ObamaCare’s impact on health costs.
ObamaCare is planning to achieve significant savings in Medicare through creating Accountable Care Organizations to coordinate patient care. But these ACOs are unlikely to work because very few doctors and hospitals are equipped to set them up any time soon.
“However, on the whole, large employers
believe PPACA broadens access while failing to make any meaningful changes in the way health
care is delivered by the health care supply chain, and then places the primary burden for paying
for this broadened access on employers and employees.”
“The health-care overhaul has taken some of the flex out of flexible spending accounts, which let workers pay medical expenses with pretax dollars. Starting in January, you’ll no longer be able to use your FSA for over-the-counter drugs and medicines unless you have a doctor’s prescription. Experts agree that the new rules will likely discourage people from tapping their FSAs for routine purchases of aspirin, vitamins, cough medicine and other drugstore essentials.”
“Congress must repeal the new law. Congress cannot build sound market-based health care reform on the PPACA foundation, which is utterly incompatible with a health care system based on consumer choice and free markets.”
Since the subsidies for the uninsured don’t begin until 2014, ObamaCare creates high-risk pools to help the uninsured get coverage. This program is so poorly designed and ill-conceived that instead of insuring hundreds of thousands of people, as expected, only about 8,000 people have coverage in the program.
“AARP’s endorsement helped secure passage of President Barack Obama’s health care overhaul. Now the seniors’ lobby is telling its employees their insurance costs will rise partly as a result of the law. In an e-mail to employees, AARP says health care premiums will increase by 8 percent to 13 percent next year because of rapidly rising medical costs.”
“Until the next presidential election, the short-term tactical agenda for the new de facto majority in Congress remains mostly defund, delay, and debunk. Initiatives to reduce or cut off funding for implementation of the next round of ObamaCare need to be targeted narrowly to succeed… Trying to wind back the ObamaCare implementation clock so that it doesn’t get so dark so early is a more promising approach. Congressional appropriations riders could attach new conditions that must be met before proceeding further.”
“If anyone ever doubted the extent to which Congressional committees could turn good intentions into a bureaucratic nightmare, they need only to look at PPACA’s premium subsidy provisions and their potential impact on insurance exchanges.”
“The overhaul left virtually untouched one big element of our health-care dilemma: the price problem. Simply put, Americans pay much more for each bit of care — tests, procedures, hospital stays, drugs, devices — than people in other rich nations.”
Insurance companies will be forced to comply with new mandates on their administrative spending. This new spending could drive many of them out of business if they have to pay large penalties. “The market is underestimating the impact of minimum MLRs on managed care earnings in 2011 — Unless plans are successful in obtaining the federal income tax adjustment and receive numerous waivers from HHS, our analysis of United’s Golden Rule subsidiary indicates that plans will be forced to pay bigger rebates next year than the market currently anticipates, which means the consensus earnings outlook for next year seems too high.”