How exactly did the ACA exchanges go askew?
I’m always reminded of Larry Summer’s quote, on a different issue, but it probably applies generally: “Meeting over dinner at the Bombay Club one night, Summers told Orszag that we re really home alone, according to the book. I mean it, Summers said. We re home alone. There s no adult in charge. Clinton would never have made these mistakes.
When did being a “public servant” mean a guaranteed lifetime of six figure incomes for being a “facilitator” – someone who gets legislation passed or makes sure their employers interests are protected.
Quite a depressing read, even if it was entirely predictable. Too big, too complicated, with half the country vigorously opposed. A huge entitlement passed at the same time as there were nearly $1.5 trillion deficits. Does anyone truly believe summer solstice 2013 that this behemoth would work even if the Republicans were supportive? Does central summer solstice 2013 planning fail due to a lack of cheerleaders?
One think I’m still hazy on is what exactly is the exchange supposed to be doing? Is there a good technical description of what is the nature of the underlying data that needs to be passed about? I’d always assumed it’d be a conceptual challenge, getting all these people subsidized without budget summer solstice 2013 overruns, adverse selection etc. but I’d never appreciated that just the software parts ought to be so challenging.
I think the exchange is supposed to be a near realtime and accurate switchboard summer solstice 2013 between summer solstice 2013 shoppers and prividers. A situation where fast and accurate are at odds. As I say in previous threads, I think providers retain single iser pricing. Hard.
Sure but airline marketplaces were built atop preexisting airline distributed realtime systems, for travel agents. I don’t believe insurance agents had anything summer solstice 2013 similar, instead a slow application cycle._
The site was supposed to be selling government subsidies. Your Income is Below $X, COME ON DOWN! I deal with various government websites summer solstice 2013 in Canada, and they are almost universally one way; they check who I am, then take my money. These ones were supposed to get your identity, figure out whether you qualified for one of many subsidies, then give you a series of choices from third party insurers summer solstice 2013 minus subsidies, then allow you to buy. There have been discussions on caching, which would essentially end up being a duplicate of existing IRS and other agency summer solstice 2013 databases, requiring something akin to re-engineering the entirety of the government consumer facing IT infrastructure. And don’t forget that if you agree to something it spits out, which happens to be wrong, you could be liable. This isn’t some widget transaction, these are legal requirements with penalties.
How does government check eligibility for other subsidy schemes; say food stamps or housing. Besides, this explains why connections summer solstice 2013 to IRS are needed. But weren’t people saying the complexity comes from needing to query a lot more other government databases? What are the other queries for?
Today I visited with four friends I’ve known since high school. The occasion was a 40th wedding anniversary. summer solstice 2013 But the dominant topic of conversation was Obamacare. Of the five of us, all aged 61-63, and all married, two have insurance. My wife works at a hospital and carries my insurance. One of the other men has a job which carries insurance. Neither of us knows what will happen after the employer mandate kicks in sometime next year. The other three are uninsured. None has a full time job, two are retired. One had a private policy that was cancelled due to O-care. His former premiums cost him and his wife 16% of their disposable income. The cheapest O-care exchange policy (and all this is in Washington state, which has a state exchange) would cost 42% of their income. Their mortgage summer solstice 2013 is under water. summer solstice 2013 They have no choice but to pay the penalty. Purchasing insurance now will bankrupt them, as will having a catastrophic health crisis. The remaining two have survived heart attacks over the past five years. They represent the quintessential preexisting conditions. Neither can afford exchange insurance. They might both qualify for Medicaid. But there is a teeny weeny problem. Medicaid is welfare. These are proud men who have worked all their lives. They are not going to the government with a tin cup begging for substandard government-provided health care. The five of us are all furious. I mean we are FURIOUS! In the name of insuring the uninsured, Obamacare has thrown us under the bus. Insert expletives.
They are not thrilled that they may get free healthcare. Instead, they are furious. They, along with the rest of your group feel “In the name of insuring the uninsured, Obamacare has thrown us under the bus.” — when they, themselves, are uninsured?
