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(Un) Affordable Care Act - the Uncomfortable Truth

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  • (Un) Affordable Care Act - the Uncomfortable Truth

    since they wrote Obamacare should it come as a surprise that . . .


    Insurers’ Stocks, Unhurt by the Dawn of the Health Care Law

    By ANNA BERNASEK

    The Affordable Care Act has been controversial — so much so that Republican objections to it were a principal cause of the recent partial shutdown of the federal government.

    Yet from the financial perspective of the health care industry, Obamacare, as the law is often known, doesn’t seem much of a hindrance.

    In fact, it may even turn out to be positive.

    Consider the situation of health insurance providers.

    Because they face new regulations intended to broaden coverage and limit profit-taking, some analysts have been concerned that profits will suffer. But in the run-up to the Affordable Care Act, stock market prices have told a different story.

    Over the last 12 months, shares of the top five publicly traded health insurance companies — Aetna, WellPoint, UnitedHealth Group, Humana and Cigna — have increased by an average of 32 percent, while the Standard & Poor’s 500-stock index has risen by just 24 percent.

    Strong profits in the current year, as growth slowed in overall health care costs, is one probable explanation for the outperformance by the group.

    Another is the growing expectation that payments from new customers required to buy insurance under the Affordable Care Act will offset costs from new regulations.

    Health insurance companies themselves haven’t exactly sounded an alarm about the Affordable Care Act’s arrival.

    Mark T. Bertolini, the Aetna chief executive, said recently: “We continue to believe that public exchanges can represent a longer-term upside opportunity.”

    And most health insurers are forecasting earnings growth after the health care law is fully in effect.
    David Cordani, Cigna’s chief executive, said his company’s average annual earnings per share would grow 10 to 13 percent over the next three to five years.

    If such projections are correct, someday we may look back and wonder what all the fuss was about.

  • #2
    Re: (Un) Affordable Care Act - the Uncomfortable Truth

    Paul Craig Roberts nails why the ACA is going to be failure and why Obama/Democrats had to pursue it to change anything in our current healthcare debacle.

    http://paulcraigroberts.org/2013/10/...rip-americans/

    Comment


    • #3
      Re: (Un) Affordable Care Act - the Uncomfortable Truth

      1.5 million have lost health coverage because of Obamacare:

      http://www.breitbart.com/Big-Governm...surance-So-Far

      But 700,000 have completed an Obamacare application. Of course this does not mean they have health insurance yet.

      http://www.buzzfeed.com/evanmcsan/ob...macare-applica

      Just think only at least 800,000 have lost health coverage so far! Now if the 1.5 million do sigh up to Odon'tCare, will they try to count them as a success?

      And rates are going up acrosss the country for those that already have health insurance:

      http://www.latimes.com/business/la-f...#axzz2j4nfoQhq

      Most states have huge increases in health insurance costs, especially for younger people:

      http://www.heritage.org/multimedia/i...care-exchanges

      Comment


      • #4
        Re: (Un) Affordable Care Act - the Uncomfortable Truth

        Originally posted by vt View Post
        1.5 million have lost health coverage because of Obamacare:

        http://www.breitbart.com/Big-Governm...surance-So-Far

        But 700,000 have completed an Obamacare application. Of course this does not mean they have health insurance yet.

        http://www.buzzfeed.com/evanmcsan/ob...macare-applica

        Just think only at least 800,000 have lost health coverage so far! Now if the 1.5 million do sigh up to Odon'tCare, will they try to count them as a success?

        And rates are going up acrosss the country for those that already have health insurance:

        http://www.latimes.com/business/la-f...#axzz2j4nfoQhq

        Most states have huge increases in health insurance costs, especially for younger people:

        http://www.heritage.org/multimedia/i...care-exchanges

        what is missing is the out of pocket can be between 4k and 10K

        Comment


        • #5
          Re: (Un) Affordable Care Act - the Uncomfortable Truth

          Looks like a real money maker . . .

          Comment


          • #6
            Re: (Un) Affordable Care Act - the Uncomfortable Truth

            Originally posted by vt View Post
            1.5 million have lost health coverage because of Obamacare:

            http://www.breitbart.com/Big-Governm...surance-So-Far

            But 700,000 have completed an Obamacare application. Of course this does not mean they have health insurance yet.

            http://www.buzzfeed.com/evanmcsan/ob...macare-applica

            Just think only at least 800,000 have lost health coverage so far! Now if the 1.5 million do sigh up to Odon'tCare, will they try to count them as a success?

