Blue Cross and Blue Shield of KC is pulling out of Obamacare exchange in 2018

[ati87]

Minority? Why would a global company drop spouses if it was just a "minority" ?

What's the purpose of insurance companies? To make money
What's the purpose you get insurance? To cover shit in case something happens

Obamacare tried to make "insurance" something what it's not, and it's falling apart, they can't even be competative with each other

Lets do some simple math

You have 10 sick people and 10 Healthy people, you need the 10 healthy to cover the 10 sick

There are 2 insuarnce companies

9 sick people and 1 healthy go to one insurance carrier (the sick can't be turned away)
and then the 1 sick and 9 healthy go the other way.

How the fuck do you even price that and compete with that? Obamacare is a joke Not sure why Democrats just didn't go with single payer from the get go.

That;s not how insurance works...you need to add a few thousand more people at least.

Also why didn't they go single payer? Because of hacks like you that defend trump?

[Zan15]

What's going to happen when all the companies dry up? Or will they just continue to raise our crazy rates to cover the loss?

this is what happens when republicans stop allowing the ACA to be fixed, tells all their supporters to not sign up and put up crazy roadblocks making it almost impossible to succeed in the individual market place.

way too many young and healthy people did not sign up to balance the sick. you know the good old "Why should you have to sign up for something you don't need, you are healthy"....

Very easy to tell this is the problem with their MLR ratios and the fact that they are making a good chunk of profit off all of their other business which has a goodbalance of both healthy and sick, Young and old...etc etc.


Then again the individual market has always been, even prior to the ACA, a train wreck where a handful of sick people can destroy your MLR for the whole year and make you lose money.


Also sounds like they have a serious expense problem, 18% administrative expense that is insane.

[Cthulhu 2020]

Minority? Why would a global company drop spouses if it was just a "minority" ?

What's the purpose of insurance companies? To make money
What's the purpose you get insurance? To cover shit in case something happens

Obamacare tried to make "insurance" something what it's not, and it's falling apart, they can't even be competative with each other

Lets do some simple math

You have 10 sick people and 10 Healthy people, you need the 10 healthy to cover the 10 sick

There are 2 insuarnce companies

9 sick people and 1 healthy go to one insurance carrier (the sick can't be turned away)
and then the 1 sick and 9 healthy go the other way.

How the fuck do you even price that and compete with that? Obamacare is a joke Not sure why Democrats just didn't go with single payer from the get go.

Now how about we talk about a real situation, which is where insurance companies cover hundreds of thousands of people, and the vast majority of them are healthy, rather than your misinformed BS.

[zenkai]

That;s not how insurance works...you need to add a few thousand more people at least.

Also why didn't they go single payer? Because of hacks like you that defend trump?

I broke it down to simple numbers so you can understand, do you know what cost ratio is? Then you go on about Trump, not even talking about Trump.

[Zan15]

Minority? Why would a global company drop spouses if it was just a "minority" ?

because it saves money for the corporation/business. They are not in the business of giving coverage away that a non employee can get at their own job. They care only about the bottom line just like insurance companies


they have been doing it since the 1990's and its been gaining pace since then.

[zenkai]

this is what happens when republicans stop allowing the ACA to be fixed, tells all their supporters to not sign up and put up crazy roadblocks making it almost impossible to succeed in the individual market place.

way too many young and healthy people did not sign up to balance the sick. you know the good old "Why should you have to sign up for something you don't need, you are healthy"....

Very easy to tell this is the problem with their MLR ratios and the fact that they are making a good chunk of profit off all of their other business which has a goodbalance of both healthy and sick, Young and old...etc etc.


Then again the individual market has always been, even prior to the ACA, a train wreck where a handful of sick people can destroy your MLR for the whole year and make you lose money.


Also sounds like they have a serious expense problem, 18% administrative expense that is insane.

Yes, insurance before ACA sucked as well, also my ex worked for a large carrier and they do have high operating cost because they throw money away. For instance her first year she got 4 weeks vacation. I have never worked anywhere and got 4 weeks vacation the first year...

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Now how about we talk about a real situation, which is where insurance companies cover hundreds of thousands of people, and the vast majority of them are healthy, rather than your misinformed BS.

You think 2 healthy people can cover one sick person? You under estimate the cost of being sick in the US.

[ati87]

I broke it down to simple numbers so you can understand, do you know what cost ratio is? Then you go on about Trump, not even talking about Trump.

