Saturday, September 11, 2010

Obama Administration To Impose Dictatorship Price Controls Over Insurance Industry...and tells them to shut-up!

Is that the one and only Joseph Stalin?
 The following cross-posted from:
Saturday, September 11, 2010

White House Tells Insurance Industry: SHUT UP About Obamacare-Caused Rate Hikes Or Else

 
My family began to understand some of the unknown effects of Obamacare a few weeks ago when my wife showed me a letter from our health insurance company informing us that our premiums were going up more than usual because of the progressive health care bill. Other insurance companies have followed suit with letters to their clients. The progressive White House, not a big fan of the First Amendment is now telling the insurance industry to shut up or else!

Starting on September 23, 2010 insurance companies are force to include new benefits because of Obamacare that increase costs including:
  • Prohibition on lifetime limits  
  • Restrictions on annual limits 
  • No Co-Pay on coverage of preventive services 
  • Extension of dependent coverage up to age 26  
  • New internal and external appeals processes 
  • New rules regarding coverage for emergency services 
  • Prohibition on pre-existing condition exclusions for children
Based on their track record, the White House probably doesn't realize for an insurance company to remain solvent, when costs go up they need to find a way to pay for it.

According to the Wall Street Journal,
Aetna, one of the nation’s largest health insurers, said the extra benefits forced it to seek rate increases for new individual plans of 5.4% to 7.4% in California and 5.5% to 6.8% in Nevada after Sept. 23. Similar steps are planned across the country, according to Aetna.

Regence BlueCross BlueShield of Oregon said the cost of providing additional benefits under the health law will account on average for 3.4 percentage points of a 17.1% premium rise for a small-employer health plan. It asked regulators last month to approve the increase.

In Wisconsin and North Carolina, Celtic Insurance Co. says half of the 18% increase it is seeking comes from complying with health-law mandates.
The report says that most of these rate increases apply to policies issued to individuals and small businesses, the very people Democrats claimed would be most helped by ObamaCare. It also says that “about 9% of Americans buy coverage through the individual market, according to the Census Bureau, and roughly one-fifth of people who get coverage through their employer work at companies with 50 or fewer employees, according to the Kaiser Family Foundation.”

But the White House wants the insurance companies silenced, HHS Secretary Sebelius sent a letter to the AHIP an insurance industry advocacy group. The letter written in a threatening tone said in part:
Given the importance of the new protections and the facts about their impact on costs, I ask for your help in stopping misinformation and scare tactics about the Affordable Care Act. Moreover, I want AHIP’s members to be put on notice: the Administration, in partnership with states, will not tolerate unjustified rate hikes in the name of consumer protections.

Already, my Department has provided 46 states with resources to strengthen the review and transparency of proposed premiums. Later this fall, we will issue a regulation that will require state or federal review of all potentially unreasonable rate increases filed by health insurers, with the justification for increases posted publicly for consumers and employers. We will also keep track of insurers with a record of unjustified rate increases: those plans may be excluded from health insurance Exchanges in 2014. Simply stated, we will not stand idly by as insurers blame their premium hikes and increased profits on the requirement that they provide consumers with basic protections.
Someone should tell the Sebelius that the same exact thing happened with Obamacare's model, RomneyCare. The Journal also reported that Massachusetts, which enacted universal insurance coverage several years ago, also has seen steadily rising insurance premiums since then.
I suppose that's just another benefit of Obamacare, along with higher insurance costs and making access to certain medical services more difficult, Obamacare has given the White House an excuse to threaten the first amendment rights of the insurance industry.
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We sort of new this was coming...didn't we? ~ Storm'n Norm'n
The following from reason.com

HHS Secretary Sebelius on ObamaCare: “We have a lot of reeducation to do.”

As Glenn Reynolds quipped, “Maybe there are camps for that?”
Still, if it’s reeducation that’s needed, maybe we ought to start with Sebelius, who seems to be somewhat confused herself. She’s still arguing that the PPACA extends the solvency of Medicare:
Sebelius argues the reforms “strengthen” Medicare, extending its solvency by 12 years through 2029. “My view is actually supported by independent actuaries, by economists and by the Congressional Budget Office,” Sebelius said.
Except that, as I noted earlier this month, this claim is very much not supported by the CBO, which released a letter last December concluding that “to describe the full amount of HI trust fund savings as both improving the government’s ability to pay future Medicare benefits and financing new spending outside of Medicare would essentially double-count a large share of those savings.”
_____________________________

Here's the Dictator Sebelius' dictatorial dictate ...

