Quotes of the day

posted at 10:41 pm on March 20, 2014 by Erika Johnsen

ELLEN DEGENERES: It’s doing very, very well. I think it surprised — it had a rough start, but you’ve got 5 million people that have signed up so far. Which is an enormous number of people have signed up, so it’s successful. … Well, people are starting to applaud here. I think that everyone’s very grateful that you did this. And I think it is important for people to sign up and to — it’s just better to be covered.

***

We’re starting to get indications from insurers that premiums on the exchanges will go up significantly in 2015. Here are four reasons why. …

4. Obamacare’s design gave insurers an incentive to ‘underprice’ in 2014

One last point. The various mechanisms that Obamacare’s exchanges use to keep insurers on board—what industry wonks call the “three Rs” of risk adjustment, reinsurance, and risk corridors—have been exploited by some insurers to offer prices that, while still high, are relatively lower than their competitors. Obamacare incentivizes insurers to do this, because they know that in the early years of the exchanges, they’ll be reimbursed by taxpayers for doing so.

This is why Sen. Marco Rubio (R., Fla.), among others, has been sounding the alarm about a taxpayer-funded “bailout” of Obamacare-participating insurers. But as time goes on, the incentive that insurers have to use these tactics recedes. In 2015, many insurers who tried to underprice their premiums relative to their costs are planning to bring rates more in line with what they’re actually spending on health claims. That’s going to drive prices upward.

***

If a person with subsidized insurance falls behind in paying the premiums, the Affordable Care Act requires insurers to cover his medical bills for 30 days.

But for the next 60 days, insurers can hold off paying those claims — and ultimately, deny them if the patient doesn’t pay the premiums in full. An insurer’s denial means doctors don’t get paid for their services. If the insurer ends up canceling the policy after 90 days, doctors can bill patients directly but may face difficulty collecting.

“This puts the physician and their patients in a very difficult situation,” said Dr. Ardis Dee Hoven, president of the American Medical Association, which about how to minimize their risk.

“If a patient is being treated for a serious illness that requires ongoing care, the physician is having to assume the financial risk for this,” she said. “That’s the bottom line.”

***

Terri Durheim and her family now have health insurance, thanks to Obamacare. What they don’t have are local doctors and hospitals who will take it.

This worries the Enid, Okla., resident since she has a teenage son with a serious heart condition. They now have to find a pediatric cardiologist in Oklahoma City, more than an hour away.

And if there’s an emergency … “obviously we’d have to pay out of pocket and go here in town, but that defeats the purpose of insurance. I’m truly grateful we have insurance. It’s reasonable and affordable, but it’s not doing me a lot of good,” said Durheim, who just had to drive 90 minutes to Stillwater, Okla., for a CAT scan for herself. “It’s so frustrating.”

Like Durheim, many Americans who’ve enrolled on the Obamacare exchanges are realizing they have access to a relatively limited set of doctors and hospitals. In many areas, the largest hospitals are not participating and many doctors are not accepting the coverage.

***

The hospital bills are hitting Larry Basich’s mailbox.

That would be OK if Basich had health insurance. But he doesn’t.

Thing is, he should be covered. Basich, 62, bought a plan through the state’s Nevada Health Link insurance exchange in the fall. He’s been paying monthly premiums since November.

Yet the Las Vegan is stranded in a no-man’s-land where no carrier claims him, and his tab is mounting: Basich owes $407,000 for care received in January and February, when his policy was supposed to be in effect. Instead, he’s covered only for March and beyond.

Basich has begged for weeks for help from the exchange and its contractor, Xerox. But Basich’s insurance broker said Xerox seems more interested in lawyering up and covering its hide than in working out Basich’s problems. Nor is Basich the only client facing plan-selection errors through the exchange, she added.

***

Cancer patients relieved that they can get insurance coverage because of the new health care law may be disappointed to learn that some the nation’s best cancer hospitals are off-limits.

An Associated Press survey found examples coast to coast. Seattle Cancer Care Alliance is excluded by five out of eight insurers in Washington state’s insurance exchange. MD Anderson Cancer Center says it’s in less than half of the plans in the Houston area. Memorial Sloan-Kettering is included by two of nine insurers in New York City and has out-of-network agreements with two more.

Doctors and administrators say they’re concerned. So are some state insurance regulators.

