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15 state have tried to regulate health care costs by mandating specific MLRs

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eridani Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Mar-21-10 07:51 AM
Original message
15 state have tried to regulate health care costs by mandating specific MLRs
http://www.familiesusa.org/assets/pdfs/medical-loss-ratio.pdf

Abject failure, all the way around. Could it be because the state governments have to rely on insurers themselves for accurate data to calculate MLRs? Gee, whodathunk THAT would have been a problem? :sarcasm:

Many states have laws against recission and denial of coverage for pre-existing conditions as well. Seems that their budgets just aren't up to enforcing them, which would require going up against the insurers' big bux. The obvious solution here is to give insurance companies a trillion of our tax dollars. :sarcasm:

So, the feds, with NO specific agency mandated or funded to enforce the weak tea "regulation" proposed in HCR, are going to do better than the states because why?
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robinblue Donating Member (385 posts) Send PM | Profile | Ignore Sun Mar-21-10 08:09 AM
Response to Original message
1. My major fear, and I think well founded, is that Insur. companies will work
hard to find and USE any loopholes available
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eridani Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Mar-21-10 08:12 AM
Response to Reply #1
2. Count on it
I am not usually an admirer of DiFi, but she did propose an actual agency to regulate premium costs. Good for her! Naturally it was shot down as "not having a budgetary impact." Parliamentarians are free to use sophistry to justify anything, and acting on behalf of the public really could have been done IMO.
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Fumesucker Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Mar-21-10 08:12 AM
Response to Reply #1
3. You mean the loopholes their lobbyists are writing into the bill?
Loopholes you could navigate an oil tanker through sideways?

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eridani Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Mar-21-10 08:16 AM
Response to Reply #3
4. Yep. THOSE loopholes
Our historic "reform" was written by an ex-VP from WellPoint. I'd like to see some tumbrils and guillotines real soon now.
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robinblue Donating Member (385 posts) Send PM | Profile | Ignore Sun Mar-21-10 08:29 AM
Response to Reply #3
6. lol. YES.
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Political Heretic Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Mar-21-10 08:18 AM
Response to Original message
5. MLR mandates without paired price controls actually encourages insurers to raise rates
and heath service providers to raise costs.
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eridani Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Mar-21-10 11:28 PM
Response to Reply #5
7. + 1000 n/t
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mzmolly Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Mar-21-10 11:34 PM
Response to Original message
8. I must disagree as a resident
of one of the states you mention.
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eridani Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-22-10 05:18 AM
Response to Reply #8
12. That would explain why we have to pay twice as much as every other country
--to get worse care.
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mzmolly Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-22-10 09:37 AM
Response to Reply #12
13. Because you're question is unrelated
to your topic.
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leftstreet Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Mar-21-10 11:35 PM
Response to Original message
9. K&R
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berni_mccoy Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Mar-21-10 11:37 PM
Response to Original message
10. First of all, that link is from June. Secondly, most of the state data is inaccurate
As many of the states mentioned don't have laws to back up MLR enforcement.

Furthermore, MLRs on individual plans are running around 60%. 85% is a huge improvement from that.
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eridani Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Mar-21-10 11:49 PM
Response to Reply #10
11. And 85% is no more enforcible
Your plans for getting accurate data from people whose interests are best served by inaccurate data are what, exactly?
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riderinthestorm Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Mar-22-10 10:02 AM
Response to Original message
14. Yup, I've said this before but obviously it bears repetition... nt
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