Sunday, December 15, 2013

Report: Insurers fear they’ll have a net loss in enrollments for the year on December 31
A week ago, Politico called this the worst-case scenario for ObamaCare. The odds were slim, they assured us, but not quite zero that the magical combo of millions of cancellations, endless exchange “glitches,” and panicky half-assed logistical complications designed to “fix” the problem would mean fewer insured Americans at the end of 2013 than existed at the start of the year. It was unlikely, claimed Politico, because the four or five million whose plans have been canceled had alternate routes to enrollment that didn’t involve Healthcare.gov. They could enroll directly with their current insurer in a new plan (although not if they wanted a subsidy, which are available exclusively on the exchanges) or they might even be automatically enrolled in a plan by their insurer in the interest of preventing a lapse of coverage. But it was, in fact, possible that the first week of January would bring news that ObamaCare had actually made the problem it purported to solve worse. That’s the worst-case scenario. It’d be a PR catastrophe.

Via John McCormack, Bob Laszewski says it’s not so unlikely anymore.

Insurers privately tell Bob Laszewski that they think more people will have lost insurance by January 1 than the number who have signed up for Obamacare by January 1....

Poll: Less than a quarter of uninsured Americans believe Obamacare is a good idea
...Obamacare has lost the uninsured. A Wall Street Journal/NBC News poll released this week asked uninsured individuals whether or not they thought the law was a good idea. Just 24 percent said they thought it was. In contrast, half the uninsured polled said they thought it was a bad idea. As the Journal points out, that represents an 11 point drop in support for the law amongst the uninsured since September. The same poll also finds that 56 percent of the uninsured believe the law will have a negative effect on the U.S. health care system. Let that sink in: What that means is that regardless of how bad the old system—the system that for whatever reason left them uninsured—was, a majority of people without health coverage now think that Obamacare makes it worse....

Insurance Companies Could Get Pinched With Latest ObamaCare Delay
The latest deadline delay for the Affordable Care Act could lead to even more enrollment problems and place a bigger burden on insurance companies, experts say.

The Department of Health and Human Services announced Thursday it would require insurance companies to accept premium payments for plans that start on Jan. 1 up until Dec. 31-eight days from the already once delayed date of Dec. 23.

“This will kill insurance companies,” says Devon Herrick, senior analyst at the National Center for Policy Analysis, of the latest deadline extension. “I don’t think insurance companies will be there on New Year’s Day figuring out what they owe, who they need to bill and who has legitimate coverage. You can see what a mess this is—I can’t imagine insurance companies can solve this in one day, especially when that day is a holiday.”

This week’s announcement operates under the assumption that enrolling people in insurance plans is simple, adds Tom Harte, president of the National Association of Health Underwriters....