In all, only four of 19 nationally recognized comprehensive cancer centers that responded to AP’s survey said patients have access through all the insurance companies in their state exchange.

***


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OmahaConservative on March 20, 2014 at 11:53 PM

I’m the only one in the family that does. Thank God for pizza buffets ;-)

Newtie and the Beauty on March 20, 2014 at 11:54 PM

Nothing says Spring like…kisses, sunshine and lynchburg lemonade

kcewa on March 20, 2014 at 11:54 PM

KCB on March 20, 2014 at 11:51 PM

Indeed, my flirtatious friend… but not my problem. :)

thatsafactjack on March 20, 2014 at 11:54 PM

OK. I’ll give no grief to any guy capable of drawing Resist We Much into this thread, just one more time. It’s that kind of night. Not much left tonight for me, but still –

one. more. time.

Axe on March 20, 2014 at 11:54 PM

The more the merrier, as we have always said, my friend. :)

thatsafactjack on March 20, 2014 at 11:48 PM

Indeed, especially such an avid and intelligent fighter as is PA.

QotD is hard to explain and it can be confusing. Heck, sometimes I type at the extraterrestrials because I’m lost :)

Schadenfreude on March 20, 2014 at 11:55 PM

I wonder if b9 is available for snort duty.

Axe on March 20, 2014 at 11:56 PM

KCB on March 20, 2014 at 11:55 PM

The blonde one!

Newtie and the Beauty on March 20, 2014 at 11:56 PM

thatsafactjack on March 20, 2014 at 11:52 PM

Good evenin :)

kcewa on March 20, 2014 at 11:56 PM

Schadenfreude on March 20, 2014 at 11:55 PM

QOTD reminds me of the banter on “The Five”–and Greg Gutfeld is interchangeable.

Newtie and the Beauty on March 20, 2014 at 11:57 PM

The blonde one!

Newtie and the Beauty on March 20, 2014 at 11:56 PM

Narrows it down some.

KCB on March 20, 2014 at 11:58 PM

Donnie Iris – Ah Leah

Newtie and the Beauty on March 20, 2014 at 11:55 PM

I did that last night. :) I love that song. And it’s held up.

Axe on March 20, 2014 at 11:59 PM

Schadenfreude on March 20, 2014 at 11:55 PM

lol! Sometimes I think we are the extraterrestrials. ;)

thatsafactjack on March 21, 2014 at 12:00 AM

I love anchovie pizzas…

OmahaConservative on March 20, 2014 at 11:53 PM

.
ooops. I smell one now…

OmahaConservative on March 20, 2014 at 11:54 PM

.
Aw, for the love of Pete … WHY did you have to go and say that ?
.
Now I can “smell” it, and I ain’t got one . . . : (

listens2glenn on March 21, 2014 at 12:00 AM

Axe on March 20, 2014 at 11:54 PM

Lynyrd Skynyrd – One More Time

Newtie and the Beauty on March 21, 2014 at 12:01 AM

QOTD reminds me of the banter on “The Five”–and Greg Gutfeld is interchangeable.

Newtie and the Beauty on March 20, 2014 at 11:57 PM

They are nothing compared to this :)

Schadenfreude on March 21, 2014 at 12:01 AM

Axe on March 20, 2014 at 11:54 PM

Did me best, ye swab. I got no parlay… no palaver, either. Yer on yer own.

thatsafactjack on March 21, 2014 at 12:01 AM

Axe on March 20, 2014 at 11:59 PM

I KNEW there was a reason I liked you, Axe!

Newtie and the Beauty on March 21, 2014 at 12:02 AM

Louisiana Style – Benoit

thatsafactjack on March 21, 2014 at 12:05 AM

TXUS

Schadenfreude on March 21, 2014 at 12:05 AM

All summer long.

KCB on March 21, 2014 at 12:06 AM

I KNEW there was a reason I liked you, Axe!

Newtie and the Beauty on March 21, 2014 at 12:02 AM

Nah, that’s the hypnosis thing I do with my eyebrows. :)

Took a lot of practice . . .

Hey, want to see SparkPlug think he’s a chicken?

