Page 1 of 2 12 LastLast
Results 1 to 10 of 13

Thread: Health co-ops, created to foster competition and lower insurance costs are in danger

  1. #1

    Health co-ops, created to foster competition and lower insurance costs are in danger

    When the new health-care law was being cobbled together, Congress decided to establish a network of nonprofit insurance companies aimed at bringing competition to the marketplace, long dominated by major insurers. But these co-ops, started as a great hope for lowering insurance costs, are already in danger.
    While the debut of the Affordable Care Act this month has been marred by widespread computer problems, the difficulties the co-ops face have been less obvious to consumers. One co-op, however, has closed, another is struggling, and at least nine more have been projected to have financial problems, according to internal government reviews and a federal audit.
    Their failure would leave taxpayers potentially on the hook for nearly $1 billion in defaulted loans and rob the marketplace of the kind of competition they were supposed to create. And if they become insolvent, policyholders in at least half the states where the co-ops operate could be stuck with medical bills.
    Although the co-op plan originated in the Senate, resistance to the initial proposal quickly materialized on Capitol Hill, in part because of pressure from insurance industry lobbyists.
    So Congress saddled its new creations with onerous restrictions that, experts say, doomed many co-ops to failure. Federal grants for the co-ops were converted to loans with tight repayment schedules; they were barred from using federal money for crucial marketing; and they were severely limited from selling insurance to large employers, which represent the most lucrative market.
    And even as the Obama administration was setting up the program, White House officials, who had no pride of authorship and feared it would be risky, repeatedly suggested that funding for the co-ops be reduced, according to more than half a dozen people familiar with budget negotiations and the legislative debate. The funding was cut to a small fraction of what experts told Congress would be needed for the ventures to be viable.
    Brian Cook, a spokesman for the Centers for Medicare and Medicaid Services (CMS), the federal agency overseeing the co-ops, said it is closely monitoring their progress and is “confident that co-ops will be an important option available to millions of consumers.”
    Health co-ops, created to foster competition and lower insurance costs, are facing danger - The Washington Post

    That's a really bad news, because the big insurance for nonprofit is in my opinion the best way to lower cost. Perhaps these nonprofit insurance networks should merge together to make one to reduce the duplicated cost and to get better deals as one entity.
    Those who can make you believe absurdities can make you commit atrocities.

    Voltaire


  2. #2
    Of course they are in danger. The goal with Obamacare is not to create competition. It is to drive the competition out of business to create a one payer system. That makes everyone dependent upon the government and gives government the ultimate control over people's lives.

    The Affordable Care Act (ha ha ha) is just a path to get there.

    Dingell: It will take a while for ObamaCare to “control the people”

    A government that controls health care controls the people.
    "Democracy is two wolves and a lamb voting on what to have for lunch. Liberty is a well-armed lamb contesting the vote." -- Benjamin Franklin


  3. #3
    Quote Originally Posted by TopDogger View Post
    The Affordable Care Act (ha ha ha) is just a path to get there.

    Dingell: It will take a while for ObamaCare to “control the people”

    A government that controls health care controls the people.
    I guess you are right, their real goal is controlling the people. At least this Democrat politician told the truth ha ha ha...
    Those who can make you believe absurdities can make you commit atrocities.

    Voltaire


  4. #4
    Vladimir Lenin once said that socialized medicine is the "keystone to the establishment of a socialist state". That should be enough to explain everything.

    Ben Carson Warns: ‘Socialized Medicine Is Keystone to Establishment of a Socialist State' | CNS News
    "Democracy is two wolves and a lamb voting on what to have for lunch. Liberty is a well-armed lamb contesting the vote." -- Benjamin Franklin


  5. #5
    Quote Originally Posted by TopDogger View Post
    Vladimir Lenin once said that socialized medicine is the "keystone to the establishment of a socialist state". That should be enough to explain everything.

    Ben Carson Warns: ‘Socialized Medicine Is Keystone to Establishment of a Socialist State' | CNS News
    I don't know about that, here is what we have. "The French health system combines universal coverage with a public–private mix of hospital and ambulatory care and a higher volume of service provision than in the United States." If I remember correctly, it is managed by the bigger Employer Union, the bigger Worker Union, and mediators from the government. The optional private insurances are there to pay what the universal insurance do not cover., in most cases, it is better to have both.

