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Top insurer warns that Obamacare enrollment mix worse than expected [Humana, Medicare Advantage]
Washington Examiner ^ | January 10, 2014 | Philip Klein

Posted on 01/10/2014 11:34:48 PM PST by Cincinatus' Wife

Humana Inc., the nation's fourth-largest health insurer by market share, warned Thursday that the risk pool of applicants for insurance through President Obama's health care law would be worse than previously expected.

Ever since the botched rollout of the health care law's exchanges in October, the policy community has been eager to know more about the mix of individuals signing up for insurance through the law.

Because the law forces insurers to cover those with pre-existing conditions, insurers need to attract a critical mass of young and healthy individuals with lower medical costs into the exchanges to offset the cost. But the Obama administration has yet to release demographic data on those who have picked a plan through the exchanges.

But in a filing with the Securities and Exchange Commission, Humana disclosed to investors, "as a result of the December 2013 federal and state regulatory changes allowing certain individuals to remain in their previously existing off-exchange health plans, the Company now expects the risk mix of members enrolling through the health insurance exchanges to be more adverse than previously expected."

The regulatory change Humana is referring to is the "administrative fix" announced by the Obama administration aimed at allowing individuals to remain enrolled in their current plans, which had been cancelled as a result of requirements imposed by the law. Obama announced the "fix" after a storm of criticism over his broken promise that anybody who liked their plan could keep it. Insurers had been depending on those with cancelled plans (who tend to be healthier) to end up obtaining insurance through exchanges.

Humana said that the company was "evaluating" the financial effects of the changes, but at this time, did not adjust their earnings forecast for 2014.

In the same filing, Humana said cuts to Medicare Advantage payments to private insurers made by the health care law would be steeper than expected, triggering changes to benefits.

"The Company expects to continue its standard process of seeking alternatives to minimize the disruption to Medicare beneficiaries this level of rate decline may cause," the filing read. "Such alternatives include clinical management programs, operating cost efficiencies, benefit changes, market exits and other operating strategies. In the interim, the Company also expects to continue its efforts to educate CMS, the Administration and Congress on the adverse impact such rate pressures have upon Medicare beneficiaries."


TOPICS: Culture/Society; Front Page News; Government; Politics/Elections
KEYWORDS: abortion; aca; deathpanels; fl; fla; florida; healthcare; humana; medicare; obamacare; unexpected; zerocare
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To: Cincinatus' Wife
"... their taxes contribute to the growth of our economy..."
-
Only in bizarro world.


41 posted on 01/11/2014 3:41:08 AM PST by Repeal The 17th (We have met the enemy and he is us.)
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To: Cincinatus' Wife

Bad news all the way around. The downward health care spiral is on.


42 posted on 01/11/2014 3:44:38 AM PST by iontheball
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To: JennysCool
People will panic - Obama-Reid will step in and call for Single Payer [total government control].

And they will fail completely, because while that may have been their original aim, the completely inept handling of the “Affordable Healthcare Act” has most Americans wanting the federal government out of health care, not more involved. They had their chance, they blew it. They made themselves the one thing you never want to be in politics: a national joke.
++++++
Thanks for your post. It is correct on every point.

43 posted on 01/11/2014 3:44:40 AM PST by InterceptPoint
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To: JennysCool
"And they will fail completely, because while that may have been their original aim, the completely inept handling of the "Affordable Healthcare Act" has most Americans wanting the federal government out of health care, not more involved. They had their chance, they blew it. They made themselves the one thing you never want to be in politics: a national joke."

I would hope you are correct, but I suspect the Marxists in control of the US government will employ whatever amount of force and deceit is required to get to their goal. They will use the IRS, the HHS, the DOJ and whatever else they have to motivate compliance and punish opposition. Those who speak up will be targeted and silenced. Those who play along will be rewarded. It is going to take blood in the streets and mass civil disobedience to change their course IMO.

44 posted on 01/11/2014 3:45:46 AM PST by Truth29
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To: Cincinatus' Wife
Can we say BAILOUT?

