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Health Insurance Costs: Shocking Premium Increases Comi... - 2/18/2010 11:52:28 AM   
Brain


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It looks like this is the last chance for Obama and the Democrats to give us the change he promised on healthcare. I think this is on TV Thursday, February 25th. Obama has invited Republican to the health-care summit so he can hear their ideas. Somebody has to be there to represent Republican ideas otherwise there will be empty chairs. Republicans are saying this is nothing more than a trap which is ridiculous. Because Republicans don't have any ideas they are calling this a trap. Bipartisan compromise is political suicide for those who have demonized Obama.

My preference is to use reconciliation which only requires 51 votes and means we can get a better bill.

Health Insurance Costs: 'Shocking' Premium Increases Coming, Says Health And Human Services Dept.

"This shocking increase isn't unique," said the report, being presented by Secretary Kathleen Sebelius at a news conference Thursday. "Across the country, families have seen their premiums skyrocket in recent years, and experts predict these increases will continue."

With his drive for health care overhaul bogged down, President Barack Obama has seized on the Anthem premium increases as Exhibit A to make his case for sweeping change before a bipartisan White House summit next week. California officials say 700,000 households face increases averaging 25 percent overall and as high as 39 percent for some.

The HHS report found that those numbers are in line with increases sought by insurers in other states – at a time of robust profit growth for the companies and a lack of competition in most states.

For example, Anthem in Maine was denied an 18.5 percent increase last year and is now requesting that state regulators approve a 23 percent rise. Maine is home to Sens. Olympia Snowe and Susan Collins, Republican moderates whose support Obama would like to have for his health care legislation.

Michigan's Blue Cross Blue Shield plan requested approval for premium increases of 56 percent in 2009. And in the state of Washington, rates for some individual health plans increased by up to 40 percent until regulators cracked down.

Other states cited in the report were Connecticut, Oregon and Rhode Island.

The premium increases affect the most vulnerable part of the health insurance market, policies marketed individually to customers buying their own plans. According to the Census Bureau, only about 9 percent of Americans purchase coverage directly, while nearly 60 percent are covered under employer plans. Family premiums for those with workplace coverage rose 5 percent last year, even as inflation fell 1 percent, but nowhere near the rates seen in the individual market.

http://www.huffingtonpost.com/2010/02/18/health-insurance-costs-sh_n_466937.html
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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 12:31:59 PM   
Fellow


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Is there anything wrong with it? How to deal with increasing cost? Borrow from Chinese?

(in reply to Brain)
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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 12:47:58 PM   
willbeurdaddy


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You obviously don't understand reconciliation. Only parts of it require only 51 votes, and you can't get a "better bill" at this point without it being subject to a new cloture vote.

(in reply to Brain)
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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 6:57:24 PM   
Marini


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Brain, maybe this is the change that is needed to HELP create "some form" of
health care reform.
At some point, people are going to gather together, raise the hell up and begin
to protest.
If/When enough Americans all over the country become fed up, and can't AFFORD

to pay for health insurance, you would be surprised how effective that could be.
 
Taking it to the streets can really help change things.
Health insurance is going up from coast to coast.
 
On Both Coasts, States Face Off With Rising Health Costs - Shots - Health News Blog : NPR

< Message edited by Marini -- 2/18/2010 7:13:57 PM >


_____________________________

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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 7:20:06 PM   
Brain


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Maybe, but I understand they have 52 Senators that are strong possibilities to go for a public option and that is exactly how they passed Cobra and children's healthcare. And 16 of those senators have put their support for a public option in writing.

It ain't over until the fat lady sings or it ain't over until it's over.

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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 7:29:39 PM   
servantforuse


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Shocking tax increases will also be on the way. Bend over..

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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 7:31:01 PM   
DarkSteven


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COBRA has been around for quite a while.  I used it way back when Clinton was President.

That said, the premium increases are the sort of crap we've gotten accustomed to over the years.  But the administration is trying to make it look like they're the result of the GOP blocking the health care bill.

