5f13389fd6ea4b6de49bacec84ed7d8f

I'm confused. Besides the lost cause of defunding Obamacare, what are the republicans asking for?

jc @ about 4 years ago

Comments (70)

Abf9ecb978253a73878c16a7a93e1af4

All very secretive isn't it? This all reeks of subversion

AMI @ about 4 years ago

Montgomery, IL, USA

B35527b232c45def78db4f6949419182

do they even know?

Tjaden Froyda @ about 4 years ago

Jordan, MN 55352, USA

Abf9ecb978253a73878c16a7a93e1af4

They want a year delay on the individual mandate, but beyond that high level statement....details are scarce

AMI @ about 4 years ago

Aurora, IL 60505, USA

5f13389fd6ea4b6de49bacec84ed7d8f

That is merely a back door effort to defund.. The medical device tax issue is more of the same. It ain't gonna happen. The negotiation over Obamacare took place years ago. Before the bill was passed. Remember the public option? Gone. That was the

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

5f13389fd6ea4b6de49bacec84ed7d8f

primary goal of the right. And they won. Remember Obama campaigning on the Medicare drug negotiation issue? Gone. That was another win for the right. And a big one at that.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

Abf9ecb978253a73878c16a7a93e1af4

Many of these representatives were elected after those negotiations. Perhaps they see things differently.

AMI @ about 4 years ago

Aurora, IL 60505, USA

5f13389fd6ea4b6de49bacec84ed7d8f

Yeah, and a majority have been elected since the Clinton years. Otherwise they would realize that Obamacare is almost exactly what the republicans proposed at the time. A universal mandate, coupled with market based insurance.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

5f13389fd6ea4b6de49bacec84ed7d8f

Subsidies for low income participants. It was all in there. The Dems held out for a public option. It was DOA.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

Abf9ecb978253a73878c16a7a93e1af4

Here is the Republican alternative, do you feel it will do less to lower costs and to expand affordable healthcare? http://m.csmonitor.com/USA/DC-Decoder/Decoder-Wire/2013/0918/Obamacare-replacement-plan-What-s-in-the-Republican-proposal-video

AMI @ about 4 years ago

Aurora, IL 60505, USA

441587fe232d918c3a4c8497d22aa156

as an American what I want is for the gov to spend less money than it makes and pay down the debt. I don't believe either side wants this.

President Not Sure @ about 4 years ago

Harvester, MO, USA

Eae801e1796256f6fa36c012423936f7

I want that. I don't need a damn thing from these greedy, incompetent, control freaks.

Angelus @ about 4 years ago

Johnson City, NY 13790, United States

5f13389fd6ea4b6de49bacec84ed7d8f

AMI,,, That plan doesn't even pass muster with the conservative wing of the republicans. It basically is a 10-30% healthcare subsidy for every taxpayer in the country. With no provision to pay for the cost.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

5f13389fd6ea4b6de49bacec84ed7d8f

It does little to expand the risk pool. Therefore it has little chance to reduce premiums. The whole "across state lines" arguement is a red herring. Insurance companies compete in markets where they see a potential for profit. Simple as that.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

Abf9ecb978253a73878c16a7a93e1af4

Probably why you are seeing exchanges with much higher premiums in lesser populated states.

AMI @ about 4 years ago

Aurora, IL 60505, USA

Abf9ecb978253a73878c16a7a93e1af4

Wouldn't allowing insurance companies to cross state lines increase their potential revenue base and force a stricter evaluation of costs?

AMI @ about 4 years ago

Aurora, IL 60505, USA

B35527b232c45def78db4f6949419182

@ami - I posted a link to the text of the proposal a week or so ago. there's more to it than just selling across state lines. the Dartmouth Atlas has done a great job at characterizing regional differences in costs.

Tjaden Froyda @ about 4 years ago

Jordan, MN 55352, USA

B35527b232c45def78db4f6949419182

likewise, I've posted a gawande article from the new Yorker a few times that talks about regional differences within a state (Texas)-which can be large.

Tjaden Froyda @ about 4 years ago

Jordan, MN 55352, USA

5f13389fd6ea4b6de49bacec84ed7d8f

In some cases, the predominate insurance company was able to lobby a state to make it difficult for other companies to compete. In others, it's not worth expanding a company's network due to low population. All states have their own set of rules.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

5f13389fd6ea4b6de49bacec84ed7d8f

Any federal standard would be seen as treading on a state's right to govern. I'm sure that would be a big hit with the tea party.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

5f13389fd6ea4b6de49bacec84ed7d8f

That's why you see separate subsidiaries of the same company operating in different states. Blue Cross of Ohio etc. The capitalization requirements are specific to that particular unit. Not imposed on the entire corporation.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

Abf9ecb978253a73878c16a7a93e1af4

Isn't there a Federal standard in place now?

AMI @ about 4 years ago

Aurora, IL 60505, USA

Abf9ecb978253a73878c16a7a93e1af4

What say do states have in the matter now?