That would be interesting. According to this, Humana has profits of about $7.50 per share. Insurance companies have the smart math guys and gals, the actuaries. Long run, they'll do just fine.

45 posted on 01/11/2014 3:54:39 AM PST by grania
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To: Cincinatus' Wife
Humana Inc., the nation's fourth-largest health insurer by market share, warned Thursday that the risk pool of applicants for insurance through President Obama's health care law would be worse than previously expected.

Which is the reason that the feds will NOT release any valid numbers regarding the sign ups.

This is now 11 days since the end of the year, and if the computer programs still can't give accurate information...

46 posted on 01/11/2014 4:22:48 AM PST by USS Alaska (If I could...I would.)
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To: grania

Check comment #3 excerpt [then note the following - the rest of the story].

......”Note that Humana still projects strong growth despite the bad Obamacare numbers. They know that if things are really bad, they’ll get a government bailout - courtesy of the taxpayer.

A sickening thought considering their previous support for Obamacare.”

http://www.americanthinker.com/blog/2014/01/humana_says_obamacare_enrollee_mix_worse_than_expected.html


47 posted on 01/11/2014 4:36:16 AM PST by Cincinatus' Wife
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To: txrefugee
What they liked was the guarantee that the stupid U.S. taxpayers would bail them out if it failed. This is the part of ObamaCare that Republicans ought to repeal. If Democrats vote No, they are voting for government bailouts for Big Insurance...not something you want on your voting record in Democrat precincts.

In defense of the insurance companies: No insurance companies would have participated in Obamacare if they thought it was likely to be a financial disaster for them. In order to get the insurance industry on board Obama needed to cover their potential loses.

Evaluating risks is what insurance companies do. They know what its like to play ball with the government.

48 posted on 01/11/2014 4:37:42 AM PST by Senator_Blutarski
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To: Senator_Blutarski

One of the other points that people have to remember is that insurance had been heavily regulated by the federal government for years before Obamacare came along. That, of course, was one of the reasons the industry was not working as well as it might have to begin with.

So when the Feds announced they simply wanted to take over the insurance industry entirely (because that’s what’s happening), the companies just shrugged and went along. They knew that they’d make sufficient money because anything the government controls becomes a money-pit and is just another boondoggle that enriches somebody somewhere, and at the same time, they knew resistance was futile because the government would simply crush them.


49 posted on 01/11/2014 4:47:18 AM PST by livius
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To: pepsionice
Things look awful familiar.....go back and look at the Roosevelt era of the 1930s and all the mistakes he made.

Mmmmmmm....sounds more like the mistakes by Nicolai and Elena Ceaușescu.

Or maybe Juan and Evita's screw-ups?

50 posted on 01/11/2014 4:56:11 AM PST by Liz
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To: All
OOPS, OBAMATONS NEVER FIGURED ON ACTUAL "DISCLOSURES"....in a required SEC filing, Humana disclosed to investors, "as a result of Dec 2013 federal and state regulatory changes allowing certain individuals to remain in their previously existing off-exchange health plans, the Company now expects the risk mix to be more adverse than previously expected." That change Humana is referring to is Obama's unilateral "administrative fix" aimed at allowing individuals to remain enrolled in plans that had been cancelled--imposed by Obama's signature healthcare law mandates. Obama announced the "fix" after a storm of criticism over his broken promise that anybody who liked their plan could keep it.

UT, OH---TROUBLE AHEAD With 2016 in mind, Bill Clinton called on Obama to "honor the commitment he made" that people should be able to keep their health care plans. But lately the Clinton camp has been distancing itself from Obamacare as the problems associated with it become more apparent to the not-amused American electorate.

=============================================

Tevi Troy, Hudson Institute scholar's remarkable prophecy a year and a half before the USSC's decision, after Nov 2010 midterms, in which Democrats in Congress and in state legislatures suffered huge losses.....due to O/Care. In Commentary magazine, Troy wrote: "The Pyrrhic victory Democrats secured for themselves [when Obama signed ACA into law] may prove not to have been a victory at all but rather an ever-roiling, ongoing, and recurring act of political and ideological self-destruction."

