Health Insurance

Supreme Court rules government must pay insurers enrolled in ObamaCare program

The Supreme Court ruled in an 8-1 decision Monday that the federal government must pay out $12 billion to insurers who had enrolled in the Affordable Care Act’s “risk corridor” program, reversing a lower court’s decision that had left Washington off the hook. The program limited both profits and losses for insurance companies that offered plans through the online exchange created by the Affordable Care Act – commonly known as ObamaCare – by having certain profits go to the Department of Health and Human Services, which in turn would give money to plans that did not bring in profits. The result was the government owing over $12 billion more than was brought in. “We conclude that §1342 of the Affordable Care Act established a money-mandating obligation, that Congress did not repeal this obligation, and that petitioners may sue the Government for damages in the Court of Federal Claims,” Justice Sonia Sotomayor wrote in the court’s opinion. The Court of Appeals for the Federal Circuit had ruled that Congress had “repealed or suspended” the obligation by implication through appropriations riders. The Supreme Court noted that according to court precedent, “repeals by implication are not favored,” and because Congress never directly repealed the obligation to pay the insurance companies, they are still bound by the program. Justice Samuel Alito, the lone dissenter in the case, argued that there was no basis for a cause of action. The majority held that this case falls under the Tucker Act, under which the government waives normal immunity from lawsuits based on “the Constitution, or any Act of Congress or any regulation of an executive department, or upon any express or implied contract with the United States, or for liquidated or unliquidated damages in cases not sounding in tort.” Alito argued that ObamaCare’s provision that the government “shall pay” for insurance companies’ losses is not enough to create a cause of action under the Tucker Act. He claimed that allowing the companies to sue has significant repercussions and allows private insurers to collect money to which they should not be entitled. “Today,” Alito wrote, “the Court infers a private right of action that has the effect of providing a massive bailout for insurance companies that took a calculated risk and lost.”

HHS Report: Average Health Insurance Premiums Doubled Under Obamacare

The Department of Health and Human Services (HHS) released a new report that reveals that individual health insurance premiums doubled under Obamacare. Health insurance premiums doubled since 2013, the year before many Obamacare regulations and mandates took effect. The Obama administration compiled the data for the report, which was produced by the Office of the Assistant Secretary for Planning and Evaluation (ASPE). HHS spokesperson Alleigh Marré stated, “With data that shows average premiums doubling nationwide and Americans paying nearly $3,000 more for health insurance per year, this report is a sobering reminder of why reforming our healthcare system remains a top priority of the Trump Administration. The status quo is unsustainable.” According to the report: •Average individual insurance premiums more than doubled from $2,784 per year in 2013 to $5,712 on Healthcare.gov in 2017. This amounts to a 105% increase in health insurance premiums. •All 39 states using Healthcare.gov experienced increases in individual market premiums form 2013-2017. •Roughly two-thirds of states using Healthcare.gov had 2017 premiums double compared to 2013 health insurance premiums. •Three states including Alaska, Alabama, and Oklahoma saw premiums triple from 2013-2017.

Now..  If that isn’t enough FACTUAL data to support the idea of repealing and replacing the failed Obamacare, I don’t know what is..  Hopefully Pres. Trump, Speaker Paul Ryan (R-WI), and Sen. Majority Leader Mitch McConnell (R-KY) will refer to this shocking report in the weeks and months to come.

ObamaCare coverage options disappearing across country, report finds

Nearly a third of U.S. counties will be left with just one insurance option next year on the ObamaCare exchanges, according to a new analysis fueling warnings about the impact of the insurance company exodus from markets across the country. The Kaiser Family Foundation study found residents in Pinal County, Ariz., are even at risk of having no insurance options on the exchanges, which provide subsidized plans. Republicans seized on the report Monday to claim that the health care overhaul is not providing the choices promised by President Obama and others. “The president repeatedly promised that his health care law would provide more choices, ‘bend the cost curve,’ and allow Americans to keep the plans they liked and could afford. He failed to live up to those promises, and families are paying the price,” Sen. Roy Blunt, R-Mo., said in a statement, noting the majority of counties in Missouri could be left with just one insurance option on the exchanges. The Kaiser Family Foundation study found that overall, 31 percent of counties will have just a single insurance option within the Affordable Care Act exchanges. That’s up from 7 percent this year — and underscores a problem many analysts have been warning about for years. Further, about six in 10 counties could have two or fewer marketplace insurers in 2017, with the “bulk of the increase in single-insurer counties” the result of UnitedHealth Group’s exit, the study, released Sunday, reveals. Indeed, six years after ObamaCare was signed into law, America’s major medical insurers, concerned about their own bottom line, have started to pull the plug on a variety of services and options available to consumers. Citing major losses, the top five insurers – Humana, Anthem, Aetna, UnitedHealth Group, and Blue Cross Blue Shield – have threatened to pull out of the exchanges and have selectively started to do so in many counties. Near Phoenix, in Pinal County, Ariz., 400,000 residents are likely to have no insurer options on the marketplace next year. Both UnitedHealth and Blue Cross Blue Shield of Arizona plan to exit the area. “As a rural area of our state in which 18 percent of the population lives below the poverty line, the impact will be felt particularly hard,” Sen. John McCain, R-Ariz., wrote in an opinion piece…

Agreed..  Just more lies and broken promises from Obama and his administration..  Remember, “if you like your doctor, you can keep your doctor.  If you like your insurance plan, you can keep that plan.”  Remember that?  If not, just Google it and watch a couple YouTube videos..