2014***ObamaCare***2014

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Originally posted by: DonDiego




Of course lately, when it really counts, neither one of you have been winning. But you'll always have your memories.

(Reuters) - Now that more than 2 million people have signed up for private insurance plans created by President Barack Obama's healthcare law, a crucial next check-up for the new marketplace will be to see how old customers are.

Early data from a handful of state exchanges shows the administration needs more young adults to sign up in the next three months to help offset costs from older enrollees and prevent insurers from raising their rates.

Critics of Obama's Affordable Care Act say the market won't attract enough young people to keep it financially viable, putting more pressure on government funds to compensate for any insurer losses.
Data from seven states and the District of Columbia, which are running their own marketplaces, show that of more than 200,000 enrollees, nearly 22 percent are 18 to 34 years old, according to a Reuters analysis.

The administration had hoped that over 38 percent, or 2.7 million, of all enrollees in 2014 would be 18 to 35 years old, based on a Congressional Budget Office estimate that 7 million people would sign up by the end of March
There was also another interesting stat in that report you didn't mention namely they found that if people don't get a premium subsidy they don't end up taking the coverage. Frankly none of this surprises me 6k to $12k deductibles aren't appealing to young folks even with subsides and $6k to 12k deductibles aren't appealing to folks that already have to fork over $1000 or more a month in premiums.

For the whole "marketplace" concept to be viable the marketplace has to be stocked full of appealing products not the high out pocket cost trash they are peddling now.
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Originally posted by: hoops2
(Reuters) - Now that more than 2 million people have signed up for private insurance plans created by President Barack Obama's healthcare law, a crucial next check-up for the new marketplace will be to see how old customers are.

Early data from a handful of state exchanges shows the administration needs more young adults to sign up in the next three months to help offset costs from older enrollees and prevent insurers from raising their rates.

Critics of Obama's Affordable Care Act say the market won't attract enough young people to keep it financially viable, putting more pressure on government funds to compensate for any insurer losses.
Data from seven states and the District of Columbia, which are running their own marketplaces, show that of more than 200,000 enrollees, nearly 22 percent are 18 to 34 years old, according to a Reuters analysis.

The administration had hoped that over 38 percent, or 2.7 million, of all enrollees in 2014 would be 18 to 35 years old, based on a Congressional Budget Office estimate that 7 million people would sign up by the end of March


And we all know whos picking up the tab if the numbers aren't met? The insurance co.s,right?

J

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Originally posted by: forkushV
Of course lately, when it really counts, neither one of you have been winning. But you'll always have your memories.

Under Barack Obama, every American is losing.

We know how many people have signed up but we don't know how many people have actually paid.

It is comparable to AC counting a sale for every person who put a LVA product in the shopping cart even though they eventually put it back
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Originally posted by: jatki99
And we all know whos picking up the tab if the numbers aren't met? The insurance co.s,right?J

DonDiego detects a hint of sarcasm in jatki99's response.

As it turns out well-founded sarcasm:

__Obamacare contains a “Reinsurance Program" that caps big claim costs for insurers (individual plans only). In 2014, 80% of individual costs between $45,000 and $250,000 are paid by the government [read: taxpayers]. So once claims exceed $45,000, the taxpayer graciously kicks in the costs.

__Obamacare also contains a “Risk Corridor Program" that limits overall losses for insurers. Each year the insurer estimates his expected costs. If the actual costs exceed the estimates the Government [read: taxpayers] make up the difference. For costs 3%-to-8% above the estimate, the Government [read: taxpayers] pays 50% of the excess; for costs 8%-or-more above the estimate, the Government [read: taxpayers] pay 80% of the excess.

__There's something called "Risk Adjustment Program" to require money transfers between insurers that pay out less to those companies that have paid out more, . . . or was it transferring funds between individual and group plans, . . . or something else, . . . DonDiego had enough trouble understanding the first two bailout provisions.