===============================================

LOCK-STEPPING PARTY LOYALTY NOT SEEN SINCE 1940's ERA EUROPE Obama And The Dumbos marching in lockstep. The persistent Dumbocrat drumbeat ---- in obeisance to Obama ---- kept ringing reassuringly in our ears.

===================================================

As far back as 2008, at the presidential debate in Nashville, Democrat candidate Obama advanced his signature plan that was ultimately enacted (by an historic straight Democrat party-line vote) into the "Affordable Care Act :

OBAMA: "No. 1, let me just repeat, if you’ve got a health care plan that you like, you can keep it. All I’m going to do is help you to lower the premiums on it. You’ll still have choice of doctor.”

Repeated over and over ---- with the promise that every American would be saving $2500.00 on healthcare costs.

LOYAL DEMOCRATS CHIME IN all reading from the Suck-up Handbook:

SEN. HARRY REID (D-Nev.): “In fact, one of our core principles is that if you like the health care you have, you can keep it.” (Sen. Reid, Congressional Record, S.8642, 8/3/09)

SEN. RICHARD DURBIN: “We believe — and we stand by this — if you like your current health insurance plan, you will be able to keep it, plain and simple, straightforward.” (Sen. Durbin, Congressional Record, S.6401, 6/10/09)

SEN. CHUCK SCHUMER (D-NY): “If you like your insurance, you keep it.” (U.S. Senate, Finance Committee, Bill Mark-Up, 9/29/09)

SEN. PATTY MURRAY (D-Wash.): “Again, if you like what you have, you will be able to keep it. Let me say this again: If you like what you have, when our legislation is passed and signed by the President, you will be able to keep it.” (Sen. Murray, Congressional Record, S.6400, 6/10/09)

SEN. MAX BAUCUS (D-Mont.): “That is why one of the central promises of health care reform has been and is: If you like what you have, you can keep it. That is critically important. If a person has a plan, and he or she likes it, he or she can keep it.” (Sen. Baucus, Congressional Record, S.7676, 9/29/10)

SEN. TOM HARKIN (D-Iowa): “One of the things we put in the health care bill when we designed it was the protection for consumers to keep the plan they have if they like it; thus, the term ‘grandfathered plans.’ If you have a plan you like — existing policies — you can keep them. … we said, if you like a plan, you get to keep it, and you can grandfather it in.” (Sen. Harkin, Congressional Record, S.7675-6, 9/29/10)

THEN-REP. TAMMY BALDWIN (D-Wis.): “Under the bill, if you like the insurance you have now, you may keep it and it will improve.” (Rep. Baldwin, Press Release, 3/18/10)

SEN. MARK BEGICH (D-Alaska): “If you got a doctor now, you got a medical professional you want, you get to keep that. If you have an insurance program or a health care policy you want of ideas, make sure you keep it. That you can keep who you want.” (Sen. Begich, Townhall Event, 7/27/09)

SEN. MICHAEL BENNET (D-Colo.): “We should begin with a basic principle: if you have coverage and you like it, you can keep it. If you have your doctor, and you like him or her, you should be able to keep them as well. We will not take that choice away from you.” (Sen. Bennet, Press Release, 6/11/09)

SEN. BARBARA BOXER (D-Calif.): “So we Democrats want people to be able to keep the health care they have. And the answer to that is choice of plans. And in the exchange, we’re going to have lots of different plans, and people will be able to keep the health care coverage they need and they want.” (Sen. Boxer, Press Release, 2/8/11)

SEN. SHERROD BROWN (D-Ohio): “Our Democrat bill says if you have health insurance and you like it, you can keep it…”(Sen. Brown, Congressional Record, S.12612, 12/7/09)

SEN. BEN CARDIN (D-Md.): “For the people of Maryland, this bill will provide a rational way in which they can maintain their existing coverage…” (Sen. Cardin, Congressional Record, S.13798, 12/23/09)