Obama's doing exactly what he should be doing.  He's forcing the GOP to either play along with him or be considered an obstructionist party.  Note how he's pointed out that the GOP will fight him on the stimulus but cut the ribbons on their home state projects.


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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 7:33:59 PM   
pahunkboy


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what is so shocking?

they do this all the time.

(in reply to DarkSteven)
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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 7:51:48 PM   
Brain


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That's a lie. It was Republicans that wanted working families with health insurance to tax those "Cadillac plans" because they didn't want to tax the rich using income tax.

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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 7:56:01 PM   
Brain


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There is no doubt in my mind health insurance would be much cheaper for everyone with a public option in addition to everyone being covered. If they can pass cobra using reconciliation they can do it again to pass healthcare reform with the public option.

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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 7:57:33 PM   
Brain


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Don't listen to him because the only way they can stop this is to scare people with lies

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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 8:00:08 PM   
servantforuse


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Now Obama made a deal with the unions to exempt their cadillac plans from being taxed..Quid per Quo...Follow the money..

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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 8:01:42 PM   
DarkSteven


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quote:

ORIGINAL: Brain

There is no doubt in my mind health insurance would be much cheaper for everyone with a public option in addition to everyone being covered. If they can pass cobra using reconciliation they can do it again to pass healthcare reform with the public option.


Brain, please explain.  I confess that I don't even know what the public option is, and I don't know how it would be cheaper for everyone.  I've said all along that the only proper way to proceed is to drive down the costs of health care as a first step, and I've been afraid that any attempts by the government to get involved will simply shift costs and whenever the people who get care are not the same ones getting it, you lose free market competition and prices rise naturally.


_____________________________

"You women....

The small-breasted ones want larger breasts. The large-breasted ones want smaller ones. The straight-haired ones curl their hair, and the curly-haired ones straighten theirs...

Quit fretting. We men love you."

(in reply to Brain)
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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 9:26:40 PM   
Brain


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I'll give up when I'm dead, greedy bastards that they are.

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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 10:00:31 PM   
Brain


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Watch this for starters and I am looking for another link too. The public option forces competition on the insurance companies so they have to give us better prices/rates.

Bill Moyers on Max Baucus and Senate health insurance reform bill

BILL MOYERS: You know from the news that early next week the Senate Finance Committee is expected to vote on its version of health care reform. And therein lies another story of money and politics.

Polls show the overwhelming majority of Americans favor a non-profit alternative -- like Medicare -- that would give the private health insurance industry some competition. But if so many Americans and the President himself want that public option, how come we're not getting one?

Because, the medicine has been poisoned from day one, in part because of that same revolving door that Congresswoman Kaptur and Simon Johnson were just talking about. Movers and shakers rotate between government and the lucrative private sector at a speed so dizzying they forget who they're working for.


http://www.youtube.com/watch?v=pg7xhTyOtAk



quote:

ORIGINAL: DarkSteven

quote:

ORIGINAL: Brain

There is no doubt in my mind health insurance would be much cheaper for everyone with a public option in addition to everyone being covered. If they can pass cobra using reconciliation they can do it again to pass healthcare reform with the public option.


Brain, please explain.  I confess that I don't even know what the public option is, and I don't know how it would be cheaper for everyone.  I've said all along that the only proper way to proceed is to drive down the costs of health care as a first step, and I've been afraid that any attempts by the government to get involved will simply shift costs and whenever the people who get care are not the same ones getting it, you lose free market competition and prices rise naturally.



(in reply to DarkSteven)
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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/18/2010 10:26:55 PM   
Brain


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watch this too, I'm going to watch it again myself

Wendell Potter on Profits Before Patients

http://www.pbs.org/moyers/journal/07102009/profile.html

(in reply to DarkSteven)
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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/19/2010 2:01:12 AM   
Brain


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They're out of control like a heroin adict that can't stop:

Premiums jump 14 percent on Medicare private plans - Yahoo! News

By RICARDO ALONSO-ZALDIVAR, Associated Press Writer Ricardo Alonso-zaldivar, Associated Press Writer – 28 mins ago
WASHINGTON – Millions of seniors who signed up for popular private health plans through Medicare are facing sharp premium increases this year — another sign that spiraling costs are a problem even for those with solid insurance.