DonDiego is beginning to wish he were an insurance company, . . .now that the Government [read: taxpayers] absorb any significant risks.
Who picked up the tab for the uninsured $40-billion+ back in the good ole days of DonDiegoCare?
Fascinating because of the high deductibles with Obamacare typically the insurance companies don't pay claims under 5k for an individual so they only have to pay that narrow range of claims that are in excess of 5k and less than 45k, and then on that narrow range if the still manage to lose money the government covers up to 80% of their losses. Sounds like a sweet deal for the insurance companies.

Quote

__Obamacare contains a “Reinsurance Program" that caps big claim costs for insurers (individual plans only). In 2014, 80% of individual costs between $45,000 and $250,000 are paid by the government [read: taxpayers]. So once claims exceed $45,000, the taxpayer graciously kicks in the costs.




Quote

Originally posted by: DonDiego
Quote

Originally posted by: jatki99
And we all know whos picking up the tab if the numbers aren't met? The insurance co.s,right?J

DonDiego detects a hint of sarcasm in jatki99's response.

As it turns out well-founded sarcasm:

__Obamacare contains a “Reinsurance Program" that caps big claim costs for insurers (individual plans only). In 2014, 80% of individual costs between $45,000 and $250,000 are paid by the government [read: taxpayers]. So once claims exceed $45,000, the taxpayer graciously kicks in the costs.

__Obamacare also contains a “Risk Corridor Program" that limits overall losses for insurers. Each year the insurer estimates his expected costs. If the actual costs exceed the estimates the Government [read: taxpayers] make up the difference. For costs 3%-to-8% above the estimate, the Government [read: taxpayers] pays 50% of the excess; for costs 8%-or-more above the estimate, the Government [read: taxpayers] pay 80% of the excess.

__There's something called "Risk Adjustment Program" to require money transfers between insurers that pay out less to those companies that have paid out more, . . . or was it transferring funds between individual and group plans, . . . or something else, . . . DonDiego had enough trouble understanding the first two bailout provisions.

DonDiego is beginning to wish he were an insurance company, . . .now that the Government [read: taxpayers] absorb any significant risks.


Quote

Originally posted by: DonDiego
Quote

Originally posted by: jatki99
And we all know whos picking up the tab if the numbers aren't met? The insurance co.s,right?J

DonDiego detects a hint of sarcasm in jatki99's response.

As it turns out well-founded sarcasm:

__Obamacare contains a “Reinsurance Program" that caps big claim costs for insurers (individual plans only). In 2014, 80% of individual costs between $45,000 and $250,000 are paid by the government [read: taxpayers]. So once claims exceed $45,000, the taxpayer graciously kicks in the costs.

__Obamacare also contains a “Risk Corridor Program" that limits overall losses for insurers. Each year the insurer estimates his expected costs. If the actual costs exceed the estimates the Government [read: taxpayers] make up the difference. For costs 3%-to-8% above the estimate, the Government [read: taxpayers] pays 50% of the excess; for costs 8%-or-more above the estimate, the Government [read: taxpayers] pay 80% of the excess.

__There's something called "Risk Adjustment Program" to require money transfers between insurers that pay out less to those companies that have paid out more, . . . or was it transferring funds between individual and group plans, . . . or something else, . . . DonDiego had enough trouble understanding the first two bailout provisions.

DonDiego is beginning to wish he were an insurance company, . . .now that the Government [read: taxpayers] absorb any significant risks.


Politifact weighs in on these non-partisan observations by our favorite non-partisan poster, Don Diego.

The aforementioned provisions are temporary while insurance companies get a better picture of what costs are going to be as a result of the increased pool of people with varying levels of care requirements. The government can be on the hook for money if only sick people sign up. The government can save money if the pool is more robust.

So its a matter of speculation at this point if taxpayers will be "bailing out" insurers for the first few years (Politifact takes exception to that phrase in this matter). Don Diego is free to speculate any way he wants. He has made lots of fun speculations in the past....like impending runaway inflation, for example.

Regardless, it shows the importance of having an Individual Mandate with the healthcare system. having young, healthy people in the pool lowers costs for everybody. Someday when conservatives present their top-secret Obamacare alternative you can bet it will have the very mandate in it they've been crying about for 5 years.
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