AMI @ about 4 years ago

Montgomery, IL, USA

5f13389fd6ea4b6de49bacec84ed7d8f

States have regulations on every aspect of the business. From conditions that must be covered, to restrictions on premium costs. The fed regs are mostly geared toward the ability of an insurance company to be able to pay what's been promised.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

6c6eb0cfbe9a2159ea7f068813df9076

Lets see, 1. No exemptions, With no exemptions or Maobama waivers, and the Nevada carve out, everyone will have to precipitate. You are all about equal protection under the law, right ?

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Industrial Valley, Cleveland, OH

5f13389fd6ea4b6de49bacec84ed7d8f

I'd have no objection to that. Though I believe the employers involved in most of those exemptions would be hurt. I'm assuming you're talking about the approx 800 mini med programs which were given a one year waiver in order to comply.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

5f13389fd6ea4b6de49bacec84ed7d8f

And now that the employer mandate has been extended, the vast majority of those exemptions are moot.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

6c6eb0cfbe9a2159ea7f068813df9076

http://www.theblaze.com/stories/2012/01/06/how-many-businesses-are-exempt-the-final-number-of-obamacare-waivers-is-in/ your 800 and these 1200 is 2000 waivers. Then you have the entire State of Nevada witch was exempt in the language of the bill.

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Industrial Valley, Cleveland, OH

6c6eb0cfbe9a2159ea7f068813df9076

Reid protected his State, but is forcing the rest to comply at point of the gov gun.

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Industrial Valley, Cleveland, OH

6c6eb0cfbe9a2159ea7f068813df9076

When did the mandate get extended?

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Industrial Valley, Cleveland, OH

6c6eb0cfbe9a2159ea7f068813df9076

Even Congress is exempt from participating.they are getting subsidized by the tax payer because the rates went threw the roof.

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Industrial Valley, Cleveland, OH

5f13389fd6ea4b6de49bacec84ed7d8f

The fact is, a lot of companies negotiated labor contracts in tandem with long term medical contracts. Forcing the employers to eat the increases involved in changing "mid contract" was seen as unnecessary. And now, it makes no difference.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

5f13389fd6ea4b6de49bacec84ed7d8f

These "exempted" plans must comply at the same time as other employers.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

B35527b232c45def78db4f6949419182

DS - I don't think you know how the waivers work. The waivers specifically apply an annual benefit caps, which have been temporarily waived for those groups. It helps to go beyond the sensationalist headline every

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

B35527b232c45def78db4f6949419182

once in a while, because they are turning you into a low information person who thinks they know what's going on... http://www.cms.gov/CCIIO/Resources/Files/approved_applications_for_waiver.html

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

B35527b232c45def78db4f6949419182

Likewise with the congressional exemption lie you keep repeating. You are a poster boy for low information conservatives that just skim the headlines I think jc meant that the employer mandate was delayed, not extended.

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

6c6eb0cfbe9a2159ea7f068813df9076

And the state of Nevada This is a bad deal 2700 page bill, over 20,000 pages in regs, carve outs for friends and political donors.

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Industrial Valley, Cleveland, OH

B35527b232c45def78db4f6949419182

The "nevada exemption" you are referring to is hardly an exemption. The ACA requires the medical loss ratio to be > 80%. Nevada was concerned that it would destabilize their market, so that was lowered to 75% That's it

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

6c6eb0cfbe9a2159ea7f068813df9076

Equal protection under the law, if everyone isn't required under the same requirements, then no one should be forced to participate. Though you leftes were all about equality and fairness.

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Industrial Valley, Cleveland, OH

5f13389fd6ea4b6de49bacec84ed7d8f

Skal,, Are the insurance companies in Nevada that inefficient? Damn. Is it caused by sparse population? Or just top many insurance companies in relation to population? Aren't they losing that exemption this year?

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

B35527b232c45def78db4f6949419182

That's not how it works. The exemption applies to insurers in the state of nevada specifically, where the state applied for a lowering of the MLR. The rest of the law is applied the same.

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

B35527b232c45def78db4f6949419182

@JC - http://www.statecoverage.org/node/3824 Only 2011 in NV. The exemption has passed.

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

B35527b232c45def78db4f6949419182

The idea was a phase in - the insurers were living high on the hog in many states and needed time to adjust. Notice how many states wanted an exemption starting at 65% in 2011 and gradually increasing in 2012 and 2013.

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

B35527b232c45def78db4f6949419182

The table is a summary of CMS data listed here: http://www.cms.gov/CCIIO/Programs-and-Initiatives/Health-Insurance-Market-Reforms/state_mlr_adj_requests.html Much more comprehensive info on each state "exemption".

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

B35527b232c45def78db4f6949419182

*I should change the phrasing to "The exemption has expired" for NV. Sorry DS...

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

5f13389fd6ea4b6de49bacec84ed7d8f

Skal,, Poor choices of words on my part. I was thinking in terms of extending the time before compliance.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

5f13389fd6ea4b6de49bacec84ed7d8f

And wasn't the Nevada exemption also extended to New Hampshire? With both states expected to be on full compliance by next year?

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

5f13389fd6ea4b6de49bacec84ed7d8f

Damn. My internets are slow today. I'm about a half page behind. Ha! They tell me they are working on my tower. But they lie nearly as often as politicians.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

B35527b232c45def78db4f6949419182

Maine actually got the first exemption. Each state could apply individually. The statecoverage and CMS links above explain the state by state temporary exemptions in much better detail than I can here.

