Daily Archives: July 16, 2013

The cost of Obamacare – Purdue University

University Faces $2.8 Million Obamacare Bill | The Weekly Standard.

“We are making some pretty radical changes because of ‘health care reform,'” says Purdue’s Eva Nodine. “So we wanted to make sure we had enough time to educate our employees because education is key.”

The reporter adds, “$2.8 million dollars in added fees and claims are included in the recommendations for next year. Now that’s due to the ‘Affordable Care Act.’ The medical plans and premiums will go before the full board for approval on Friday.”

Video at the link.


Obamacare’s key goal threatened by delayed Web marketplaces

Obamacare’s key goal threatened by delayed Web marketplaces.

Web marketplaces is where individuals go when they search for health insurance on the google, bing, etc.

“We see Web-based entities as potential partners,” said Dr. Joshua Sharfstein, chairman of Maryland’s exchange.

Sharfstein said the state is studying the idea, and expects a decision by September—within just weeks of the Oct. 1 enrollment opening.

“I don’t think this has anything to do with our core readiness” to open the exchange, he said.

But Lauer and others think the delay on allowing participation by Web marketplaces may be a canary-in-the-coalmine indication of overall problems with the exchanges being ready for business by October.

Jane Cooper, president and CEO of Milwaukee-based Patient Care, which advises employees on employer health plans, said she believes the hesitancy or delay in doing so on the part of those exchanges results from “a combination of incompetence and amateurs working on it, and the pressure of everything else going on.”

Cohen, the Liazon executive, said, “I think this is an indicator, a leading indicator, of the exchanges lack of readiness to do the things they actually need to do.”

“Their ambiguity on Web-based entities is probably an indication that the don’t have their act together, so to speak, and they’re probably thinking they’ve got bigger issues than this, and that’s kind of scary, no?” Cohen said. (emphasis added)

We’ll find out who is right in the very near future. My money is on Jane Cooper and  Alan Cohen.


Obamacare prepares to meet October 1

Obamacare Struggles To Meet Make-Or-Break Deadline.

Less then 80 days to go…

“The administration right now is in a triage mode. Seriously, they do not have the resources to implement all of the provisions on time,” Washington and Lee University professor Timothy Jost, a healthcare reform expert and advocate, told an oversight panel in the U.S. House of Representatives last week.

Apparently some time in the not too distant past the powers that be, i.e. amateur government management, determined they should prioritize:

“The closer you get to the actual launch, the more you focus on what is essential versus what could be second-order issues,” said a former administration official. “That concentrates the mind in a different kind of way, and that’s what’s happening here.”

To which I say, “Why did you wait so long?”

If this had been run by a professional managment team they would have entered triage mode a long time ago and perhaps the bare minimum implementation would work flawlessly. The problem is with intereaction required between so many government agencies at both the State and Federal level I’m sure they were busy pretending they were on budget and ahead of schedule, which of course is a detriment to us guinea pigs.

And now they want us to believe this…

HHS denies that its strategy has changed and insists that implementation continues to meet the milestones laid out by planners 18 months ago.

“All of the systems are exactly where we want them to be today. They will be ready to perform fully on Oct. 1,” said Mike Hash, director of the HHS Office of Health Reform.

Which is exactly why chaos is coming to Obamacare.

Memo to Mike Hash: Get your resume ready, you’re going to be looking for a new job real soon.


But nobody needs a federal bureaucrat to tell him what health insurance to buy…

Examiner Editorial: Obamacare is a 19th-century answer to a 21st-century question | WashingtonExaminer.com.

The Wall Street Journal’s Daniel Henninger captured it well with this observation last week: “Even if you are a liberal and support the goals of the Affordable Care Act, there has to be an emerging sense that maybe the law’s theorists missed a signal from life outside the castle walls. While they troweled brick after brick into a 2,000-page law, the rest of the world was reshaping itself into smaller, more nimble units whose defining metaphor is the 140-character Twitter message.”

Simply put, the digitization of social interaction, economic transaction, the political process and everything in between is decentralizing the world, moving it in the opposite direction of the massive centralization of Obamacare. But nobody needs a federal bureaucrat to tell him what health insurance to buy when anybody with an Internet connection can simultaneously solicit bids from thousands of competing providers, pay the winner via electronic fund transfers, manage the claims process with a laptop, consult with physicians and other medical specialists via email, and even be operated on remotely by surgeons on the other side of the globe. Rather than imposing a top-down, command-economy, welfare-state health care model with roots in Otto von Bismarck’s Germany of 1881, a 21st-century government would ask what is needed to apply to health care access the Internet’s boundless capacity to empower individual choice.

Well said. I read in the WSJ today about some exchange simulations that Blue Cross Blue Shield has been running in Rhode Island. For the number one issue in plan selection, by FAR price the most important factor at 48%. A distant 2nd at 11% was maximum out of pocket.

The problem with a top down design of Obamacare is it’s the elite behind the castle walls that know what’s best for us. Between the bumbling implementation, the increased cost, the family glitch subsidy (which I have many clients that fall into that category) they better hope they’re right.