4 ms·

The goalposts have already been moved to March 31st, 2014 and could be delayed further. What's the rush?

by fr0sty 13y ago

hga 13y ago
Adverse selection death spiral (https://www.google.com/search?q=obamacare+Adverse+selection+death+spiral https://www.google.com/search?q=obamacare+Adverse+selection+...), and moving the goalposts too far forward means insurance companies, which have to submit 2015 plans in the January through March (as I recall; maybe April) period will have very poor data to do that with, very possibly resulting in higher than needed costs. And while I don't think you were addressing this, millions will lose their now outlawed plans on January 1.
- GVIrish 13y ago
  And while I don't think you were addressing this, millions will lose their now outlawed plans on January 1. I see this as a huge impending disaster that could turn public sentiment against ACA to the point that it does get repealed. If people get their old plans cancelled and it is very difficult to use healthcare.gov to sign up for a new plan, a lot of people are going to be left in the lurch. Unfortunately the horse is already out of the barn and into the next county. Maybe by a stroke of luck healthcare.gov will be functioning smoothly at the end of November like Obama and company have said it would. But I'd be willing to bet this will not be the case, given all the problems that project has to deal with. Even if a massive effort were put underway to stand up call centers so people could navigate the healthcare exchanges over the phone, it would still need to be administered via a computer system, there's little chance a wide-scale paper process could be put in place quickly at this point.
  - hga 13y ago
    Shock and awe, anyone? On the one hand it's around 5% of the population, and unless you need subsidies, you can get policies directly from the insurers, and there are private comparison shopping sites. On the other hand, most will have to pay more money, often a LOT more, often for worse coverage in ways they most care about, and this small fraction of the population includes some of the most influential. Maybe ... the rules of that seem to be changing, this could in fact be a good test of the recent Angelo Codevilla et. al. modern US ruling and country classes thesis.

The goalposts have already been moved to March 31st, 2014 and could be delayed further. What's the rush?

by fr0sty 13y ago

The goalposts have already been moved to March 31st, 2014 and could be delayed further. What's the rush?

hga 13y ago

Adverse selection death spiral (https://www.google.com/search?q=obamacare+Adverse+selection+death+spiral https://www.google.com/search?q=obamacare+Adverse+selection+...), and moving the goalposts too far forward means insurance companies, which have to submit 2015 plans in the January through March (as I recall; maybe April) period will have very poor data to do that with, very possibly resulting in higher than needed costs. And while I don't think you were addressing this, millions will lose their now outlawed plans on January 1.

GVIrish 13y ago
And while I don't think you were addressing this, millions will lose their now outlawed plans on January 1. I see this as a huge impending disaster that could turn public sentiment against ACA to the point that it does get repealed. If people get their old plans cancelled and it is very difficult to use healthcare.gov to sign up for a new plan, a lot of people are going to be left in the lurch. Unfortunately the horse is already out of the barn and into the next county. Maybe by a stroke of luck healthcare.gov will be functioning smoothly at the end of November like Obama and company have said it would. But I'd be willing to bet this will not be the case, given all the problems that project has to deal with. Even if a massive effort were put underway to stand up call centers so people could navigate the healthcare exchanges over the phone, it would still need to be administered via a computer system, there's little chance a wide-scale paper process could be put in place quickly at this point.
- hga 13y ago
  Shock and awe, anyone? On the one hand it's around 5% of the population, and unless you need subsidies, you can get policies directly from the insurers, and there are private comparison shopping sites. On the other hand, most will have to pay more money, often a LOT more, often for worse coverage in ways they most care about, and this small fraction of the population includes some of the most influential. Maybe ... the rules of that seem to be changing, this could in fact be a good test of the recent Angelo Codevilla et. al. modern US ruling and country classes thesis.