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

B35527b232c45def78db4f6949419182

@DS - it's much easier to scream WAIVER!!! than to actually look at what the waiver's are for and how long they last. Drew- like the guy- but he has been very guilty of this in the past. But at least he's looked.

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

B35527b232c45def78db4f6949419182

http://yodamap.com/posts/48785 Inex has done the same, but he's hopeless. http://yodamap.com/posts/47988 http://yodamap.com/posts/47219

Tjaden Froyda @ about 4 years ago

Rochester, MN 55901, United States

5f13389fd6ea4b6de49bacec84ed7d8f

I've got to admit I had no idea that any insurance companies were paying out less than 65% of premiums for healthcare.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

6c6eb0cfbe9a2159ea7f068813df9076

http://heartland.org/policy-documents/six-types-obamacare-waivers Six different waivers.

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Loudon, OH, USA

6c6eb0cfbe9a2159ea7f068813df9076

Witch one did you get?

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Loudon, OH, USA

6c48fb73634fa41fe7915a7faf370ee7

when is Bama care gonna start lowering the deficit as promised?

Mr. Pink @ about 4 years ago

Portage, OH, USA

5f13389fd6ea4b6de49bacec84ed7d8f

Pink,, I believe the deficit for fy13 will end up being about 28% lower than fy12. Still huge, but lower.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

5f13389fd6ea4b6de49bacec84ed7d8f

If, and that's a big if, Obamacare actually slows the rate of healthcare inflation, the bulk of the savings will be from medicare.

jc @ about 4 years ago

5f13389fd6ea4b6de49bacec84ed7d8f

It's gotta be true. It's right off of the govt website. http://aspe.hhs.gov/health/reports/2013/medicarespendinggrowth/ib.cfm

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

6c6eb0cfbe9a2159ea7f068813df9076

Inflation is the cause of government, only way to stop inflation is to take gov out of the equation. Only way gov is going to save money is by rationing care and out right denying treatment. Medicare is all ready the biggest denial of treatment.

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

6c6eb0cfbe9a2159ea7f068813df9076

Baby boomers are retiring at all time record, you know, the ones in the sixties protesting against the man, now their the man and they don't like the rebelling. So, since their is a record amount of retires getting on medicare,a smaller work force

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Loudon, OH, USA

6c6eb0cfbe9a2159ea7f068813df9076

force paying taxes, and bigger percentage of working age people sucking on the gov nipple, how is this going to reduce expenses, and improve treatment all at the same time ?

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Loudon, OH, USA

5f13389fd6ea4b6de49bacec84ed7d8f

Hey, Dontai. I guess that's why it enjoys the highest user satisfaction rating. I'm on medicare. Love it.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

6c6eb0cfbe9a2159ea7f068813df9076

Their is not going to be any improvements in care, new innovations are not going to happen, and rationing treatment is going to have to happen, so you better hope you don't need the hip replacement, if you do, suck it up and suffer, you out lived

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Loudon, OH, USA

6c6eb0cfbe9a2159ea7f068813df9076

USEFULNESS......

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Loudon, OH, USA

6c6eb0cfbe9a2159ea7f068813df9076

Your still under the old system, just wait 5 years and see if you still love it. I'll be the first to say I was wrong if the ACA works, but anytime gov gets in the way of productivity bad things happen.

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Loudon, OH, USA

6c6eb0cfbe9a2159ea7f068813df9076

Remember Stebilis said " some people live and some people die ", just think, you are putting your health in the hands of a gov agency what's only goal is to keep existing.

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Loudon, OH, USA

6c6eb0cfbe9a2159ea7f068813df9076

http://m.newsbusters.org/blogs/tom-blumer/2009/10/06/deny-guess-who-has-highest-medical-claim-rejection-rate

DONTAISTORM~CITIZEN,OBEY YOUR FEDERAL OVERLORD @ about 4 years ago

Loudon, OH, USA

B434d8af599ffc9ddc53be824c3c0524

Republicans are asking for a bunch of $hit they'll never get. Not that I give much of a $hit anymore. i've lost faith. We're ####ed and "i told you so" isn't very good currency in whats ahead of us.

tasty riff @ about 4 years ago

Lake Havasu City, AZ 86403, USA

5f13389fd6ea4b6de49bacec84ed7d8f

Damn, tasty, that doesn't sound like you. Then again, it's early.

jc @ about 4 years ago

Yellow Springs, OH 45387, USA

6c48fb73634fa41fe7915a7faf370ee7

his period doesn't start for two weeks

Mr. Pink @ about 4 years ago

Carlisle, OH, USA

B35527b232c45def78db4f6949419182

@DS - you're hopeless @jc - the MLR rules may have some effects. as noted above, some pay less than 65% of premiums- and asking them to pay out more was sufficient to destabilize the market...

Tjaden Froyda @ about 4 years ago

Rosemount, MN, USA

Stats

  • Like
    2
  • Dislike
    1
  • Comment
    70

Location

Yellow Springs, OH 45387, USA