Friday, October 25, 2013
Insurance
Cancellations Exceed Enrollments
Thou
has seen nothing yet.
Cervantes
(1647-1616), Don Quixote
Just when you think you’ve seen everythings,
something new and unforeseen appears.
Just when you think ObamaCare is a “train wreck,” coming apart at the seams all at
once, you learn it’s merely the tip of a melting iceberg, with its
dangers surfacing one at a time.
October’s events are a good example.
·
First, it was the malfunction of
healthcare.gov. Not to worry, says
government. Excess demand clogged the system. Nineteen million visited the
site, and 6200 started the enrollment process.
But how many actually enrolled remains a mystery. The government will
not disclose the number until November 15.
What we do know is that people are frustrated, sometimes spending 3 or 4
hours see how ObamaCare applies to them, something bouncing back and forth
between the website and a call center, sometimes ending up being faced with a blank or frozen screen. Some 460,000
have started enrolling , say the Feds, and 6200 signed on that first fateful
day of October 1 and 51,000 in the first week. That’s roughly 0.08% and 0.74% of the way towards the goal of signed up 7
million over the next 8 months. It would
take 40,000 actually completing the enrollment process to reach the requisite 7
million figure.
·
Next comes the distressing news that insurance
policy concelleatins have vastly exceeded enrollment numbers. Why? Because current health plans on the
individual market do meet ObamaCare specifications. Florida Blue Cross has cancelled 300,000
policies, Kaiser Permanente 160,000,
California Blue Cross 119,000,
Highmark and Independent Blue in
Pennsylania 20% to 45% of existing plans, and New Jersey insurers say their
cancellations will involve 800,000 residents. The this is just the tip of the iceberg. Bob Laszewski, a respected health insurance
analyst, blogs on Health Policy and
Marketplace, that he estimates 16 million individual policies will be
cancelled.
What’s going on
here? A couple of things.
Part of it is dashed
expectations. With the new health
law, policy holders ,being currently
insured, thought they could hold on to their existing policies, keep their
doctors, and experience lower premiums.
Suddenly, they learn that is no longer true.
Part of it is broken
Presidential promises. In his 2009 AMA
address, prior to passage of the Affordable Care Act, President Obama said, in one of his favorite
campaign lines, ““No matter what you’ve heard, if you
like your doctor or health care plan, you can keep them.period.” As it turns out, neither promise is
true. Neither was his promise that premiums
for families would drop $2500. Instead
premiums have risen on average $2500, and according to Laszewski, two-thirds of
policy holders will experience premium increases.
If it’s not
one thing, it’s another. The revolution
of rising expectations has turned into a depression of dashed expectations.
The promised land may still come, but it lies beyond the horizon.
Tweet: Thus
far, the number of insurance cancellations, which may reach 16 million, far exceeds the number of completed ObamaCare
enrollments.
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