Showing posts with label Healthcare Exchanges. Show all posts
Showing posts with label Healthcare Exchanges. Show all posts

Tuesday, October 8, 2013

Insurers Getting Faulty Data From ObamaCare Exchange, Results In People Who Signed Up Getting No Coverage

weaselzippers;
Insurers Getting Faulty Data From ObamaCare Exchange, Results In People Who Signed Up Getting No Coverage


They couldn’t have screwed this up any more if they tried.
Insurers are getting faulty and incomplete data from the new U.S.-run health exchange, which may mean some Americans won’t be covered even after they sign up for an insurance plan.
While it’s not clear how widespread the problem is, the reports from industry consultants are the first hint that the technical troubles faced by consumers trying to enroll in health plans under the Affordable Care Act may also be hitting the insurers. The companies are receiving electronic files that can’t open or have so much missing information on new enrollees they’re unusable, the consultants said.
Some insurers have been forced to fix entries by hand, said Bob Laszewski, an insurance-industry consultant based in Arlington, Virginia.
“If we don’t see substantial improvement by the end of this week, then I would throw up the yellow flag,” said Dan Schuyler, a consultant advising states and insurers on the exchanges. “If we don’t see it in the next two to three weeks, it’s time for red flags. The concern is some people could get to Jan. 1, and not have coverage.”
Since the exchanges opened on Oct. 1, consumers have struggled to access the online marketplaces, which have been overwhelmed by millions of visitors.
While capacity was added this past weekend to a system meant to serve people in 36 states, the federal website continued yesterday to deliver error messages to potential customers trying to create accounts and shop for health plans.

Thank You Bloomberg and Zip. 


pic cred to thepeoplescube.com

Tuesday, August 6, 2013

ObamaCare's Dishonor System

from National Review Online;
ObamaCare's Dishonor System


Obamacare’s Dishonor System 
The Obama administration invites you to commit health-care-exchange fraud.

Perhaps you’ve heard the radio or TV commercials sponsored by the Department of Health and Human Services urging seniors to report instances of Medicare fraud. There’s a number to call, along with cheerful suggestions.

The intent here seems benign enough — saving taxpayer money by catching the dishonest. One might even be tempted to praise it, were it not for what the Obama administration is doing with the other hand — issuing an engraved invitation to commit fraud when signing up for the health-care exchanges.

Obamacare is proving too unwieldy even for the greediest of big-government centralizers in the Obama administration. With only months to go before their Frankenstein was set to get its jolt of electricity in January 2014, they’ve announced a series of delays. The employer mandate, whereby businesses with 50 or more employees must certify that they are providing insurance that meets government requirements, will be delayed by a year.

When you design a Rube Goldberg health-care system with a thousand moving parts — subsidies, mandates, exchanges, reporting requirements, sliding scales, and varying eligibility for Medicaid, expanded Medicaid, and so forth — it doesn’t take much to bring the whole contraption to a halt. By delaying the employer mandate, the Obama administration undercut its own complex system for calculating people’s eligibility for health exchanges. In theory, it was supposed to be based on family income, family size, the lack of employer-provided insurance, eligibility for other government programs, and more. (For further edification, consult the 600-page rule HHS issued on July 5.)

Under the circumstances (and leaving aside the legal problems with delaying implementation by executive fiat), the logical solution might have been to delay the entire law for one year. Instead, the administration announced that people can sign up for the exchanges “based on the honor system.”

This outright encouragement of fraud is profoundly immoral and takes the country in precisely the wrong direction. As Nicholas Eberstadt details in A Nation of Takers, the availability of entitlements is changing the character of the nation (or at least of large swaths of it). America was founded and populated by people with a horror of dependency. “Although many Americans in earlier times were poor, . . . even people in fairly desperate circumstances were known to refuse . . . handouts as an affront to their dignity.”

Both Democrats and Republicans contributed to eroding the stigma associated with dependency, but Democrats were more likely to describe benefits as “rights” and to condemn all attempts to verify or narrow eligibility as heartless cuts.

Between 1979 and 2009, the unemployment rate went up and down, but the proportion of American households receiving means-tested government benefits has risen every single year. “By 2009,” Eberstadt writes, “the share of American families getting poverty-related entitlements was almost three times as high as the official poverty rate for families.”

The new American appetite for the dole is reflected also in the explosion of disability claims — and this is relevant to the fraud concerns with Obama’s exchanges. Between 1960 and 2010, the percentage of economically active 18- to 65-year-olds on disability increased from 0.65 to 5.6 percent. In 1960, only about 455,000 Americans received disability awards. In 2011, that number had jumped to 8.6 million, an 18-fold increase. For those who are interested in such things, Eberstadt notes that most of the disability fraud seems to be committed by whites.

Nearly half of all disability claims in 2011 were for “mood disorders” or musculoskeletal complaints (read back pain), two ailments that doctors cannot readily contradict. It may be that better diagnosis accounts for some of the change since 1960, but treatment has improved as well, and life expectancy has increased by nine years.

“Gaming and defrauding the entitlement system have emerged as a mass phenomenon in modern America, a way of life for millions . . . of men and women who would no doubt unhesitatingly describe themselves as law-abiding.” Eberstadt writes.

The invitation to sign up fraudulently for health-exchange subsidies issued by the Obama administration this summer is not just evidence of the unworkability of Obamacare; it’s one more step toward undermining the character traits that made America exceptional.

— Mona Charen is a nationally syndicated columnist. © 2013 Creators Syndicate, Inc.


Thank You Ms Charen and NRO.