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Posts Tagged ‘Premiums’

Health insurance premiums skyrocket as industry scrambles for answers.

In Uncategorized on June 1, 2015 at 2:58 PM

Health insurance premiums skyrocket as industry scrambles for answers.

06/01/15
1434 pm

Blue Cross announced recently that it lost 141 million dollars last year under the Obamacare Health Care exchanges.

The deficit in this category of insurance, under the Silver plan, was grossly underestimated as to cost and total claims by this population. 

BCBS serves nearly 2/3 of the 231, 000 total people in TN seeking insurance through the exchanges.

BCBS because of this population’s over usage and a disproportionate share seeking care at inappropriate portals of entry have requested a 36 percent increase in premiums. Of course this will have to be decided upon by the state insurance regulatory body.

“We don’t have prior claim status information” is being used as an excuse for the premium increases.

“It’s a fairly new program.” Insurance officials keep spewing as a reason to further the conversation toward future increases and unanswered questions about overutilization, fraud and abuse.

I would venture to say that if you used the TennCare program as your template for prior claim data you may obtain a wealth of information on how this pool of patients will utilize their insurance options and their spending and use habits, to influence your bottom line.

The main problems lies in the main areas below with subsets stemming from these as generators of continued high costs and a resultant higher premium. 

For the most part, from my observations, we are putting our dollars in the wrong places and not promoting proper access to care.

Let’s attempt to bridle this non frugal population that relies largely on LIP, Low Income Pools to fund or  compensate inside a broken system. One can see that if you restrain and properly train this population in a complementary setting with adequate providers hospitals across the land will see a difference in their bottom line. 

For so long hospitals, mainly ERs have promoted seeking care at their place, relying heavily on those LIPs or DSH, Disproportionate Share Hospital money to pick up the slack. 

Now that federal money is being threatened to be taken away hospitals are now clamoring for a way to survive. 

I think if we took a minute to look at our system based on the suggestions in the section below, a great impact could be made in our fight for healthcare dollars inside a dwindling reimbursement scenario.

We are currently seeing about 45,000 ER visits at an average cost of about $1300.00 for an ER visit. With 1.2 million uninsured in TN you can easily see the impact on our hospitals.

In one study at a hospital in Texas they showed that 6,000 patients to their ER had 10 or more visits. The breakdown for this population cost the hospital on average about $134,000.00 per person per year. If we dared look, I am convinced you would see similar numbers in every state in the US.

There is an irresponsible and overwhelming pattern of use among this population that must be broken. 

Just as those who pay high premiums and even greater deductible and out of pocket expenses we must exercise frugality and promote accountability at all levels. On a large scale, this is not being done.

My assessment of where our healthcare dollars are being wasted that is resulting in these higher premiums.

There is a lack of education as to when and where resources are to be consumed appropriately.

There is a serious shortage of middle level providers in our state and across the US.

We also have a significant portion of providers that see reimbursement too low to continue seeing these patients, thus bouncing them to inappropriate care areas.

There are too many providers protecting their tales and over utilizing the resources available, a serious question arises here about tort reform.

There is very little oversight controlling and directing care and suggesting or providing the proper setting for that care defined.

Overusers and repeat offenders are posting record numbers visiting our ERs, our most costly entry point. Many are seeking drugs to fuel their habits. It is estimated that 4 to 8 percent of Medicaid/TennCare patients represent 21 to 28 percent of all ER visits.

Current federal law states our most expensive easiest access portal to healthcare, the ER, can be used regardless of your ability to pay and we must see you if you show up for any reason.

Over prescribing and fueling drug addiction is leading patients to enter the ER for their drug needs. Currently in conjunction with Joint Commission, a private entity, has joined with Big Pharma to prescribe via a completely subjective pain scale that  encourages over prescribing and threatens fines if not followed. 

We must issue Providers higher reimbursement and incentives to see Medicaid and exchange patients. In one study, 45 percent of Medicaid patients didn’t know who there Primary Care giver was.

In the same vein, primary providers need to reprimanded for referring everyone seen as underinsured or uninsured to go to the ER for care. Especially during office hours.

There needs to be after hour care clinics equipped with dental services to absorb a large portion of this population that uses the ER for primary or dental concerns after hours as well as for primary care issues.

Make the underinsured aware that if they seek care outside of a specified  more costly portal of entry they will be asked to put some skin in the game, or foot a proportionate share of the cost at the door. We used to be able to do this and it was very effective.

Encourage after hour care seekers to pay a co pay at the door of an unauthorized care area. 