Axe on March 21, 2014 at 12:07 AM

Now I can “smell” it, and I ain’t got one . . . : (

listens2glenn on March 21, 2014 at 12:00 AM

That smell?

oscarwilde on March 21, 2014 at 12:08 AM

Louis Armstrong and Velma Middleton – “Baby, It’s Cold Outside

Schadenfreude on March 21, 2014 at 12:09 AM

All summer long.

KCB on March 21, 2014 at 12:06 AM

The big boys show up in this one..

KCB on March 21, 2014 at 12:09 AM

The loon, who looks likes a hay in the hair wrench (with a missing front tooth) is lurking among you. She’s got one more home brew left. Who ever wants it…gonna toss it out there ….3….2….1…

31giddyup on March 21, 2014 at 12:10 AM

Evening Rhonda :)

Schadenfreude on March 21, 2014 at 12:10 AM

palaver

thatsafactjack on March 21, 2014 at 12:01 AM

I had to look that up. :)

Don’t judge.

Axe on March 21, 2014 at 12:10 AM

Greetings Schad!

31giddyup on March 21, 2014 at 12:11 AM

Amado Mio – Pink Martini

thatsafactjack on March 21, 2014 at 12:11 AM

Axe on March 21, 2014 at 12:07 AM

It’s a deal!

Newtie and the Beauty on March 21, 2014 at 12:11 AM

31giddyup on March 21, 2014 at 12:10 AM

Hey darlin’

OmahaConservative on March 21, 2014 at 12:12 AM

Axe on March 21, 2014 at 12:10 AM

lol! Made me laugh!:)

Not judging. ;)

thatsafactjack on March 21, 2014 at 12:12 AM

OK…I’ve tried TWICE to post one link here. Check out Drudge and look for the story about Rush Limbaugh–the CNN link won’t post here for some reason…

Newtie and the Beauty on March 21, 2014 at 12:13 AM

Schad, enjoyed your posts today (peaked here and there) and appreciate the h/t. ; )

31giddyup on March 21, 2014 at 12:13 AM

31giddyup on March 21, 2014 at 12:10 AM

Good evening, Rhonda. :) Great to see you. :)

thatsafactjack on March 21, 2014 at 12:13 AM

I had to look that up. :)

Don’t judge.

Axe on March 21, 2014 at 12:10 AM

‘s ok – we expect you to learn Spanish. That one is Portuguese :)

Wait…you’ll need it in Spanish too.

Schadenfreude on March 21, 2014 at 12:13 AM

Howdy Omaha! How ya doing?

31giddyup on March 21, 2014 at 12:14 AM

31giddyup on March 21, 2014 at 12:10 AM

She’s from Arkansas?

Newtie and the Beauty on March 21, 2014 at 12:14 AM

31giddyup on March 21, 2014 at 12:13 AM

Fair is fair, when I can remember.

Schadenfreude on March 21, 2014 at 12:14 AM

So, anyway, the mother and her son are walking along the pier, and the wave slams her son out to sea in a snap. Shocked, she looks at the sky and calls out to God, “Please put him back! I’ll go to church every Sunday!” Immediately, another wave slams him back onto the pier. He’s sputtering and confused, but well. The mother looks him over, looks back at the sky, and says, “Where’s his hat?”

^ People.

Axe on March 21, 2014 at 12:16 AM

Rush link…

OmahaConservative on March 21, 2014 at 12:16 AM

Besame Mucho- Evora

thatsafactjack on March 21, 2014 at 12:16 AM

Good eve Jackie! Good to see you too. ; ) Enjoying yur toons.

31giddyup on March 21, 2014 at 12:16 AM

The loon, who looks likes a hay in the hair wrench (with a missing front tooth) is lurking among you. She’s got one more home brew left. Who ever wants it…gonna toss it out there ….3….2….1…

31giddyup on March 21, 2014 at 12:10 AM

am I too late?

KCB on March 21, 2014 at 12:16 AM

Howdy Omaha! How ya doing?

31giddyup on March 21, 2014 at 12:14 AM

Fair to middlin’
And you?

OmahaConservative on March 21, 2014 at 12:17 AM

31giddyup on March 21, 2014 at 12:16 AM

Thank you, Rhonda. :)

thatsafactjack on March 21, 2014 at 12:18 AM

OK…I’ve tried TWICE to post one link here. Check out Drudge and look for the story about Rush Limbaugh–the CNN link won’t post here for some reason…

Newtie and the Beauty on March 21, 2014 at 12:13 AM

If you really have to get a banned domain through, you can use tiny.