            And rates are going up acrosss the country for those that already have health insurance:

            http://www.latimes.com/business/la-f...#axzz2j4nfoQhq

            Most states have huge increases in health insurance costs, especially for younger people:

            http://www.heritage.org/multimedia/i...care-exchanges
            That is what happens when you go with a Heritage/GOP designed solution as a bad compromise combined with having it blocked and hindered at every turn on top of that.

            Comment


            • #7
              Re: (Un) Affordable Care Act - the Uncomfortable Truth

              Originally posted by TBBNF View Post
              That is what happens when you go with a Heritage/GOP designed solution as a bad compromise combined with having it blocked and hindered at every turn on top of that.
              http://www.westernjournalism.com/des...althcare-mess/

              Democrats must be really desperate to blame anyone but themselves for this disaster. What a victim act

              Comment


              • #8
                Re: (Un) Affordable Care Act - the Uncomfortable Truth

                Originally posted by vt View Post
                http://www.westernjournalism.com/des...althcare-mess/

                Democrats must be really desperate to blame anyone but themselves for this disaster. What a victim act
                The Right and Fox news put out so much lies, exaggerations, misinformation, and propaganda that I can't even waste my time anymore going through all your links. The sad part is some of it may be valid but after 20 years of 90% rubbish I no longer waste my time refuting it all. Thanks again for destroying America.

                Comment


                • #9
                  Re: (Un) Affordable Care Act - the Uncomfortable Truth

                  Originally posted by vt View Post
                  http://www.westernjournalism.com/des...althcare-mess/

                  Democrats must be really desperate to blame anyone but themselves for this disaster. What a victim act
                  you mean that "passing it so we can read it..." might NOT have been a good strategy ?

                  Tennessee Rep. Marsha Blackburn called out Waxman and others, saying that the country has been told time and again that the obviously faulty registration program would be operable and easy to use.
                  “These past three weeks of exchange messiness demonstrate that no member of this body should be a blind cheerleader for the Affordable Care Act and ignore the problems before their very eyes,” she concluded.
                  i think it also demonstrates the brilliance of the founders in designing the system in such way that PREVENTS - or at least attempts to prevent 'the majority' from RAMMING SUCH BS THRU with out so much as a single minority vote, on the night before the night before christmas - even as the rest of the economy swirled down the toilet, after flushing trillions to bailout their main contributors (in lwr manhattan)

                  and NOW, these same clowns want to blame 'the minority' - after their own handpicked/no-bid contractors so thoroughly/utterly FAILED AFTER BLOWING NEARLY ANOTHER TRILLION - and cant blame any but themselves...

                  and some wonder why most of The Rest Of US have no faith in THIS government to get _anything_ right - other than politically correct anyway - never mind offer any 'hope for change' - as they bungle their way from one crisis too good to waste to the next - that their own policies/politix have directly created!!??

                  Comment


                  • #10
                    Re: (Un) Affordable Care Act - the Uncomfortable Truth

                    POLL

                    29oct/13 - 1128 edt

                    An investigation by NBC found that the Obama administration knew millions of people wouldn't be able to keep their health insurance. Have you lost trust in Obamacare?




                    Yes, I'm losing faith (14224)
                    57%
                    Congress will repeal this soon (4815)
                    19%
                    No, we'll get through the glitches (5772)
                    24%

                    Comment


                    • #11
                      Re: (Un) Affordable Care Act - the Uncomfortable Truth

                      Originally posted by TBBNF View Post
                      The Right and Fox news put out so much lies, exaggerations, misinformation, and propaganda that I can't even waste my time anymore going through all your links. The sad part is some of it may be valid but after 20 years of 90% rubbish I no longer waste my time refuting it all. Thanks again for destroying America.
                      That's a bit harsh When the blame is completely put on one side, I tend to try to balance with documentation. The fact that you come back with such a comment speaks volumes. Let's discuss, not smear.

                      I'm committed to calling out both sides, and my posts have made clear I dislike both parties. Of interest is that I was born in this foggy bottom called D.C., went to college here, and have seen the political environment dissolve to the cesspool it is today.