Shows you the mindset,the avg trump apologist, which forced Obama's hand to not even go with the public option. The ACA is historical for the US because it took multiply failed attempts over the course of decades to get something passed.

Also stupid example stays stupid when it's not even realistic. Kansas is a republican experiment gone wrong, a state that didn't even bother trying to keep the ACA healthy. Look at that instead maybe just trying to defend Trump and co.

[Cthulhu 2020]

You think 2 healthy people can cover one sick person? You under estimate the cost of being sick in the US.

You think that ratio is what's happening with US health insurance? Go do some research before throwing out random numbers.

[zenkai]

Shows you the mindset,the avg trump apologist, which forced Obama's hand to not even go with the public option. The ACA is historical for the US because it took multiply failed attempts over the course of decades to get something passed.

Also stupid example stays stupid when it's not even realistic. Kansas is a republican experiment gone wrong, a state that didn't even bother trying to keep the ACA healthy. Look at that instead maybe just trying to defend Trump and co.

What? How so, the ACA was passed without 1 republican vote, they had the opportunity to pass whatever the fuck they wanted.

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You think that ratio is what's happening with US health insurance? Go do some research before throwing out random numbers.

I have done the research I was making it simple to those of you who are bad with numbers, insurance have been dropping from the Healthcare exchange because there is no money to be made.

[Sunseeker]

Well, considering the system was basically a bribe to insurance companies with a mandate that individuals buy their product, the insurance companies did what all organized crime does: decide the bribe isn't big enough.

There was no mandate on insurance companies to stay in the exchange, so of course they'd leave after they made their initial money from sign-ups and then people started going in for care.

[Huehuecoyotl]

It turns out taking care of sick people costs way more money in the US than any other country in the world, for some reason. Who woulda figured.

FTFY. It's almost like there are a bunch of gigantic companies that are making a metric crap-ton of money out of sick people in the US, without them getting the actual healthcare that spend should result in. That's what happens when you let the market decide how things like healthcare should function.

[ati87]

What? How so, the ACA was passed without 1 republican vote, they had the opportunity to pass whatever the fuck they wanted.

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.

And still only passed with allot of compromise....democrats couldn't just do whatever they wanted since passing any healthcare reform is hard in the US.

The republican shitlaw barley passed the house and they had to ram that bill threw before anybody could read the full bill..,,if they didn't run on repealing the aca for 8 years they couldn't probably even pass that.

[Mafic]

NO.

Obama took the single payer option off the table before it was even discussed along with Pelosi. The Democrats shot themselves in the foot with this compromise that was a gift to insurance companies and now are crying foul that the insurance companies are bailing after shaking down their customers via exchanges promoted by Democrats.

[Cthulhu 2020]

I have done the research I was making it simple to those of you who are bad with numbers, insurance have been dropping from the Healthcare exchange because there is no money to be made.

http://www.wral.com/blue-cross-profi...fall/16559789/
http://www.syracuse.com/health/index..._20_execs.html
https://www.usatoday.com/story/news/...ents/94732188/

The exchange is for cross-state sales. The thing is, not many insurers are ready to sell cross-state, because the laws of health insurance in each state is different, and thus insurance companies must make different plans for each state they sell in. There's been low participation in the exchanges because most people are sticking with their home state's insurance. The increase in overhead costs for selling cross-state is the nature of business when it comes to the business. This is in no way a direct fault of the exchanges, it's just how business goes when you're creating plans for 50 different sets of laws.

So yeah, the EXCHANGES aren't working out so well, but this does not mean insurance companies are failing. Anyone educated on the subject would know this. Home-state insurance companies are making bigger profits than ever before.

The fact that the cross-state exchanges aren't going so well is more of an argument that insurance laws should be uniform across the country, which would reduce if not eliminate that overhead of running separate plans across different states.

And again, this is no mark against the ACA, it would have happened even if there was a law that opened up sales across state lines and did nothing else.

[Stormspellz]

Nothing wrong here folks. Obamacare is awesome. The Democrats had 7 years to offer a change and didn't do a fucking thing. It's the Republicans fault though. Nothing the left ever does is wrong.

never left the GOP controlled Congressional committees

[Draco-Onis]

What? How so, the ACA was passed without 1 republican vote, they had the opportunity to pass whatever the fuck they wanted.

