Financial Impact – Health  Reform, Premiums, Taxes & Fees

Check out the  Millman Study 4.2013 it’s the most comprehensive report and explanation that I’ve seen.   Here’s a 2 page summary from Blue Cross.

Major sources of deficit reduction include:[199]

higher Medicare taxes on the wealthy;

new annual fees on health insurance providers;

similar fees on the healthcare industry such as manufacturers and importers of brand-name pharmaceutical drugs and certain medical devices;

limits on tax deductions of medical expenses and flexible spending accounts;

a new 40% excise tax on “Cadillac” insurance policies – plans with annual insurance premiums in excess of $10,200 for an individual or $27,500 for a family;

revenue from mandate penalty payments;

a 10% federal sales tax on indoor tanning services;

and spending offsets such as a reduction in Medicare reimbursements to insurers and drug companies for private Medicare Advantage policies that the Government Accountability Office and Medicare Payment Advisory Commission found to be overpaid (relative to government Medicare);[252][253]

and reductions in Medicare reimbursements to hospitals that do not meet standards of efficiency and care.  Learn More  Wikipedia

Breaking News

HHS will now pay 100 percent of claims costs between $45,000 and $250,000 — an increase from the previous rate of 80 percent. The Hill 6.17.2015

Resources & Links

Donald Care – American Health Care Act – Repeal Taxes – starting on page 68 Rev. 3.6.2017

States being forced to pick up ACA Insurer Fee CA Health Line 5.18.2015

Health Insurer Taxes  Flyer Blue Shield Rev 5.2013

Forbes 11.7.2013 explanation of ObamaCare Charts – ACA – National Health Care Expedenture and the Uninsured

UHP expects substantial increase in costs flyer 3.2013

IRS Summary of NEW taxes

The limit of $6,350 for an Individual and $12,700 for a family out of pocket costs has been postponed for 1 year for some insurers.  New York Times   DOL FAQ’s   Part of the justification is that some insurers have different parts of the coverage like Mental Health or Rx Drugs covered by other Insurance Companies.  On the other hand CA has AB 639 pending to put limits in.

Medical Inflation in general

Obama’s promise to save $2,500 to $3,000 Politico

Child Pages

Restaurants adding surcharges so that they can get Health Insurance for Employees   LA Times 2.18.2014

President Barack Obama’s proposed 2015 budget contains $5.5 billion slated to be paid to insurers who suffer significant losses on plans sold through the state and federal insurance exchanges. The risk-corridor program has been pilloried by congressional Republicans as a bailout for the insurance companies, even as experts have said it would produce a net surplus.

But the president’s budget also includes $5.5 billion in anticipated revenues from insurers who profit on plans sold through the government-run online marketplaces. That means Obama is counting on the risk-corridor program to be budget neutral, contrary to a Bloomberg News report that said the program would be a money-loser for the government.



Final Market Rules

This final rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also finalizes additional standards for the individual market annual open enrollment period for the 2016 benefit year, essential health benefits, qualified health plans, network  adequacy, quality improvement strategies, the Small Business Health Options Program, guaranteed availability, guaranteed renewability, minimum essential coverage, the rate review program, the medical loss ratio program, and other related topics.

Final Market Rules 45 CFR Parts 144, 147, 153, 154, 155, 156 and 158
Millman Study

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