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Old 05-01-2013, 04:47 PM   #461
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Actually, I think there is something about this (retiree coverege) in the ACA. Don't quote me, but I think it has to do with whether the employer is paying at least 50% of the cost of the policy, and whether it is considered "affordable" as a percentage of you income. I don't think everyone (retired or not) to just opt out of an employee-paid plan and go to the exchange for coverage. Our problem is that we can't get much specific information from the megacorp - seems like they don't want to commit to anything. So it's hard to know where we will be.
There is a flowchart here from Kaiser that may help. Question maybe if a retiree plan is considered an employer plan since you are not actually employed. From the flow chart, you can choose the employer plan or the exchange plan. The amount covered by the employer determines if the subsidies are available.

How People Get Coverage Under the Affordable Care Act - Kaiser Health Reform
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Old 05-01-2013, 05:15 PM   #462
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Very well done article in the WSJ yesterday April 30. Documents the huge increases in premiums apparently imminent. They estimate damage to 30-40 million people caused by increases and employment cutbacks!! Premiums expected to rise for 30 percent of us alone. Article was written by Daniel Kessler a Professor at Stanford.

Daniel Kessler: The Coming ObamaCare Shock - WSJ.com
Please note that this is an editorial piece from the Opinion section of the paper. Use Google to reference other works by Daniel Kessler, and you may see a certain bias. May or may not be a kindred spirit, but he does seem to be grinding an axe of some form.

The editorial does mention that some 6 million out of 19 million on individual insurance will see premium increases. Note that that leaves 13 million on individual insurance with premiums unchanged or decreasing. This is roughly what I would expect from the clauses in the PPACA law that narrow the range of premiums to the highest being 3X the rate for the lowest for any given policy. Extremely low priced policies, such as my daughter's high deductible HSA eligible plan will become more expensive for her age group. The huge percentage hike corresponds to a rise in price of about $60/month (before subsidies).
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Old 05-01-2013, 07:05 PM   #463
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Please note that this is an editorial piece from the Opinion section of the paper. Use Google to reference other works by Daniel Kessler, and you may see a certain bias. May or may not be a kindred spirit, but he does seem to be grinding an axe of some form.

The editorial does mention that some 6 million out of 19 million on individual insurance will see premium increases. Note that that leaves 13 million on individual insurance with premiums unchanged or decreasing. This is roughly what I would expect from the clauses in the PPACA law that narrow the range of premiums to the highest being 3X the rate for the lowest for any given policy. Extremely low priced policies, such as my daughter's high deductible HSA eligible plan will become more expensive for her age group. The huge percentage hike corresponds to a rise in price of about $60/month (before subsidies).
So for the sake of argument only assume that the median premium remained the same, then 40% would see an increase 40% a decrease and the middle would stay the same.
Now its likley the curve will be shifted somewhat to the higher cost side, as more things are covered than under older policies, such as preventative tests, which can run 3k on up for some, as well as other extensions.So to be a concern one would have to say that the median premium went up, as in any simple re-shuffle there will be a bell curve of those affected.
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Old 05-01-2013, 08:47 PM   #464
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Funny, this appears to me as an opinion piece, not a "news" article. And it is from a newspaper owned by Rupert Murdock, famous for his impartiality - especially regarding Fox News network.
While I fully agree that Mr.Kessler's piece is editorial content (and was presented as such by WSJ), attacking the publication & owner/publisher is not a logically valid argument against Kessler's thesis. Until actual 2014 premiums (and employment data) are published, all writings on this point remain opinion/speculation.
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Old 05-02-2013, 04:15 AM   #465
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Until actual 2014 premiums (and employment data) are published, all writings on this point remain opinion/speculation.
Including Kessler's.

What does seem likely is that many states have so poorly funded their efforts to ramp up for ACA that they've created a catastrophe-in-waiting through their penny-wise/pound-foolish approach.

