Obamacare Penalty Affordability Exemption

Hey PJ, you do realize that the new administration has to fix what your guy screwed up, don't you? Maybe, the new guy should just leave it all alone. Kids time is over, it's time for the adults to fix everything that a failed Presidency foisted on an unsuspecting nation.
It's the happiest time in 8 years.
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Originally posted by: lvfritz
Hey PJ, you do realize that the new administration has to fix what your guy screwed up, don't you? Maybe, the new guy should just leave it all alone. Kids time is over, it's time for the adults to fix everything that a failed Presidency foisted on an unsuspecting nation.
It's the happiest time in 8 years.


Thats the best part, Fritz. Republicans have to actually put forward a viable solution instead of just feeding you mindless rhetoric to spew on message boards.
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Originally posted by: pjstroh
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Originally posted by: jphelan
This affordability exemption is valid if you did not apply or qualify for medicaid. Another low cost option might be medical cost sharing - typically less than half the cost of traditional insurance but they do not cover abortions and have a cap at $250k per year.


"Cost sharing" is the definition of insurance.

Here's the hard truth that Republicans will be coming to terms with very quickly: healthcare aint cheap.

If you are going to subsidize it for lower income people like Republicans say they want to do then you need to come up with a way to pay for it. Democrats used the "unconscionable" individual mandate. If you are going to get rid of that then you need to find something that coughs up an equivalent amount of cash - or more....or find ways to massively reduce costs in the industry itself.

It sounds like Trump will be grabbing some low hanging fruit with Medicare drug negotiation. Good. I applaud that. But we will need a whole lot more to pick up the slack from the mandate going away. Of course, this presumes that Republicans actually do want to help lower income people with healthcare access. We'll find out soon enough

Here's my cynical prediction: Republicans will bring back "healthcare plans" that are super cheap....and super worthless. $50/month will get someone access to Cigna's negiotiated prices with providers...but the plan participants will have to pay 100% of everything out of pocket. But you wont hear about how worthless they are - you'll only hear about how affordable they are. Watch. Its coming.


PJ - keeping this non-political, and issue based. Below is an example of the Medical Cost Sharing plans I was referring to. They could be a bargain for someone who does not have the funds to afford the cost of what insurance has become and does not qualify for a significant subsidy.

Medical Cost Sharing

Everyone already has access to Health Care and the opportunity to buy insurance if they want it. However, I believe medicaid should "kick in" when medical costs exceed some % of income (maybe 10%) and this needs to be administered by the State and not the federal government. Until the costs exceed the threshold, the individual (or by proxy, the insurance company) should be responsible. Add the ability to sell insurance nationwide and competition, and we have a much less complicated and more efficient system.
Quote

Originally posted by: jphelan
Quote

Originally posted by: pjstroh
Quote

Originally posted by: jphelan
This affordability exemption is valid if you did not apply or qualify for medicaid. Another low cost option might be medical cost sharing - typically less than half the cost of traditional insurance but they do not cover abortions and have a cap at $250k per year.


"Cost sharing" is the definition of insurance.

Here's the hard truth that Republicans will be coming to terms with very quickly: healthcare aint cheap.

If you are going to subsidize it for lower income people like Republicans say they want to do then you need to come up with a way to pay for it. Democrats used the "unconscionable" individual mandate. If you are going to get rid of that then you need to find something that coughs up an equivalent amount of cash - or more....or find ways to massively reduce costs in the industry itself.

It sounds like Trump will be grabbing some low hanging fruit with Medicare drug negotiation. Good. I applaud that. But we will need a whole lot more to pick up the slack from the mandate going away. Of course, this presumes that Republicans actually do want to help lower income people with healthcare access. We'll find out soon enough

Here's my cynical prediction: Republicans will bring back "healthcare plans" that are super cheap....and super worthless. $50/month will get someone access to Cigna's negiotiated prices with providers...but the plan participants will have to pay 100% of everything out of pocket. But you wont hear about how worthless they are - you'll only hear about how affordable they are. Watch. Its coming.


PJ - keeping this non-political, and issue based. Below is an example of the Medical Cost Sharing plans I was referring to. They could be a bargain for someone who does not have the funds to afford the cost of what insurance has become and does not qualify for a significant subsidy.

Medical Cost Sharing

Everyone already has access to Health Care and the opportunity to buy insurance if they want it. However, I believe medicaid should "kick in" when medical costs exceed some % of income (maybe 10%) and this needs to be administered by the State and not the federal government. Until the costs exceed the threshold, the individual (or by proxy, the insurance company) should be responsible. Add the ability to sell insurance nationwide and competition, and we have a much less complicated and more efficient system.


