Death Spiral. Blue Cross abandons Obamacare in Nebraska

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
It's Failing: Blue Cross Blue Shield Abandons Obamacare in Nebraska

Guy Benson

|
Posted: Jun 05, 2017 10:31 AM
announced sweeping plans to pull out ofObamacare's crumbling marketplaces nationwide, Blue Cross Blue Shield is sometimes touted by the failing law's defenders as a tenuous "success" story. They occasionally point to a narrowly-tailored study that purports to demonstrate that the exchanges may be turning a corner toward profitability. This optimism flies in the face of a drumbeat of business decisions made by numerous insurers over recent years, based on cold, hard accounting calculations. For many of them, despite Obamacare's ineffectual requirement that everyone in America purchase their products, participation in the law has racked up hundreds of millions of dollars in annual losses (further underscoring the silliness of the Congressional Budget Office's religious faith in the power of the mandate tax). BCBS might be a ray of hope, we're told, based on some data and projections. But as we've seen in greater Kansas City and the entire state of Iowa, reality is once again intruding on the company's balance sheets -- this time in Nebraska:

Kimberly Leonard‏Verified account@leonardkl
Blue Cross Blue Shield drops out of Obamacare exchange in Nebraska http://www.washingtonexaminer.com/article/2624788 via @dcexaminer

Health insurer Blue Cross Blue Shield announced Thursday that it would not be participating in the invidual market in Nebraska next year, and the remaining insurer hasn't decided if it will leave also. Blue Cross Blue Shield is projected to lose $12 million this year from offering plans in the state, and the company would need to increase its price for premiums next year by 50 percent. The company previously participated in the Obamacare exchanges, which resulted in $150 million in losses...About 100,000 Nebraskans purchase their health insurance through the Obamacare exchanges, which allow most enrollees to receive tax subsidies to pay for their plans. Medica is the other insurer offering plans on the exchange in Nebraska.

Nebraskans purchasing insurance on the Obamacare-dominated individual market are down to just one "choice" in coverage, and that remaining carrier is also contemplating its future in the state. The Obamacare chorus, exulting in recent polling showing that the law is less unpopular than ever before (sentiments likely driven by dishonestdemagoguery against a GOP replacement proposal, anti-Trump polarization, status quo bias, and the fact that most Americans are not affected by turmoil in the individual market), are trying to blame the ongoing upheaval on Republican-caused "uncertainty" and "sabotage." There is some evidence that a continued lack of clarity on the future of certain bailout-style reimbursement payments to insurers is contributing to some of the skittishness, but this terribly-written and promise-shattering law is sabotaging itself -- and has been for years. The underlying problems of Obamacare's unsustainable risk pools and adverse selection dilemma have nothing to do with Republicans. They're inherent, destabilizing flaws in the law itself, which was written and imposed entirely by Democrats. Premium hikes and access shock have been enduring flaws, long predating Donald Trump's presidency. The fundamental issue, as Nebraska's Governor correctly notes, is the unworkable structure of Democrats' disintegrating scheme:

Medica Health hasn’t decided whether to offer plans next year that meet the Affordable Care Act’s standards. If Medica joins the ranks of health insurance companies leaving the individual marketplace because they have been losing millions of dollars, Nebraskans seeking individual policies may not be able to find health plans at any price...Nebraska Gov. Pete Ricketts said Blue Cross’s decision “demonstrates the failure of Obamacare and how the system was so poorly designed that great companies like Blue Cross Blue Shield can’t stay in the marketplace. It highlights that Congress needs to act to make the health care system sustainable.” An additional 86,000 people in Nebraska have ACA plans this year, about 50,000 of those from Aetna Health, which decided last month it wouldn’t offer the plans in 2018 because of financial losses. That will leave only Medica, which covers about 36,000 people this year.
Recent public opinion surveys have shown that only 40 percent of voters support the House-passed American Health Care Act as written, with most wanting to see significant changes in the Senate. Major shifts in the law are virtually inevitably as the upper chamber does its work, which is currently being debated by a 13-member working group. According to a Senator involved in those negotiations, differences over 'essential health benefits' are being overshadowed over disagreements about the rate at which Medicaid outlays should increase in the future; moderate GOP Senators would like to see a more generous standard growth rate, while more conservative members prefer that benchmark be pegged at a lower clip. Regardless of polling and policy details, the current system is falling apart, necessitating a replacement. Even extremely liberal states are beginning to contemplate a post-Obamacare future, with California taking another step toward an economically ruinous (that's not hyperbole) single-payer system. The plan would more than double their entire state budget, which is already in bad shape, and sponsors have offered zero concrete plans for how to pay for it. But facts and empirical reality aren't meaningful obstacles to California Democrats:

