ObamaCare FACTS - minus the usual Rightie hysteria

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Turns out ObamaCare doomsayers were full of it, just as we thought.



The Real Numbers On 'The Obamacare Effect' Are In-Now Let The Crow Eating Begin



After years of negative speculation on the part of the opponents of Obamacare, hard data is finally coming in with respect to the anticipated negative side-effects of the law.

The results are guaranteed to both surprise and depress those who have built their narrative around the effort to destroy the Affordable Care Act.

Let’s begin with the meme threatening that healthcare reform will lead to a serious decline in full-time employment as employers reduce workforce hours to below 30 per week in the effort to avoid their responsibility to provide health benefits to their employees.

It turns out that there has, in fact, been no such rush to reduce work hours. Indeed, numbers released last week reveal that precisely the opposite is taking place.

According to the Bureau of Labor Statistics (BLS), the number of part-time workers in the United States has fallen by 300,000 since March of 2010 when the Affordable Care Act was passed into law. What’s more, in the past year alone—the time period in which the nation was approaching the start date for Obamacare—full-time employment grew by over 2 million while part-time employment declined by 230,000.

And it gets even more interesting.

Despite the cries of anguish over the coming destruction of private sector work opportunities at the hands of Obamacare, it turns out that the only significant ‘cutter’ of work hours turns out to be in the public sector where cops, teachers, prison guards and the like are experiencing cuts in work time as cities, states and universities seek to avoid the obligations of the health reform law.

Correct me if I am wrong, but is it not the very same folks who strenuously oppose Obamacare who are constantly screaming for smaller government? Are these not the same people who have, for as many years as I can recall, been carping about swollen government payrolls?

But the false narrative that has been peddled to make us believe that the private sector can’t wait to lower our hours of employment turns out not to be the only false note being played by anti-Obamacare forces.

For months now, we have been pounded with the story of the millions of Americans who have lost their non-group, individual health insurance policy due to cancellations forced by Obamacare.

Yet, a new study just out by Lisa Clemans-Cope and Nathaniel Anderson of the Urban Institute tells a very different story.

How many times have readers, along with television and radio audiences, read or heard me point out that few ever expected to hang onto their individual insurance policy for longer than a year or two following date of purchase? Long before there was Obamacare, it was always clear that when someone purchased an individual health instance policy, it was pretty much a given that they would either be moving on to an employer provided group plan when they get a job or that their policy would respond to the ordinary, pre-Obamacare changes that occurred from year to year and result in the consumer having to purchasing a new plan after a short period of time.

Indeed, it was this very reality that made it clear to those who follow the health insurance industry that Obama’s “If you like your policy you can keep your policy” proclamation was a near impossibility for those participating in the individual marketplace. This simply wasn’t the way the individual market worked.

The Urban Institute study bears this out, noting that “the non-group market has historically been highly volatile, with just 17 percent retaining coverage for more than two years.”

While Obamacare foes have been quick to jump on this statistic when it comes to condemning the President for uttering his promise that you could keep your insurance if you are happy with your policy, the same people have somehow managed to miss the reality that a huge percentage of those who received cancellation notices last year were going to get that notice even if the Affordable Care Act had never existed.

But that is not all that critics have been missing as they’ve sought to exploit the supposed high number of cancellations they claim are due to Obamacare.

To find out just how many people have really been put into an insurance fix, the Urban Institute’s Health Reform Monitoring Survey, in December of 2013, asked people between the ages of 18 and 64 the following question:

“Did you receive a notice in the past few months from a health insurance company saying that your policy is cancelled or will no longer be offered at the end of 2013?”

The following bar published in Health Affairs provides the results—


http://blogs-images.forbes.com/rickungar/files/2014/03/Clemons-Cope_Figure12.jpg


Note that the number of people who saw their policy cancelled because it did not meet the Obamacare minimum requirements was 18.6 percent—dangerously close to the 17 percent of individual policyholders who were losing their individual market policies pre-Obamacare.

Also note that the 18.6 percent equates to roughly 2.6 million people whose plans were cancelled as a result of Obamacare—a number well below the estimates of 5 million or considerably more being tossed about by Obamacare opposition.

So, what happens to these folks who saw their health insurance policy cancelled?