A study to be released Friday by a major consulting firm found that premiums for Medicare Advantage plans offering medical and prescription drug coverage jumped 14.2 percent on average in 2010, after an increase of only 5.2 percent the previous year. Some 8.5 million elderly and disabled Americans are in the plans, which provide more comprehensive coverage than traditional Medicare.

"These premium increases fit within a broader trend of increased financial pressure on the insured," said Lindsey Spindle, a vice president of Avalere Health, a data analysis firm that produced the statistical study. "We see very large premium increases and a continued upward creep in how much out-of-pocket expenses beneficiaries are expected to pay, such as copayments."

The Medicare findings are bad news for President Barack Obama and his health care overhaul, bogged down in Congress. That's because the higher Medicare Advantage premiums for 2010 followed a cut in government payments to the private plans last year. And the Democratic bills pending in Congress call for even more cuts, expected to force many seniors to drop out of what has been a rapidly growing alternative to traditional Medicare.

Republicans have seized on the Medicare Advantage cuts in their campaign to derail the health care bills, and seniors are listening. Polls show they are they are more skeptical of the legislation than the public as a whole, even though Democrats would also reinforce original Medicare by improving preventive benefits and narrowing the prescription coverage gap. About three-fourths of Medicare recipients remain in the traditional program.

The Avalere study found that the average monthly Medicare Advantage premium for 2010 is $39.61, representing an increase of nearly $5 a month from the previous year. That compares with a rise of less than $1.75 a month in 2009. The averages are adjusted based on enrollment levels in particular plans that offer medical and prescription coverage, reflecting the choices that seniors make.

Seniors who did not shop around for lower-priced coverage during open enrollment in the fall got hit with some of the biggest increases, averaging 22 percent.

The report on Medicare comes after a series of double-digit premium increases around the country for privately insured working households who buy their own coverage. Obama has cited those increases as an argument for reviving his stalled health care overhaul plan.

Administration officials did not dispute the Avalere study, but they sought to pin responsibility on the private insurers that participate in the program, a list that includes such industry giants as UnitedHealthcare and Aetna. Nonpartisan technical advisers to Congress say Medicare Advantage plans are being overpaid because of a flawed formula.

"Medicare Advantage plans continue to be paid about 13 percent more than original Medicare," said Medicare spokesman Peter Ashkenaz. "The plans need to explain why these increases are necessary."

Eric Hammelman, a senior Avalere data analyst, said that after the government cut payments to the plans last year, the insurers faced a choice. "They could raise premiums or lower benefits, and what most of them decided to do was raise premiums," he said.

The study also found that Medicare Advantage premium increases varied by the type of plans that seniors picked. Private fee-for-service plans, which offer a broad choice of doctors and hospitals, saw increases averaging 31.2 percent. Health maintenance organizations, which account for most of the program enrollment, had an increase of 11.3 percent. Preferred provider organizations — some of which already have high premiums — experienced more modest increases.

Avalere serves industry, government and private foundations, analyzing Medicare financial data.

http://news.yahoo.com/s/ap/20100219/ap_on_bi_ge/us_medicare_costs;_ylt=ArB0GKVYJm1FxWGbDx0dzeGs0NUE;_ylu=X3oDMTNoa3MxcTkwBGFzc2V0A2FwLzIwMTAwMjE5L3VzX21lZGljYXJlX2Nvc3RzBGNjb2RlA21vc3Rwb3B1bGFyBGNwb3MDMQRwb3MDMQRwdANob21lX2Nva2UEc2VjA3luX3RvcF9zdG9yeQRzbGsDYWNyb3dkb2ZkZW1v

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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/19/2010 3:00:57 AM   
eyesopened


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In order to compare apples to apples you need to look at increases in Medicare Advantage plans compared to Medicare Supplemental insurance plans.  How did the Supplemental plans compare?  Any premium increases there?  Do you understand what Medicare Advantage is, how it works, how it compares to people paying for supplemental insurance + Medicare?  What about combined plans that include Part D?

