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Trainwreck, Continued: Eight New Pieces of Bad Obamacare News

maxparrish

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While another thread competes with dueling anecdotes (which can be illuminating) I thought it might be useful to elevate it to a macro level. While I do not necessarily agree fully with each point, most have a valid and substantive basis.

http://townhall.com/tipsheet/guyben...r-two-tax-season-headaches-predicted-n1887029

Who's up for the latest batch of bad Obamacare-related news?

(1) Consumers brace for the second full year of Obamacare implementation, as the average individual market premium hike clocks in at eight percent -- with some rates spiking by as much as 30 percent....

(2) "Wide swings in prices," with some experiencing "double digit increases."(Remember what we were promised):
Insurance executives and managers of the online marketplaces are already girding for the coming open enrollment period, saying they fear it could be even more difficult than the last. One challenge facing consumers will be wide swings in prices. Some insurers are seeking double-digit price increases…

(3) A nightmarish tax season, via Philip Klein:

The top executive for H&R Block, the nation’s largest tax preparer, on Wednesday said he expected President Obama’s health care law to add “significant complexity” to next year’s tax season...“As expected, the forms are very detailed and can present significant complexity, depending on a filer’s coverage status during the year, income level, and household composition,” Cobb said. “Depending on their situation, there are instances where filers may need to file multiple new tax forms and complete additional worksheets.” Starting with next year’s tax season, individuals who do not have health insurance that meets federal requirements will be subject to penalties. But there are various categories of individuals who could be exempted. “Depending on the type of exemption, the process to claim it could be quite cumbersome and time consuming,” Cobb said.

(4) Rural hospitals closing down:

Small, rural hospitals like Linden have always struggled to remain viable, but things are getting worse, fast. Rural communities are shrinking at a time when healthcare providers are being pressured to cut costs and release patients sooner. Twenty-four rural hospitals have closed across the country since the start of 2013, double the pace of the previous 20 months, according to the North Carolina Rural Health Research Program….Now the Affordable Care Act, better known as Obamacare, is bringing additional pressure. Obamacare is designed to fold the poor and uninsured into the healthcare system, but changes in how the federal government pays for the disadvantaged are already pressuring the hospitals that cater to them, such as rural ones.

(5) Thanks, taxpayers. Please enjoy the unironic use of "unlikely:"...

With an $8 billion tax on insurers due Sept. 30 — the first time the new tax is being collected — the industry is getting help from an unlikely source: taxpayers. States and the federal government will spend at least $700 million this year to pay the tax for their Medicaid health plans. The three dozen states that use Medicaid managed care plans will give those insurers more money to cover the new expense. Many of those states – such as Florida, Louisiana and Tennessee – did not expand Medicaid as the law allows, and in the process turned down billions in new federal dollars. Other insurers are getting some help paying the tax as well. Private insurers are passing the tax onto policyholders in the form of higher premiums. Medicare health plans are getting the tax covered by the federal government via higher reimbursement.

(6) One of Obamacare's chief architects is proudly predicting that 80 percent of employer-based healthcare plans will disappear within the next decade. Administration officials offered similar projections in private, even as Democrats repeatedly promised that Americans could keep their existing coverage, with which the vast majority were satisfied:...

(7) The federal health spending "cost curve" continues to point up, not down (as promised), as health spending increases, via the government's own actuaries:...

The combined effects of the Affordable Care Act’s coverage expansions, faster economic growth, and population aging are expected to fuel health spending growth this year and thereafter (5.6 percent in 2014 and 6.0 percent per year for 2015–23)...Because health spending is projected to grow 1.1 percentage points faster than the average economic growth during 2013–23, the health share of the gross domestic product is expected to rise from 17.2 percent in 2012 to 19.3 percent in 2023.

(8) Hampering the economy:

Last month, the Federal Reserve Bank of New York published two surveys of regional employers—one focused on manufacturing businesses, one on service companies—and asked them how Obamacare was affecting their businesses. For 2015, 33.3 percent of service firms said Obamacare was increasing their costs “a lot,” whereas 51.2 percent of manufacturing firms said the same. While almost no firms said they would be dropping health coverage for their workers, 16.9 percent of service firms and 21.6 percent of manufacturers said they would be reducing their workforce due to Obamacare. 21.8 and 20.5 percent, respectively, said they would be reducing wage and salary compensation. 25 and 36.4 percent, respectively, said they would be raising prices for their customers.