According to the Urban Institute researchers :

“While our sample size of those with non-group health insurance who report that their plan was cancelled due to ACA compliance is small (N=123), we estimate that over half of this population is likely to be eligible for coverage assistance, mostly through Marketplace subsidies. Consistent with these findings, other work by Urban Institute researchers estimated that slightly more than half of adults with pre-reform, nongroup coverage would be eligible for Marketplace subsidies or Medicaid.”

So what does this data tell us?

As a result of at least half of those cancelled being able to either enroll in a Medicaid program or receive subsidies on the healthcare exchanges, many—if not most—will now find health care coverage at a price lower than previously paid while greatly improving the quality of coverage.

Still, roughly one million people will have to replace their cancelled policy with something that may cost them more. This is not a good thing but it is far, far less dramatic than what we’ve been hearing. It is also a part of the expected upheaval that has always—and will always—result from the passage of reforms designed to benefit the greatest number of people. Traditionally, those who are disadvantaged in this way find that things are sorted out in amendments to the initial legislation, amendments that can only result when Republicans in Congress stop playing politics and begin the serious work of making the law better for Americans.

There is another problem noted in the study—

Because of the amount of focus placed on scaring the you-know-what out of people when it comes to the alleged dire effects of Obamacare rather than educating them, people remain in the dark as to what is available on the exchanges or via the state Medicaid programs.

Per the Urban Institute study—

“Yet making the best enrollment choice may be difficult for consumers. HRMS findings show that many people are not aware of the new state Marketplaces, few know whether their state is expanding Medicaid, and many lack the confidence to enroll, make choices, and pay their premiums.”

Once again, politics trumps policy and the critical needs of those our elected officials are sworn to serve.

I highly encourage everyone—whether friend or foe of healthcare reform—to take a look at the study cited above and the BLS statistics. While most all would agree that there are some repairs that need to be made to the Affordable Care Act, workable fixes designed to benefit the public and improve American healthcare cannot happen so long as politicians, pundits and special interests are devoted to lying about what Obamacare means and what it does not mean to the American public.

Facts matter—even when they screw up an effective disinformation campaign.

Contact Rick at thepolicypage@gmail.com and follow me on Twitter and Facebook.

UPDATE: Monday, 12:15pm EST:

The news just keeps on coming.

The Gallup-Healthways Well-Being Index is out this morning and reveals that 15.9 percent of American adults are now uninsured, down from 17.1 percent for the last three months of 2013 and has shown improvements in every major demographic group with the exception of Hispanics who did not advance.

That translates roughly to 3 million to 4 million people getting coverage who did not have it before.

According to Gallup, the number of Americans who still do not have health insurance coverage is on track to reach the lowest quarterly number since 2008.

This is one statistic that is going to be tough for Obamacare critics to overcome.

http://www.forbes.com/sites/rickung...ffect-are-in-now-let-the-crow-eating-begin/2/
 
Turns out ObamaCare doomsayers were full of it, just as we thought.



The Real Numbers On 'The Obamacare Effect' Are In-Now Let The Crow Eating Begin



After years of negative speculation on the part of the opponents of Obamacare, hard data is finally coming in with respect to the anticipated negative side-effects of the law.

The results are guaranteed to both surprise and depress those who have built their narrative around the effort to destroy the Affordable Care Act.

Let’s begin with the meme threatening that healthcare reform will lead to a serious decline in full-time employment as employers reduce workforce hours to below 30 per week in the effort to avoid their responsibility to provide health benefits to their employees.

It turns out that there has, in fact, been no such rush to reduce work hours. Indeed, numbers released last week reveal that precisely the opposite is taking place.

According to the Bureau of Labor Statistics (BLS), the number of part-time workers in the United States has fallen by 300,000 since March of 2010 when the Affordable Care Act was passed into law. What’s more, in the past year alone—the time period in which the nation was approaching the start date for Obamacare—full-time employment grew by over 2 million while part-time employment declined by 230,000.

And it gets even more interesting.

Despite the cries of anguish over the coming destruction of private sector work opportunities at the hands of Obamacare, it turns out that the only significant ‘cutter’ of work hours turns out to be in the public sector where cops, teachers, prison guards and the like are experiencing cuts in work time as cities, states and universities seek to avoid the obligations of the health reform law.

Correct me if I am wrong, but is it not the very same folks who strenuously oppose Obamacare who are constantly screaming for smaller government? Are these not the same people who have, for as many years as I can recall, been carping about swollen government payrolls?