Los Angeles Times‏Verified account@latimes
Single-payer healthcare plan advances in California Senate — without a way to pay its $400-billion tab

Good luck with that, California taxpayers. And I'm looking at you, working- and middle-class families; not "the rich." I'll leave you with this since-deleted incitement of Obamacare, via Deputy DNC Chairman Keith Ellison in the wake of the awful Portland killings:

Nat Shupe‏@NatShupe
Hey @keithellison! Why did you delete this tweet? Was it the moment you realized we are still under Obamacare?

 

moe

Sophomore
May 29, 2001
32,565
152
63
It's Failing: Blue Cross Blue Shield Abandons Obamacare in Nebraska

Guy Benson

|
Posted: Jun 05, 2017 10:31 AM
announced sweeping plans to pull out ofObamacare's crumbling marketplaces nationwide, Blue Cross Blue Shield is sometimes touted by the failing law's defenders as a tenuous "success" story. They occasionally point to a narrowly-tailored study that purports to demonstrate that the exchanges may be turning a corner toward profitability. This optimism flies in the face of a drumbeat of business decisions made by numerous insurers over recent years, based on cold, hard accounting calculations. For many of them, despite Obamacare's ineffectual requirement that everyone in America purchase their products, participation in the law has racked up hundreds of millions of dollars in annual losses (further underscoring the silliness of the Congressional Budget Office's religious faith in the power of the mandate tax). BCBS might be a ray of hope, we're told, based on some data and projections. But as we've seen in greater Kansas City and the entire state of Iowa, reality is once again intruding on the company's balance sheets -- this time in Nebraska:

Kimberly Leonard‏Verified account@leonardkl
Blue Cross Blue Shield drops out of Obamacare exchange in Nebraska http://www.washingtonexaminer.com/article/2624788 via @dcexaminer

Health insurer Blue Cross Blue Shield announced Thursday that it would not be participating in the invidual market in Nebraska next year, and the remaining insurer hasn't decided if it will leave also. Blue Cross Blue Shield is projected to lose $12 million this year from offering plans in the state, and the company would need to increase its price for premiums next year by 50 percent. The company previously participated in the Obamacare exchanges, which resulted in $150 million in losses...About 100,000 Nebraskans purchase their health insurance through the Obamacare exchanges, which allow most enrollees to receive tax subsidies to pay for their plans. Medica is the other insurer offering plans on the exchange in Nebraska.

Nebraskans purchasing insurance on the Obamacare-dominated individual market are down to just one "choice" in coverage, and that remaining carrier is also contemplating its future in the state. The Obamacare chorus, exulting in recent polling showing that the law is less unpopular than ever before (sentiments likely driven by dishonestdemagoguery against a GOP replacement proposal, anti-Trump polarization, status quo bias, and the fact that most Americans are not affected by turmoil in the individual market), are trying to blame the ongoing upheaval on Republican-caused "uncertainty" and "sabotage." There is some evidence that a continued lack of clarity on the future of certain bailout-style reimbursement payments to insurers is contributing to some of the skittishness, but this terribly-written and promise-shattering law is sabotaging itself -- and has been for years. The underlying problems of Obamacare's unsustainable risk pools and adverse selection dilemma have nothing to do with Republicans. They're inherent, destabilizing flaws in the law itself, which was written and imposed entirely by Democrats. Premium hikes and access shock have been enduring flaws, long predating Donald Trump's presidency. The fundamental issue, as Nebraska's Governor correctly notes, is the unworkable structure of Democrats' disintegrating scheme:

Medica Health hasn’t decided whether to offer plans next year that meet the Affordable Care Act’s standards. If Medica joins the ranks of health insurance companies leaving the individual marketplace because they have been losing millions of dollars, Nebraskans seeking individual policies may not be able to find health plans at any price...Nebraska Gov. Pete Ricketts said Blue Cross’s decision “demonstrates the failure of Obamacare and how the system was so poorly designed that great companies like Blue Cross Blue Shield can’t stay in the marketplace. It highlights that Congress needs to act to make the health care system sustainable.” An additional 86,000 people in Nebraska have ACA plans this year, about 50,000 of those from Aetna Health, which decided last month it wouldn’t offer the plans in 2018 because of financial losses. That will leave only Medica, which covers about 36,000 people this year.
Recent public opinion surveys have shown that only 40 percent of voters support the House-passed American Health Care Act as written, with most wanting to see significant changes in the Senate. Major shifts in the law are virtually inevitably as the upper chamber does its work, which is currently being debated by a 13-member working group. According to a Senator involved in those negotiations, differences over 'essential health benefits' are being overshadowed over disagreements about the rate at which Medicaid outlays should increase in the future; moderate GOP Senators would like to see a more generous standard growth rate, while more conservative members prefer that benchmark be pegged at a lower clip. Regardless of polling and policy details, the current system is falling apart, necessitating a replacement. Even extremely liberal states are beginning to contemplate a post-Obamacare future, with California taking another step toward an economically ruinous (that's not hyperbole) single-payer system. The plan would more than double their entire state budget, which is already in bad shape, and sponsors have offered zero concrete plans for how to pay for it. But facts and empirical reality aren't meaningful obstacles to California Democrats:

Los Angeles Times‏Verified account@latimes
Single-payer healthcare plan advances in California Senate — without a way to pay its $400-billion tab

Good luck with that, California taxpayers. And I'm looking at you, working- and middle-class families; not "the rich." I'll leave you with this since-deleted incitement of Obamacare, via Deputy DNC Chairman Keith Ellison in the wake of the awful Portland killings:

Nat Shupe‏@NatShupe
Hey @keithellison! Why did you delete this tweet? Was it the moment you realized we are still under Obamacare?

How's Trumpcare coming along?
 

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
How's Trumpcare coming along?

I have long said, let Obamacare die. Let it hurt massive numbers of Americans. This will force the Dems to act rather than sitting on their hands. And Obama and the Dems will be blamed.
 

moe

Sophomore
May 29, 2001
32,565
152
63
I have long said, let Obamacare die. Let it hurt massive numbers of Americans. This will force the Dems to act rather than sitting on their hands. And Obama and the Dems will be blamed.
Republicans control the oval office and both houses of congress but the Dems will be blamed for current health care/insurance problems?! lol okey dokey. Don't quit your day job to become a political consultant unless unemployment is your goal.
 

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
Republicans control the oval office and both houses of congress but the Dems will be blamed for current health care/insurance problems?! lol okey dokey. Don't quit your day job to become a political consultant unless unemployment is your goal.

Obamacare is the law of the land, right? The Dems won't help fix the law. The GOP can let Obamacare crash and then place ad after ad telling Americans the Dems refused to help fix it before the crash.
 

MountaineerWV

Sophomore
Sep 18, 2007
26,324
191
0
I have long said, let Obamacare die. Let it hurt massive numbers of Americans. This will force the Dems to act rather than sitting on their hands. And Obama and the Dems will be blamed.

Well, isn't that nice of you to want to happen! If a Muslim hurts an American, let's bomb the **** out of them. But if our own politicians hurt Americans, then that's "good" and the Democrats will be "blamed". Damn, you are the man!
 

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
Well, isn't that nice of you to want to happen! If a Muslim hurts an American, let's bomb the **** out of them. But if our own politicians hurt Americans, then that's "good" and the Democrats will be "blamed". Damn, you are the man!

Your boys passed this law without a single GOP vote. Your boys are responsible and now don't want to help fix it. Your boys will be blamed. This is a Dem design for healthcare and Americans know it.
 

MountaineerWV

Sophomore
Sep 18, 2007
26,324
191
0
Your boys passed this law without a single GOP vote. Your boys are responsible and now don't want to help fix it. Your boys will be blamed. This is a Dem design for healthcare and Americans know it.

