Latest Breaking News

Fred Sanders

(23,946 posts)

43. It is not overhead that is limited, it is direct delivery of health care services. Sheesh.

Sat Jul 4, 2015, 04:54 PM

Jul 2015

Part of a provision in the health care law requires insurance companies to use 80 percent of collected premiums on medical services. Repeat: Medical Services.

If they don’t, they have to send rebates to policyholders for the difference.

And all those rebate checks that went out...remember them?

The inhumanity!

Sorry to say your comment is infamously accepted as correct in certain RW circles....that DU folks have to be made to understand is.....disappointing.

Perhaps you like to go back to the good old days when profit was unlimited and delivery of medical services unregulated?

The ACA is regulation of an industry, previously unregulated, same as regulation of any other. As conformed twice by SCOTUS. It is not complex, but it is also not as simple as so simply claimed.

Edit history

Please sign in to view edit histories.

Recommendations

0 members have recommended this reply (displayed in chronological order):

114 replies

= new reply since forum marked as read

Highlight:

Health Insurance Companies Seek Big Rate Increases for 2016 [View all] CatWoman Jul 2015 OP

WTF? "saying their new customers under the Affordable Care Act turned out to be sicker than expected NRaleighLiberal Jul 2015 #1

Let us pay premiums to the non-profit medicare system instead of the 'for profit' Corps. Sunlei Jul 2015 #16

+1 daleanime Jul 2015 #52

+1million rury Jul 2015 #66

Bernie should run on doing just this. I think he would get the votes from both sides of the aisle if trillion Jul 2015 #87

There we go. Chemisse Jul 2015 #88

face palm yes... PatrynXX Jul 2015 #54

My wife had an aortic aneurysm and open heart surgery at The Cleveland Clinic. BC/BS covered three 24601 Jul 2015 #113

"...their new customers under the Affordable Care Act turned out to be sicker than expected." CrispyQ Jul 2015 #2

GMTA! NRaleighLiberal Jul 2015 #3

It just amazes me that they didn't see that coming! CrispyQ Jul 2015 #11

that sentence stuck out like a beacon for me as well CatWoman Jul 2015 #22

Single Payer, now! onecaliberal Jul 2015 #4

+1,000,000,000,000,000 Auggie Jul 2015 #7

YES!!!! rury Jul 2015 #67

Fuck em. Medicare for all! Stop this insanity! mountain grammy Jul 2015 #5

When we instigate Medicare for all we need to eliminate the 20% copay. totodeinhere Jul 2015 #28

Yes, I would agree with that. mountain grammy Jul 2015 #37

YES. It's good we have Medicare, but the coverage is absolute crap compared to what the Europeans kath Jul 2015 #60

On Medicare SSDI and the 20% is killing me. It's still hard on people like me. What about Dental? YOHABLO Jul 2015 #109

Yes, comprehensive dental care should be available to all Americans. totodeinhere Jul 2015 #110

In Oregon the regulator demanded the insurance company raise former9thward Jul 2015 #6

There is some logic Travis_0004 Jul 2015 #23

Thanks for clarifying it. newthinking Jul 2015 #40

Yes, the smaller companies that are raising their premiums 30%. former9thward Jul 2015 #49

The insurance companies already control the regulatory agencies that govern them. Dustlawyer Jul 2015 #91

The problem is that insurance is regulated at the state level. former9thward Jul 2015 #99

Bully Pulpit for the state corruption! Dustlawyer Jul 2015 #101

The individual mandate was supposed to offset higher care costs. yallerdawg Jul 2015 #8

Yeah, I pointed that angle out as soon as they mentioned the profit margin regulation during the Erich Bloodaxe BSN Jul 2015 #29

If we could have the Medicare pricing system... yallerdawg Jul 2015 #34

"...and couldn't care less about anyone else." CrispyQ Jul 2015 #98

The problem is the penalty for not having insurance wasn't high enough to make that happen, PoliticAverse Jul 2015 #38

That penalty goes up every year. yallerdawg Jul 2015 #42

No one checks this. former9thward Jul 2015 #57

H & R block checks it! yallerdawg Jul 2015 #102

The IRS does not require documentation. former9thward Jul 2015 #103

This penalty program just started this year for required coverage. yallerdawg Jul 2015 #104

Do you never violate the speed limit? former9thward Jul 2015 #106

excellent point, thanks! n/t DebJ Jul 2015 #83

Thanks, Liberals & Obama bread_and_roses Jul 2015 #9

+1,000 !!! CountAllVotes Jul 2015 #12

Yeah, that is the message from a premium REQUEST, in one State by a few companies...attack Obama?? You on the right site? Fred Sanders Jul 2015 #18

"This is a liberal and Obama site"? PSPS Jul 2015 #25

My opinion is that as long as it is President Obama (D), this site is what I said it is. Check the TOS and Fred Sanders Jul 2015 #41

there's plenty of folk here who think this is an "Obama site" Skittles Jul 2015 #72

Liberals were against the ACA as it didn't go far enough. Le Taz Hot Jul 2015 #51

I'm of the Chris Hedges camp on "Liberals." bread_and_roses Jul 2015 #89

I know that the terms shouldn't be iterchangeabe Le Taz Hot Jul 2015 #90

Exactly so bread_and_roses Jul 2015 #96

No problem. Le Taz Hot Jul 2015 #100

This was always going to be a problem with handing insurance companies the Nay Jul 2015 #10