But the false narrative that has been peddled to make us believe that the private sector can’t wait to lower our hours of employment turns out not to be the only false note being played by anti-Obamacare forces.

For months now, we have been pounded with the story of the millions of Americans who have lost their non-group, individual health insurance policy due to cancellations forced by Obamacare.

Yet, a new study just out by Lisa Clemans-Cope and Nathaniel Anderson of the Urban Institute tells a very different story.

How many times have readers, along with television and radio audiences, read or heard me point out that few ever expected to hang onto their individual insurance policy for longer than a year or two following date of purchase? Long before there was Obamacare, it was always clear that when someone purchased an individual health instance policy, it was pretty much a given that they would either be moving on to an employer provided group plan when they get a job or that their policy would respond to the ordinary, pre-Obamacare changes that occurred from year to year and result in the consumer having to purchasing a new plan after a short period of time.

Indeed, it was this very reality that made it clear to those who follow the health insurance industry that Obama’s “If you like your policy you can keep your policy” proclamation was a near impossibility for those participating in the individual marketplace. This simply wasn’t the way the individual market worked.

The Urban Institute study bears this out, noting that “the non-group market has historically been highly volatile, with just 17 percent retaining coverage for more than two years.”

While Obamacare foes have been quick to jump on this statistic when it comes to condemning the President for uttering his promise that you could keep your insurance if you are happy with your policy, the same people have somehow managed to miss the reality that a huge percentage of those who received cancellation notices last year were going to get that notice even if the Affordable Care Act had never existed.

But that is not all that critics have been missing as they’ve sought to exploit the supposed high number of cancellations they claim are due to Obamacare.

To find out just how many people have really been put into an insurance fix, the Urban Institute’s Health Reform Monitoring Survey, in December of 2013, asked people between the ages of 18 and 64 the following question:

“Did you receive a notice in the past few months from a health insurance company saying that your policy is cancelled or will no longer be offered at the end of 2013?”

The following bar published in Health Affairs provides the results—


http://blogs-images.forbes.com/rickungar/files/2014/03/Clemons-Cope_Figure12.jpg


Note that the number of people who saw their policy cancelled because it did not meet the Obamacare minimum requirements was 18.6 percent—dangerously close to the 17 percent of individual policyholders who were losing their individual market policies pre-Obamacare.

Also note that the 18.6 percent equates to roughly 2.6 million people whose plans were cancelled as a result of Obamacare—a number well below the estimates of 5 million or considerably more being tossed about by Obamacare opposition.

So, what happens to these folks who saw their health insurance policy cancelled?

According to the Urban Institute researchers :

“While our sample size of those with non-group health insurance who report that their plan was cancelled due to ACA compliance is small (N=123), we estimate that over half of this population is likely to be eligible for coverage assistance, mostly through Marketplace subsidies. Consistent with these findings, other work by Urban Institute researchers estimated that slightly more than half of adults with pre-reform, nongroup coverage would be eligible for Marketplace subsidies or Medicaid.”

So what does this data tell us?

As a result of at least half of those cancelled being able to either enroll in a Medicaid program or receive subsidies on the healthcare exchanges, many—if not most—will now find health care coverage at a price lower than previously paid while greatly improving the quality of coverage.

Still, roughly one million people will have to replace their cancelled policy with something that may cost them more. This is not a good thing but it is far, far less dramatic than what we’ve been hearing. It is also a part of the expected upheaval that has always—and will always—result from the passage of reforms designed to benefit the greatest number of people. Traditionally, those who are disadvantaged in this way find that things are sorted out in amendments to the initial legislation, amendments that can only result when Republicans in Congress stop playing politics and begin the serious work of making the law better for Americans.

There is another problem noted in the study—

Because of the amount of focus placed on scaring the you-know-what out of people when it comes to the alleged dire effects of Obamacare rather than educating them, people remain in the dark as to what is available on the exchanges or via the state Medicaid programs.

Per the Urban Institute study—

“Yet making the best enrollment choice may be difficult for consumers. HRMS findings show that many people are not aware of the new state Marketplaces, few know whether their state is expanding Medicaid, and many lack the confidence to enroll, make choices, and pay their premiums.”