By comparison, the "harm" of upgrading from what is arguably inadequate insurance to what is compliant insurance is a nitpick.
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Old 05-02-2013, 05:55 AM   #466
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While I fully agree that Mr.Kessler's piece is editorial content (and was presented as such by WSJ), attacking the publication & owner/publisher is not a logically valid argument against Kessler's thesis. Until actual 2014 premiums (and employment data) are published, all writings on this point remain opinion/speculation.
The article has many interesting facts. Lets stick to the facts shall we. I have recently priced a policy for myself and family. It would be $18K. I suppose I would be one of the 35 percent. Attacking a publication when you do not agree with the facts is a very weak way to go. If there are other facts, lets see them.
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Old 05-02-2013, 06:11 AM   #467
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Until actual 2014 premiums (and employment data) are published, all writings on this point remain opinion/speculation.
There is plenty of hard data, certainly enough to make credible comparisons and present informed analysis. Estimates of premium prices, however, need to include basic elements such as levels of coverage, actuarial value and cost sharing. Otherwise the numbers used (and conclusions) have little meaning. The data is out there and available today, but it's not being used. That's why I look at sources such as KFF.
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Old 05-02-2013, 06:22 AM   #468
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.....What does seem likely is that many states have so poorly funded their efforts to ramp up for ACA that they've created a catastrophe-in-waiting through their penny-wise/pound-foolish approach. ....
And what seems equally likely to me is that there are a bunch of chicken littles screaming that the sky is falling and that while there will be the inevitable bumps associated with significant change that it will not be the disaster that some believe. (and I've never been a big fan of ACA to begin with).
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Old 05-02-2013, 06:29 AM   #469
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I agree that there are inevitable bumps associated with significant change, but please do understand that there are problems brewing that are directly associated to underfunding of or late starting of work toward the introduction of ACA by the states. Some of this has already been made public; other instances have not yet been.
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Old 05-02-2013, 08:33 AM   #470
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There is plenty of hard data, certainly enough to make credible comparisons and present informed analysis. Estimates of premium prices, however, need to include basic elements such as levels of coverage, actuarial value and cost sharing. Otherwise the numbers used (and conclusions) have little meaning. The data is out there and available today, but it's not being used. That's why I look at sources such as KFF.
Except for a couple HUGE factors, like the exchanges are not set up yet, and the insurers who will be involved in those exchanges have not released their remium rates yet. However, most of the big insurers have increased premiums 15-25% THIS year, no doubt in expectation of the implementation of Obamacare. The guidelines in the link are from JUly 2012. Most of the regulations have not yet been written, something I have heard little about. If one listens to the rhetoric coming out of Washington, there will be big changes coming..........
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Old 05-02-2013, 08:38 AM   #471
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What does seem likely is that many states have so poorly funded their efforts to ramp up for ACA that they've created a catastrophe-in-waiting through their penny-wise/pound-foolish approach.
And those states were right to do so. The federal govt would like nothing more than to have the states shoulder the implementation of Obamacare. Why set up a state run exchange, only to have the feds reduce the funds in the future, which they are notorious for doing based on past experience?

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By comparison, the "harm" of upgrading from what is arguably inadequate insurance to what is compliant insurance is a nitpick.
It's not nitpick when we all will be paying a lot more for health insurance.........
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Old 05-02-2013, 09:43 AM   #472
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Except for a couple HUGE factors, like the exchanges are not set up yet, and the insurers who will be involved in those exchanges have not released their remium rates yet. However, most of the big insurers have increased premiums 15-25% THIS year, no doubt in expectation of the implementation of Obamacare. The guidelines in the link are from JUly 2012. Most of the regulations have not yet been written, something I have heard little about. If one listens to the rhetoric coming out of Washington, there will be big changes coming..........[IMG]file:///C:/Users/mbg/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif[/IMG]
My point was, and is, that there is sufficient data about rates to make meaningful and useful comparisons. Absent hard data and with no analytics, what appears in the paper, and elsewhere, is really a rant.