As long as it "hurts Americans", and "blame Democrats", you'll be fine with it. Is that the true Republican way now????
 

moe

Sophomore
May 29, 2001
32,565
152
63
I have long said, let Obamacare die. Let it hurt massive numbers of Americans. This will force the Dems to act rather than sitting on their hands. And Obama and the Dems will be blamed.
Republicans control the oval office and both houses of congress but the Dems will be blamed for current health care/insurance problems?! lol okey dokey. Don't quit your day job to become a political consultant unless unemployment is your goal.
 

moe

Sophomore
May 29, 2001
32,565
152
63
The Dems won't help fix the law.
The Dems would love to fix the law but the Repubs have no interest in doing so. Schumer says take repeal off the table and they'll get involved but otherwise you're on your own.
 

moe

Sophomore
May 29, 2001
32,565
152
63
I was not aware the Trumpcare was in place. 5 months in office and you thought Trumpcare was in place.?
No sorry you seem to be confused but I can help. The Repubs are working on Trumpcare and I wondered how that's coming along, do you know?
 

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
As long as it "hurts Americans", and "blame Democrats", you'll be fine with it. Is that the true Republican way now????

It is the Dems refusing to help, thus it is the Dems problem. They can step to the plate tomorrow and offer to help, right?
 

moe

Sophomore
May 29, 2001
32,565
152
63
It is the Dems refusing to help, thus it is the Dems problem. They can step to the plate tomorrow and offer to help, right?
I'm sure that the Dems will fix it before the mid term election so you can relax.
 

moe

Sophomore
May 29, 2001
32,565
152
63
Now thats one of you most outlandish claims. You were the ones that pushed the clusterfuk through.......its all on you.
My claim is true. The Dems want the ACA to continue to exist though it needs some work and they're interested and willing to help in that regard. True story.
 

bornaneer

Senior
Jan 23, 2014
30,216
846
113
No sorry you seem to be confused but I can help. The Repubs are working on Trumpcare and I wondered how that's coming along, do you know?
I'm not confused at all......You're the one that seems confused. Working on a replacement is far from having a new plan in place.
 

Airport

All-Conference
Dec 12, 2001
82,083
2,247
113
Well, isn't that nice of you to want to happen! If a Muslim hurts an American, let's bomb the **** out of them. But if our own politicians hurt Americans, then that's "good" and the Democrats will be "blamed". Damn, you are the man!
How about you recognize it was your party's dumbass law that is causing all these problems.
 

Airport

All-Conference
Dec 12, 2001
82,083
2,247
113
That's where I am. I don't even feel much of a need to reply to most of this stupid ********; it is beyond ridiculous.
That law was beyond ridiculous. How many lies did the congress have to tell the American people to get it passed? How many bad amendments did they attach to it to get it to pass? The only new enrollees are medicaid. Those that have insurance have too big a deductible to get treatment.
 

bornaneer

Senior
Jan 23, 2014
30,216
846
113
My claim is true. The Dems want the ACA to continue to exist though it needs some work and they're interested and willing to help in that regard. True story.
The Repubs also want a viable plan. Maybe one of these day the Dems will decide to work with the Repubs on a plan thats good for all Americans instead of rejecting every Repub idea.
 

Airport

All-Conference
Dec 12, 2001
82,083
2,247
113
You got that right. Of course the Repubs have nothing (a replacement) in place, I read the news. Good luck though!
The repubs need to recognize that the only new enrollees are medicaid and they aren't goingto vote republican anyway.
 

bornaneer

Senior
Jan 23, 2014
30,216
846
113
You got that right. Good luck though!
I really don't need any good luck....the current cluster is all on you. Good luck to you trying to squirm out of it. You passed it and you own it.
 

moe

Sophomore
May 29, 2001
32,565
152
63
The Repubs also want a viable plan. Maybe one of these day the Dems will decide to work with the Repubs on a plan thats good for all Americans instead of rejecting every Repub idea.
lol I guess it's payback time for the last 8 years or at least 4. McConnell said their primary goal was to make BO a one term prez. Obviously that didn't work but the Repubs did set a record on filibusters I believe so there's that. Dems don't need to stand in your way, they just let tea party Repubs do that.
 

moe

Sophomore
May 29, 2001
32,565
152
63
I really don't need any good luck....the current cluster is all on you. Good luck to you trying to squirm out of it. You passed it and you own it.
You're like patx in not understanding that you all are driving the car now so quit trying to blame people in the back seat for going into the ditch.
 