I'm shocked, shocked I tell you. hobbit709 Jul 2015 #13

Who could have known?????? BrotherIvan Jul 2015 #19

This on the heels of yet another of my annual rent increases that I received last week. Ed Suspicious Jul 2015 #14

Insurance and Risk Management Runs the World bucolic_frolic Jul 2015 #15

Yet we were told this week the "merger mania" among insurers was a result of the increased profits� Journeyman Jul 2015 #17

Ok fuckers, you had your chance - single payer! Elmer S. E. Dump Jul 2015 #20

But they have no problem with outrageous CEO salaries LuckyLib Jul 2015 #21

The die was cast as soon as the ACA restricted the overhead percentage RufusTFirefly Jul 2015 #24

Unless another insurer's premium is $1200, and a bunch of your insured jump ship. Hoyt Jul 2015 #31

Not to mention the standard minimum coverages by law, no preconditions, etc...folks are forgetful. Fred Sanders Jul 2015 #59

It is not overhead that is limited, it is direct delivery of health care services. Sheesh. Fred Sanders Jul 2015 #43

Interesting. I'd like to see the direct wording. What I had read previously was DebJ Jul 2015 #86

It is restricting profit - by forcing a certain level of spending you force a cap on profits....the company can have as Fred Sanders Jul 2015 #94

Of course this was obvious tymorial Jul 2015 #80

The same old game flamingdem Jul 2015 #26

They are being retained by the insurance companies. nt awoke_in_2003 Jul 2015 #45

I wonder if two great slums will be big enough. I used to think all these little temp fixes like the jtuck004 Jul 2015 #27

Make them prove they need to raise rates. Frustratedlady Jul 2015 #30

Who the heck will make them prove rate hikes when they bankroll govt. officials? appalachiablue Jul 2015 #58

Obamacare covers that! Fred Sanders Jul 2015 #61

This may be good news for Sanders, since Clinton wants to keep the profiteers in the system Doctor_J Jul 2015 #32

Affordable care. eom GeorgeGist Jul 2015 #33

I haven't seen bunches of them filing for bankruptcy... SoapBox Jul 2015 #35

For the first time ever medical bankruptcies have DROPPED along with difficulties paying medical bills Fred Sanders Jul 2015 #62

Every time I see a Dr.... CANDO Jul 2015 #74

Appears this was baked into the Wellstone ruled Jul 2015 #36

of course it was... awoke_in_2003 Jul 2015 #47

Yup,and our Nation thinks it was a Wellstone ruled Jul 2015 #48

I hope that they don't get it. RoccoR5955 Jul 2015 #39

No one could have anticipated this awoke_in_2003 Jul 2015 #44

How are their current profits? Renew Deal Jul 2015 #46

all-time high, and going up every quarter Doctor_J Jul 2015 #63

This was absolutely predicted Le Taz Hot Jul 2015 #50

Aw,...poor babies were looking forward to new customers while providing ZERO care. Spitfire of ATJ Jul 2015 #53

This is exactly why a public option was needed. Vinca Jul 2015 #55

Selling health for corporate profit is evil. God told me so. eom DirtyHippyBastard Jul 2015 #56

Yes, it is evil and immoral, by any philosophy except the Love of Greed. n/t DebJ Jul 2015 #84

BTW all of these increases will be absorbed by people with employer plans Doctor_J Jul 2015 #64

What is "affordable" about astronomical premiums for LibDemAlways Jul 2015 #65

The rate increases should be denied across the board imo. cstanleytech Jul 2015 #68

This is why we absolutely must have a "public option" n/t cosmicone Jul 2015 #69

Do you really think it will be much cheaper, unless there is some tough restrictions Hoyt Jul 2015 #70

It will be at least 31% cheaper cosmicone Jul 2015 #107

Actually it won't. ACA limits "overhead" to 20%, out of that 20% come credentialing of Hoyt Jul 2015 #108

The idea of govt. health care will be ruined forever by Obama's insurance scam. Skeeter Barnes Jul 2015 #71

Which just proves that insurance companies need to be extracted from health care altogether. marmar Jul 2015 #73

They will price themselves out if business TexasBushwhacker Jul 2015 #75

What "value added " do healthcare insurance companies add to healthcare in America The Jungle 1 Jul 2015 #76

I guess that is why most states have turned to private insurers to save money on Medicaid. Hoyt Jul 2015 #77

This message was self-deleted by its author DebJ Jul 2015 #85

Right - must be why everywhere else the people hate their national system bread_and_roses Jul 2015 #93

Nope. I'm defending the transition to a national system. Medicare Hoyt Jul 2015 #95

Sorry if I misread you bread_and_roses Jul 2015 #97

You work for an insurance company? The Jungle 1 Jul 2015 #111

Not hardly, but I used to work for a state Medicaid agency decades ago and follow Hoyt Jul 2015 #112

Only bad experience The Jungle 1 Jul 2015 #114

This was destined to occur tymorial Jul 2015 #78

A Lot Of These People Are Seeing The Doctor For The First Time DallasNE Jul 2015 #79

insurance companys need to suck it up.. the_sly_pig Jul 2015 #81

Which is exactly why Astraea Jul 2015 #82

Thanks, Obama! candelista Jul 2015 #92

According to the KFF report, avg increase is 4.4% for the 2 lowest silver plans. L2-Cache Jul 2015 #105