Actually the ACA had a lot of republican input despite their complaints, it passed a lot of bipartisan committees and they crafted a good deal of the bill alongside democrats. It was only after the tea party surge that republicans started walking away since even shaking hands with the president now became toxic. Also blue dog democrats and even Obama himself didn't seem interested in doing single payer which is what the democratic base wanted.

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I think the Democrats sabotaged Obamacare when they put in the covering 26 year olds mandate. You need young healthy people paying in to help cover the cost of the old and sick but if you can stay on your parents insurance, why get it for yourself?

A lot less to do with that and a lot more to do with republicans messing with funding and subsidies, they even went out of their way to sabotage enrollment.

[Gestopft]

NO.

Obama took the single payer option off the table before it was even discussed along with Pelosi. The Democrats shot themselves in the foot with this compromise that was a gift to insurance companies and now are crying foul that the insurance companies are bailing after shaking down their customers via exchanges promoted by Democrats.

Obama was asked about why he didn't go for single-payer instead, and he basically said that given the size of the health sector (17% of GDP), he didn't want to upset the apple cart by changing too much all in one go.

[Zan15]

What? How so, the ACA was passed without 1 republican vote, they had the opportunity to pass whatever the fuck they wanted.

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.

who needed their votes the entire program is mostly following the republican romeycare in place in MA and ideas championed by republican think tanks like heritage....well that was before Obama decided to use it....then it became bad.


all of a sudden once democrats put it to vote no one wanted it. odd huh?

[Mafic]

Obama was asked about why he didn't go for single-payer instead, and he basically said that given the size of the health sector (17% of GDP), he didn't want to upset the apple cart by changing too much all in one go.

Well healthcare costs of medicare is going to bankrupt the US in the next decade so all Obama did was prolong the inevitable.

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who needed their votes the entire program is mostly following the republican romeycare in place in MA and ideas championed by republican think tanks like heritage....well that was before Obama decided to use it....then it became bad.


all of a sudden once democrats put it to vote no one wanted it. odd huh?

That was a plan from 90's Republicans idea to counter HIllary's proposal in the 90's. The 90's was centrist central and rode the dot com gravy train before it busted.

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http://www.wral.com/blue-cross-profi...fall/16559789/
http://www.syracuse.com/health/index..._20_execs.html
https://www.usatoday.com/story/news/...ents/94732188/

The exchange is for cross-state sales. The thing is, not many insurers are ready to sell cross-state, because the laws of health insurance in each state is different, and thus insurance companies must make different plans for each state they sell in. There's been low participation in the exchanges because most people are sticking with their home state's insurance. The increase in overhead costs for selling cross-state is the nature of business when it comes to the business. This is in no way a direct fault of the exchanges, it's just how business goes when you're creating plans for 50 different sets of laws.

So yeah, the EXCHANGES aren't working out so well, but this does not mean insurance companies are failing. Anyone educated on the subject would know this. Home-state insurance companies are making bigger profits than ever before.

The fact that the cross-state exchanges aren't going so well is more of an argument that insurance laws should be uniform across the country, which would reduce if not eliminate that overhead of running separate plans across different states.

And again, this is no mark against the ACA, it would have happened even if there was a law that opened up sales across state lines and did nothing else.

Disagree.

How does other sectors of the insurance industry handle different state laws (eg auto insurance)? The health insurance industry can kick and scream about overhead and different regulations crossing state lines all they want but it is clear they are dragging their heels.

The auto insurance and home insurance industry isn't crippled because they have to offer different plans depending which state you reside. So why is health care insurance exempt from competing like other insurance industries? What makes them special snowflakes?

[Zan15]

Well healthcare costs of medicare is going to bankrupt the US in the next decade so all Obama did was prolong the inevitable.

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Disagree.

How does other sectors of the insurance industry handle different state laws (eg auto insurance)? The health insurance industry can kick and scream about overhead and different regulations crossing state lines all they want but it is clear they are dragging their heels.

The auto insurance and home insurance industry isn't crippled because they have to offer different plans depending which state you reside. So why is health care insurance exempt from competing like other insurance industries? What makes them special snowflakes?

They already handle it just fine. Its just like auto, homeowners, etc etc.
they have to manage state to state laws and regulations.


every insurance company can easily file to sell insurance in any state they want, they already do.

the bigger problem is most insurance companies have carved out parts of this country and in many places you don't have real insurance competition because 1 insurance company controls 50-60-70% of the market or more.

competing with someone with that much market clout is almost impossible, i don't care which industry you are in.