News Release
FOR IMMEDIATE RELEASE
Thursday, September 9, 2010
Contact: HHS Press Office (202) 690-6343

Sebelius calls on health insurers to stop misinformation and unjustified rate increases
Affordable Care Act will help lower costs and crack down on unjustified rate increases

WASHINGTON, DC – U.S. Department of Health and Human Services Secretary Kathleen Sebelius wrote America’s Health Insurance Plans (AHIP), the national association of health insurers, calling on their members to stop using scare tactics and misinformation to falsely blame premium increases for 2011 on the patient protections in the Affordable Care Act. Sebelius noted that the consumer protections and out-of-pocket savings provided for in the Affordable Care Act should result in a minimal impact on premiums for most Americans. Further, she reminded health plans that states have new resources under the Affordable Care Act to crack down on unjustified premium increases.
The text of Sebelius’ letter is below.

Ms. Karen Ignagni
President and Chief Executive Officer
America’s Health Insurance Plans
601 Pennsylvania Avenue, NW
South Building, Suite 500
Washington, DC 20004
Dear Ms. Ignagni:
It has come to my attention that several health insurer carriers are sending letters to their enrollees falsely blaming premium increases for 2011 on the patient protections in the Affordable Care Act. I urge you to inform your members that there will be zero tolerance for this type of misinformation and unjustified rate increases.
The Affordable Care Act includes a number of provisions to provide Americans with access to health coverage that will be there when they need it. These provisions were fully supported by AHIP and its member companies. Many of the legislation’s key protections take effect for plan or policy years beginning on or after September 23, 2010. All plans must comply with provisions such as no lifetime limits, no rescissions except in cases of fraud or intentional misrepresentation of material fact, and coverage of most adult children up to age 26. New plans must comply with additional provisions, such as coverage of preventive services with no cost sharing, access to OB / GYNs without referrals, restrictions on annual limits on coverage, a prohibition on pre-existing condition exclusions of children (which applies to all group health plans), access to out-of-network emergency room services, and a strengthened appeals process. And health plans that cover early retirees could qualify for reinsurance to sustain that coverage for businesses, workers, and retirees alike.
According to our analysis and those of some industry and academic experts, any potential premium impact from the new consumer protections and increased quality provisions under the Affordable Care Act will be minimal. We estimate that that the effect will be no more than one to two percent. This is consistent with estimates from the Urban Institute (1 to 2 percent) and Mercer consultants (2.3 percent) as well as some insurers’ estimates. Pennsylvania’s Highmark, for example, estimates the effect of the legislation on premiums from 1.14 to 2 percent. Moreover, the trends in health costs, independent of the legislation, have slowed. Employers’ premiums for family coverage increased by only 3 percent in 2010 – a significant drop from previous years.

Any premium increases will be moderated by out-of-pocket savings resulting from the law. These savings include a reduction in the “hidden tax” on insured Americans that subsidizes care for the uninsured. By making sure insurance covers people who are most at risk, there will be less uncompensated care, and, as a result, the amount of cost shifting to those who have coverage today will be reduced by up to $1 billion in 2013. By making sure that high-risk individuals have insurance and emphasizing health care that prevents illnesses from becoming serious, long-term health problems, the law will also reduce the cost of avoidable hospitalizations. Prioritizing prevention without cost sharing could also result in significant savings: from lowering people’s out-of-pocket spending to lowering costs due to conditions like obesity, and to increasing worker productivity – today, increased sickness and lack of coverage security reduce economic output by $260 billion per year.

Given the importance of the new protections and the facts about their impact on costs, I ask for your help in stopping misinformation and scare tactics about the Affordable Care Act. Moreover, I want AHIP’s members to be put on notice: the Administration, in partnership with states, will not tolerate unjustified rate hikes in the name of consumer protections.
Already, my Department has provided 46 states with resources to strengthen the review and transparency of proposed premiums. Later this fall, we will issue a regulation that will require state or federal review of all potentially unreasonable rate increases filed by health insurers, with the justification for increases posted publicly for consumers and employers. We will also keep track of insurers with a record of unjustified rate increases: those plans may be excluded from health insurance Exchanges in 2014. Simply stated, we will not stand idly by as insurers blame their premium hikes and increased profits on the requirement that they provide consumers with basic protections.
Americans want affordable and reliable health insurance, and it is our job to make it happen. We worked hard to change the system to help consumers. It is my hope we can work together to stop misinformation and misleading marketing from the start.

Sincerely, Kathleen Sebelius

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