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How the Authors of Obamacare Protected Insurance Companies (Bailout details)
National Journal ^ | 11/10/13 | Sam Baker

Posted on 11/13/2013 10:57:00 AM PST by jimbo123

The troubled launch of Health Care.gov has raised plenty of questions about whether young, healthy people will enroll in coverage—and, if they don't, whether insurance companies will have to raise their premiums or give up on Obama- care's new insurance markets altogether. But the law's authors built in a safety net to help guard against that worst-case scenario. In essence, it's an insurance policy for insurance companies.

The backstop is an approach known as the "three R's." And health care experts say that, taken together, the three prongs will help insurers not only grapple with the transition to the new requirements to cover sick people but also ward off a future in which they raise premiums so much that healthy patients stay away. "All three of those significantly shield the plans from adverse selection," says Timothy Jost, a law professor at Washington & Lee University and a fan of the Affordable Care Act.

"Adverse selection" is the technical term for a bad risk pool—too many sick people, and not enough healthy people, signing up. The Affordable Care Act includes tools, like the individual mandate, to get young people into the system in the first place. If enrollment is truly disastrous, the three R's can't rescue insurance companies, but if it is merely middling and if the mix of sick and healthy patients is merely worse than expected, they can help insurers bounce back. Here's how they work.

Reinsurance: The most straightforward "R" is the temporary reinsurance program. It's a big pot of money from which the Health and Human Services Department will simply reimburse insurers for the cost of covering especially sick consumers.

(Excerpt) Read more at nationaljournal.com ...


TOPICS: News/Current Events
KEYWORDS: abortion; bailout; deathpanels; fail; obamacare; riskcorridors; toobig2fail; toobigtofail; zerocare

1 posted on 11/13/2013 10:57:01 AM PST by jimbo123
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To: jimbo123

We went through government insurance scam before...Flood Insurance.


2 posted on 11/13/2013 10:59:46 AM PST by Sacajaweau
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To: jimbo123
Reinsurance protects against individuals who are high cost.
Risk Corridors protects an insurer against a patient mix that has too many high cost individuals.
Risk Adjustment redistributes insurance company profits to the less profitable.

What protects against nobody signing up?

3 posted on 11/13/2013 11:04:56 AM PST by DannyTN
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To: jimbo123
Sounds like the government will be coordinating with the insurance companies to create a cartel.

How wonderful!

Maybe we can call it OPIC:

Obama's Perversion of Insurance Companies

4 posted on 11/13/2013 11:05:50 AM PST by who_would_fardels_bear
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To: jimbo123

The Commie Rats are creating something strangely similar to the old Russian oligarchs. That is true in the ObamaCare realm, and in other industries as well, like banking. They are taking the National Chamber of Commerce with them on their quest to destroy small businesses and wreck the middle class. And note that the National Chamber of Commerce is viciously attacking the Tea Party.

Delay or grandfathering health insurance policies only delays the bulk of the evil. Repeal of ObamaCare is the only acceptable alternative.


5 posted on 11/13/2013 11:06:46 AM PST by RatRipper (The political left are utterly evil and corrupt)
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To: DannyTN
What protects against nobody signing up?

HHS reinterpretation of how Reinsurance and Risk Corridor funds will be spent.
6 posted on 11/13/2013 11:07:39 AM PST by jimbo123
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To: jimbo123
"HHS reinterpretation"

LOL, oh yeah, I forgot about that. HHS just reinterprets the law until everything is fine.

7 posted on 11/13/2013 11:09:03 AM PST by DannyTN
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To: jimbo123
"HHS reinterpretation"

LOL, oh yeah, I forgot about that. HHS just reinterprets the law until everything is fine.

8 posted on 11/13/2013 11:09:03 AM PST by DannyTN
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To: DannyTN

It will be hard for Boner and McConnell to vote for NEW bailout money to the insurance companies. So they will not oppose the HHS redirection of the bailout funds already in the law.

But expect the GOP to be painted as cold and heartless for not providing bailout money to the people who had their policies taken away by Obama. It’s already started.


9 posted on 11/13/2013 11:13:56 AM PST by jimbo123
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To: jimbo123

MmmmK....

I knew all that.

What happens if nearly no one signs up?


10 posted on 11/13/2013 11:16:54 AM PST by Vendome (Don't take life so seriously-you won't live through it anyway-Enjoy Yourself ala Louis Prima)
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To: Vendome
What happens if nearly no one signs up?



Forced conscription.
11 posted on 11/13/2013 11:19:09 AM PST by jimbo123
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To: DannyTN

The real question is:

What/who is protecting the poor suffering taxpayers?

This massive government criminal conspiracy will loot and steal our wealth?

Who is looking out for US?


12 posted on 11/13/2013 11:26:26 AM PST by Taxman (So that the beautiful pressure does not diminish!)
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To: jimbo123

.308


13 posted on 11/13/2013 11:28:03 AM PST by Vendome (Don't take life so seriously-you won't live through it anyway-Enjoy Yourself ala Louis Prima)
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To: jimbo123

I wondered how they were going to deal with the baby boomers. Government and big business go hand in hand. How do you think we got Hitler and other dictators?


14 posted on 11/13/2013 11:53:12 AM PST by freekitty (Give me back my conservative vote; then find me a real conservative to vote for)
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To: Vendome

Many will be signing up.
Medicaid and big subsidy recipients.
It’s gonna happen.

http://www.cnbc.com/id/101166468


15 posted on 11/13/2013 11:55:51 AM PST by nascarnation (Baraq's 3rd term: squaw Warren? Lord help us!)
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To: DannyTN
What protects against nobody signing up?

The (currently) 3.5% of all group health plans, effective in 2013. Think about all of the small - large businesses with group health plans, what those policies cost, and take 3.5% of that...that's where the "protection" is coming from. The insurance companies get 2 - 2.5% of that *fee*.

16 posted on 11/13/2013 12:07:06 PM PST by Jane Long (While Marxists continue the fundamental transformation of the USA, progressive RINOs assist!)
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To: jimbo123
 photo LIBTURDDRAINcopy_zps133115a3.jpg

17 posted on 11/13/2013 12:13:05 PM PST by Dick Bachert (Ignorance is NOT BLISS. It is the ROAD TO SERFDOM! We're on a ROAD TRIP!!)
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To: jimbo123

there is a giant problem with all 3 of the 3 Rs

crony capitalists in the inusrance industry are no different than “urban” welfare “queens” or agro-industrial welfare queens where nothing is more permanent than a temporary subsidy on the taxpayers dime

knowing Obamacare is not going to work and knowing the three rs were merely one set of the lures to further capture the private insurance marketplace and convert it into a government industrial serf (crony capitalists will always sell out our Liberty and their long term private market independence for a few sheckels), the conditions on which the subsidies are predicated as necessary WILL continue beyond their supposed expiration dates, and like the good serfs they will have become, the insurance companies will be back every year threatening premium increases if their serfdom under the subsidies is not continued - if your taxes don’t keep bailing them out for their having helped the obamination become law


18 posted on 11/13/2013 3:20:34 PM PST by Wuli
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