What is your suggested solution?

It is my opinion that everyone is looking for short-term band-aids and no one is looking 10 or 50 years in the future.

Wellness costs less than illness.  The "once of prevention is worth a pound of cure" is correct.  If we could get a public plan that covers 100% of the cost of wellness then the overall cost of healthcare would decrease in time as would insurance premiums.  If everyone went to their doctor every year and got a physical exam, cancer screenings, screenings for major organ disease, then disease would be prevented or caught early enough to get early, much less expensive treatments.  If we just got that much as a public plan, I think it would make a huge difference in the future of healthcare costs and the overall health of our country.  Make it a use-it-or-lose-it plan so that people would be financially encouraged to take care of their health, their wellness and not expect the taxpayers (or insurance) to pay later for their poor lifestyle choices. 



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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/19/2010 9:46:49 AM   
rulemylife


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quote:

ORIGINAL: Fellow

Is there anything wrong with it? How to deal with increasing cost? Borrow from Chinese?


Can you explain to me how inflation remains extremely low yet we have these increasing costs continuously in the health care industry?

Are the health insurers a victim of something I don't know about that forces them into 20% annual rate increases?

Oh yeah, I forgot.  It's called greed.

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RE: Health Insurance Costs: Shocking Premium Increases ... - 2/19/2010 10:52:49 AM   
eyesopened


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Okay let me explain the complicated thing that is Medicare Part D.

First, CMS comes up with a number... a premium for prescription drug coverage. 
Next, private insurers "bid" to have their plans approved.  They supply a dollar amount they say accept as a premium for coverage.
Lastly, after all bids are in and all plans approved, only then does CMS reveal their secret number, the amount they are willing to hand over to the insurance company.

So if BlueCross of Georgia needs $45 a month and CMS's secret number was $30, then BlueCross must offer their plan at $15 per month to beneficaries.  If BlueCross had "bid" $28 then BlueCross could offer the plan to Medicare beneficiaries at $0 plan premium.

I've seen premiums decrease with the health insurance company I worked for.  The premiums vary because CMS's secret number varies.  You guess wrong, you end up asking for a higher premium.  Guess what, you will lose your business to a different company.  There are so many choices for Medicare Advantage that it would not make sense to stay with a high-priced plan.

A Medicare Advantage plan cannot quote premiums based on individuals.  It must be the same premium for everybody in their service area (geographical) and can never be raised due to claims, age, disease etc and can never be cancelled for any reason other than non-payment of premium (if any), unless of course they just want to get out of the MA business altogether.  MA plans cannot put a cap on the amount of coverage.  Unlike our employer-sponsored or private insurance which caps at $1-million or $2-million, an MA plan must mimic Medicare and cannot cap coverage.

I don't know about truly private health insurance.  I have always had a group plan.  A group plan must treat each eligible member the same regarding premiums.  My issue with health insurance is when they deny coverage because there was a lapse (usually because someone was unemployed) or because of pre-existing condition.  Sometimes their definition of pre-existing has come into question.  Insurance isn't necessarily an evil thing. 

The whole thing is broken!  Here's an example:  I have an appointment for a bone scan.  I called the doc's billing office because my insurance says they pay 90% of the allowed amount.  I wanted to know what would come out of my pocket.  Here's what I learned.  If I were "self pay" they would charge $156.  They bill my HMO $200.  My HMO's contract says they allow $70.  The doc accepts their $70 and my 10% co-insurance amount of $7 so they get $77 for the procedure cuz I'm insured and if I weren't insured they'd get $156.   Can anyone explain to me why this is?  And how does this make my insurance company greedy?

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