    The problem in France is that they changed the rules many times (for example: removed the waiting time to sign up, illegal people enrolled automatically, etc) and now the whole thing is in deficit.

    The Health Care System Under French National Health Insurance: Lessons for Health Reform in the United States


    The Health Care System Under French National Health Insurance: Lessons for Health Reform in the United States
    Those who can make you believe absurdities can make you commit atrocities.

    Voltaire


  6. #6
    Quote Originally Posted by Franc Tireur View Post
    The problem in France is that they changed the rules many times (for example: removed the waiting time to sign up, illegal people enrolled automatically, etc) and now the whole thing is in deficit
    What do you expect when politicians are in charge of a system?

    If I remember correctly, back when I traveled to France regularly, at that time the employees in our Paris office were required by law to purchase health insurance. Every time I see info about the ObamaCare mandate to buy insurance, France comes to mind.

    We have a similar issue in that while insurance is required, taxpayers will be paying the bill for poor people, who will continue to get health care for free. One of the points that the Republicans did win in the budget issue settlement is a requirement that the earnings of enrollees be verified. The online system requires people to enter their earnings, but nothing was verified, so widespread fraud (like almost every government program) is expected. I read that almost everyone making less than $50,000 is subsidized by taxpayers, while those making more than $94,000 pay a higher price. It is another redistribution of wealth scheme.
    "Democracy is two wolves and a lamb voting on what to have for lunch. Liberty is a well-armed lamb contesting the vote." -- Benjamin Franklin


  7. #7
    Quote Originally Posted by TopDogger View Post
    What do you expect when politicians are in charge of a system?

    If I remember correctly, back when I traveled to France regularly, at that time the employees in our Paris office were required by law to purchase health insurance. Every time I see info about the ObamaCare mandate to buy insurance, France comes to mind.
    Actually in France it is not required by law to purchase health insurance, they take it from: Our paychecks, taxes, and other gov contributions. If you are unemployed or long term disability they cover you the same way. If you are homeless, or if you don't qualify they do not require you by law to get health care insurance, you are not fined and the health care public providers are still required to take care of them. You don't pay fines if you don't have health insurance, they will send the bill(s) to your address if you are foreigners, or if you are French living overseas. If you don't pay, they can ask the internal tax revenues where you live to charge what you owe them on your income tax.

    The system is completely electronic, you don't have form to fill up, the Doc are paid immediately from the health care system and patient pay their co pay immediately too, if they sign up for a low income program, they don't pay the co-pay, the insurance take it all. Here is the card and the card reader for the health providers: http://italianiaparigi.files.wordpre...rte-vitale.jpg

    I guess the concept is way different than other countries, and the cost still less anyway than the US private health care insurances. The big issue is that the system is based on a high employment, the French health care system found its limit when there is a massive unemployment and go down in red (deficit).

    Besides that, it is a pretty good system, a lot of countries would like to have the same one.
    Those who can make you believe absurdities can make you commit atrocities.

    Voltaire


  8. #8
    Hidden in ObamaCare Site: Applicants Surrender Right to Privacy

    During Thursday's congressional hearing with the contractors responsible for building the troubled ObamaCare federal exchanges, we learned that whether you end up enrolling in ObamaCare or not, no one who puts any information into the ObamaCare website can expect to have their privacy protected. Moreover, the fact that you are giving up your right to privacy is hidden in source code that reads, "You have no reasonable expectation of privacy regarding any communication of any data transmitted or stored on this information system."


    During his questioning on this specific issue, Rep. Joe Barton (R-TX) only received chilling answers and deflections from the primary contractor responsible for the site. When he asked Cheryl Campbell of CGI about it, her icy response was that another contractor was responsible. After some pressuring, she finally admitted that she was aware of the hidden source code.

    Just a few minutes earlier, however, Ms. Campbell testified under oath that the ObamaCare website is HIPAA compliant -- meaning everyone's medical and personal information is protected by law. The privacy section on the ObamaCare website says your privacy will be protected. The hidden source code seems to say, "just kidding."

