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New Obamacare Bombshell - Rpt: No System Yet For Exchange Payment -The Kelly File
http://www.youtube.com ^ | December 3, 2013 | You Tube

Posted on 12/03/2013 6:48:59 PM PST by Whenifhow

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To: thouworm

Was watching the judiciary hearing and missed the presser, but saw short clips.

This development should be a double red flag, in lights, for all to see. The purpose would be to overpay and then run the coffers dry.

Did you see the hearing - there were several threads on it.
Latest one is here with list of other threads at post 4

http://www.freerepublic.com/focus/f-news/3097904/posts


21 posted on 12/03/2013 7:08:54 PM PST by Whenifhow
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To: ClearCase_guy
It seems pretty obvious that not a single American has yet signed up for Obamacare. Not one.

But King Obama is going to estimate what the payments would be from the people that signed up and forward a check to the Insurance companies even no signup has paid a damn cent.. So King Obama can spend our taxes anyway he chooses and needs no approval from the House of Senate. GETTING TIRED OF SAYING THIS BUT KING OBAMA IS OUR FIRST COMMUNISTS BLACK MUSLIM DICTATOR.

22 posted on 12/03/2013 7:10:22 PM PST by Logical me
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To: Whenifhow

Just when you think ObamaCare couldn’t get any worse, news like this comes along. For the love of God, this Administration is actually going to send tens of thousands of people into doctors’ offices and emergency rooms next year thinking they have valid coverage when they don’t. And since the law requires prompt payment of the first premium, they’ll have open-and-shut fraud lawsuits ready to go against the insurance companies and federal government.

At which point things will get real interesting real fast, because one of the many reasons the feddle gummint should never be trusted with control of any industry is that you can’t really sue them for fraud, not the way you could discipline a private concern. But if they follow the normal fascist pattern of blaming everything on their Little Partners in the private sector - an extremely difficult bit of creative finger-pointing, since everyone knows the problem is crap data coming from Obama’s junk website - the companies will get sued into bankruptcy, and it’s bye-bye ObamaCare.

We’re talking about a lot of people here. I’ve heard upward of a third ( http://tinyurl.com/kqkmv6n ) of the enrollments processed so far are corrupt. Granted that we all know the 100,000+ enrollment figure bandied about by the Administration is a ridiculous lie, but I’ll bet the actual figure is maybe a third that much, once the Medicaid referrals and half-baked shopping cart data muffins are factored out. And since the problem is nowhere near fixed, it’s going to get worse as more people squeak past the still-malfunctioning front end. It will probably get worse faster than insurance companies can manually contact people to correct invalid enrollment data, assuming they even have accurate contact information. I’ve heard speculation that Health and Human Services will have to bite the bullet, sometime in the next two weeks, and make a public announcement that everyone who has purchased an ObamaCare policy should contact their insurance provider to make sure their coverage is valid. How on Earth can anyone justify continuing this Affordable Care Act farce after that?

Assuming Congress doesn’t do the right thing and pass a repeal bill, fast, what will probably happen in January is the Administration instructing / pleading with / threatening doctors into treating all insurance claims as valid until proven otherwise. And that will unleash a tidal wave of fraud, not to mention all kinds of hijinks from hackers slipping into the sloppy, easily-penetrated Healthcare.gov system. I don’t mean this as hyperbole: everyone who has created an account at Healthcare.gov needs to change every password and personal data entry they have, right now. Assume everything tied to their Social Security Numbers has been compromised. I’d recommend the mother of all virus and malware scans if you’ve even touched the Healthcare.gov website with your computer.

The other ramification of the garbage data flowing to insurance providers is financial. We know the system that’s supposed to pay them subsidies doesn’t even exist yet. The Administration tried to blow that off as no big deal, but insurance providers are stating to wonder out loud how they’re supposed to survive if they don’t get paid. The “death spiral” will become even more pronounced if providers are obliged to pay out fishy claims, they have trouble collecting premiums for policies created incorrectly by Healthcare.gov, and they’re not getting their taxpayer subsidy money yet.

A lot of those high-premium ObamaCare plans currently rocking the world with “sticker shock” are really supposed to be pipelines from taxpayer wallets into the insurance companies, because huge subsidies are meant to defray much of the cost to consumers (who then get soaked by the astronomical deductibles typical of these lousy Affordable Care Act policies.) If the back end of the system isn’t working, that pipeline will be closed, and it’s hard to imagine anything short of a wholesale raid on the Treasury that could keep the system floating.

http://www.breitbart.com/InstaBlog/2013/12/03/ObamaCare-chaos-in-the-doctor-s-office-next-year
© 2013 MicrosoftTermsPriva


23 posted on 12/03/2013 7:15:17 PM PST by dontreadthis
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To: Hojczyk

Here is the Reuter’s article referenced by Kelly:

http://www.reuters.com/article/2013/12/04/us-usa-healthcare-payments-idUSBRE9B301U20131204

The money quote:

“Julie Bataille, a spokeswoman for CMS, said the government will make the payments to insurers for premium tax credits and cost sharing on time.

