ERIKSEN GROUP
phone
x x x
 

Blog

Posts Tagged ‘Insurance Reform’

‘Sham’ Sharing Ministries Test Faith Of Patients And Insurance Regulators

Monday, May 20th, 2019

KHN reports:

“Sheri Lewis, 59, of Seattle, needed a hip transplant. Bradley Fuller, 63, of nearby Kirkland, needed chemotherapy and radiation when the pain in his jaw turned out to be throat cancer. And Kim Bruzas, 55, of Waitsburg, hundreds of miles away, needed emergency care to stop sudden —and severe — rectal bleeding.

Each of these Washington state residents required medical treatment during the past few years, and each thought they had purchased health insurance through an online site.

(more…)

Why Do Short-Term Health Insurance Plans Have Lower Premiums Than Plans That Comply with the ACA?

Friday, November 2nd, 2018

KFF.com reports:

“The Trump administration earlier this year issued a regulation that expands the availability of “short-term” health insurance plans that do not have to comply with any of the rules in the Affordable Care Act (ACA) for plans sold in the individual market. Specifically, the regulation allows short-term plans to be offered for up to 364 days and renewed at the discretion of the insurer for up to three years. Short-term plans are also expected to be more attractive now that ACA’s individual mandate penalty has been repealed, since people previously enrolling in these plans were liable for the penalty.

(more…)

Bemoaning Budget Cuts, Navigators Say Feds Don’t Appreciate Scope Of The Job

Thursday, September 21st, 2017

Kaiser Health News reports:

“The Trump administration says many of the organizations that help people enroll in health plans on the federal insurance marketplaces don’t provide enough bang for the buck, sometimes costing thousands of dollars to sign up each customer. So, it is cutting their funding, some by as much as 90 percent, the government told the groups last week.

(more…)

Ready or not, it’s time to pick your best health plan

Monday, October 31st, 2016

The Chicago Tribune reports:

“With the annual sign-up period for plans on the health law’s marketplaces starting Nov. 1, many consumers are worried about rising premiums, shrinking provider networks and the departure of major insurers such as UnitedHealthcare, Aetna and Humana from many exchanges.

(more…)

Land of Lincoln just 1 in long line of ACA health co-op failures

Wednesday, July 20th, 2016

The Chicago Sun-Times reports:

“The state’s shutdown of its three-year-old Land of Lincoln Health was no surprise, observers say, coming amidst a nationwide trail of failures of nonprofit alternative insurers set up under the Affordable Care Act.

Those insurers faced many obstacles, but most important were two financial hits: the federal government’s reneging on hundreds of millions of dollars in subsidies promised under ACA, while at the same time demanding the struggling startups pony up hundreds of millions in other contributions required under that law.

(more…)

Blue Cross Blue Shield Confirms Obamacare Death Spiral

Thursday, April 28th, 2016

According to The Beacon:

” The Blue Cross and Blue Shield Association, which represents 36 Blue Cross and Blue Shield plans covering 105 million Americans, has just released a study of its members’ claims data in Obamacare exchanges 2014 and 2015. It confirms that Obamacare exchange enrollees are sicker and more expensive than enrollees in pre-Obamacare individual plans or employer-based plans.

Here I quote four of the study’s findings:

  • Members who newly enrolled in BCBS individual health plans in 2014 and 2015 have higher rates of certain diseases such as hypertension, diabetes, depression, coronary artery disease, human immunodeficiency virus (HIV) and Hepatitis C than individuals who had BCBS individual coverage prior to health-care reform.
  • Consumers who newly enrolled in BCBS individual health plans in 2014 and 2015 received significantly more medical care, on average, than those with BCBS individual plans prior to 2014 who maintained BCBS individual health coverage into 2015, as well as those with BCBS employer-based group health insurance.

(more…)

The Federal Government’s $146 Billion Obamacare Boo-Boo

Thursday, April 28th, 2016

According to The Motley Fool:

Bad things can happen when a government forecast proves to be way off.

There are mistakes, and then there are big mistakes. What the Congressional Budget Office’s latest report on federal subsidies revealed was a mistake of monstrousproportions on the part of the federal government.

Here’s what a forecasting error looks like
The Congressional Budget Office, or CBO, has been making projections on the future of Obamacare, and healthcare in general, for years. Initially, the CBO had projected that up to 21 million people would sign up for private health insurance using Obamacare’s transparent marketplace exchanges by 2016. However, that estimate has been substantially reduced to just 12 million. According to the Department of Health and Human Services, Obamacare enrollment totaled “about 12.7 million” as of the end of third enrollment period (Jan. 31, 2016). Ultimately, the CBO foresees private health enrollment via Obamacare topping out at between 18 million and 19 million people between 2018 and 2026.

Why such a huge difference in actual enrollment versus initial projections? To begin with, the government appears to have overestimated just how many people would sign up on private exchanges versus being enrolled via their employer. The data has thus far shown that nowhere near as many people as expected dropped out of employer-sponsored insurance to sign up on Obamacare’s marketplace exchanges, meaning there was a considerably smaller uninsured pool than initially anticipated. (more…)

Obamacare Encounters Another Bump in the Road

Thursday, April 28th, 2016

According to News Max Finance:

” Well, the hammer has fallen: The largest health insurer in the U.S. has started pulling out of select Obamacare exchanges.

Five months ago UnitedHealth, which had been singing sunny songs to investors about its bright future on the exchanges, abruptly began crooning the blues. In an earnings call barely a month after executives assured investors that all was going swimmingly, they confessed that they were losing a ton of money on their Obamacare policies and described a pattern that sounded as if consumers were gaming the system — signing up for a few months, using a ton of services, and then canceling their policies. If this continued, they said, they would have no choice but to pull out of the exchange business. (more…)

How Obamacare Makes Tax Filing Trickier

Thursday, April 21st, 2016

According to Time Inc.

“Many Americans will get new tax forms for the first time. Here’s what to do with them.

 

This year, you may be receiving tax forms you’ve never seen before, all thanks to the Affordable Care Act, aka Obamacare. For the most part, these documents won’t make tax filing too much harder—with one big exception. Here’s what you need to know about this paperwork, depending on what kind of health insurance you had in 2015.

If you had health insurance from your employer all year…

(more…)

Illinois Obamacare plan crippled by losses

Thursday, April 21st, 2016

According to Crain’s Chicago Business 

” The operating losses continue to mount at struggling Land of Lincoln Health, totaling $90.8 million for the Obamacare health plan in 2015.

That net loss is almost five times greater than the Chicago-based startup reported in 2014, when it totaled $17.7 million. The insurer lost about $40 million in just the last three months of 2015, according to a new financial statement filed with national insurance regulators.

Jason Montrie, Land of Lincoln president and interim CEO, did not immediately respond to a message seeking comment.

Kevin Scanlan, chairman of the insurer’s board of directors, said in a statement: “Land of Lincoln Health, like other insurers across the market, continues to adjust its business model as we learn how to best adapt to the new marketplace. . . .The board is confident in its long-term viability and will continue to evaluate and invest in the needs of our members.”

(more…)

Newsletter Signup

Free Consultation
image_questions
Change Your Broker
 
x x x