Get ready for the next round of ObamaCare price spikes

posted at 2:41 pm on May 15, 2014 by Ed Morrissey

Let’s start with this video, in which KMOV continues investigate the billion-dollar contract awarded by HHS that apparently solved more Pictionary puzzles than processed applications. After their first report, KMOV heard from a number of Serco employees validating the initial whistleblower — who updated Chris Nagus and Dan Greenwald to say that nothing had changed since. One former employee told Nagus on a Skype call that spending seven months doing nothing all day long made her wonder about her own sanity, but more so about the program’s sanity. A supervisor told her in December — when the approaching date of disruption of existing insured would hit — that their goal was to process one or two applications … for the month:

“I think for the entire month of December I processed six applications and that was pretty good,” Lavonne said.

Lavonne said her output in December was good because other employees told News 4 the goal was to process even fewer applications.

“Our supervisor said if we process one or two of these a month we have done our job,” one employee said.

Lavonne said they had to come up with ways to pass the time. Employees told News 4 workers are not allowed to bring in a cell phone, pen, or paper.

“We played Pictionary on a very dry erase board,” Lavonne said. “We played 20 questions, we made up games what you did in 1989.”

Employees also told News 4 boredom reigned because of the lack of work and the restrictions on what workers could bring into the office.

“You could be completely sane and work there for seven months and leave there and want to check yourself into a mental hospital it was that bad,” Lavonne said.

That’s just the entree for today’s post, though. In my column for The Fiscal Times, I look at analysis of insurer filings from Virginia and Washington for premium changes in 2015. The numbers show that consumers had better expect another big spike in costs:

Rate-proposal filings in the state of Washington show the four largest insurers proposing average increases across their plans ranging from 8.1 percent to 11.2 percent in a single year. Jonathan Wu of Value Penguin analyzed the proposals and concluded that the insurers tried betting on success, and came up short. “What is troubling about the data is that among these insurers, there is clearly an issue with the premiums offered in the first enrollment period,” Wu writes. Noting that the four companies offered the lowest prices in the market this year, their enrollment numbers are not surprising, but their consumers may get a less-pleasant surprise by the end of the year.

In Virginia, two insurers control 86 percent of the market, and both propose steep increases in 2015 premiums. Anthem, which has 113,614 of the roughly 170,000 enrollments, wants to boost prices by an average of 8.5 percent next year, while CareFirst wants a hike of 14.9 percent. All five insurers in the Virginia exchange want price hikes, with only Kaiser’s proposal falling below an 8.5 percent increase. If the Obamacare experience in these two states provides any indication, Wu writes, “then consumers might need to brace themselves for rate hikes in the coming months.” … 

That brings us to the group-insurance market, where most Americans get their health insurance. Shortly after the passage of the Affordable Care Act, the Department of Health and Human Services produced an analysis that predicted the employer mandates and increased costs would force “66 percent of small employer plans and 45 percent of large employer plans” to be canceled. That was the “mid-range” estimate, one that went unnoticed until the mass cancellations of plans in the individual market.

As Forbes’ Avik Roy argued at the time, it meant that the churn in the individual market provided just an appetizer to the main course of market disruption that will come this fall.

The extent that insurers can limit those price hikes will come at the expense of your “choice habit,” as one wag spun it earlier this week. Now that people have begun to access their insurance for medical care, they’re discovering what we’ve noted for months — that the provider networks have narrowed dramatically, no matter what level of coverage they selected:

Before the law took effect, experts warned that narrow networks could impact patient’s access to care, especially in cheaper plans. But with insurance cards now in hand, consumers are finding their access limited across all price ranges.

The dilemma undercuts President Obama’s 2009 pledge that: “If you like your doctor, you will be able to keep your doctor, period.” Consumer frustration over losing doctors comes as the Obama administration is still celebrating a victory with more than 8 million enrollees in its first year.

Narrow networks are part of the economic trade-off for keeping premiums under control and preventing insurers from turning away those with pre-existing conditions. Even before the Affordable Care Act, doctors and hospitals would choose to leave a network — or be pushed out — over reimbursement issues as insurers tried to contain costs. …

Insurance agents Craig Gussin in San Diego and Kelly Fristoe in Texas helped dozens of clients switch plans just before the enrollment deadline when clients realized their doctors weren’t covered. Now, they’re struggling to help clients who realized they were in that position after the March 31 enrollment deadline, when consumers are locked into plans for one year.

Gussin says that even after his mad-dash to make switches before the deadline, he still has a half-dozen clients who are stuck — and he expects the number to grow as more try to schedule with doctors. He and other agents fear it will be one of their most serious issues in 2014.

“Everybody I talk to is having the same issue. It’s probably the number one item that we’re seeing right now,” said Gussin, who is petitioning Covered California for special enrollment status to help clients change plans.

Oddly, Americans didn’t have that much trouble satisfying their “choice habit” before the Obama administration decided to make health care “affordable.” Investors Business Daily says it’s time to admit that ObamaCare is working — just as its critics predicted:

High and rising premiums. Runaway costs. Rampant waste. Workers shoved into government-run exchanges. That’s what critics said would happen should ObamaCare remain the law of the land.

And on every point, these critics were viciously attacked by the White House and its amen chorus in the press. But on each, the critics are being proved right while the law’s backers try to change the subject.

Warnings of ObamaCare rate shocks were a big myth, we were told — merely “scare tactics” used to gin up opposition to the law by Republicans.

Then the first year’s rates came out last fall, and they were far higher than pre-ObamaCare premiums in most states, often even after taxpayer subsidies.

The rate shocks continue. IBD reported this week that two states are proposing rate hikes topping 8% for their 2015 ObamaCare premiums. In Virginia, CareFirst Blue Choice proposed a nearly 15% increase.

According to one insurer, poorer health of enrollees plus ObamaCare taxes and fees are largely to blame.

Nevada insurance brokers, meanwhile, see premium hikes of 35% to 120% for small businesses renewing plans this year, the Las Vegas Review Journal reports.

And a recent analysis by Avalere Health concluded that “double digit premium increases are likely in many markets” for next year.

But at least we’re kicking our “choice habits.”


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Obama is Awesome…..

Electrongod on May 15, 2014 at 2:43 PM

When premiums decline y’all are going to be pissed!

libfreeordie on May 7, 2014 at 10:18 AM

Schadenfreude on May 15, 2014 at 2:43 PM

But these Obamacare posts are about whistling past the graveyard, by next Novemeber Democrats will be openly running on the ACA. Mark my words.

libfreeordie on December 20, 2013 at 10:14 AM

Schadenfreude on May 15, 2014 at 2:43 PM

Just give it a rest with the constant grievance politics.

libfreeordie on May 15, 2014 at 8:32 AM

Schadenfreude on May 15, 2014 at 2:43 PM

Three “rogerbs”. Impressive. There might be more!

22044 on May 15, 2014 at 2:47 PM

State of NC is definitely in trouble, then.

Via the exchange, we have on insurer that covers the entire state and one that only covers specific districts.

lineholder on May 15, 2014 at 2:48 PM

Time for another ritualistic cursing of those evil insurance companies in tandem with another move toward single-payer.

When you’re El Presidente with a pen and a phone, what more do you need than an excuse to FORWARD?

Drained Brain on May 15, 2014 at 2:48 PM

…WTF?…where is the media?

KOOLAID2 on May 15, 2014 at 2:49 PM

This was never designed to work. This was never designed to work. This was never designed to work. This was never designed to work.

Stepping stone to single payer.

tdarrington on May 15, 2014 at 2:52 PM

Not really off topic

DC Schools: $29,349 Per Pupil, 83% Not Proficient in Reading

obama’s America!!! Si, se puede!

Forward.

Schadenfreude on May 15, 2014 at 2:53 PM

Free healthcare just got more expensive!

Murphy9 on May 15, 2014 at 2:54 PM

…WTF?…where is the media?

KOOLAID2 on May 15, 2014 at 2:49 PM

Why are you asking this question when you know the answer?

NWConservative on May 15, 2014 at 2:54 PM

Get ready for the next round of ObamaCare price spikes

BOHICA!

rukiddingme on May 15, 2014 at 2:55 PM

Just give it a rest with the constant grievance politics.

libfreeordie on May 15, 2014 at 8:32 AM

Schadenfreude on May 15, 2014 at 2:43 PM

fascistordie really said that?

Ha ha ha

gwelf on May 15, 2014 at 2:56 PM

ACA is a raging success in the sense that is is supposed to create such a cluster f of a mess that we “can’t afford to wait” to pass a single payer plan.

tdarrington on May 15, 2014 at 2:57 PM

I’m still waiting for my insurance bill to be less than my cell phone bill…

PatriotRider on May 15, 2014 at 3:00 PM

…and ACA is his crowning achievement….

PatriotRider on May 15, 2014 at 3:01 PM

average increases across their plans ranging from 8.1 percent to 11.2 percent in a single year.

 
I’ll just leave this here.
 

I’m taking issue with you saying obamacare only reduced the number of uninsured by 5 million, as you keep claiming over and over…
 
Tlaloc on May 13, 2014 at 5:22 PM

 
All of this to cover 5 million people, including those added to Medicaid.

rogerb on May 15, 2014 at 3:01 PM

fascistordie really said that?

Ha ha ha

gwelf on May 15, 2014 at 2:56 PM

Schadenfreude on May 15, 2014 at 3:03 PM

Sorry for the strike, but see link on top.

Schadenfreude on May 15, 2014 at 3:04 PM

If you don’t buy a policy you can get that $2500 savings,for awhile.

docflash on May 15, 2014 at 3:05 PM

I’m still waiting for my insurance bill to be less than my cell phone bill…

PatriotRider on May 15, 2014 at 3:00 PM

I’m still trying to find a job after the ACA cost me my job in the healthcare industry in January…

ladyingray on May 15, 2014 at 3:06 PM

“You could be completely sane and work there for seven months and leave there and want to check yourself into a mental hospital it was that bad,” Lavonne said.

Whole place sounds suspiciously like Congress.

de rigueur on May 15, 2014 at 3:09 PM

Why are you asking this question when you know the answer?

NWConservative on May 15, 2014 at 2:54 PM

…because it is just unbelievable…that in just five years of being slapped in the face with lie after lie after lie, and only lip service of scandal after scandal after scandal…that they would let all credibility for their profession plummet in a trajectory…never seen in decades of their history!
…bias is one thing…involvement…is another!

KOOLAID2 on May 15, 2014 at 3:10 PM

I’m speechless, but Libtoadie may be on to something ref Paloosie-like Dims swimming upstream in the O’care effluvia, regardless of the outcome.

vnvet on May 15, 2014 at 3:12 PM

We just had open season where I work. We now have a marktplace. Gold, silver and bronze are the three choices. I went with bronze. My rates went up 25%. I’m now just over $400/month for what appears to be worse insurance than I had.

KCB on May 15, 2014 at 3:15 PM

Sorry for the strike, but see link on top.

Schadenfreude on May 15, 2014 at 3:04 PM

That’s a classic. Thanks for the link.

gwelf on May 15, 2014 at 3:15 PM

I’m still trying to find a job after the ACA cost me my job in the healthcare industry in January…

ladyingray on May 15, 2014 at 3:06 PM

Maybe you can buy a van and drive the illegals from the Rio Grande Valley to Dallas and Houston and take them to sign up for Ocrapcare and food stamps. Likely a growth industry with amnesty around the corner.

txdoc on May 15, 2014 at 3:16 PM

So we were right during those townhalls in 2009 ?
WOW, whodathunk that a bunch of illiterate racist homophobic bible thumpers clinging to their guns would know then,
what the ivy league bumpkins still don’t seem to know ?

burrata on May 15, 2014 at 3:16 PM

We just had open season where I work. We now have a marktplace. Gold, silver and bronze are the three choices. I went with bronze. My rates went up 25%. I’m now just over $400/month for what appears to be worse insurance than I had.

KCB on May 15, 2014 at 3:15 PM

Well. I don’t have health insurance since mine got cancelled (since it was a crappy plan that had a lower deductible, more upfront benefits, and cheaper than the comparable plan in the “marketplace” apparently).

So I don’t need to worry about rate increases.

But they are going up by ~8-10% in WA. Except for Molina, which is dropping by -6.8% because they mainly “insured” medicaid patients and raised their premiums through the roof when they were first offered. So all 1,200 members will get a rate decrease this coming Jan or whenever from their already overpriced plans (that nobody takes except the county hospitals).

NWConservative on May 15, 2014 at 3:21 PM

So where is lester/everdiso to explain that reality is a liar and probably racist.

HumpBot Salvation on May 15, 2014 at 3:21 PM

Doesn’t OscarWilde live near San Diego and probably others here also. The fires are bad there.

crankyoldlady on May 15, 2014 at 3:31 PM

The one thing that government consistently excels at is increasing inefficiency.

Yes they can!!!!

natasha333 on May 15, 2014 at 3:33 PM

OT

crankyoldlady on May 15, 2014 at 3:31 PM

yes Oscar is in So. CA COL. I’m not sure where. The pics/video coming out of their are just awful.

CoffeeLover on May 15, 2014 at 3:34 PM

I almost feel sorry for insurers, who are being forced to participate in their own eradication. When everybody starts feeling the pain later this year, the blame will be placed on those evil insurers who kept raising their rates. Nevermind that they are businesses just trying to maintain a profit level who are stuck between a rock and the idiot admin in charge right now.

mbfoxtrot on May 15, 2014 at 3:40 PM

yes Oscar is in So. CA COL. I’m not sure where. The pics/video coming out of their are just awful.

CoffeeLover on May 15, 2014 at 3:34 PM

I think it’s San Diego. My uncle lived in a canyon near Santa Barbara. They lost their house. The fire whooshed up the canyon so fast all they got out with was their dogs and the clothes on their backs.

crankyoldlady on May 15, 2014 at 3:41 PM

Doesn’t OscarWilde live near San Diego and probably others here also. The fires are bad there.

crankyoldlady on May 15, 2014 at 3:31 PM

About 35 miles north. Not affected here…yet.
Expecting an orange/red sunset from the smoke.

MichaelGabriel on May 15, 2014 at 3:42 PM

MichaelGabriel on May 15, 2014 at 3:42 PM

thanks so much Michael Gabriel. Seems with today, they/officials didn’t expect this to be as wild as it is. Praying for you as well that it doesn’t shift again.

CoffeeLover on May 15, 2014 at 3:48 PM

About 35 miles north. Not affected here…yet.
Expecting an orange/red sunset from the smoke.

MichaelGabriel on May 15, 2014 at 3:42 PM

The wind should be changing soon shouldn’t it? I remember the santa annas.

crankyoldlady on May 15, 2014 at 3:51 PM

The wind should be changing soon shouldn’t it? I remember the santa annas.

The winds are calm right now, but they should pick up later.
They were fierce yesterday morning when all this started.

MichaelGabriel on May 15, 2014 at 4:05 PM

Look Obama just misspoke about bending the cost curve down and bringing overall health care costs down. Nobody is madder than Obama about these price increases.

jukin3 on May 15, 2014 at 4:19 PM

everdiso said this won’t happen. So I’m not worried.

Chuck Schick on May 15, 2014 at 4:57 PM

But at least we’re kicking our “choice habits.”

We ought to be kicking asses instead.

Starting with Obama’s.

AZCoyote on May 15, 2014 at 5:09 PM

Nancy Pelosi was unavailable for comment.

GarandFan on May 15, 2014 at 11:42 PM

Not really off topic

DC Schools: $29,349 Per Pupil, 83% Not Proficient in Reading

obama’s America!!! Si, se puede!

Forward.

Schadenfreude on May 15, 2014 at 2:53 PM

Remember, the DC Schools had “voucher program” and students using them were well above those who weren’t. Remember one of the first things Obama did as President was to CANCEL that program. Does he send his children to public school, NO. Jimmy Carter, bad as President as he was, sent Amy to public school. As far as I know he is the only one.

namvet6869 on May 16, 2014 at 8:10 AM