                      I feel all of us here want to make the nation a better place. To really help the poor, to help engender a strong middle class, and to call out the political class and their moneyed interests for their failings.
                      Last edited by vt; October 29, 2013, 08:51 PM.

                      Comment


                      • #12
                        Re: (Un) Affordable Care Act - the Uncomfortable Truth

                        Originally posted by vt View Post
                        That's a bit harsh When the blame is completely put on one side, I tend to try to balance with documentation. the fact that you come back with such a comment speaks volumes. Let's discuss, not smear.

                        I'm committed to calling out both sides, and my posts have made clear I dislike both parties. Of interest is that I was born in this foggy bottom called D.C., went to college here, and have seen the political environment dissolve to the cesspool it is today.

                        I feel all of us here want to make the nation a better place. To really help the poor, to help engender a strong middle class, and to call out the political class and their moneyed interests for their failings.
                        well said!

                        Comment


                        • #13
                          Re: (Un) Affordable Care Act - the Uncomfortable Truth

                          Originally posted by TBBNF View Post
                          Thanks again for destroying America.
                          Wow! I'm not used to reading such vitriol here. Feels like a slap in the face and it wasn't even directed at me. Are you sure you're in the right forum? If you're looking for a place to vent your anger behind a veil of anonymity, I think you made a wrong turn somewhere.

                          Be kinder than necessary because everyone you meet is fighting some kind of battle.

                          Comment


                          • #14
                            Re: (Un) Affordable Care Act - the Uncomfortable Truth

                            Most are signing up for Medicaid, not Obamacare:


                            As the Obamacare website struggles, the administration is emphasizing state-level success. President Obama said Monday, "There's great demand at the state level as well. Because there are a bunch of states running their own marketplaces."

                            But left unsaid in the president's remarks: the newly insured in some of those states are overwhelmingly low-income people signing up for Medicaid at no cost to them.

                            Matt Salo, executive director of the National Association of Medicaid Directors, said, "We're seeing a huge spike in terms of Medicaid enrollments."

                            He says the numbers have surprised him and state officials.

                            CBS News has confirmed that in Washington, of the more than 35,000 people newly enrolled, 87 percent signed up for Medicaid. In Kentucky, out of 26,000 new enrollments, 82 percent are in Medicaid. And in New York, of 37,000 enrollments, Medicaid accounts for 64 percent. And there are similar stories across the country in nearly half of the states that run their own exchanges.

                            Medicaid experts say they're not sure why they're seeing the lopsided enrollment numbers, but point out it's easier to enroll in Medicaid than private insurance.

                            An administration spokeswoman says coverage provided by the new law offers "a range of options so consumers can pick a plan that best meets their needs ... and their budget."

                            But Gail Wilensky, a former Medicaid director, said the numbers are causing concern in the insurance industry, which needs healthy adults to buy private insurance in large numbers for the system to work.

                            "Either the private insurance enrollments come up somewhere around the expected amount or there's going to be a problem. ... You need a volume and you need a mix of people that are healthy as well as high users in private insurance, in order to have it be sustainable," she said.

                            The Obama administration says they expected these high enrollment numbers in Medicaid because the law expands the number of low-income people who can get Medicaid, CBS News' Jan Crawford reported on "CBS This Morning." Supporters say this shows demand. But industry sources say that if we do not see some real turnaround soon, there could be big problems for the entire system.

                            http://www.cbsnews.com/8301-505267_1...are-structure/

                            Over 96 Percent of Obamacare Enrollees in Maryland Signed Up for Medicaid
                            http://www.nationalreview.com/corner...sterling-beard

                            NY ObamaCare — Medicaid on steroids
                            http://nypost.com/2013/10/25/most-ny...sing-medicaid/

                            Comment


                            • #15
                              Re: (Un) Affordable Care Act - the Uncomfortable Truth

                              The President Wants You to Get Rich on Obamacare

                              By ADAM DAVIDSON

                              Tom Scully bolted through the doors and up the stairs to a private dining room on the third floor of the “21” Club. Scully, 56, is slightly taller than average and has tousled graying hair, an athletic build and a lopsided smile. He typically projects a combination of confidence and bemusement, but on this rainy September afternoon, he was frenzied. Scully was scheduled to deliver the keynote address at an event hosted by the Potomac Research Group, a Beltway firm that advises large investors on government policy (tag line: “Washington to Wall Street”). Today’s discussion centered on the most significant change in decades to the nation’s health care policy, the Patient Protection and Affordable Care Act, a.k.a. Obamacare. As Scully walked to the front of the room, some 50 managers from hedge funds, mutual funds and private equity firms tucked into the round tables. Others gathered in the hallway. A hush of anticipation hung in the air.

