MUCH More Obamacare TRUTH

It just keeps getting worse for BO's special package. Even those that drew up a model for the peep. Have dropped out.


Dropout by Dartmouth Raises Questions on Health Law Cost-Savings Effort....

In its quest to remake the nation’s health care system, the Obama administration has urged doctors and hospitals to band together to improve care and cut costs, using a model devised by researchers at Dartmouth College.

But Dartmouth itself, facing mounting financial losses in the federal program, has dropped out, raising questions about the future of the new entities known as accountable care organizations, created under the Affordable Care Act.

The entities are in the vanguard of efforts under the health law to move Medicare away from a disjointed fee-for-service system to a new model that rewards doctors who collaborate and coordinate care.

Medicare now has more than 400 accountable care organizations, serving eight million of the 57 million Medicare beneficiaries. Obama administration officials say the new entities are saving money while improving care, but some independent experts have questioned those claims.

An evaluation for the federal government found that Dartmouth’s accountable care organization had reduced Medicare spending on hospital stays, medical procedures, imaging and tests. And it achieved goals for the quality of care. But it was still subject to financial penalties because it did not meet money-saving benchmarks set by federal officials.

“We were cutting costs and saving money and then paying a penalty on top of that,” said Dr. Robert A. Greene, an executive vice president of the Dartmouth-Hitchcock health system. “We would have loved to stay in the federal program, but it was just not sustainable.”

Since accountable care organizations began operation in 2012, a number like Dartmouth have dropped out of the program, citing financial uncertainties and unrealistic benchmarks for spending. Organizations with higher levels of prior spending had a greater ability to achieve cost savings in the first years of the program, by reducing unnecessary services, so they were more likely to qualify for financial rewards, according to the Government Accountability Office, an investigative arm of Congress.

“The agency has, in effect, enacted changes to the Medicare and Medicaid programs while circumventing Congress,” said Representative Tom Price, Republican of Georgia and chairman of the House Budget Committee.

The House Appropriations Committee has approved legislation that would eliminate $7 billion that remains available to the center.....snip~

http://www.nytimes.com/2016/09/11/u...s-on-health-law-cost-savings-effort.html?_r=0

 

Oh, you mean the bloated Pentagon budget.

 

Connecticut is one of 33 states to have expanded Medicaid.

I'm betting it will not rescind its wise decision to do so.

 

LOL, no, the bloated out of control welfare budget.

 

Pentagon = corporate welfare.

Exactly.





While the Pentagon destroys lives while enriching the wealthy elites, Obamacare saves money and lives every day.

 

Pretty sure national defense is constitutional. You probably don't know that. Also the defense budget pales by comparison to the welfare budget.

 

Jefferson and our Founders said NO STANDING ARMY and would have condemned the type of corporate welfare that makes up the Pentagon.





Back on topic:



OBAMACARE SAVES MONEY AND LIVES EVERY DAY.

THANK YOU MR OBAMA!

 

Looks like they are suing and if they don't get what they want. They walk.

 

How many of those 33 states have done so?

Folks in them like to live, that's why they accepted ACA.

 

Looks like all across the country people are going to keep taking the hit over BO's special package. Its falling apart at its seams.




The cost of health insurance plans offered under the Affordable Care Act will jump 20 percent or more next year under rates to be announced Friday by Maryland regulators.

The CEO of Maryland's largest insurer defended the hefty rate increases and said the federal law that expanded health insurance to most Americans needs to be changed if it is to remain sustainable.

"We regret that such rate increases are needed," said Chet Burrell of CareFirst BlueCross BlueShield. "It is the last thing on earth we want. But no company can sustain the kinds of losses we have seen."

The losses came even as high deductibles and out-of-pocket expenses have made health plans too expensive for many Marylanders, said Burrell, who said he still supports the law's expansion of health care coverage.

His remarks came as the Maryland Insurance Administration approved double-digit rate increases for the four companies that sell health plans through the state exchange, an online marketplace set up under the law for people who cannot buy coverage through their employer.

Insurance Commissioner Al Redmer said insurers across the country are facing financial troubles associated with the Affordable Care Act, complaining that they're losing money on exchange plans because the pools of the insured are too small and the members too sick. Some companies, such as Aetna and United Healthcare, are mostly pulling out the exchange business.

He thinks the state should adopt the Basic Health Program, a provision of the Affordable Care Act that essentially expands Medicaid coverage for people whose incomes are just above the eligibility limits. This could help people who can't afford out-of-pocket costs even with subsidies. Few states have joined the program.

"I believe people should be covered, and we as a company have tried to act on that and … in fact took on the burden of the vast majority of Marylanders and did so at a heavy, heavy cost," Burrell said. "But nobody can sustain losses year after year after year. You have to get to financial stability, and the law requires it."....snip~

http://www.baltimoresun.com/health/bs-hs-insurance-rate-increases-20160909-story.html

 

from the above link:



He thinks the state should adopt the Basic Health Program, a provision of the Affordable Care Act that essentially expands Medicaid coverage for people whose incomes are just above the eligibility limits. This could help people who can't afford out-of-pocket costs even with subsidies.



Bingo. The solution is within the ACA. Thanks for confirming what I have said all along.

 

The insurance companies are not dropping out of the exchanges because of people are more sicker than they thought, that is a lie. They are dropping out because the government is not paying the subsidies in the full amount that was promised to them. They are also having to pay the government more in new regulation fees in order to be allowed to do business on the exchanges.

Higher deductibles and narrowing the networks was the strategy used for insurance companies to minimize their risks for people with pre-existing conditions to keep cost down. So it had nothing to do with the population being sicker on the exchanges.