Once again, politics trumps policy and the critical needs of those our elected officials are sworn to serve.

I highly encourage everyone—whether friend or foe of healthcare reform—to take a look at the study cited above and the BLS statistics. While most all would agree that there are some repairs that need to be made to the Affordable Care Act, workable fixes designed to benefit the public and improve American healthcare cannot happen so long as politicians, pundits and special interests are devoted to lying about what Obamacare means and what it does not mean to the American public.

Facts matter—even when they screw up an effective disinformation campaign.

Contact Rick at thepolicypage@gmail.com and follow me on Twitter and Facebook.

UPDATE: Monday, 12:15pm EST:

The news just keeps on coming.

The Gallup-Healthways Well-Being Index is out this morning and reveals that 15.9 percent of American adults are now uninsured, down from 17.1 percent for the last three months of 2013 and has shown improvements in every major demographic group with the exception of Hispanics who did not advance.

That translates roughly to 3 million to 4 million people getting coverage who did not have it before.

According to Gallup, the number of Americans who still do not have health insurance coverage is on track to reach the lowest quarterly number since 2008.

This is one statistic that is going to be tough for Obamacare critics to overcome.

http://www.forbes.com/sites/rickung...ffect-are-in-now-let-the-crow-eating-begin/2/


Well that's certainly a surprise...NOT.

They can't piss and moan about the SOURCE and they can't argue with the FACTS that shoot down several nonsensical Rightie talking points.

So naturally not a single Rightie wants to talk ObamaCare.
 
4 Reasons Why Obamacare Exchange Premiums May 'Double In Some Parts Of The Country' In 2015


As we reach the end of the first year of enrollment in Obamacare’s subsidized health insurance exchanges, we’ve been trying to solve a couple of mysteries. First: how many people who have signed up for coverage were previously uninsured? Second: will the botched rollout and design flaws lead to even higher health insurance costs next year? We’re starting to get indications from insurers that premiums on the exchanges will go up significantly in 2015. Here are four reasons why.


Concerns about an Obamacare ‘death spiral’

For years, analysts have worried about the possibility that, for people who shop for coverage on their own, Obamacare could lead to an “adverse selection death spiral.” The law makes healthy people pay a lot more for their health insurance, in order to make coverage a better deal for the sick.

If the healthy people recognize this for what it is—a bad deal for them—they’ll sit Obamacare out, making the law’s health plans even less affordable than they were before. That’s why, in theory, the law uses an individual mandate to force people to buy coverage that they don’t need.

I’ve long been skeptical that a formal death spiral would occur; Obamacare’s subsidies ensure that some healthy, but low-income, people will sign up for coverage. We have experience in places like New York and New Jersey, pre-Obamacare, with a two-tiered system in which subsidized coverage works okay for those who qualify.

It’s the people who aren’t eligible for large subsidies—those who aren’t poor enough—who will gradually be squeezed out of affordable options.



Premiums, on average, may increase by 20-40% in 2015


Aetna CEO Mark Bertolini was among the first to sound the alarm about the potential for rate shock on the Obamacare exchanges. In December 2012, he told investors that “in some markets,” individual-market premium increases “could go as high as 100 percent.” This past January, in an interview with CNBC, he asked, “are we going to get beat up because [next year’s premium increases will be] double-digit or are we just going to have to pull out of the program?”

Yesterday, Elise Viebeck of The Hill cited unnamed health industry officials as telling her that “Obamacare-related premiums will double in some parts of the country, countering claims made by the administration.” One insurer indicated that “his company expects to triple its rates next year on the Obamacare exchange.” I’ve been hearing that insurers expect to see rate increases of about 20 to 40 percent, on average, throughout the country. Here are four reasons why.

1. The White House is making up the rules as it goes along

Insurers are particularly upset about the White House’s extralegal improvisations, in which key Obamacare regulations have been delayed, suspended, or exempted in various circumstances. In particular, the administration’s decision to continue to allow people to keep their “grandfathered” pre-Obamacare plans, in some limited instances, will keep a lot of those healthy people out of the Obamacare exchanges.

“We’re exasperated,” an insurance executive told Viebeck. “All of these major delays on very significant portions of the law are going to change what it’s going to cost.”

