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Recursion

(56,582 posts)

8. "Actuarial value" is what has to replace a lifetime cap now

Reply to Kolesar (Reply #2)

Sun Sep 16, 2012, 11:32 AM

Sep 2012

So, they can't say "we'll only spend $X on you" anymore. Which means they have to do actuarial work and try to figure out "averaged out over the population, this is what we will spend if we cover treatments X, Y, and Z for everyone".

They are, of course, trying to make that value as low as possible, and between them and the states and the feds they'll come up with something. That's how the act works. It's ugly, but it seems to work for Switzerland.

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14 replies

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Highlight:

Insurance companies trying to get even LOWER actuarial values for ACA exchanges approved [View all] eridani Sep 2012 OP

Universal health care Angry Dragon Sep 2012 #1

Does this refer to plans with high annual deductibles? Kolesar Sep 2012 #2

High deductibles are a separate issue. Actuarial value comes into play-- eridani Sep 2012 #5

Ok. I will have to watch out for this story Kolesar Sep 2012 #6

Deductibles are a major factor in figuring actuarial value of a plan. bornskeptic Sep 2012 #11

Low actuarial value only makes sense if you know for sure that you will never eridani Sep 2012 #12

"Actuarial value" is what has to replace a lifetime cap now Recursion Sep 2012 #8

In Switzerland insurance companies have to offer basic plans AT NO PROFIT kenny blankenship Sep 2012 #10

Not exactly, but I understand where you get that idea Recursion Sep 2012 #13

Since they are not willing to play fair, B Calm Sep 2012 #3

We need single payer. If the insurance companies cannot provide good coverage JDPriestly Sep 2012 #4

Kick for this life or death matter. area51 Sep 2012 #7

Obamacare=SHIT Insurance that will double in premium costs every 7.3 yrs. kenny blankenship Sep 2012 #9

Remember, I warned ya, I told ya so. (And so did several others on here.) Zalatix Sep 2012 #14