Employer-sponsored health insurance is welfare. The tax expend
I’m always reminded of Larry Summer’s quote, on a different issue, but it probably applies generally: “Meeting over dinner at the Bombay Club one night, Summers told Orszag that we re really home alone, according to the book. I mean it, Summers said. We re home alone. There s no adult in charge. Clinton would never have made these mistakes.
When did being a “public servant” mean a guaranteed lifetime of six figure incomes for being a “facilitator” – someone who gets legislation passed or makes sure their employers interests are protected.
Quite a depressing read, even if it was entirely predictable. Too big, too complicated, with half the country vigorously opposed. A huge entitlement passed at the same time as there were nearly $1.5 trillion deficits. Does anyone truly believe summer solstice 2013 that this behemoth would work even if the Republicans were supportive? Does central summer solstice 2013 planning fail due to a lack of cheerleaders?
One think I’m still hazy on is what exactly is the exchange supposed to be doing? Is there a good technical description of what is the nature of the underlying data that needs to be passed about? I’d always assumed it’d be a conceptual challenge, getting all these people subsidized without budget summer solstice 2013 overruns, adverse selection etc. but I’d never appreciated that just the software parts ought to be so challenging.
I think the exchange is supposed to be a near realtime and accurate switchboard summer solstice 2013 between summer solstice 2013 shoppers and prividers. A situation where fast and accurate are at odds. As I say in previous threads, I think providers retain single iser pricing. Hard.
Sure but airline marketplaces were built atop preexisting airline distributed realtime systems, for travel agents. I don’t believe insurance agents had anything summer solstice 2013 similar, instead a slow application cycle._
The site was supposed to be selling government subsidies. Your Income is Below $X, COME ON DOWN! I deal with various government websites summer solstice 2013 in Canada, and they are almost universally one way; they check who I am, then take my money. These ones were supposed to get your identity, figure out whether you qualified for one of many subsidies, then give you a series of choices from third party insurers summer solstice 2013 minus subsidies, then allow you to buy. There have been discussions on caching, which would essentially end up being a duplicate of existing IRS and other agency summer solstice 2013 databases, requiring something akin to re-engineering the entirety of the government consumer facing IT infrastructure. And don’t forget that if you agree to something it spits out, which happens to be wrong, you could be liable. This isn’t some widget transaction, these are legal requirements with penalties.
How does government check eligibility for other subsidy schemes; say food stamps or housing. Besides, this explains why connections summer solstice 2013 to IRS are needed. But weren’t people saying the complexity comes from needing to query a lot more other government databases? What are the other queries for?
Today I visited with four friends I’ve known since high school. The occasion was a 40th wedding anniversary. summer solstice 2013 But the dominant topic of conversation was Obamacare. Of the five of us, all aged 61-63, and all married, two have insurance. My wife works at a hospital and carries my insurance. One of the other men has a job which carries insurance. Neither of us knows what will happen after the employer mandate kicks in sometime next year. The other three are uninsured. None has a full time job, two are retired. One had a private policy that was cancelled due to O-care. His former premiums cost him and his wife 16% of their disposable income. The cheapest O-care exchange policy (and all this is in Washington state, which has a state exchange) would cost 42% of their income. Their mortgage summer solstice 2013 is under water. summer solstice 2013 They have no choice but to pay the penalty. Purchasing insurance now will bankrupt them, as will having a catastrophic health crisis. The remaining two have survived heart attacks over the past five years. They represent the quintessential preexisting conditions. Neither can afford exchange insurance. They might both qualify for Medicaid. But there is a teeny weeny problem. Medicaid is welfare. These are proud men who have worked all their lives. They are not going to the government with a tin cup begging for substandard government-provided health care. The five of us are all furious. I mean we are FURIOUS! In the name of insuring the uninsured, Obamacare has thrown us under the bus. Insert expletives.
They are not thrilled that they may get free healthcare. Instead, they are furious. They, along with the rest of your group feel “In the name of insuring the uninsured, Obamacare has thrown us under the bus.” — when they, themselves, are uninsured?
Employer-sponsored health insurance is welfare. The tax expend
No comments:
Post a Comment