(05-22-2015 07:42 AM)Machiavelli Wrote: I remember before ObamaCare our premiums would go up more than 9.6% a year. Heck one year in the late 90's our premiums when up 16%. This isn't a new phenomena Socratic.
Actually it is. The pre-Obamacare increases for group policies was something closer to 5%. The only policies that really went up by 10% or more were individual policies... and they were going up based on the characteristics of the insured... In other words, your costs went up because they were losing money/you were using more care than you were paying for.
This is another example where something like 70% of the population (those in group policies and those without premiums at all) is seeing their policies go up by more (10% instead of 5%), and something like 10% of the population is seeing them go up, but not by as much (10% instead of 20%). The reason is simply because the differences in the ways the cost increases are distributed have been changed, and not because Obamacare really is controlling any costs.
The BIGGER issue is about to hit with bundled payments.
Let me give you an example... and this is not meant to be a real example, merely representative of the process and the problems... You present to the ER with the flu. Now typically, the flu lasts 3 days for the average person and other than making sure that your immune system is healthy, time is the key component that fixes you. So the ACA/Medicare decides that this 3 day stay for the flu is worth $5,000. That's it for the ER, the hospital, the doctors, the nurse, the kitchen, sanitation, advil, thermometer caps, radiology, bedpans, sheets, air conditioning.... That's it. If you have to stay 5 days, no more money. If you need more tylenol, no more money. If they get you out in 2, they still get $5,000, but again, no more.
Now, what can any of you think of as ways/things that could result from this? Do you think they might prefer 'certain' types of patients and eschew others? What might those types be? How thorough do you think they're going to be, knowing that being thorough doesn't pay a dime more than doing the minimum.
Now, as I said.... this isn't an actual example, but it IS the gyst of 'bundled payments'.... and there are thousands of nuances that attempt to 'solve' all of the problems...
but this is a disaster waiting to happen, especially for rural areas and the least fortunate among us, imo.