In response to House Republicans Pressure HHS on MLR
Gary Duell wrote:
“The root problem is blind self-interest. I know of no nonprofit health insurance agency, do you? We’re all in the business to make money (and, yes, to provide great value to our clients), so it is utterly absurd to claim our commissions should not be included in the MLR. We are not health care providers. Despite the waste and abuse, Medicare is still the most efficient healthcare delivery system we have. Due to the accounting magic they employ, who knows how much waste really exists in our ‘private’ (heavily subsidized by taxpayers, by the way) health care delivery system? It’s a false comparison to set Sebelius’s estimate of Medicare waste next to the MLR. And let’s not forget that ‘Obamacare’ is really Republicare, as it has little resemblance to the plan our President wanted.”
Mike Carey, CLU, wrote:
“This survey seems to resonate well with what I think will happen initially. The costs will be higher. Those with high-cost group plans (unions, government, substantial corporations) will continue.
“For those individuals without coverage now, the question will be how much of the cost will the subsidy cover. For those in a lower income strata, Medicaid will mushroom with new entrants.
“For small businesses, the costs will dictate how long they continue to provide group plans, if they already have a plan. The majority will continue the trend of dropping coverage after 2014 and having the individual assume responsibility for his own health care, possibly with some subsidies from the company. As for those small businesses currently without health care, they will remain out of the environment with the current uncertainty.
“What I would predict is that among all employment groups, individual uncertainty will be sharply rising. With the retirement of a large percentage of doctors, the availability of medical services concerns will not be just limited to those on Medicare but spill out among the entire population. That will drive some to hold on to their jobs and coverage just for access.
“One trend will grow exponentially. This is that of U.S. citizens seeking care outside of the country. Costs, access, and quality of service will propel the more informed to travel.”