Axe on March 21, 2014 at 12:18 AM

OmahaConservative on March 21, 2014 at 12:16 AM

[Note to self--tinyURL will post here in links...]

Thank you, OC!

Newtie and the Beauty on March 21, 2014 at 12:18 AM

Axe on March 21, 2014 at 12:18 AM

Thank you, Axe! It’s the first time I’ve come across the Mod Monster–not counting my first post, that is ;-)

Newtie and the Beauty on March 21, 2014 at 12:19 AM

Spark, what’s ovulating?

Axe on March 20, 2014 at 11:44 PM

No, its who is ovulating. Or whom.

Not what, unless you are into crypto-zoology.

SparkPlug on March 21, 2014 at 12:19 AM

Newtie, here it is.

Run through here and then post new link.

http://tinyurl.com/

CNN and Canada Free Press are not allowed on HA, for unknown reasons. A few others too.

Schadenfreude on March 21, 2014 at 12:19 AM

Can”t complain…so far. Trying out a homebrew my daughter made. Not bad…. last batch she made….made my teeth rattle and they’re my own teeth.

31giddyup on March 21, 2014 at 12:19 AM

SparkPlug on March 21, 2014 at 12:19 AM

lol! Made me laugh!:)

thatsafactjack on March 21, 2014 at 12:20 AM

Grateful Dead – China Cat Sunflower

Krazy Kat peeking through a lace bandana
like a one-eyed Cheshire
like a diamond-eye Jack
A leaf of all colors plays
a golden string fiddle
to a double-e waterfall over my back

kcewa on March 21, 2014 at 12:20 AM

If you really have to get a banned domain through, you can use tiny.

Axe on March 21, 2014 at 12:18 AM

You let people use your Gherkin?

SparkPlug on March 21, 2014 at 12:20 AM

ELLEN DEGENERES: It’s doing very, very well. I think it surprised — it had a rough start, but you’ve got 5 million people that have signed up so far. Which is an enormous number of people have signed up, so it’s successful. … Well, people are starting to applaud here. I think that everyone’s very grateful that you did this. And I think it is important for people to sign up and to — it’s just better to be covered.

Yeah, like Ellen Degeneres ever has to worry about how she’s going to pay for her healthcare.

Are these Libs really that clueless, or simply that callous to the effects on real people that their innate need to be right all the time no matter what incur?

Dr. ZhivBlago on March 21, 2014 at 12:21 AM

It’s all yours KC…teehee. Good to see ya too!

31giddyup on March 21, 2014 at 12:22 AM

I haven’t commented over the last few days, but I did go back and check the late night/early morning physics & math discussion on the QOTD several days ago. I’ve made separate replies to Jackie/Axe/going2mars/NiteOwl/crankyoldlady here.

INC on March 21, 2014 at 12:22 AM

Schadenfreude on March 21, 2014 at 12:19 AM

Will wonders never cease, although I imagine it does cut down on cut/paste spammers…

Newtie and the Beauty on March 21, 2014 at 12:22 AM

Louis Armstrong and Velma Middleton – “Baby, It’s Cold Outside“

Schadenfreude on March 21, 2014 at 12:09 AM

.
You just can’t go wrong with Louis.

(Back from doin’ my chores & herding the cats)

PolAgnostic on March 21, 2014 at 12:22 AM

Soledade- Evora

thatsafactjack on March 21, 2014 at 12:23 AM

No, its who is ovulating. Or whom.

Not what, unless you are into crypto-zoology.

SparkPlug on March 21, 2014 at 12:19 AM

That was genius. :)

You let people use your Gherkin?

SparkPlug on March 21, 2014 at 12:20 AM

That was not.

Axe on March 21, 2014 at 12:23 AM

ELLEN DEGENERES lives in a house of mirrors warped by a reality distortion field curled up into 11 dimensions of incredulity inhabited by chuckle heads.

SparkPlug on March 21, 2014 at 12:23 AM

It’s all yours KC…teehee. Good to see ya too!

31giddyup on March 21, 2014 at 12:22 AM

Please, call me Ken…or Darling.