“We are committed to making sure they get paid in January and we will continue to work with them on that process,” she told reporters.

The administration is planning a “workaround” for payments, said Daniel Durham, vice president for policy and regulatory affairs at America’s Health Insurance Plans.

Health plans will estimate how much they are owed, and submit that estimate to the government. Once the system is built, the government and insurers can reconcile the payments made with the plan data to “true up” payments, he said.

“The intent is to make sure plans get paid on time, which is a good thing,” Durham told Reuters.”


24 posted on 12/03/2013 7:21:24 PM PST by Palmetto Patriot
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To: Palmetto Patriot

so basically the Federal Government is getting the Insurance companies to go along because they will be an open piggy bank for whatever they want to claim — all in order to “keep costs down” — and they will hope for the best with our tax money and borrowed debt when they “true up”.


25 posted on 12/03/2013 7:37:57 PM PST by KC Burke (Officially since Memorial Day they are the Gimmie-crat Party.ha)
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To: ClearCase_guy
seems pretty obvious that not a single American has yet signed up for Obamacare

Well, Medicaid recipients have signed up.

And no doubt people have called insurers directly to sign up and perhaps pay. But your point is well taken.

26 posted on 12/03/2013 7:42:37 PM PST by what's up
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To: thouworm

Tell Queeg the sidewalk is a bed of cotton, nothing to it, it will be fun, jump.


27 posted on 12/03/2013 7:43:44 PM PST by Ray76
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To: Whenifhow

Empty Chair makes an empty Website


28 posted on 12/03/2013 7:44:21 PM PST by molson209 (Hillary Clinton)
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To: jsanders2001

Even with a list they can’t fix it. Moot point.
These are people who have been on the government teat all of their lives.


29 posted on 12/03/2013 7:45:55 PM PST by MrEdd (Heck? Geewhiz Cripes, thats the place where people who don't believe in Gosh think they aint going.)
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To: molson209

Good one!


30 posted on 12/03/2013 7:50:50 PM PST by Whenifhow
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To: Palmetto Patriot; dontreadthis

Thanks for the link!
Post 23 and Post 24


31 posted on 12/03/2013 7:54:58 PM PST by Whenifhow
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To: acapesket

“I don’t think Miss Blinkey CAN read!”

I don’t want to be anywhere near Pelousey when and if the stitches that are holding her face taught pull out. She will cause serious injury to anyone in front of her!


32 posted on 12/03/2013 7:59:56 PM PST by vette6387
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To: Whenifhow

It seems to me payments will be made to the respective insurance company, not to the government.


33 posted on 12/03/2013 8:24:04 PM PST by RDasher ("El Nino is climate, La Nina is weather")
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To: Palmetto Patriot
Health plans will estimate how much they are owed, and submit that estimate to the government. Once the system is built, the government and insurers can reconcile the payments made with the plan data to “true up” payments, he said.

Three R's: Reinsurance, Risk Corridors, Risk Adjustment

http://www.nationaljournal.com/magazine/how-the-authors-of-obamacare-protected-insurance-companies-20131110
http://washingtonexaminer.com/if-obamacare-fails-taxpayers-get-to-bail-out-the-insurers/article/2537887

34 posted on 12/03/2013 8:42:13 PM PST by Ray76
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To: RDasher

the payments will go to the insurance company - taxpayer money.
The real issue is this could become the straw that brings on collapse of the entire economy.
Picture it - taxpayer money going out (without accountability or any hope of recovering any amounts over-payment) to pay for subsidies which can’t be computed with the website.


35 posted on 12/03/2013 8:43:22 PM PST by Whenifhow
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To: Whenifhow

Uh, this bombshell is not new. Maybe for low info folks it is.


36 posted on 12/03/2013 9:20:13 PM PST by lurk
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To: Whenifhow

Calm down folks. The insured under the ACA contacts the private insurer to arrange payment, they pay they get covered. The trouble will be the insurers getting money from the government.


37 posted on 12/03/2013 9:21:08 PM PST by Mike Darancette (Do The Math)
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To: Whenifhow

This whole thing is one big Potemkin Village.


38 posted on 12/03/2013 10:05:26 PM PST by PLMerite (Shut the Beyotch Down! Burn, baby, burn!)
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