Right now hospital networks are being bought out by insurance companies and they wouldn't do this if hospitals were not earning profits. Even not for profit hospitals are earning substantial surpluses. In Arizona, there are 102 or more hospitals and over 50 of them have merged so far. Gross patient charges billed out for 2014 were over 50 billion but only 12 billion is actually collectable in patient net income. On average 25% is collectable after insurance contract adjustments are written off. They still all combined earned in profit well over 500 million in profits

 

Oh noes.....not another one. Only 6 more left. Then what?



Another ObamaCare co-op folds, leaving only 6 remaining.....

Health Republic Insurance of New Jersey is folding after the state’s insurance commissioner put the Obamacare co-op in “rehabilitation” due to its hazardous financial condition.

The co-op had a liability of $46.3 million under the Affordable Care Act’s risk adjustment program, according to the New Jersey Department of Banking and Insurance. That program was designed to transfer money between insurers in case one insurer had more costly enrollees

“Despite our hard work and growing customer base, the unfortunate necessity for complying with the [Affordable Care Act’s] risk adjustment mandate has put the company under considerable financial strain,” said Tom Dwyer, the co-op’s CEO.

The New Jersey co-op is the 17th Obamacare co-op to collapse, joining other co-ops that have failed including two in Oregon, one each in Illinois, Connecticut, Arizona, Colorado, Kentucky, Michigan, Nevada, New York, Ohio, South Carolina, Tennessee, Louisiana and Utah, as well as a co-op that served both Iowa and Nebraska.

This leaves only six co-ops in existence of the 23 that were originally created under Obamacare....snip~

http://www.foxnews.com/politics/201...are-co-op-folds-leaving-only-6-remaining.html

 

from the same link:



It was the Republicans that insisted Obamacare allows states right to set up their own exchange. That obviously was going to fail.
However, NJ just joins the well-tested federal exchange and carries on. Nothing really changes.





Since the ACA was enacted, Healthcare prices have risen at the slowest rate in 50 years - Bureau of Economic Analysis





Thanks again for affirming that ACA continues to be a success.

 

The cost of providing health care nhas risen due to increased mandatory rules and and regulations while reimbursements have been reduced. And, premiums for some may have gone down and more people have insurance , but deductibles have increased and out of pocket as increased including nthe fact that nmany expenses do nt




go toward out of pocket, it is like and additional deductible and more inpatient care is being denied because ppaca didn't mandate what
T specific care had to be covered. Still only winner is the insurance companies, not hospitals andbdefinately not the providers of care. For them the pay scale provided by the UK would be better. So either hire providers as federal employees or return to the system that existed prior to ppo and HMO.


re hospital. Are

 

as mentioned earlier, health care costs have always been rising - but they have slowed down thanks to ACA

 

Costs if in fact they have only decreased because they are reimbursing doctors less and because insurance costs more and premiums are higher. It has nothing to do with lowering the cost of a providing health care. You simply have no understanding of the process.

 

Yeah, even the NY Times says BO peeps special care package needs some picker uppers.

 

as always you forgot to include the cost of 45,000 Americans dying every year from lack of health care - calculate that in the equation and you will see that ACA is saving lives and money

 

Gov. Mark Dayton said Wednesday that the Affordable Care Act is no longer affordable to many Americans — and that fixing it must be a priority for both state and federal lawmakers next year.

Dayton, who has been among the strongest advocates for the package of health care reforms, said that while the Affordable Care Act has been a success in insuring more people and providing access to insurance for people with preexisting medical conditions, it also has "some serious blemishes and serious deficiencies."

"The reality is the Affordable Care Act is no longer affordable to increasing numbers of people," he said.

Dayton's comments followed the announcement earlier in October that individual premiums for people participating in MNsure will increase next year by an average of 50 to 67 percent. About 250,000 people purchase individual coverage on the market, which has seen other rate jumps and the departure of insurers like Blue Cross as the insurers seek to cover their costs. The governor said Minnesota's rate increases have been higher than those of other states because its rates started lower than others.

But he added that the burden felt by people here is shared by others around the country.....snip~

http://www.startribune.com/dayton-s...-become-unaffordable-needs-reforms/396864871/


Looks like more failure for BO peeps special care package, huh?

 

Well not to be too much of a hard person but it is interesting to ponder whether keeping people alive actually saves or costs money. To be a real hard ass there is no reason to think that keeping a person alive past their productive years could possibly be financially beneficial to the economy as a whole.

Just as a person example I am now retired and will probably spend the next twenty to thirty years spending the money I have accumulated on travel , medical , food etc. probably would be much better for the country if I gave it to my children or grandchildren to start businesses, or buy houses or do all the things that might multiply the value of the money and hopefully provide jobs.

 

Actually he is saying that Congress messed up ACA and can greatly improve it. And that's the truth, too.


By the way, my doctor bill for last month: $ 0.00

Thank you Mr Obama!

 

Tens of thousands have gone back to work thanks to ACA. That productivity makes the legislation worth while.

As for the present IRS tax code, remove the medical deduction that corporations are allowed on their corporate tax returns and see if beneficiaries won't start to scream to get their welfare benefits back. Notice how right wingers who oppose ACA never broach that subject.

 

Actually, he is saying BO peeps special care package needs to be fixed. Why are Democrats now wanting to get rid of the Mandate? Why do they now want to repeal the Medical Device tax?

Btw, so was my doctor's bill......and the two previous months as well. But one thing did change. The Doctor for Oncology. Imagine that.

 

Dems do not want to end ACA but to expand it.
All patriots who value people's lives should do the same.