Yes, the Christian Cost Share programs are a real bargain - unless you get sick. They are definitely cheaper than insurance - and for a good reason. They dont accept patients with chronic pre-existing conditions.
US News : pros and cons of Cost Sharing

And nothing stops states from buying insurance across state lines now - thats a myth of Obamacare critics. And there is no law that stops Cigna from selling their plans in any state they want to. Thats a myth too.

now that Republicans have to put fourth a viable solution they cant point to myths anymore. If you are serious about guaranteeing access to healthcare for people with pre-existing condtions then you need to either find a way to pay for their expensive care ....or aggressively reduce the costs being charged by the providers.

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Originally posted by: pjstroh
And nothing stops states from buying insurance across state lines now - thats a myth of Obamacare critics. And there is no law that stops Cigna from selling their plans in any state they want to. Thats a myth too.
********quote*****
The Republican presidential front-runners, along with their trailing competitors, are all big fans of allowing Americans to buy health insurance across state lines, arguing that doing so would boost competition, resulting in lower costs and greater choice for consumers. Often, conservatives have framed such a plan as part of a replacement package for Obamacare.

The thing is, such permission is already part of President Barack Obama's health care law.

The little-known provision, found in section 1333 of the roughly 1,000-page Affordable Care Act, allows for states to create "health care choice compacts" permitting insurers to sell policies to consumers in any state participating in the compact, as long as they follow specific rules. Five states – Georgia, Kentucky, Maine, Rhode Island and Wyoming – already have enacted interstate compact statutes, according to the National Conference of State Legislatures.

So why haven't consumers taken advantage of the provision? Probably, at least in part, because the administration hasn't fully implemented it – a lapse that could provide additional ammunition for Republicans seeking to dismantle Obamacare.
Under the Affordable Care Act, the Department of Health and Human Services was directed to consult with the National Association of Insurance Commissioners on regulations for the compacts and issue them by July 2013. The regulations would clarify how such plans would work, given that health insurance plans usually offer coverage in specific areas. Consumers were supposed to be able to buy insurance in states other than the one in which they live – should they reside in a state that had joined a compact – starting Jan. 1 of this year.

However, the NAIC says HHS Secretary Sylvia Burwell has not even reached out to the group for consultation. "Under the law they were supposed to come up with regulations and they haven't yet," an NAIC spokesman says.

Officials with the Department of Health and Human Services did not provide comment despite multiple requests.

*****endquote*****
[boldface added - DD]
Ref: usnews.com
It seems inaction by The Obama has something to do with the fact that most Americans are not permitted to buy insurance across a State line.

Maybe passing a Law which no one had read was a bad idea. Maybe implementing such a Law was just too hard.
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Originally posted by: pjstroh
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Originally posted by: jphelan
This affordability exemption is valid if you did not apply or qualify for medicaid. Another low cost option might be medical cost sharing - typically less than half the cost of traditional insurance but they do not cover abortions and have a cap at $250k per year.



...Here's my cynical prediction: Republicans will bring back "healthcare plans" that are super cheap....and super worthless. $50/month will get someone access to Cigna's negiotiated prices with providers...but the plan participants will have to pay 100% of everything out of pocket. But you wont hear about how worthless they are - you'll only hear about how affordable they are. Watch. Its coming.


Wanna nbet we won't hear about it? I bet we do, 24/7 for awhile. The media and watchdog groups will be hounding evry move DT and the Rep.'s do on healthcare and as a matter of fact they will probably greatly distort whatever plan(s) they come up with if not make up some shit.
Boiler suggested before Obamacare became law that it would become a wealth redistribution program. I was assured at the time that this would never happen. Is even one Lib going to pipe up and address this?
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Originally posted by: IndyBoilerman
Boiler suggested before Obamacare became law that it would become a wealth redistribution program. I was assured at the time that this would never happen. Is even one Lib going to pipe up and address this?


Sure, I will. Your prediction was wrong.
Does this "magic money" come from God?


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Originally posted by: pjstroh
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Originally posted by: IndyBoilerman
Boiler suggested before Obamacare became law that it would become a wealth redistribution program. I was assured at the time that this would never happen. Is even one Lib going to pipe up and address this?


Sure, I will. Your prediction was wrong.


as Palin once said... "how's that hope and change stuff workin out for ya?"
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