“The Patient Protection and Affordable Care Act of 2010 (PPACA) – regardless of the view one has of the legislation – has created enormous disruption. And with disruption comes enormous opportunity, as well as risk. Many provider organizations (e.g. hospitals and physician groups) have responded to the changing healthcare delivery environment by safety in size through merger and acquisition. Payers are also buying or creating partnerships with hospitals, and hospitals are acquiring other hospitals and physician practices to become gigantic systems.”Details
“New estimates suggest that health insurers will pay out more than $1 billion in rebates this year due to a provision in the 2010 health care overhaul.
A success for ObamaCare? Maybe not. The rebates don’t account for premium increases we’ve already seen during the administration’s time in office. And pressure created by the provision, which caps the percentage of each premium dollar that can be spent on profit, marketing, and administrative costs, is likely to contribute to rising premiums rather than control them. “
“In February, the U.S. Department of Health and Human Services issued a ‘guidance bulletin’ regarding the compatibility of health savings accounts with Obamacare’s insurance regulations. According to HSA expert Roy Ramthun, the news isn’t good. ‘HSA plans will not be as affordable as they are today,’ says Ramthun.”Details
“If you like your doctor, you can keep her — unless you’re poor or disabled.
The latest installment of ObamaCare is a scheme that’s uprooting the elderly poor and disabled who get care under Medicare and herding many into state-run Medicaid plans.”
“This year, the actuaries incorporated a more realistic ‘alternative scenario’ for future Medicare spending directly into the trustees’ report. The alternative scenario drops the unrealistic cuts from Obamacare and assumes a permanent ‘doc fix’ to prevent deep cuts in physician reimbursement rates. With these more realistic assumptions, Medicare spending is still headed through the roof. Indeed, in 2085, under the alternative scenario, Medicare spending would reach 10.5 percent of GDP, up from 3.7 percent today.”Details
“Consultants have told some large employers they can save money by dropping health insurance in 2014 and funneling employees into insurance exchanges under the new health-care law, according to a report by congressional Republicans.”Details
“So how is Medicare, the nation’s biggest health care entitlement, doing now? Not so well. Two years after the passage of the Patient Protection Protection and Affordable Care Act, the program’s Trustees are reporting that the seniors’ health program is on a glide path to insolvency—perhaps by as soon as 2016. The technocratic reforms that were supposed to remake the program aren’t working nearly as well as hoped.”Details
“Earlier this week we learned that former Obama Administration official Elizabeth Warren is calling for a repeal of one of Obamacare’s many taxes, and today The Hill is reporting that several Democrats in Congress are starting to regret President Obama’s signature health care law. First there’s Representative Brad Miller (D-NC), who is retiring at the end of this session of Congress:”Details
“The Kaiser Family Foundation estimates that 3.4 million people in the individual market will receive $426 million in consumer rebates because of the Affordable Care Act’s new MLR rules… The average cost of employer-provided family health insurance is now about $13,000 per year. A family rebate of perhaps $200 will amount to only about 1.5% of premium for the relatively few people who will even get one.”Details
“The nonpartisan Government Accountability Office said it’s not clear that the $8.3 billion Medicare Advantage bonus program will improve quality because most of the money is going to plans just rated average. The auditors did find, however, that the bonuses would temporarily ease the pain of unpopular cuts to insurance plans under President Barack Obama’s health care overhaul law.”Details