SEN. BOB CASEY (D-Pa.): “I also believe this Democrat legislation and the bill we are going to send to President Obama this fall will also have secure choices. If you like what you have, you like the plan you have, you can keep it. It is not going to change.” (Sen. Casey, Congressional Record, S.8070, 7/24/09)

SEN. KAY HAGAN (D-N.C.): ‘People who have insurance they’re happy with can keep it’ “We need to support the private insurance industry so that people who have insurance they’re happy with can keep it while also providing a backstop option for people without access to affordable coverage.” (“Republicans Vent As Other Compromise Plans Get Aired,” National Journal’s Congress Daily, 6/18/09)

SEN. MARY LANDRIEU (D-La.): “If you like the insurance that you have, you’ll be able to keep it.” (MSNBC’s Hardball, 12/16/09)

SEN. PAT LEAHY (D-Vt.): “[I]f you like the insurance you now have, keep the insurance you have.” (CNN’s “Newsroom,” 10/22/09)

SEN. BOB MENENDEZ (D-N.J.): “If you like what you have, you get to keep it” “Menendez is a member of the Senate Finance Committee, which is expected to release a bill later this week. He stressed that consumers who are satisfied with their plans won’t have to change. ‘If you like what you have, you get to keep it,’ he said.” (“Health Care Plan Would Help N.J., Menendez Says,” The Record, 6/19/09)

SEN. JEFF MERKLEY (D-Oreg.): “[E]nsuring that those who like their insurance get to keep it” “The HELP Committee bill sets forward a historic Democrat plan that will, for the first time in American history, give every American access to affordable health coverage, reduce costs, and increase choice, while ensuring that those who like their insurance get to keep it.” (Sen. Merkley, Press Release, 7/15/09)

SEN. BARBARA MIKULSKI (D-Md.): “It means that if you like the insurance you have now, you can keep it.” (Sen. Mikulski, Press Release, 12/24/09)

SEN. JAY ROCKEFELLER (D-W.Va.): “I want people to know, the President’s promise that if you like the coverage you have today you can keep it is a pledge we intend to keep.” (U.S. Senate, Finance Committee, Hearing, 9/23/09)

SEN. JACK REED (D-R.I.): “If you like the insurance you have, you can choose to keep it.” (Sen. Reed, Town Hall Event, 6/25/09)

SEN. BERNIE SANDERS (I-Vt.): “‘If you have coverage you like, you can keep it,’ says Sen. Sanders.” (“Sick And Wrong,” Rolling Stone, 4/5/10)

SEN. JEANNE SHAHEEN (D-N.H.): ‘if you have health coverage that you like, you get to keep it’ “My understanding … is that … if you have health coverage that you like you can keep it. As I said, you may have missed my remarks at the beginning of the call, but one of the things I that I said as a requirement that I have for supporting a Democrat bill is that if you have health coverage that you like you should be able to keep that. …under every scenario that I’ve seen, if you have health coverage that you like, you get to keep it.” (Sen. Shaheen, “Health Care Questions From Across New Hampshire,” Accessed 11/13/13)

SEN. DEBBIE STABENOW (D-Mich.): “As someone who has a large number of large employers in my state, one of the things I appreciate about the Democrat chairman’s remark is — is the grandfathering provisions, the fact that the people in my state, 60 percent of whom have insurance, are going to be able to keep it. And Mr. Chairman, I appreciate that. That’s a strong commitment. It’s clear in the bill … I appreciate the strong commitment on your part and the president to make sure that if you have your insurance you can keep it. That’s the bottom line for me.” (U.S. Senate, Finance Committee, Bill Mark-Up, 9/24/09)

SEN. JON TESTER (D-Mont.): “‘If you like your coverage, you’ll be able to keep it,’ Tester said, adding that if Medicare changes, it will only become stronger”. (“Tester In Baker To Discuss Health Care,” The Fallon County Times, 11/20/09)

SEN. TOM UDALL (D-N.Mex.): “Some worried reform would alter their current coverage. It won’t. If you like your current plan, you can keep it.” (“What I Learned: About Health Care Reform This Summer, By Your Lawmakers In Congress,” Albuquerque Journal, 9/8/09)

SEN. SHELDON WHITEHOUSE (D-R.I.): “..it honors President Obama’s programs and the promise of all of the Presidential candidates that if you like the plan you have, you get to keep it. You are not forced out of anything.” (Sen. Whitehouse, Congressional Record, S.8668, 8/3/09)

Sen. Al Franken (D-Minn.) the 60th vote on Obamacare: "people who are happy with their current plan, wouldn't need to change it."