                              During the past year, anxiety about the onset of Obamacare has created a chill in some parts of the economy. While large health care businesses — insurance companies, for instance, and hospital chains — have poured significant resources into preparing for millions of new customers, countless investors have appeared spooked by the perpetual threats to repeal, or at least revise, the law. According to Thomson Reuters, private equity investment, usually the lifeblood for entrepreneurialism, has dropped by an astonishing 65 percent in the health care sector this year.

                              Scully has been trying to assuage these worries, but the nervous questions keep coming at him. Before he even began his speech, one attendee said he feared that only three million new patients, far fewer than estimated, would be signing up for insurance. “No way,” Scully said. “Way more — way more. At least 15 million, maybe 20 million. The Democrats have a huge incentive to make this work.” Another asked if Scully was worried about Congressional repeal. “It’s just not going to happen,” he said. “Don’t pay attention to Rush Limbaugh.” When Scully finally began his speech, he noted that the prevailing narrative among Republicans — assuming that many in the room were, like him, Republican — was incorrect.

                              “It’s not a government takeover of medicine,” he told the crowd. “It’s the privatization of health care.” In fact, Obamacare, he said, was largely based on past Republican initiatives. “If you took George H. W. Bush’s health plan and removed the label, you’d think it was Obamacare.”

                              Scully then segued to his main point, one he has been making in similarly handsome dining rooms across the country: No matter what investors thought about Obamacare politically — and surely many there did not think much of it — the law was going to make some people very rich. The Affordable Care Act, he said, wasn’t simply a law that mandated insurance for the uninsured. Instead, it would fundamentally transform the basic business model of medicine. With the right understanding of the industry, private-sector markets and bureaucratic rules, savvy investors could help underwrite innovative companies specifically designed to profit from the law. Billions could flow from Washington to Wall Street, indeed.

                              Scully, who has spent the last 30-some years oscillating between government and the private sector, is hoping to be his own best proof of the Obamacare gold mine. As a principal health policy adviser under President George H. W. Bush, he helped formulate many of those past Republican initiatives — like the shift to private-insurance programs — that Obamacare has put into law. Under George W. Bush, he ran the Centers for Medicare and Medicaid Services and oversaw a host of proto-Obamacare reforms, like Medicare Part D, which introduced competition into the government-supported health care market. After leaving C.M.S. in 2004, Scully began working simultaneously at Welsh, Carson, Anderson & Stowe, a leading health care private equity firm, and Alston & Bird, a law firm and health care lobbying organization.

                              When the Affordable Care Act became law in 2010, he found himself in the rare position of being a lobbyist, private equity executive and former government health care official with access to a serious amount of capital. During the past three years, as other Republicans have tried to overturn Obamacare, Scully searched for a way to make a killing from it.

                              A couple of years ago, Scully identified his best bet. NaviHealth, the company he co-founded, is designed to streamline an enormous but often overlooked corner of the health care market that, many studies conclude, is the most financially wasteful: post-acute care, or the treatment of patients (mostly seniors) after hospitalization for surgery or serious illness. NaviHealth relies on complex analytical software and a vast medical staff (it has about 175 employees) to offer better post-acute care at lower cost. By that September afternoon, Scully and his partners had already raised $35 million to build NaviHealth, which he expected to be profitable in one month. If all went according to plan, NaviHealth would be just the first of many billion-dollar companies built around the Affordable Care Act. Scully could demonstrate for countless other investors how to become their very own Obamacare billionaires.

                              Scully wrapped up his speech on a personal note. As a Republican, he said, he was ambivalent about the Affordable Care Act. He liked the market-driven private-insurance exchanges, but he detested that the law called for hundreds of billions of dollars in future subsidies to help Americans, including certain families earning up to about $95,000, buy insurance. The rapid transfer of so much money from other parts of the economy could have a negative overall effect. “It’s way too much money, way too fast,” Scully said. “But it’s going to be great for you investors.”

                              http://www.nytimes.com/2013/11/03/ma...gewanted=print

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