And,

Repeat offender, overutilizers and abusers must be limited in their visits. Place limits on use aside from emergencies and reward those that use restraint.

It’s a start, certainly not a complete plan but one that will definitely set a precedent for future utilization of resources.  

I will contacting my reps soon. How about you.

I don’t know about you, I’m frankly tired of talking about these problems. It’s time we act.

Also, I will be releasing a book soon that elaborates more on these subjects and will even point you in a direction to make a difference.

It is in the We the People Books series called “Creating a Health Care Revolution.”

You can follow the book and the series to follow on Face Book called “We the People Books” like and follow if you desire.

Sources of info! Please visit these sights regularly. 
 
http://www.timesfreepress.com/news/local/story/2015/may/31/insurers-proposehefty-rate-increases/307112/

http://www.tennessean.com/story/money/industries/health-care/2015/05/15/health-insurance-rate-filing-requests-vary-insurer/27363437/

Obamacare Healthcare Exchange seizing bank accounts to pay premiums, fines

In Uncategorized on December 17, 2013 at 10:46 AM

Obamacare Healthcare Exchange seizing bank accounts to pay premiums, fines

12/17/2013
O924 am

Breaking News:  

Recent trending of this story is breaking the airways right now with great magnitude. Vast masses of people are becoming aware and many are showing outrage as once again a runaway government is attacking it’s people and this time where it hurts the most, their purse or in this case banking accounts.

Reportedly the Obamacare Healthcare Exchange is erroneously  debiting bank accounts in Washington State and across the nation, levying fines, suspending drivers licenses and placing liens on homes till their Obamacare debt is paid.

Initial reports are confirming that many are having their monthly premiums debited from their checking accounts not once but multiple times a month and having fines deducted from their accounts  placing financial hardships on many Americans. 

Take for instance the Bruner family on the news video below from Washington State. They enrolled and were hoping to pay their Obamacare premium in a few weeks when Josh Bruners next payroll check hit the bank but the deduction came 2 weeks early placing their bank account nearly 800 dollars in the negative forcing this family to postpone Christmas and seek alternatives to assist with feeding their family.

Will Sheehan via the Healthcare.gov facebook page (see link below)
reported that when they went to the Obamacare website to sign up he decided that the nearly 600 dollar premium and the 14,000 dollar deductible was more than he could pay and he opted out. This individual reported that he was then notified that he would be billed greater than 4,000 dollars in fines and this amount will be deducted directly from their bank account of which he had just previously entered all his data complete with his PIN and all. He also reported that he was told his license could be suspended and a lien placed on his home. If true and factual, this is a very frightening situation we are having placed upon us as American citizens. And creates an oppressive environment on potentially every American.
http://www.infowars.com/obamacare-fines-to-be-seized-from-bank-accounts 

Critics will say and it is substantiated that Obamacare does not seek payment by seizing or debiting your bank account but you also believed the lie when he told you “if you like your Doctor you can keep him” or “if you like your plan you can keep it!” Obama does not have a very good track record of telling the truth.

The Obamacare bill that was passed does state that when you enter into a healthcare door you will have to provide your banking info at the time of entry and your bank account can be searched to see if funds are available so that you can possibly consume your needed healthcare within your budget. This can be inferred that your bank account can be accessed by your government and funds and fines appropriated against your will and to make sure you have been making your payments. Afterall, we have heard horror stories for years of the IRS emptying out personal bank accounts and seizing your assets by any means possible just to settle a tax debt and this is a tax. Why would it surprise anyone to hear that the enforcement arm of our mandated Heathcare System, the IRS, would come after you for your forced premiums and fine you accordingly? Start reading at pages 58 to 77 from the link below directly from the healthcare bill that was passed. Nearly 20 pages dedicated to this subject.
http://democrats.senate.gov/pdfs/reform/patient-protection-affordable-care-act.pdf

We should have seen this coming when the government put the IRS in charge of enforcement of Obamacare and the supreme court stated that indeed this was a tax and hired nearly 20,000 new IRS agents for the dubious task. 
http://www.breitbart.com/Big-Government/2012/07/07/ObamaCare-Irs-Agents

The Obamacare fiasco continues to shock America and believe it or not you haven’t seen nothing yet! Just wait till your premiums skyrocket when your employer mandate expires, scheduled for January 14th, 2014!