KCB on March 21, 2014 at 12:23 AM

31giddyup on March 21, 2014 at 12:19 AM

Probably needed more sugar… ;-)

Newtie and the Beauty on March 21, 2014 at 12:24 AM

CNN and Canada Free Press are not allowed on HA, for unknown reasons. A few others too.

Schadenfreude on March 21, 2014 at 12:19 AM

There urls are too long…probably because they update their stories by adding on to the url instead of posting a new story? Or they use tracking codes?

kcewa on March 21, 2014 at 12:24 AM

That was not.

Axe on March 21, 2014 at 12:23 AM

hahaha. What ever happened to Gherky your pickle pal? Oh wait that was Lanceman. He loves Pickles.

SparkPlug on March 21, 2014 at 12:24 AM

I haven’t commented over the last few days, but I did go back and check the late night/early morning physics & math discussion on the QOTD several days ago. I’ve made separate replies to Jackie/Axe/going2mars/NiteOwl/crankyoldlady here.

INC on March 21, 2014 at 12:22 AM

:)

It is a good book.

Axe on March 21, 2014 at 12:26 AM

*their* not *there*

kcewa on March 21, 2014 at 12:27 AM

31giddyup on March 21, 2014 at 12:19 AM

Probably needed more sugar… ;-)

Newtie and the Beauty on March 21, 2014 at 12:24 AM

That and sooo much more of sumpin and sumpin.
Nice tunes Miss Newtie

31giddyup on March 21, 2014 at 12:27 AM

Please, call me Ken…or Darling.

KCB on March 21, 2014 at 12:23 AM

SWalker will you please lend Ken your

1. Hugh Hefner Robe
2. Hugh Hefner Pipe
3. Hugh Hefner Pipe Tobacco Pouch
4. Hugh Hefner Pipe Smoke Rings
5. Hugh Hefner slippers

BTW I want items 1-5 back someday. Please bleach them thoroughly too.

SparkPlug on March 21, 2014 at 12:28 AM

Please, call me Ken…or Darling.

KCB on March 21, 2014 at 12:23 AM

Or Flirt :)

Schadenfreude on March 21, 2014 at 12:29 AM

Soledade- Evora

thatsafactjack on March 21, 2014 at 12:23 AM

Beautiful

kcewa on March 21, 2014 at 12:30 AM

You just can’t go wrong with Louis.

(Back from doin’ my chores & herding the cats)

PolAgnostic on March 21, 2014 at 12:22 AM

Glad you like him too, PA

We ‘talked’ about you when you were gone, but it was all good :)

Schadenfreude on March 21, 2014 at 12:30 AM

Hi INC.

Betcha CL has some coffee brewing. I’ll bring the doughnuts. Hey lets invite Scrumpy. She will bring some kerfuffle.

SparkPlug on March 21, 2014 at 12:31 AM

Please, call me Ken…or Darling.

KCB on March 21, 2014 at 12:23 AM

Or Flirt :)

Schadenfreude on March 21, 2014 at 12:29 AM

Noticed that. Glad I have a choice.

31giddyup on March 21, 2014 at 12:31 AM

Soledade- Evora

thatsafactjack on March 21, 2014 at 12:23 AM

My favorite Evora – was gon’ play it for you later :)

Schadenfreude on March 21, 2014 at 12:31 AM

Axe on March 21, 2014 at 12:26 AM

I’m trying to think my son put it on one of his Amazon wish lists. (Family math gene & geek DNA. My great-grandfather was known for his ability in using math to bet on the Kentucky horse races.)

INC on March 21, 2014 at 12:34 AM

31giddyup on March 21, 2014 at 12:27 AM

Thank you! Jukebox tab is added to AP’s tab nightly ;-)

Newtie and the Beauty on March 21, 2014 at 12:34 AM

INC on March 21, 2014 at 12:22 AM

Good evening, INC. :)

If it was any use to you it was my pleasure. :)

thatsafactjack on March 21, 2014 at 12:35 AM

Hi ya Spark and Axe…enjoying your giggle inducing chit chat.