bornaneer

Senior
Jan 23, 2014
30,216
846
113
lol I guess it's payback time for the last 8 years or at least 4. McConnell said their primary goal was to make BO a one term prez. Obviously that didn't work but the Repubs did set a record on filibusters I believe so there's that. Dems don't need to stand in your way, they just let tea party Repubs do that.
Nice try.....change the subject. You folks had the White House and both Houses and all you could come up with was the current POS that is indeed imploding. You conjured up this mess and now you want the Repubs to bail your asses out.
 

bornaneer

Senior
Jan 23, 2014
30,216
846
113
You're like patx in not understanding that you all are driving the car now so quit trying to blame people in the back seat for going into the ditch.
Why do you think you guys were removed from the front seat......like maybe DUI?
 

moe

Sophomore
May 29, 2001
32,565
152
63
Nice try.....change the subject. You folks had the White House and both Houses and all you could come up with was the current POS that is indeed imploding. You conjured up this mess and now you want the Repubs to bail your asses out.
You don't seem to understand that Republicans are in control of the federal government, all aspects of it not just the parts that you like. If the ACA is not working then fix it or do something. Fortunately there are smarter folks in congress that understand that because if you wait on Dems to fix the ACA (Repubs won't allow that), you'll lose the midterms and one or both houses of congress. Yes, my advice for the Repubs is to sit on their hands (or fight amongst themselves) until the Dems fix the ACA while being the minority part. Sounds like a plan.
 

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
You don't seem to understand that Republicans are in control of the federal government, all aspects of it not just the parts that you like. If the ACA is not working then fix it or do something. Fortunately there are smarter folks in congress that understand that because if you wait on Dems to fix the ACA (Repubs won't allow that), you'll lose the midterms and one or both houses of congress. Yes, my advice for the Repubs is to sit on their hands (or fight amongst themselves) until the Dems fix the ACA while being the minority part. Sounds like a plan.

Here is what I love about libs. Their first argument was that Obamacare was working brilliantly, enrolling many more people and providing great healthcare to the American people.

Now, they are not arguing these points because they would look ridiculous in light of what is actually happening. So they blame the GOP even thought the GOP did not provide a single vote. Brilliant.
 

atlkvb

All-Conference
Jul 9, 2004
80,033
1,974
113
I have long said, let Obamacare die. Let it hurt massive numbers of Americans. This will force the Dems to act rather than sitting on their hands. And Obama and the Dems will be blamed.

Wonder why this is not a screaming headline on CNN?
 
Last edited:

TarHeelEer

Redshirt
Dec 15, 2002
89,286
37
48
You don't seem to understand that Republicans are in control of the federal government, all aspects of it not just the parts that you like. If the ACA is not working then fix it or do something. Fortunately there are smarter folks in congress that understand that because if you wait on Dems to fix the ACA (Repubs won't allow that), you'll lose the midterms and one or both houses of congress. Yes, my advice for the Repubs is to sit on their hands (or fight amongst themselves) until the Dems fix the ACA while being the minority part. Sounds like a plan.

They passed a bill through the house. Senate Democrats, unfortunately, will not play ball. So Obamacare, with the responsible party named, is going to cause a lot of people pain.
 

WVPATX

Freshman
Jan 27, 2005
28,197
91
38
If it were reversed, and it was to pass Obamacare in the first place, it would be opposite. Obamacare 24X7 - 2 minutes a day. 2 minutes a day: everything else.

CNN 98% of the time on Trump tweets and 2% on other news. I have rarely seen a more corrupt news outlet outside of MSNBC.
 

atlkvb

All-Conference
Jul 9, 2004
80,033
1,974
113
Umm....London? Leak? Florida Shooting? Do I need to go on?

You forgot embarrassment.

They've (MSM) been ignoring the ACA'S "death spiral" since long before today's recent headlines.

It doesn't exist to the Left in media, except in alternative media or Republican political attack ads.
 

MountaineerWV

Sophomore
Sep 18, 2007
26,324
191
0
If it were reversed, and it was to pass Obamacare in the first place, it would be opposite. Obamacare 24X7 - 2 minutes a day. 2 minutes a day: everything else.

Yeah, probably so........but maybe because it would be a law that is getting REVERSED. Those tend to get attention more than a law that stays in the books.