Avik Roy spells out the three primary ways in which the "Affordable" Care Act acts as a wet blanket on the US job market: (a) Obamacare is one of the largest tax increases in U.S. history; (b) Obamacare increases the cost of employing workers; (c) Obamacare’s exchange subsidies encourage many workers to drop out. Click through for details. In fact, the nonpartisan CBO released new numbers this week that underscore our halting economic progress:...

What a great plan!
 
Pretty sure people would take ksening over dismaling any day.
 
Who's up for the latest batch of bad Obamacare-related news?

(1) Consumers brace for the second full year of Obamacare implementation, as the average individual market premium hike clocks in at eight percent -- with some rates spiking by as much as 30 percent....

Hard to check the data behind the paywall, but the source is the WSJ, no longer known for integrity and fact checking. Perhaps someone can fetch the source?

(2) "Wide swings in prices," with some experiencing "double digit increases."
From the source it sounds like some plans are going up in price to increase profits, some are going downing price to attract customers... sounds like some sort of a free market is at work? Almost as if Obama does control the prices! I know mine are going down $100 per month.

(3) A nightmarish tax season, via Philip Klein:
Yep. An executive who isn't a tax preparer. Not like thy have some sort of computer program that does all this. Better buy more adding machines Phillip.

(4) Rural hospitals closing down:
From the article: because of population decreases and a smaller part insurance companies pressuring them to cut costs to preserve shareholder value.


(5) Thanks, taxpayers. Please enjoy the unironic use of "unlikely:"...
Oh my god. Tax payers are going to pay for Medicare! A government program.


(6) One of Obamacare's chief architects is proudly predicting that 80 percent of employer-based healthcare plans will disappear within the next decade.
Oh nos. It's like people might have to chose their own instead of continuing on with their employers crappy coverage.

(7) The federal health spending "cost curve" continues to point up, not down (as promised), as health spending increases, via the government's own actuaries:...
Yes, we have always had healthcare premium cuts before the ACA.


(8) Hampering the economy:
But somehow these companies are not dropping coverage, limiting production or going out of business. must be some kind of profit thing they got going.
 
Nice Squirrel: The WSJ is easy to bypass. Paste the title into Google, find the article and follow the link. It won't be paywalled.

I think what he's referring to is:

WSJ said:
Rates will be a mixed bag—based on figures for 31 states and the District of Columbia, the average premium increase would be 8%, according to PwC's Health Research Institute. But the individual moves ranged from proposed 23% cuts for two plans to increases of more than 30% for a few other plans.

I see no source for this data, though. Since 8% is actually better than pre-ACA rate increases this isn't a trainwreck.

Point #2: Sounds like a rehash of #1.

Point #3: Sounds like some oddball cases require a lot of forms. Most returns are prepared by computer these days, though--who cares how many forms are involved? I trust the computer to deal with all the secondary forms, I don't care about them.

Point #4: This one sounds somewhat on target--yes there are changes that aren't good for the hospitals but that's been going on for a while, I wouldn't blame the ACA. And the primary problem is the rural population is shrinking.

Point #5: Sounds like doubletalk to me.

Point #6: Few employers will have the same coverage by 2020 anyway even without the ACA. I would expect *MORE* stability of coverage.

Point #7: Deceptive. This is really just a rehash of point #1.

Point #8: A lot of garbage health plans are getting forced out of the system.
 
Point #8: A lot of garbage health plans are getting forced out of the system.
Of course they are as it should be. It is unconscionable that an employer would portray a crumb group plan or "garbage plan" as a benefit to their employees. More importantly, the notion of access to health care being dependent on employers' provided plans must be challenged to the point of dismantling such system.
 
"In the six years leading up to 2012, Linden's admissions dropped to just over four patients a day on average, from about 10 patients in 2007, according to state data. Fewer than one person per hour came to the emergency room in 2014.

Linden had 1,988 residents in the 2010 census, down nearly 12 percent in a decade.

Good Shepherd blamed losses on a paucity of patients and federal cuts to reimbursement in Medicaid and Medicare. For example, Medicare payments were cut 2 percent as part of the sequestration federal budget battle in 2013."

"Hospitals in states that don't expand Medicaid will see their profit margins drop by a few percentage-points by 2021, reported research firm The Advisory Board Company. "For many, that could be the difference between being profitable, and being in the red," the firm wrote on its website in July.

The majority of rural residents in the United States live in states which are not expanding Medicaid, reported the North Carolina Rural Health Research Program. A majority of the 24 hospitals closed since the start of 2013 are in those states."

http://www.reuters.com

My bolding.
 
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