FRANKEN YOUTUBE SOUND BITE http://www.youtube.com/watch?v=UCZmAYYNz8Ihttp://www.youtube.com/watch?v=UCZmAYYNz8I

51 posted on 01/11/2014 5:08:20 AM PST by Liz
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To: Cincinatus' Wife
"as a result of the December 2013 federal and state regulatory changes allowing certain individuals to remain in their previously existing off-exchange health plans, the Company now expects the risk mix of members enrolling through the health insurance exchanges to be more adverse than previously expected."

I've read that half the population has some sort of chronic health problem. I suspect those people that are able to remain on their old plan for one more year aren't necessarily any healthier. Obviously people with low cost catastrophic insurance are. The $64B question is how many of those people are going to rush out and buy a bronze plan next fall.

52 posted on 01/11/2014 5:12:12 AM PST by EVO X
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To: Cincinatus' Wife
Can we say “BAILOUT?”

Can we say "Nationalization" of the entire Insurance and Medical Industries?"

We knew he would.

53 posted on 01/11/2014 5:14:31 AM PST by Aevery_Freeman (Politics are just the rules - Power is the game!)
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To: Varsity Flight
... boxcars body count tally, into the Extortion-Care Concentration Camp...

Pretty well sums it up.

Death Panel Navigators and Agents are standing by to help you...DIE.

54 posted on 01/11/2014 5:21:01 AM PST by Aevery_Freeman (Politics are just the rules - Power is the game!)
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To: Cincinatus' Wife
The young and healthy see no benefit in paying $270 a month for something that they see no value in and if they were to use would still have to pay $10,000 in deductibles and premiums.
Only stupid yuts are falling for this scam.
55 posted on 01/11/2014 5:40:16 AM PST by tobyhill
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To: pepsionice

The sodomites with AIDS whose medication which costs millions will still be happy now though since the insurance companies are now forced to offer them coverage.

And make no mistake most of this was about getting the sodomites with AIDS insurance.


56 posted on 01/11/2014 5:44:20 AM PST by TexasFreeper2009 (Obama lied .. the economy died.)
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To: JennysCool

I agree with you, but the kicker is, politicians in Washington could care less about what the American people want. If they listened to us, the Ocare bullsh*t would have NEVER happened.

They don’t care what we think, they know what’s best for us, so the push for single payer will be hard, the peoples wishes be damned.


57 posted on 01/11/2014 5:59:04 AM PST by GeorgiaDawg32 (www.greenhornshooting.com - Firearms training in Jacksonville, Fl.)
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To: Cincinatus' Wife

We have built an electronic platform for medical records,


Technology is NEVER a substitute for good management........


58 posted on 01/11/2014 6:00:30 AM PST by PeterPrinciple
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To: Aevery_Freeman

“continue its efforts to educate CMS, the Administration and Congress on the adverse impact such rate pressures have upon Medicare beneficiaries.”

I seem to recall a 750 billion transfer from medicare to cover this F..k..g monstracity. These guys all have to go, from the top down to the janitor.


59 posted on 01/11/2014 6:18:08 AM PST by Mouton (The insurrection laws perpetuate what we have for a government now.)
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To: zeestephen


It is way past time for this political party to be relegated to the dust bin of history - same way the Whigs went.


60 posted on 01/11/2014 6:29:35 AM PST by Cheerio (Barry Hussein Soetoro-0bama=The Complete Destruction of American Capitalism)
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