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November 10, 2015 at 10:05 AM
On the one hand, I’m not an especially well-organized person.
I can barely get thank-you notes for a children’s birthday party ready to send them out.
I can believe the idea that just about everyone involved with setting up, or overseeing, a health insurance exchange, a CO-OP health insurer, or anything else to do with the Patient Protection and Affordable Care Act (PPACA) is a nice, well-meaning, kind, honest person who did his or her personal best, to the point of starting to think of Red Bull as something to drink before bedtime. Views about the goals or methods of PPACA aside, some jobs are hard to do.
And, certainly, one goal for setting up a health insurance exchange might be to create an environment where some companies flourish and others fail. Why should selling health insurance guarantee a company a nice, safe, steady income? Maybe, arguably, health insurers should be closer to the edge.
But, on the other hand, even though the regulators of PPACA World tried hard and meant well, they somehow — due to the inexorable operation of Murphy’s Law (“Everything that can go wrong, will go wrong”) — have ended up creating a world where regulators can adjust just about any PPACA World parameter to make the negative headlines go away.
Is it hard for employers and insurers to deal with the PPACA reporting rules?
OK, push back the deadline for complying with the rules.
Did individual policyholders ignore the fine print in Barack Obama’s voice and got the impression that they really could keep any coverage they owned and happened to like after Obama signed the law that became PPACA and before Jan. 1, 2014?