Think about it this way. According to the Associated Press, 4.7 million Americans who shop for coverage on their own have been notified that their old plans will be canceled. Let’s say about half of these people—2.5 million—elect to preserve their old arrangements under the new Obama dispensation. Let’s further estimate that about 4 million people have enrolled in Obamacare exchange plans, of which about three-fourths were previously insured.




That’s three million previously insured people enrolling in Obamacare, versus 2.5 million finding coverage elsewhere: more than enough to substantially skew the risk pool in the exchange toward sicker and older people.

2. The administration has avoided talking about the individual mandate

A few weeks back, the Obama administration suspended the individual mandate for those whose plans had been previously canceled, declaring this feature of Obamacare to be a “hardship” worthy of exemption. The best part is that in order to apply for the exemption, you simply have to “attest” that your old plan was canceled. My colleague Scott Gottlieb has tabulated 14 different ways you can avoid complying with the mandate.

The administration hasn’t created a mechanism with which to verify that this has actually happened to you. As a result, lots of people will be able to opt out of the individual mandate.

Arguably worse is the fact that the White House has deliberately avoided talking about the individual mandate in its outreach to the uninsured. My sources indicate that the U.S. Department of Health and Human Services, and affiliated outside groups like Organizing for Action, tested a number of different messages on young people that might encourage them to sign up for coverage. The ones that tested most poorly were those that mentioned that young people would pay a steep fine if they refused to buy into Obamacare.

That’s why, in all of the gauzy ads you see promoting Obamacare to young people, two things are never mentioned: (1) the steep prices of the plans; (2) the individual mandate. In February, Sharon Long and Dana Goin of the Urban Institute published a survey indicating that less than two-fifths of the uninsured had heard “some” or “a lot” about the individual mandate.

If the individual mandate falls down in a forest, and nobody hears it, does it really exist?


3. Many of the young people enrolling are pregnant women

We’ve been talking a lot about the proportion of young people signing up for Obamacare versus old people. Around 30 percent of the signer-uppers are under the age of 35. That’s not great—but it’s not catastrophically bad in and of itself. What’s hidden in that figure, however, is that a lot of the younger people signing up under Obamacare are also consuming a lot of health care.

One of the biggest changes that Obamacare makes to the private health insurance market is that it forces all insurers to cover a wide range of health care services that the government has deemed “essential.” One of those newly mandated health benefits is maternity coverage.

If you’re expecting, you have a huge incentive to sign up for Obamacare-based insurance. According to a survey by Truven Health Analytics, in 2007 the average insurer paid $18,329 for a vaginal birth and $27,866 for a cesarean birth, inclusive of maternal and newborn charges. But for a typical 27-year-old, Obamacare-based insurance might cost around $200 per month.

Though I don’t have any hard numbers, the indications I’m getting from insurers is that they’re seeing a disproportionate number of pregnant enrollees among younger people. In addition, NerdWallet calculates that the average cost of “recommended annual preventive services and…oral contraceptives for an uninsured woman” is $1,231, making Obamacare much less expensive, on net, for those who seek these services. Insurers are going to take that into account when they price their premiums for 2015.

4. Obamacare’s design gave insurers an incentive to ‘underprice’ in 2014

One last point. The various mechanisms that Obamacare’s exchanges use to keep insurers on board—what industry wonks call the “three Rs” of risk adjustment, reinsurance, and risk corridors—have been exploited by some insurers to offer prices that, while still high, are relatively lower than their competitors. Obamacare incentivizes insurers to do this, because they know that in the early years of the exchanges, they’ll be reimbursed by taxpayers for doing so.


This is why Sen. Marco Rubio (R., Fla.), among others, has been sounding the alarm about a taxpayer-funded “bailout” of Obamacare-participating insurers. But as time goes on, the incentive that insurers have to use these tactics recedes. In 2015, many insurers who tried to underprice their premiums relative to their costs are planning to bring rates more in line with what they’re actually spending on health claims. That’s going to drive prices upward.

Pricing data will come out this summer

Insurers will have to file their proposed rates for 2015 in the late spring of 2014. So we should know by summer how this all shakes out. Don’t be surprised if Congress’ August recess is filled with another set of town hall meetings in which angry constituents ask politicians about their latest round of premium hikes. For those who already struggle to afford their health insurance bills, the worst is not yet over.


http://www.forbes.com/sites/theapot...-double-in-some-parts-of-the-country-in-2015/
 
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