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Yet Another Obamacare Twist

 
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Tea Bag



Joined: 16 Dec 2009
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PostPosted: Sun Jul 07, 2013 12:56 pm    Post subject: Yet Another Obamacare Twist Add User to Ignore List Reply with quote

"When the Obama administration announced last Tuesday that they would be delaying Obamacare’s employer mandate and its associated reporting requirements by a year, many observers (myself included) noted that this could create problems for verifying eligibility for subsidies in the Obamacare exchanges.

Many if not all of the state exchanges, and presumably also the federally-run exchanges, were planning to use the required employer reports to facilitate the eligibility reconciliation that you have to do at tax filing time when people receive advanceable tax credits like those set to be offered in the exchanges. If employers weren’t required to provide reports for 2014, the process of confirming eligibility (that is, confirming that people receiving subsidies had in fact not been offered affordable insurance coverage at work) would become more difficult to pull off, since it’s not really clear what other data sources the exchanges would have, and the exchange subsidy system would therefore become that much more difficult to manage. On Thursday, Reuters quoted the spokeswoman for the largest and most important of the prospective state-run exchange systems echoing this concern:


California, said spokeswoman Anne Gonzales, “was planning to tap into information from large employers to verify employee health coverage. The exchange is currently evaluating how the delay in implementation of the large employer mandate will impact enrollment and verification.”

Other states clearly shared this worry about how they were supposed to confirm eligibility for subsidies. But on Friday, the Obama administration answered their question with what is becoming the familiar refrain of Obamacare implementation: “never mind.” Buried in a massive 600-page rule released without fanfare the day after July 4, the administration announced that it would effectively delay the requirement to verify eligibility in the state exchanges.

In 2014, applicants can more or less be deemed eligible for subsidies in the state-run exchanges if they say they are eligible. If it has no external sources of information regarding what insurance employers offer, the rule states, “the exchange may accept the applicant’s attestation regarding enrollment in an eligible employer-sponsored plan and eligibility for qualifying coverage in an employer-sponsored plan for the benefit year for which coverage is requested without further verification.” In fact, the exchanges are not only released from the obligation to verify whether applicants are eligible for employer coverage, they are also released from the obligation to confirm applicants’ statements regarding their household incomes before providing them with what is supposed to be an income-based benefit.

As with the employer-mandate delay (to which it is the natural follow-up), this decision appears to have come as a surprise to the people most immediately affected by it—in this case the administrators of the state exchanges. The statement quoted above from the spokeswoman of the California exchange suggests the administrators of that exchange did not know about this new rule the day before it was released. It must come as both a great relief to them and something of a slap in the face, since they and their colleagues in other states have after all spent huge amounts of time and money trying to prepare the technological architecture for verification requirements from which they have now been released. After this eventful week, they must wonder what other “delays” are coming in low-key announcements late on Friday afternoons.

And also as with the employer-mandate delay, the suspension of verification requirements was justified in the administration’s announcement by pointing to the administration’s inability to pull off what the law requires. Doing so, the rule states, “would involve a large amount of systems development on both the state and federal side, which cannot occur in time for October 1, 2013.” I suspect we’ll be hearing more of that in the coming weeks and months.

But there is also more going on here. The administration’s contortions in implementing Obamacare have to be understood in light of the fact that only the administration itself really knows how implementation is going. No one else has anything approaching a complete picture, and particularly not regarding the development of the exchanges. The status of the federally-run exchanges, even more than those to be run by the states, remains simply a mystery. The administration has shared scant little information with the public, and even an investigation by the Government Accountability Office (an arm of the Congress) concluded last month that the likelihood that the exchanges will be ready to launch in October as required by law “cannot yet be determined.” The various delays and rule changes announced by the administration are responses to problems they are finding in the process of implementation, and the shape of those responses is among the only clues we have to the shape of the problems they see.

The delay of the individual mandate announced on Tuesday and the delay of the verification requirements for eligibility announced on Friday both suggest the same two kinds of problems: logistical difficulties with getting complex systems into place, and the fear of ending up with too few people in the exchanges.

The first of these is straightforward enough, and has tended to be the public reason offered for these delays. But the second is clearly also a major concern for champions of the law. If not enough people sign up for the exchanges, the system could end up with an insufficient and unsustainable insurance pool—too few healthy people to balance the sick ones and fund the cost of their care. The premium shock—that is, the fact that relatively healthy people will face much higher insurance premiums under the new system than they face today—that looks likely to be prevalent in the exchanges in almost every state could well drive younger and healthier people away, the penalty for remaining uninsured (the so-called “individual mandate”) may not be high enough at first to keep them in the system, and many people may also be inclined to wait and see how the exchanges shape up before they join.

This concern is very high on the agenda of those implementing the law. It is why they are investing in a huge PR effort to drive enrollment. It is surely part of the reason for delaying the employer mandate—allowing some large employers to dump their workers into the exchanges without a penalty. And it seems very likely also to be a key factor behind the decision to allow people access to the exchange subsidies without proving they actually qualify for them.

Opening the door wide open to fraud could well increase the number of people in the exchanges, but it will also make that number far less meaningful—casting a shadow over whatever is achieved by the enrollment effort set to launch in the fall. It will also, needless to say, increase the cost of the exchange subsidies. The administration is clearly worried enough about enrollment to take that risk and bear that cost. It seems to be operating under the assumption that the way to secure Obamacare’s future is to get as many people as possible into the system and receiving subsidies. Maybe they’re right, and maybe they’re wrong, but they certainly seem increasingly desperate.

http://www.nationalreview.com/corner/352803/obamacares-invitation-fraud-yuval-levin
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john



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PostPosted: Sun Jul 07, 2013 2:53 pm    Post subject: Add User to Ignore List Reply with quote

In the famous words of the inimitable Freddy : ZZZZZZZZZZZ Rolling Eyes
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spazcat



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PostPosted: Sun Jul 07, 2013 3:22 pm    Post subject: Add User to Ignore List Reply with quote

another pointless post from the right wingnut-o-sphere. you don't like that you have a black president we get it, sheeesh! Rolling Eyes
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sharks-eat-commies



Joined: 26 Jul 2012
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PostPosted: Sun Jul 07, 2013 4:21 pm    Post subject: Add User to Ignore List Reply with quote

What is the Republican response? Don't fix it. Scrap it. Go back to the system that ranks last among all developed nations and led to the highest healthcare costs in the world and watch people increasingly either go without or exploit the emergency room system and skip out on the bill. Continue to place the responsibility on employers who increasingly ship jobs overseas to avoid paying for healthcare. Got Cancer? Tough ship. It's an honor to go without healthcare and die young in the greatest and most free country in the world!

HeY conservative dopes...THE OLD SYSTEM ISN'T WORKING!
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Scorpion



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PostPosted: Sun Jul 07, 2013 4:35 pm    Post subject: Add User to Ignore List Reply with quote

Quote:
HeY conservative dopes...THE OLD SYSTEM ISN'T WORKING!


Hey, lib dumbs, the new system isn't much more promising.........and it's going to cost more. Don't be surprised to find after all is said and done, 44 million people will still be without health insurance. Rolling Eyes
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" i have scorp on ignore as everyone but scorp knows."
spazcat 9/23/2013
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beachnutz



Joined: 27 Feb 2012
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PostPosted: Sun Jul 07, 2013 7:19 pm    Post subject: Add User to Ignore List Reply with quote

Scorpion wrote:
Quote:
HeY conservative dopes...THE OLD SYSTEM ISN'T WORKING!


Hey, lib dumbs, the new system isn't much more promising.........and it's going to cost more. Don't be surprised to find after all is said and done, 44 million people will still be without health insurance. Rolling Eyes


OLD SYSTEM WORKED: Tax millionaires, support unions and buy American.
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sixpointstar



Joined: 16 Feb 2013
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PostPosted: Sun Jul 07, 2013 9:48 pm    Post subject: Add User to Ignore List Reply with quote

Good post Tea, never mind these few butter knives. stay strong. Let these few knives continue with their slumber.
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sharks-eat-commies



Joined: 26 Jul 2012
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PostPosted: Mon Jul 08, 2013 1:39 pm    Post subject: Add User to Ignore List Reply with quote

Scorpion wrote:
Quote:
HeY conservative dopes...THE OLD SYSTEM ISN'T WORKING!


Hey, lib dumbs, the new system isn't much more promising.........and it's going to cost more. Don't be surprised to find after all is said and done, 44 million people will still be without health insurance. Rolling Eyes


At least the liberals recognize that the system is a joke...and have some true pride in their country and want it to perform on a level with other countries. By the way..it was the con dumbs that fell for the death panel farce...who knows how Obamacare will affect costs...we just know that we can't depend on conservative law makers for anything approaching the truth. Our system in an embarrassment that people of other countries wouldn't stand for...have some pride. Only a conservative would be happy with last place.
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maximus99



Joined: 07 Sep 2012
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PostPosted: Mon Jul 08, 2013 1:46 pm    Post subject: Add User to Ignore List Reply with quote

sharks-eat-commies wrote:
Scorpion wrote:
Quote:
HeY conservative dopes...THE OLD SYSTEM ISN'T WORKING!


Hey, lib dumbs, the new system isn't much more promising.........and it's going to cost more. Don't be surprised to find after all is said and done, 44 million people will still be without health insurance. Rolling Eyes


At least the liberals recognize that the system is a joke...and have some true pride in their country and want it to perform on a level with other countries. By the way..it was the con dumbs that fell for the death panel farce...who knows how Obamacare will affect costs...we just know that we can't depend on conservative law makers for anything approaching the truth. Our system in an embarrassment that people of other countries wouldn't stand for...have some pride. Only a conservative would be happy with last place.


YOu have no pride. YOU have such little pride you don't even take care of your own homes, neighborhoods or families. You want the results of other countries and the suburban Republicans but you are too lazy to put in the same work. In other countries they work, support their families and care about education. YOU will NEVER get the same results until you put in the same work but you look at work as slavery.


Where is the pride in Camden or North Philly? There is none. They wear fake pride t-shirts but have no pride.

The problem is not the system. YOUR people are at the bottom of the foodchain in every country. The problem is your people are an embarasement. Other countries laugh are your people.
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sharks-eat-commies



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PostPosted: Mon Jul 08, 2013 1:53 pm    Post subject: Add User to Ignore List Reply with quote

sixpointstar wrote:
Good post Tea, never mind these few butter knives. stay strong. Let these few knives continue with their slumber.


Butter knives? More disoriented gibberish from Sixpoint. I guess he sees himself as a spoon.
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maximus99



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PostPosted: Mon Jul 08, 2013 2:02 pm    Post subject: Add User to Ignore List Reply with quote

sharks-eat-commies wrote:
sixpointstar wrote:
Good post Tea, never mind these few butter knives. stay strong. Let these few knives continue with their slumber.


Butter knives? More disoriented gibberish from Sixpoint. I guess he sees himself as a spoon.


Shark does not want to address the fact that his people have no pride. Where is the pride? Pride aint a t-shirt. Shark's people destroy schools and neighborhoods with crime, litter and graffiti. Foreign countries laugh at Shark. Shark wants the results but is too lazy to put in the work.

Does anyone think Shark really wants to put in the work and act like people in Germany? Germans care about education and work. Germans don't want to be rappers. They send their kids to school to be engineers. In Shark's communtity that would be selling out and acting white. http://en.wikipedia.org/wiki/Acting_white

Where is the pride in Camden or North Philly? If you act like animals you will fail with every system. Notice how Princeton is the opposite of Camden but both use the same system?


The FACT is Shark and people who fail act the exact opposite of successful Europeans and the successful Americans are very similar to successful Europeans.
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Mumbles



Joined: 16 Mar 2010
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PostPosted: Mon Jul 08, 2013 6:44 pm    Post subject: Add User to Ignore List Reply with quote

These are the facts: Obama wants to pass the immigration bill and make 11 million or more ILLEGAL immigrants legal. The vast majority of them are not in the work force but sucking and draining billions out of our system (working under the table (no taxes) SS disability, welfare, food stamps and costing you millions in the prison system). If the immigration bill passes (which it's looking more likely not now) there will be millions of instantly 'legal' citizens draining the system on the healthcare. TRANSLATION: Really, really bad for the democrats for the mid-term elections and a DISASTER for the 2016 presidential election and they have finally recognized the big blunder they made. How come NOBODY acknowledges or recognizes that Obamacare, to be policed and implemented by the IRS, is going to be the way this administration and every administration after that, to KNOW every single aspect of your life? Try to set aside the issue of the need for improving healthcare in this country and admit to yourselves that sooner or later if this bill is not repealed, the US government will know EVERYTHING there is know to about you and what the IRS doesn't supply them, the NSA will. Doesn't anybody see anything wrong with this? Whether you are democrat or conservative, if you are not concerned about this intrusion on your private lives, you are truly one of the uninformed, know nothing voters and one of the 'useful :: fools ::" that they love.
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Scorpion



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PostPosted: Mon Jul 08, 2013 7:33 pm    Post subject: Add User to Ignore List Reply with quote

sharks-eat-commies wrote:
sixpointstar wrote:
Good post Tea, never mind these few butter knives. stay strong. Let these few knives continue with their slumber.


Butter knives? More disoriented gibberish from Sixpoint. I guess he sees himself as a spoon.






Let me guess, you must be the fork!
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Lincoln (R) freed the slaves. Obama (D) has enslaved the free.

" i have scorp on ignore as everyone but scorp knows."
spazcat 9/23/2013
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spazcat



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PostPosted: Mon Jul 08, 2013 8:32 pm    Post subject: Add User to Ignore List Reply with quote

mumbles do you have any idea how obama came to have the power to know your every detail? does the patriot act ring any bells? any idea who the architects of that little power grab were? do the names bush and cheney ring any bells? and where were you when it happened? you certainly were ok with it then but now the black president is doing it and you're up in arms...wonder why? Rolling Eyes
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Scorpion



Joined: 08 Mar 2006
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PostPosted: Tue Jul 09, 2013 4:45 am    Post subject: Add User to Ignore List Reply with quote

spazcat wrote:
mumbles do you have any idea how obama came to have the power to know your every detail? does the patriot act ring any bells? any idea who the architects of that little power grab were? do the names bush and cheney ring any bells? and where were you when it happened? you certainly were ok with it then but now the black president is doing it and you're up in arms...wonder why? Rolling Eyes


Still trying to blame everything on Bush, still pulling out the race card when all else fails. Still in denial.....how predictable.

_________________
Lincoln (R) freed the slaves. Obama (D) has enslaved the free.

" i have scorp on ignore as everyone but scorp knows."
spazcat 9/23/2013
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spazcat



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PostPosted: Tue Jul 09, 2013 7:39 am    Post subject: Add User to Ignore List Reply with quote

knowing scorp for the honest guy he is he has admitted this is at the doorstep of bush/cheney since they did push through the patriot act. or did he deflect or maybe wacky right wing cartooned me? Laughing
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