Comments on: State Insurance Exchange Blind Spots: Unknown Risks and Unintended Consequences https://thehealthcareblog.com/blog/2013/09/23/state-insurance-exchange-blind-spots-unknown-risks-and-unintended-consequences/ Everything you always wanted to know about the Health Care system. But were afraid to ask. Mon, 21 Oct 2013 21:59:40 +0000 hourly 1 https://wordpress.org/?v=6.3.4 By: Dean Walter https://thehealthcareblog.com/blog/2013/09/23/state-insurance-exchange-blind-spots-unknown-risks-and-unintended-consequences/#comment-456269 Mon, 21 Oct 2013 21:59:40 +0000 https://thehealthcareblog.com/?p=65636#comment-456269 I went on the obamacare calculator, and amazed at how expensive insurance is going to be. My annual income is 30,000.00 ( single male 49 yrs. old) which equates to a take home pay of $ 480.00 per week. Living in New Jersey to get the silver plan will cost $4512.00( $ 376.00 per month) I suppose I am to send 20 % of my monthly income to a plan that only pays 70 % of my healthcare. At the end of the year I will receive a $ 1,900.00 tax credit. Who will pay my rent ? Absolutely unaffordable. this law should be called the unaffordable healthcare act.

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By: Randy Corn https://thehealthcareblog.com/blog/2013/09/23/state-insurance-exchange-blind-spots-unknown-risks-and-unintended-consequences/#comment-452701 Sat, 12 Oct 2013 17:19:00 +0000 https://thehealthcareblog.com/?p=65636#comment-452701 A simple proposal.

1) Scrap the not so affordable care act. Large monthly payments to insurance companies by millions of citizens? Well, you do the math. Most people I know are like me, they live paycheck to paycheck. They don’t have an extra three hundred or whatever to spend on health insurance. They would rather pay the fine.

2) Merge Medicaid with Medicare. Lift the financial burden of the States to help fund other needed services.

3) Expand Medicaid to cover every American citizen. Everybody gets the same coverage as our esteem government leaders. Cover health, dental, and vision with mandatory preventive exams with a small co-pays. Since we already pay into Medicare a little more won’t be missed. This relieves the burden from Corporate America; freeing up funds for needed expansion needs and hopefully to hire more people and thus help get the economy moving again.

The insurance companies won’t like this but tuff too-tee. The Government can create a new Federal Lotto to help fund it as well. Crazy Eights. Pick eight numbers out of 63 and win a BILLION DOLLARS with no rollover and three dollars a ticket. Kha-Chink!

Maybe the Democrats and the Republicans have seen the day when their parties go by the wayside in favor of a citizen based political coalition to replace all of them.

Together We Stand
Divided We Fall
— Pink Floyd

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By: Donald E. L. Johnson https://thehealthcareblog.com/blog/2013/09/23/state-insurance-exchange-blind-spots-unknown-risks-and-unintended-consequences/#comment-445606 Mon, 30 Sep 2013 04:38:42 +0000 https://thehealthcareblog.com/?p=65636#comment-445606 What kind of cushion are insurers building into their rates to protect them against unpredictable risks: 10%, 25%, 50%.

Is it possible that in a few years the insurers will have a handle on their risks to cut their rates or raise them even more?

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By: Wally https://thehealthcareblog.com/blog/2013/09/23/state-insurance-exchange-blind-spots-unknown-risks-and-unintended-consequences/#comment-445072 Sat, 28 Sep 2013 19:42:27 +0000 https://thehealthcareblog.com/?p=65636#comment-445072 Our US health care system costs too much because Health Care Insurers don’t provide health care. They are the single biggest reason we may never have a health care system like many other countries. Other countries do not have the HCIs increasing costs of health care by their very existence. We owe this to HCI being linked (mandated) by your company who lowers your pay to provide the cost.

It’s in the best interest of HCIs – that we never have a national health care system, to fight with all their resources any attempt to change the current system, to limit payments for medical procedures, to deny coverage for certain procedures, and to be the agents of neglect and even death for those they deem to have a pre-existing condition or have gone over the life time limit.

Change jobs and, even if the next employer has the same insurer, you may find a condition you had is deemed pre-existing (happened during the last job) and you won’t be insured. If HCIs don’t want to cover a procedure you will not be insured. But, you will be in a minority that the covered majority will just dismiss or prefer not to see.

HCIs negotiate with health care providers to accept what they are willing to pay or they will not be allowed access to their group members. The providers fold and agree to lower rates because they need patients. But, some people, even those out of work, wind up paying full price, which is made even higher to make up for the legal HCI extortion losses.

Others who have no assets get FREE hospital health care (some hospitals say 30% of patients can’t pay), which adds to the cost for all of us with coverage or can afford some type of payment plan.

So what a wonderful system we have. That is if you have no assets, or are employed and have insurance, on Medicare or Medicaid, or you are a 1%er and don’t worry about any of this.

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By: Aurthur https://thehealthcareblog.com/blog/2013/09/23/state-insurance-exchange-blind-spots-unknown-risks-and-unintended-consequences/#comment-443587 Tue, 24 Sep 2013 13:01:12 +0000 https://thehealthcareblog.com/?p=65636#comment-443587 I wonder if the federally established exchanges can simply shut down new enrollment once the budgeted vouchers have been exhausted, just like they did with the high risk, pre-existing condition pools (as if the exchange pools won’t be high risk, pre-existing condition pools)?

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By: alan t falkoff, md, faafp https://thehealthcareblog.com/blog/2013/09/23/state-insurance-exchange-blind-spots-unknown-risks-and-unintended-consequences/#comment-443569 Tue, 24 Sep 2013 11:52:27 +0000 https://thehealthcareblog.com/?p=65636#comment-443569 Missing here is the information and discussion on who, which primary care physicians will be participating and what they will be paid.

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