Please read some of the links below! Gonna blow you away!

http://m.youtube.com/index?desktop_uri=%2F&gl=US#

http://m.townhall.com/tipsheet/carolplattliebau/2013/12/15/wa-obamacare-exchange-erroneously-debits-patient-bank-accounts-n1763400#

Obama gives CIA clearance to access your bank accounts!
http://beforeitsnews.com/obama/2013/03/obama-gives-cia-full-access-to-your-bank-account-2448692.html

http://www.fireandreamitchell.com/2013/12/14/obamacare-exchange-washington-debting-bank-accounts/

If Obama doesn’t get your money hackers will!
http://investmentwatchblog.com/john-mcafee-predicts-hackers-will-empty-obamacare-enrollees-bank-accounts/

http://m.naturalnews.com/news/042326_Obamacare_fines_bank_accounts_asset_seizure.html

Obamacare can check your bank account! It’s in the bill!
http://libertyandpride.com/obamacare-gives-the-government-access-to-your-bank-account/

Healthcare premiums rise 173 percent under Obamacare in TN for young adults

In Uncategorized on September 29, 2013 at 7:55 AM

Healthcare premiums rise 173 percent under Obamacare in TN for young adults

As College age adults are stepping out of the public indoctrination system and into the corporate world to make their mark they are being struck with a 173 percent insurance  premium hike by the Obama regime.

DC will be relying on their income to foot the majority of costs inside the newly implemented healthscare scheme and will undoubtedly see their premiums rise even further in the next few years as cost burdens are shifted to them.

The plan is devious yet ingenious. Think about it. Who typically uses less insurance than others? Right. Young people for the most part with no chronic or pre-existing conditions or revenue consuming health conditions. Pay in with very little withdrawal or drain on the system. That’s the plan.

MSM and assorted news outlets have been reporting that Tennessee youth will only have to pay 119.00 dollars per month under Obamacare, this is less than expected as the memo below eludes too. But not less than they are already paying. Did you catch that? Less than expected!

In TN the average 27 to 30 year old young adult, according to the GAO- Government Accountability Organization and DHHS- Department of Health and Human Services recently reported that in TN the average premium will be 173.6 percent higher next year from their pre Obamacare premiums.

State of TN:

Obamacare monthly premium:
119.00 dollars or 30.00 dollars a week

Pre-Obamacare monthly:
43.50 dollars or 10.80 cent a week

Dollar increase:
75.50 dollars

Percentage increase:
173.56 

Remember, many of these youth will only make a few hundred dollars a week at minimum wage. Many  have elected to not carry health insurance, because they frankly don’t think they will need it, this saving income for their disposal. Now they will be forced to pay relatively higher premiums resulting in a decrease in disposable income. Essentially an additional 20 percent tax placed upon them by our federal government.

Minimum wage workers are facing a drop in employment hours to 29 hours thus keeping their employer from paying their portion of healthcare premiums. This drop in hours will take an ample portion of their income and result in further loss of income.

A young person making minimum wage and 29 hours a week could plan on making:

210 dollars per week before taxes.

168 after taxes at 20 percent

134 dollars after Obamacare healthcare tax, another 20 percent of income lopped off.

Figure in a car payment, rent, dental, life ins, utilities, gas, food and electricity you can see what is going to happen, creeping debt and a negative income to debt ratio, otherwise owing the government more than you make.

Eventually and perhaps already, these young adults will realize that they are nothing more than a slave, a serf, fully dependent on the government to provide all their needs. Socialism is on the horizon and the transition near completion. 

The inundation and shock on our system will leave you working just to pay your debt and at the end of a work week, you reach for a check or cash and you are given a coupon for bread, milk cheese and enough gas to get you back and forth to work. 

All while  living in government occupation pods complete with smart meters, in a downtown high rise, devoid of private property, with a windmill and a solar panel to heat your pod enough to keep you functional and alive to work another day.

Below is an excerpt from a  Memorandum by RNC Research Director Kris Anderson sent out this month explaining the graph in the link below reflecting on the info above and how it was calculated.

“To complete a fair analysis, we looked at two sets of data at RNC Research. First, we took the HHS-released data on the lowest average monthly premium of a bronze plan for a 27-year-old in the various states under the exchanges. We compared those rates against the states’ average premiums for 30-year old nonsmoking males that were included in a July 2013 study from the U.S. Government Accountability Office. We calculated out the difference between the premium rates. In every state, there’s a sizable increase.”

“We do realize there are more things that play into these calculations, but the takeaway is pretty clear: when talking about premiums, ObamaCare is bad news for the average American.”

Below is a breakdown link showing percentage increase in Obamacare premiums per state.

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