty Republicans face in undoing that health-care reform law, as well as a desire by the GOP to get some breathing room until they figure out how to accomplish that goal.

The first move came Friday Feb 17th, when federal heath officials called for health insurers to get more time to propose the premium rates they want to charge customers for Obamacare plans that go into effect in 2018.

Those officials want insurers to have until June 21 to set those rates, instead of the original May 3 deadline.

The second move came Tuesday, when the Department of Justice and GOP members of the House of Representatives asked a federal judge for three more months to decide how to resolve a lawsuit that challenges the legality of certain key Obamacare subsidies.

A federal judge had already ruled that the subsidies were not legal. But the Obama administration was appealing that ruling, and the subsidies were allowed to continue."

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[bluemarlin08]

Perhaps it is in these posts but how will pre existing conditions be handled?

 

[YouGotMyMoney]

Perhaps it is in these posts but how will pre existing conditions be handled?

I don't see where it's been addressed, must be the last item on their list to figure out.

 

[AllenChicago]

Perhaps it is in these posts but how will pre existing conditions be handled?

It's looking more like Obamacare will be converted into a big high-risk pool. Whomever doesn't get approved, or approved the way they want to be, by a private company, can join or stay with Obamacare.

Except for the AGE-BASED Subsidies that ALL AMERICANS will be entitled to who buy private plans, there won't be much different from pre-Obamacare:
Healthier to Private Insurance / All others to High Risk Pool. (fed or state)

 

[Ann H]

Perhaps it is in these posts but how will pre existing conditions be handled?

I don't see where it's been addressed, must be the last item on their list to figure out.

It's looking more like Obamacare will be converted into a big high-risk pool. Whomever doesn't get approved, or approved the way they want to be, by a private company, can join or stay with Obamacare.

Except for the AGE-BASED Subsidies that ALL AMERICANS will be entitled to who buy private plans, there won't be much different from pre-Obamacare:
Healthier to Private Insurance / All others to High Risk Pool. (fed or state)

This is what I saw, too. It's not spelled out in the documents, but a little deductive reasoning brings you to the conclusion that they want to dump Guarantee Issue in favor of at least simplified underwriting if not full underwriting for IFP, and high-risk-pool for declines. Of course, it would be political suicide to specifically state it as such in the documents, but why would they have high risk pools otherwise?

 

[Yagents]

And protections for GI if continuous coverage I believe

 

[kgmom219]

This is what I saw, too. It's not spelled out in the documents, but a little deductive reasoning brings you to the conclusion that they want to dump Guarantee Issue in favor of at least simplified underwriting if not full underwriting for IFP, and high-risk-pool for declines. Of course, it would be political suicide to specifically state it as such in the documents, but why would they have high risk pools otherwise?

I think high risk pools is part of never-never land. They may want it, but they aren't going to get it.

They aren't going to be able to fund it AND keep lifetime maximum's at unlimited. And they aren't going to bring back lifetime max.

I get the reasoning (5% of policies is 50% of claim dollars) but without a lifetime max cap, the numbers aren't going to work. And to get it at a reasonable number ($1 million) knocks out transplants. That's not going to work, either.

They=politicians
Work=electability

They need to bring back pre-ACA pre-ex, following the HIPAA group guidelines for individuals.

And while I get wanting UW in "liberal" states, BCBSTX was declining people with 3 sinus infections in a 12 month window.

 

[nylife11023]

Why can't all American citizens get the same health coverage that Congress gets and have it paid for via our taxes as their coverage is?

 

[bluemarlin08]

So pre ex goes to gov't GI and healthy go pre obamacare, sounds great but what is the pricetag. Subsidies and GI wil be astronomical. We knew once subsidized, always subsidized.Bet that GI network is pretty, sorta like Medicaid, can't find many good docs that accept.

 

[somarco]

aren't going to be able to fund it AND keep lifetime maximum's at unlimited.

Reinsuring LT max vs $2M or $5M is pennies. Adds almost nothing to the overall cost of insurance.

Subsidies and GI wil be astronomical.

Not necessarily. Depends on how the benefits and networks are structured.

Roughly 8M people have subsidized plans. All of them aren't on a transplant list.

Subsidies need to be streamlined and based on prior years earnings, not some BS projected figure.