General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsQuestions about "cancelled plans" FACTS
I apologize is this has been discussed-to-death already and I somehow missed it. If that's the case, toss me a few links and let this one mercifully sink.
Ok, here goes.
My understanding was that the problem of health insurance plans allegedly being cancelled was actually a relatively small number. First of all, the large majority of people have health insurance through their employer, and this issue is irrelevant to them. Right? (for all the points I make here, if I'm mistaken, just kindly point that out, and then maybe things will start making sense to me.)
So let's call all the people who could possibly be affected, the pool.
Secondly, some people in the pool will see that they can get a better plan for less money or at least, not much more, and some of them will go for that, and not give a rat's patootie about their previous plan. This would include people who have just discovered that they've been eligible for Medicaid for awhile now and didn't even know it. Take all these people out of the pool. (Of course, thanks to healthcare.gov website woes, the number that gets dropped from the pool here is probably smaller than it should be.)
Third, some people in the pool have crappy health insurance plans that were actually grandfathered because their insurance company was too incompetent or not greedy enough to try to screw them over. Take them out of the pool. (I have no idea what that number is, and perhaps it's vanishingly small, but as I understand ACA it is at least a theoretical possibility).
There's probably a couple more things reducing the size of the "cancelled policy" pool. Anyway, we started with a fairly small percentage of total health insurance policies, and now we are down to some number less than that.
But on NPR this morning I heard that now some people from various corners, including our oh-so-competent Congress, and our oh-so-moral-and-concerned-for-public-welfare health insurance companies/cabals, that Obama's idea to let this SMALL number of people continue with these crappy policies for ONE YEAR, will TOTALLY FUCK UP the formula and make everyone's rates rise.
Pardon me, but it seems fair to say even without having exact numbers, but knowing that it's a relatively very small number, and only for one year, that makes no sense.
So, my question for the knowledgeable: what ARE the numbers we are talking about? How many "cancelled plans" that are being complained about? (remember, we don't care about someone's plan being cancelled if that someone doesn't care.) Out of a total number of how many insurance plans being issued in any manner nationwide?
Also please note, I'm not trying to pass judgment on the merits of the one-year extension here. I just don't get how it's all that big of a deal from a rate formula standpoint, and if it buys breathing room to fix some technical issues, I'm probably ok with it. For a year.
wercal
(1,370 posts)The goal is 7 million new enrolled. And, approx 5 million have recieved cancel notices. So it does seem that a sizeable portion of the new pool of insured would have come from those with cancelled policies....which will now be delayed.
MH1
(17,600 posts)And, can you tell me where you saw those numbers?
It doesn't seem likely that 5 million got cancel notices and ALL of them have a problem with that. Many are eligible for Medicaid and many others can get better policies cheaper through the exchange.
wercal
(1,370 posts)The 7 Million newly enrolled is the big actuarial target. It seems that many of these were to come from the newly cancelled plan pool. Now thie pool has been delayed a year...ane that is a problem....which is why at least two states immediately announced they would not allow the delay. More to follow I'm sure.
formernaderite
(2,436 posts)and no, not all of the plans were crappy. Many were much better.. but didn't cover things that people didn't need ie maternity care for men or women who were beyond child bearing....
I'm individually insured... I didnt' lose my plan because they began adding and shifting benefits.. which I agreed to. My costs are almost double now, and while I was forced to have ins that covered things I didn't want or need before, you can imagine the crap they've added now.
The ACA marketplace plans have much higher deductibles than my plan...
Next year the employer mandates begin... while large companies have always had ins pools that made the plans more affordable, small companies will have to face skyrocketing rates in order to comply. Well, apparently if your employee pool is older and sicker...then no. But if your pool has too many healthy young people, your rates will go up.
ok... enough for now ( I"m technically on an internet hiatus