Archive for the ‘American Health Care Act’ Category

If you’re one of the 155 million people on employee-based health insurance plans …

July 18, 2017

Here’s the main reason why YOUR health insurance premiums have gone up.

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All the repeal & replace attention seems to be on the 20 million people who are getting insurance via Extended Medicaid or ObamaCare Exchanges.

Virtually no light is being shined on the vast majority of folks who are covered by employer plans.

Case-in-point: the soaring premiums being paid by employees … hardly the $2,500 reduction that was promised.

Here’s one of the reasons that premiums have gone up not down …

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Most people – probably bordering on all – would agree that people with pre-existing conditions should be able to get health insurance.

I accept that as a non-debatable point.

But, I got curious about the economics of so-called “guaranteed coverage”… i.e. how much does it cost, and who pays for it?

Specifically, for folks covered by employer plans, how much of their increase in health insurance premiums over the past couple of years is attributable to guaranteed coverage?

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Let’s take a whack at the numbers …

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Has ObamaCare provided more healthcare?

June 28, 2017

Not really: it just covered more people with health insurance?

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In my consulting / problem-solving class, I emphasize asking the right question before starting to gather data, doing analyses, drawing conclusions and making recommendations.

Makes sense, doesn’t it?

Then, would someone please explain to me why the politcos (on both sides) obsess over health insurance coverage (how many people are covered) and largely ignore the quantity & quality healthcare that Americans are getting?

 

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Source: AAMC

My conclusion: More Americans now have health insurance, but healthcare hasn’t increased … it has just been re-distributed.

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Did ObamaCare exacerbate a shortage of doctors?

May 1, 2017

Answer: Of course it did … it’s simple arithmetic.

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In yesterday’s post, I concluded that ObamaCare increased the demand for healthcare by providing health insurance to 20 million previously uninsured Americans … but that ObamaCare didn’t increased the aggregate amount of healthcare that Americans are getting.

Since the supply of healthcare is constrained by too few doctors, the amount of healthcare is just being redistributed

It’s a zero sum game …  previously uninsured people are getting more healthcare … previously insured people are getting less healthcare … and total healthcare delivered is staying about the same.

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I got a few questions about the incremental doctor shortage created by ObamaCare, so I pulled together a quick & dirty  estimate.

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Has ObamaCare provided more healthcare?

April 27, 2017

Or, has it just covered more people with health insurance?

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In my consulting / problem-solving class, I emphasize asking the right question before starting to gather data, doing analyses, drawing conclusions and making recommendations.

Makes sense, doesn’t it?

Then, would someone please explain to me why the politcos (on both sides) obsess over health insurance coverage (how many people are covered) and largely ignore the quantity & quality healthcare that Americans are getting?

 

image

Source: AAMC

My conclusion: More Americans now have health insurance, but healthcare hasn’t increased … it has just been re-distributed.

(more…)

“The under-26 provision is one of Obamacare’s biggest flaws”

March 23, 2017

Senator: “We didn’t think ahead” … and consider ramifications.

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From the get-go, I’ve questioned the “wildly popular” ObamaCare provision allowing “adult children” to say on their parents’ health insurance policies until they’re 26.

My objection was two-fold.

First, it removes a significant source of motivation for adult-children to get a job.

In the old days, parents encouraged their college kids to get a degree that might just qualify them for a paying job.

Unfocused, impractical exploration wasn’t a viable option for most families.

And, in the old days, parents used to nudge their kids to land jobs with benefits (not the same as “friends with benefits”) that included “hospitalization” … the old school name for health insurance.

I guess those days are gone …

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Second, as we’ve posted before, due to the weird insurance pricing schemes that let all except a family’s 1st child ride free on their parents plans, an adult-child rides completely free unless he-she is the family’s only covered child.

That means that all other plan members who pay premiums end up paying higher premiums to cover the cost of the free-riding adult-children

I don’t like these kinds of hidden cross-subsidies.

On this point, an insurance buddy of mine advised me to settle down since these adult-children are generally healthy and don’t consume much medical care.

True, but that raises an even biggest issue …

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If you’re one of the 155 million people on employee-based health insurance plans …

March 21, 2017

Here’s the main reason why YOUR health insurance premiums have gone up.

=======

All the repeal & replace attention seems to be on the 20 million people who are getting insurance via Extended Medicaid or ObamaCare Exchanges.

Virtually no light is being shined on the vast majority of folks who are covered by employer plans.

Case-in-point: the soaring premiums being paid by employees … hardly the $2,500 reduction that was promised.

Here’s one of the reasons that premiums have gone up not down …

========

Most people – probably bordering on all – would agree that people with pre-existing conditions should be able to get health insurance.

I accept that as a non-debatable point.

But, I got curious about the economics of so-called “guaranteed coverage”… i.e. how much does it cost, and who pays for it?

Specifically, for folks covered by employer plans, how much of their increase in health insurance premiums over the past couple of years is attributable to guaranteed coverage?

image

Let’s take a whack at the numbers …

(more…)

About the “Extended Medicaid” bruhaha …

March 16, 2017

It’s center stage in the current debate.

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So, I dug in a bit to understand the issue.

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Here are my takeaways ….

(more…)

Another hidden cost of ObamaCare …

March 15, 2017

For most doctors, Medicaid patients are a losing proposition.

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It’s hard to find anybody opposed to healthcare for the poor.

In the past, most doctors took on Medicaid patients –- which were relatively few in number — as a public service.

Some took Medicaid patients to fill empty appointment slots and, thus, increase capacity utilization (think, airlines filling empty seats).

But, an increasing number of doctors are demotivated to serve Medicaid patients.

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What’s the problem?

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