“In 2009, using a PPACA-adjusted MLR
definition, we estimated that 29% of insurer-state
observations in the individual market would have
MLRs below the 80% minimum, corresponding to
32% of total enrollment. Nine states would have
at least one-half of their health insurers below the
threshold. If insurers below the MLR threshold
exit the market, major coverage disruption could
occur for those in poor health; we estimated
the range to be between 104,624 and 158,736
member-years.”
“ObamaCare is alive and well and is the law of the land. Not one word of this 2,801 page law has been changed or repealed. It poses a clear and present danger to America’s freedom, prosperity, and health care.
In terms of freedom, ObamaCare may be one of Washington’s biggest broadsides against personal liberty in history.”
“At the heart of the spending problem, of course, is health care, and at the heart of the health-care cost problem is Medicare. The Obamacare ‘solution’ is heavy-handed regulation and government-imposed cost controls. That approach never works, and only erodes the quality of the system. What’s needed is a functioning marketplace, with government oversight and cost-conscious consumers directing the allocation of resources. And that’s exactly what the Ryan plan would deliver.”
Details“After a months-long battle, the Senate voted Tuesday, 87 to 12, to repeal the 1099 tax-reporting requirement in Democrats’ healthcare reform bill. The measure now goes to the president, who is expected to sign it, making it the first part of his party’s signature reform bill to be scrapped.”
Details“Every year, thousands of people make a deal with their doctor: I’ll pay you a fixed annual fee, whether or not I need your services, and in return you’ll see me the day I call, remember who I am and what ails me, and give me your undivided attention. But this arrangement potentially poses a big threat to Medicare and to the new world of medical care envisioned under President Barack Obama’s health overhaul.”
Details“The problem is common here and across the country, especially as states, scrambling to balance their budgets, look for cuts in Medicaid, which is one of their biggest expenditures. And it presents the Obama administration with a major challenge, since the new federal health care law relies heavily on Medicaid to cover many people who now lack health insurance.”
Details“Contrary to federal government promises, ObamaCare will move Louisiana residents off their private insurance and further inflate Medicaid costs, as a new study shows.”
Details“In other words, the new rules constitute a detailed attempt by the federal government to tell primary care doctors, specialists, and other providers exactly how they should work together. Rather than encourage private, market-driven experimentation, ObamaCare’s ACOs create yet another model of care built around satisfying government rules and regulations.”
Details“Access, cost, and quality have long been known as the three-legged stool of health reform. It is hard to improve one without worsening the others. So trade-offs must be made.
But not this time. Congress decided it no longer had to make trade-offs. It could have its cake and eat it, too, by creating (drum roll)…tah daaaaah!…ACCOUNTABLE CARE ORGANIZATIONS (ACOs)!!!!”
“The Senate is slated to take up a House-passed 1099 repeal bill on Tuesday morning that will likely pass, a Republican aide told The Hill on Thursday night. If the House-passed measure gains approval without being amended, the bill goes to President Obama for his signature. “
Details