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yellowdogintexas

(23,721 posts)
16. someone still has to process the claims.
Mon Sep 19, 2016, 08:17 PM
Sep 2016

Adding a public option puts a different type of competition into play. If as I suspect the public option is traditional Medicare, then the public option is limited in the amount of profit.

However those claims are not all able to autoprocess. If that were so, none of the health insurance companies would need examiners.

I do not think it is done this way now, but when I was a Part B examiner for the Tennessee carrier, we were actually employed by the insurance company with all their benefits. So whether the claims are handled by insurance company employees, or government employees a large increase in members will necessitate more employees.

As long as we still have states not accepting the Medicaid expansion, and the insurance companies doing everything they can to make the federal exchange collapse the ACA is not going to succeed the way it should have

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