January 3, 2014

The Continuing Trainwreck

The latest on the continuing train wreck of Obamacare.

Novitas Solutions, the company hired to build the back-end payment systems of Healthcare.gov which is still not built is notorious in Dallas anyway for paying out Medicare claims to hospitals late and not at all to one Dallas hospital forcing employees to go without pay for weeks.

Only half of the two million people claimed to have enrolled in Obamacare have paid their premium. Murphy's law

Not only has Obamacare not yet delivered a fully functional front end, it’s backend does not seem to have been built.  The insurance companies who have signed on to it are finding themselves stuck with an army of uninsurables and avoided by the young and healthy who alone can make the risk pool viable. This creates a drought of receivables that in turn disrupts payments to providers who “can’t make payroll”.

It’s a shambles. Unless its fixed hospitals will drop out, patients will go untreated, people will lose coverage and people will go broke. Thomas Sowell asks “what kind of man would blithely disrupt the medical care of millions of Americans, and then repeatedly lie to them with glib assurances that they could keep their doctors or health insurance if they wanted to?”

Hospitals in Northern Virginia are turning away sick people because they can't determine whether their Obamacare plans are in effect. 'They had no idea if my insurance was active or not!': Obamacare confusion reigns as frustrated patients walk out of hospitals without treatment.

APNewsBreak: Adding a new baby to plan not easy

Obamacare  lacks a way for consumers to quickly and easily update their coverage for the birth of a baby and other common life changes such as marriage and divorce, a death in the family, a new job or a change in income, even moving to a different community.

Utter Chaos: White House Exempts Millions From Obamacare's Insurance Mandate, 'Unaffordable' Exchanges  Avik Roy

It’s hard to come up with new ways to describe the Obama administration’s improvisational approach to the Affordable Care Act’s troubled health insurance exchanges. But last night, the White House made its most consequential announcement yet. The administration will grant a “hardship exemption” from the law’s individual mandate, requiring the purchase of health insurance, to anyone who has had their prior coverage canceled and who “believes” that Obamacare’s offerings “are unaffordable.” These exemptions will substantially alter the architecture of the law’s insurance marketplaces. Insurers are at their wits’ end, trying to make sense of what to do next.

Charles Krauthammer.  Stop the upcoming bailout of insurance companies,  How soon before insurance companies start going bankrupt and ask for….

A huge government bailout. It’s Obamacare’s escape hatch. And — surprise, surprise — it’s already baked into the law.

Which is why the GOP needs to act. Obamacare is a Rube Goldberg machine with hundreds of moving parts. Without viable insurance companies doing the work, it falls apart. No bailout, no Obamacare.

CBS: Top ObamaCare official wanted site shut down over security risks — and was overruled

Remember.Hiding the Hacking at HealthCare.gov  If your personal info is filched from the site, the government doesn’t have to tell you.

But at least Target informed its customers of the security breach, as it is required by federal law to do. HealthCare.gov faces no such requirement; it need never notify customers that their personal information has been hacked or possibly compromised. The Department of Health and Human Services was specifically asked to include a notification requirement in the rules it designed for the health-care exchanges, but HHS declined.

Obama Dooms Seniors to Ravages of Aging

On Oct. 1, 2012 the Obama administration started awarding bonus points to hospitals that spend the least on elderly patients. It will result in fewer knee replacements, hip replacements, angioplasty, bypass surgery and cataract operations.  These are the five procedures that have transformed aging for older Americans. They used to languish in wheelchairs and nursing homes due to arthritis, cataracts and heart disease. Now they lead active lives.

But the Obama administration is undoing that progress. By cutting $716 billion from future Medicare funding over the next decade and rewarding the hospitals that spend the least on seniors, the Obama health law will make these procedures hard to get and less safe.

The Obama health law creates two new entitlements for people under age 65 – subsidies to buy private health plans and a vast expansion of Medicaid. More than half the cost of these entitlements is paid for by cutting what hospitals, doctors, hospice care, home care and Advantage plans are paid to care for seniors.  Astoundingly, doctors will be paid less to treat a senior than to treat someone on Medicaid, and only about one-third of what a doctor will be paid to treat a patient with private insurance.

ObamaCare forcing 14 percent cut in Medicare’s home health program.

An estimated 3.5 million poor and ill homebound senior citizens will wake up on New Year’s Day to discover ObamaCare has slashed funding for their home health care program.”
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Totaling a whopping 14 percent between 2014 and 2017, this cut is the maximum allowable under the ObamaCare law.  The Administration had the discretion to cut less, or even to make no cuts at all.  But they decided to impose the deepest cut made possible by the Affordable Care Act (shouldn’t we be calling this the “Horrible Care Act”?) legislation.  And in doing so, they will shift billions of dollars from Medicare to ObamaCare.
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The Medicare home health benefit is also of critical importance to younger Americans.  Families across America depend on home health services to help them care for their aging parents.  Having a skilled nurse come to their homes to deliver needed treatment not only means that Mom and Dad don’t have to go into a nursing home – it also means their adult daughters and sons can balance caring for their parents with raising a family and earning a living.

Obamacare so sloppily drafted that US Territories may be unable to have health insurance

Posted by Jill Fallon at January 3, 2014 10:12 AM | Permalink