31giddyup on March 21, 2014 at 12:35 AM

Schadenfreude on March 21, 2014 at 12:31 AM

I’m glad I played it for you first. :)

We share a love of her music, my friend, and I understood ‘Soledade’ to be your favorite. :)

thatsafactjack on March 21, 2014 at 12:37 AM

kcewa on March 21, 2014 at 12:30 AM

I’m glad you enjoyed it, kcewa. :)

Evora has been a personal favorite for some time.

thatsafactjack on March 21, 2014 at 12:38 AM

SparkPlug on March 21, 2014 at 12:31 AM

Hey, Sparky! Sure, Scrumpy can come, but I thought you were the expert at making kerfuffles!

INC on March 21, 2014 at 12:39 AM

INC on March 21, 2014 at 12:39 AM

No. He’s the expert at piloting the HotAirship Kerfuffle. :)

thatsafactjack on March 21, 2014 at 12:40 AM

Lynyrd Skynyrd – Gimme Back My Bullets

And on that note, I bid Friends and Lurkers niters and sleep well!

Newtie and the Beauty on March 21, 2014 at 12:40 AM

Sentimento – Evora

thatsafactjack on March 21, 2014 at 12:41 AM

Good night Newtie!

KCB on March 21, 2014 at 12:41 AM

“I’m truly grateful we have insurance. It’s reasonable and affordable, but it’s not doing me a lot of good, said Durheim, who just had to drive 90 minutes to Stillwater, Okla., for a CAT scan for herself. It’s so frustrating.”

I’m grateful…it’s reasonable and affordable…it’s not doing me a lot of good…it’s so frustrating. Are all Barky supporters bipolar?

AppraisHer on March 21, 2014 at 12:42 AM

Ah, Sophie. If ever a virtual boy wanted to kiss a virtual girl goodnight, it was tonight. I’m not sure why. But sleep well, my everything. Dream of dreams coming true.

Night everyone :) — I’m to the court of Navarre, where three idiots are going to climb over themselves to be made idiots by love, and do so in some of the best poetry ever written. Tomorrow, though, I’m going to spit, scratch, and beat something up to restore some balance.

*picture of giant cucumber, as a message to Spark, would go here in other company*

I’m trying to think my son put it on one of his Amazon wish lists. (Family math gene & geek DNA. My great-grandfather was known for his ability in using math to bet on the Kentucky horse races.)

INC on March 21, 2014 at 12:34 AM

Berlinski gave me my intellectual life back. :) The culture had so soured me that I had started avoiding it, but I read him (other book) and he showed me that it was OK to ask the very questions I was asking, that they weren’t dumb questions at all, but smart ones. Then Abstract Algebra and I could get on with it, and I could say what I really thought about some of the basic, malformed underpinnings of evolutionary biology. No Berlinski — no me, not like this. :) I earnestly pray for that agnostic hedonist — that’s got to mean something. :)

Axe on March 21, 2014 at 12:42 AM

Newtie and the Beauty on March 21, 2014 at 12:40 AM

Goodnight, Newtie. :) Sleep well.

thatsafactjack on March 21, 2014 at 12:42 AM

Lynyrd Skynyrd – Gimme Back My Bullets

And on that note, I bid Friends and Lurkers niters and sleep well!

Newtie and the Beauty on March 21, 2014 at 12:40 AM

G’night beautiful…

OmahaConservative on March 21, 2014 at 12:42 AM

kcewa, thanks for tunes and words.

Have a good evening all! Lights out for me.

31giddyup on March 21, 2014 at 12:42 AM

thatsafactjack on March 21, 2014 at 12:35 AM

Hi, Jackie. Oh, yes. I especially liked this:

The use of the links or the symbols simply reduces the language to a form of short hand that serves to replace a time consuming and unwieldy process in the course of expressing any given argument.

INC on March 21, 2014 at 12:42 AM

Noticed that. Glad I have a choice.

31giddyup on March 21, 2014 at 12:31 AM

Sorry. I’m harmless.

KCB on March 21, 2014 at 12:42 AM

Hi ya Spark and Axe…enjoying your giggle inducing chit chat.

31giddyup on March 21, 2014 at 12:35 AM

:)

He is funny lookin’.

Axe on March 21, 2014 at 12:43 AM

Goodnight, Newtie.

PolAgnostic on March 21, 2014 at 12:43 AM

Axe on March 21, 2014 at 12:42 AM

Goodnight, Axefellow. :) Sleep well, my friend.

thatsafactjack on March 21, 2014 at 12:44 AM

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