Most of the regulations have been written, reviewed, revised, publuished and implemented. The rest were written and published for review and commentary, updated, and final versions being released.
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Old 05-02-2013, 11:15 AM   #473
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Except for a couple HUGE factors, like the exchanges are not set up yet, and the insurers who will be involved in those exchanges have not released their remium rates yet.
Anyone who expected to see these things before the official deadline of October 1 was misled. To be fair, that deadline might not be met in all cases, for the reason I mentioned earlier... that many states that committed to handling their own exchanges have grossly under-resourced the effort.

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However, most of the big insurers have increased premiums 15-25% THIS year, no doubt in expectation of the implementation of Obamacare.
You must be using the term "no doubt" in a manner inconsistent with my understanding of its meaning. Our plan is already ACA-complaint - has been for years, even vis a vis the new requirements - and yet come March, our next open enrollment period, I bet we'll have a nice increase, because health care costs go up every year due to inflation.

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And those states were right to do so.
What logic is there to commit to do something and then neglect your commitment?

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The federal govt would like nothing more than to have the states shoulder the implementation of Obamacare. Why set up a state run exchange, only to have the feds reduce the funds in the future, which they are notorious for doing based on past experience?
The states had the option to dump responsibility for the exchanges onto the federal government.

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It's not nitpick when we [on average] will be paying a lot more for [adequate] health insurance [then we were paying for inadequate health insurance] .........
Fixed your comment so it was a reply to the statement it was posted in reply to; unfortunately, that made your comment doesn't have the same significance as compared to when it was responding to something I didn't say.
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Old 05-02-2013, 11:21 AM   #474
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There is plenty of hard data, certainly enough to make credible comparisons and present informed analysis. Estimates of premium prices, however, need to include basic elements such as levels of coverage, actuarial value and cost sharing. Otherwise the numbers used (and conclusions) have little meaning. The data is out there and available today, but it's not being used. That's why I look at sources such as KFF.
I do wish the KFF calculator would put up more options than just "single" and "family of 4", though. I think I've figured out how to "read between the lines" and get an estimate for a "family of 2" by figuring out the percentage of income we're expected to pay relative to the poverty line for any given family size, but it's a little bit of a hassle.
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Old 05-02-2013, 11:32 AM   #475
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I do wish the KFF calculator would put up more options than just "single" and "family of 4", though. I think I've figured out how to "read between the lines" and get an estimate for a "family of 2" by figuring out the percentage of income we're expected to pay relative to the poverty line for any given family size, but it's a little bit of a hassle.
Have you tried the Berkeley calculator? It has more detail and may provide what you are looking for. National Health Care Calculator
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Old 05-02-2013, 11:34 AM   #476
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Have you tried the Berkeley calculator? It has a great deal more detail. National Health Care Calculator
Ah, thanks. I think I saw that one once and forgot about it. Looks like it's doing most of the work I did manually with the KFF calculator: first estimate our income as a percentage of FPL, figure out how much we were expected to pay in premiums based on that percentage, and spit out our monthly cost.
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Old 05-02-2013, 11:39 AM   #477
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Ah, thanks. I think I saw that one once and forgot about it. Looks like it's doing most of the work I did manually with the KFF calculator: first estimate our income as a percentage of FPL, figure out how much we were expected to pay in premiums based on that percentage, and spit out our monthly cost.
Good. You still need to adjust for "regional cost factor", which KFF does. For our calculations I assume the highest rate.
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Old 05-02-2013, 06:24 PM   #478
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Reuters) - The nation's largest health insurers are far from leaping at the chance to join new state health insurance exchanges under President Barack Obama's reform law, making it likely that some markets will have little or no competition next year.

Analysis: Big insurers wary of entering new Obamacare markets | Reuters

Interesting that the big insurance carriers are not jumping to include states that they don't already serve.
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Old 05-02-2013, 06:35 PM   #479
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Now we know why they opposed the public option.
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Old 05-03-2013, 03:12 AM   #480
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Reuters) - The nation's largest health insurers are far from leaping at the chance to join new state health insurance exchanges under President Barack Obama's reform law, making it likely that some markets will have little or no competition next year.
I guess they figure that the changes make their business less profitable.
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