    The next questioner was Rep. Frank Pallone (D-NJ) who immediately attacked Barton as running a "monkey court" and then dismissed the fact that people are unknowingly giving up their right to privacy. Pallone correctly pointed out that you are not required to give out any medical information on the ObamaCare site, but Pallone conveniently ignored the fact that HIPAA doesn't just protect medical information. It is also supposed to protect personal information.
    Just to get yourself an insurance quote on the ObamaCare site, you have been required to give out information on your income, place of employment, family, and answer a number of questions that verify your identity. For instance, I had to verify a recent car loan. And while you are not required to give out your social security number, you are repeatedly pressured to do so.
    You are also asked detailed questions about your family situation -- whether you are married and how many children you have. Just to get a quote, I also had to answer intrusive questions about my wife, even though she is already insured and won't be buying insurance through ObamaCare.
    Had I known that without my knowledge, I was giving away my right to privacy, there is no way on earth I would've given the ObamaCare site as much information as I did.
    The American people have been repeatedly assured that the website is HIPAA compliant, covered under the strictest of privacy regulations regarding medical and personal information.
    But like absolutely everything else involving ObamaCare, our expectation of privacy was a lie -- just like when Obama told us ObamaCare would decrease our premiums and that no one would lose their current insurance plans or their doctor.
    The fact that the government is hiding the fact that you are giving up your right to privacy should be a major media scandal. But it won't be.
    Hidden in ObamaCare Site: Applicants Surrender Right to Privacy

    What a mess!
    Those who can make you believe absurdities can make you commit atrocities.

    Voltaire


  9. #9
    Those who can make you believe absurdities can make you commit atrocities.

    Voltaire


  10. #10
    Medicaid enrollment spike a threat to Obamacare structure?

    The disastrous rollout of HealthCare.gov may have another serious problem: A CBS News analysis shows that in many of the 15 state-based health insurance exchanges more people are enrolling in Medicaid rather than buying private health insurance. And if that trend continues, there's concern there won't be enough healthy people buying health insurance for the system to work. As the Obamacare website struggles, the administration is emphasizing state-level success. President Obama said Monday, "There's great demand at the state level as well. Because there are a bunch of states running their own marketplaces."
    But left unsaid in the president's remarks: the newly insured in some of those states are overwhelmingly low-income people signing up for Medicaid at no cost to them.
    Matt Salo, executive director of the National Association of Medicaid Directors, said, "We're seeing a huge spike in terms of Medicaid enrollments."
    He says the numbers have surprised him and state officials.
    CBS News has confirmed that in Washington, of the more than 35,000 people newly enrolled, 87 percent signed up for Medicaid. In Kentucky, out of 26,000 new enrollments, 82 percent are in Medicaid. And in New York, of 37,000 enrollments, Medicaid accounts for 64 percent. And there are similar stories across the country in nearly half of the states that run their own exchanges.
    Medicaid experts say they're not sure why they're seeing the lopsided enrollment numbers, but point out it's easier to enroll in Medicaid than private insurance.
    An administration spokeswoman says coverage provided by the new law offers "a range of options so consumers can pick a plan that best meets their needs ... and their budget."
    But Gail Wilensky, a former Medicaid director, said the numbers are causing concern in the insurance industry, which needs healthy adults to buy private insurance in large numbers for the system to work.
    "Either the private insurance enrollments come up somewhere around the expected amount or there's going to be a problem. ... You need a volume and you need a mix of people that are healthy as well as high users in private insurance, in order to have it be sustainable," she said.
    The Obama administration says they expected these high enrollment numbers in Medicaid because the law expands the number of low-income people who can get Medicaid, CBS News' Jan Crawford reported on "CBS This Morning." Supporters say this shows demand. But industry sources say that if we do not see some real turnaround soon, there could be big problems for the entire system.
    Medicaid enrollment spike a threat to Obamacare structure? - CBS News

    The whole thing comes to the light, and we can expect more to come.
    Those who can make you believe absurdities can make you commit atrocities.

    Voltaire


Page 1 of 2 12 LastLast

Tags for this Thread

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •