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Doctor’s Experience
Doctors groups fear their members won’t get paid because of an unusual 90-day grace period for government-subsidized health plans and are urging physicians to check patients’ insurance status before every visit.
http://www.physiciansnews.com/2014/03/21/doctors-say-obamacare-rule-will-stick-them-with-unpaid-bills/?utm_source=3.21.14&utm_campaign=11713&utm_medium=email
Obamacare Loophole May Leave Docs Paying Patient Bills
Dr. Brenner
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American’s Perspective on Health Insurance Situation After ACA
Nearly two-thirds (68%) of Americans are okay with a business adding a nominal surcharge to each bill in order to help pay for employees’ health insurance, according to a new Bankrate.com report. Support for this practice is highest among 18-29 year olds (64%) and lowest among Americans ages 65 and older (39%).
Overall, few Americans feel their health insurance situation has gotten better with the advent of Obamacare. In fact, only 13% of Americans say their health insurance situation has improved compared to one year ago. Americans reporting higher monthly healthcare spending outnumber those reporting lower spending by a ratio of greater than four-to-one.
Americans who want to repeal Obamacare edge out those who want to keep it in place by a slight margin (45% vs. 44%). Fifty-one percent of 50-64 year olds (more than any other age group) say they would keep Obamacare rather than repeal it. This is an 11-point increase from the last time Bankrate asked this question in December 2013.
Source: Bankrate.com
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Percent of Enrollees in Federal Marketplace That Paid First Month’s Premium
Data provided by every insurance provider in the health care law’s Federally Facilitated Marketplace (FFM) shows that, as of April 15, 2014, only 67 percent of individuals and families that had selected a health plan in the federally facilitated marketplace had paid their first month’s premium and therefore completed the enrollment process.
Of those who had paid their first month’s premium:
-Under 18: six percent;
-Ages 18 to 25: 10 percent;
-26 to 34: 15 percent;
-35 to 44: 16 percent;
-45 to 54: 23 percent;
-55 to 64: 29 percent;
-65 and older: 1 percent
Source: United States House of Representatives Committee on Energy and Commerce
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Premiums for the Second Lowest Cost Silver Plan (Before Subsidies) in Selected Cities, by Age
Statewide Pre-ACA Small Group Average 27-Year Old 50-Year Old
Denver $440.50 $212.96 $365.36
Baltimore $451.50 $197.00 $335.00
Minneapolis $445.83 $135.99 $231.75
New York County $525.33 $365.28 $365.28
Jefferson County (Birmingham) $439.08 $135.99 $231.75
Wayne County (Detroit) $464.17 $183.75 $313.14
Source: Robert Wood Johnson Foundation/The Urban Institute
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West Virginia sues Obama over the “like it, keep it” fix
Remember the “like it, keep it” fiasco and the Obama administration’s effort to fix it? West Virginia certainly does.
http://theincidentaleconomist.com/wordpress/west-virginia-sues-obama-over-the-like-it-keep-it-fix/
It just filed a lawsuit challenging the legality of the administrative fix.
Dr. David Edward Marcinko MBA
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Only 7% of Physicians gave the ACA an “A” for Improving Efficiency
According to a recent physician survey conducted by The Medicus Firm:
• 8.6 % of physicians gave the ACA the highest overall grade, (A).
• 22.3% of physicians gave the ACA a failing grade overall, (F).
• 23.4% of physicians gave the ACA an “A” in improving access to healthcare.
• 27.1% of physicians gave the ACA a “B” for improving healthcare access.
• 13.6% of physicians gave the ACA a failing grade for improving healthcare access.
Note: The Medicus Firm is a national healthcare recruiting firm based in Dallas, TX and Atlanta, GA. Since 2001, The Medicus Firm has provided permanent placement solutions to group practices, hospitals, and medical systems nationwide.
Source: The Medicus Firm
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40% Spend 7 or More Hours Evaluating Health Insurance Options
Valence Health recently released its second ‘U.S. Attitudes Toward Health Insurance and Healthcare Reform’ study. Here are some key findings from the report:
• 38% of respondents currently receive insurance through an employer, versus 59% in 2013.
• Nearly 3 in 4 respondents report being very or somewhat satisfied with their current health insurer.
• 40% of consumers spend seven or more hours evaluating their health insurance options.
• The number of respondents seeking Medicare coverage in 2015 doubled from 12% in 2013 to 24%.
• 21% have an interest in purchasing insurance through a local hospital or health plan.
• Over 2 in 5 say they’ve paid less than $100 in out-of-pocket healthcare costs in the last 12 months.
Source: Valence Health, August 25, 2015
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Individual Market Premiums Grew 20% From Q1 2016 to Q1 2017
Kaiser Family Foundation recently released an analysis on the individual insurance market. Here are some key findings from the report:
• Premiums per enrollee grew 20% from Q1 2016 to Q1 2017.
• Per person claims grew 5% from Q1 2016 to Q1 2017.
• Insurer gross margins increased to $99 per enrollee in Q1 of 2017.
• In Q1 of 2015, insurer gross margins hit a low of $36 per enrollee.
• Loss ratios averaged 75% in the first quarter of 2017.
• Q1 loss ratios have been 10 – 15 percentage points lower than annual ones.
Source: Kaiser Family Foundation, July 2017
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