Showing posts with label Anthem. Show all posts
Showing posts with label Anthem. Show all posts

Monday, June 8, 2015

Don’t cry for Big Insurance if federal Obamacare subsidies go away, folks.


Don't cry for Big Insurance if federal Obamacare subsidies go away, folks. A helpful reminder: “…the dirty secret is that insurers stand to lose the most from King v. Burwell… The giant players — United Healthcare, Cigna, Aetna, Anthem and Humana — have seen stock prices double, triple, even quadruple since the law was passed in 2010. The coming ruling threatens to put an end to their gravy train.” As Betsy [McCaughey] noted elsewhere in that article, the insurance companies were more than happy to sign onto a program where they had a guaranteed – dare we say, mandated? – customer pool; and one where sweet, sweet tax revenue could be used to stitch together any gaps in this Frankenstein’s Monster* of a health care market.


Which means that health care insurers have absolutely no reason to complain that the State giveth, and the State taketh away.  That’s what the State does; and the insurers took the State’s Shilling.  It’s hardly our fault that this turned out to be unwise.
Moe Lane (crosspost)
PS: A bailout of the insurance industry, by the way, would be most unwise. The Right was not in favor ofsuch a thing in 2014; we’re certainly not going to be more in love with the idea now.  As Betsy [McCaughey] also noted in the above article, removing the subsidies in the federal Obamacare exchange will effectively destroy the various mandates anyway. It might be worth keeping those subsidies around temporarily in exchange for formally killing the individual/employer mandates: I haven’t made up my mind about that yet. But it’s certainly true that if King v. Burwell goes away the mandates will have to as well. One way, or the other.
*One that is, by the way, the sole fault of Democrats.

Thursday, May 22, 2014

Marine Can’t Find Doctor Due to Obamacare

A California veteran is having trouble finding a doctor because of a faulty Obamacare plan.
Kyle, affected by chronic Lyme disease he contracted while on active duty, is frustrated with the lack of doctor availability on his Anthem BlueCross insurance plan. “I was on the phone with Anthem for two hours while they were trying to find me a doctor within 20 miles. Finally a supervisor came on the phone and said ‘Sir, we have to go, we have other people to help’ and advised me [that] I need to cancel my plan,” he told KPIX.
State law stipulates that insurers must have enough doctors to enable patients to get an appointment within 15 days within 15 miles of their home. Kyle was not able to find a doctor under these requirements and neither was Anthem. Inaccurately listed doctors are considered a violation of the law. The list of doctors given to CoveredCalifornia was incorrect.
“If we determine that a health plan has violated the law, we will take action,” Marta Green of Department of Managed Health Care said in response.
Internal emails reveal one individual’s warning about listing doctors that are not actually on insurance plans “I suspect that we are going to have a network adequacy issue very soon.”
Kyle advised CoveredCalifornia not to negotiate with Anthem. “I would tell them to get rid of Anthem BlueCross.”

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