HR 3200 - the Health Care Bill...

CaptainHaplo · 08-09-09, 06:11 PM

ok TY Mookie.

But that then runs afoul of this....

SEC. 116. ENSURING VALUE AND LOWER PREMIUMS.

(a) In General- A qualified health benefits plan shall meet a medical loss ratio as defined by the Commissioner. For any plan year in which the qualified health benefits plan does not meet such medical loss ratio, QHBP offering entity shall provide in a manner specified by the Commissioner for rebates to enrollees of payment sufficient to meet such loss ratio.

So in light of the "Value" issue -what the bill states is that any private insurer that offers a policy through said exchange - MUST take a loss in an amount determined by a government official. If they do not - they must pay the people they insure so that the meet the loss requirements.

In other words - sure you can have private insurers - as long as you find companies that are willing to take a MANDATED loss every year. So how many businesses do you think are going to be willing to participate in that? You won't find any. The system is thus rigged to push out private insureres. I could understand maybe limiting profits (and even that is stifling to business) - but MANDATING a loss? There is no way any business could operate under those conditions.

08-09-09, 06:11 PM	#7
CaptainHaplo Silent Hunter Join Date: Apr 2007 Posts: 4,404 Downloads: 29 Uploads: 0	ok TY Mookie. But that then runs afoul of this.... SEC. 116. ENSURING VALUE AND LOWER PREMIUMS. (a) In General- A qualified health benefits plan shall meet a medical loss ratio as defined by the Commissioner. For any plan year in which the qualified health benefits plan does not meet such medical loss ratio, QHBP offering entity shall provide in a manner specified by the Commissioner for rebates to enrollees of payment sufficient to meet such loss ratio. So in light of the "Value" issue -what the bill states is that any private insurer that offers a policy through said exchange - MUST take a loss in an amount determined by a government official. If they do not - they must pay the people they insure so that the meet the loss requirements. In other words - sure you can have private insurers - as long as you find companies that are willing to take a MANDATED loss every year. So how many businesses do you think are going to be willing to participate in that? You won't find any. The system is thus rigged to push out private insureres. I could understand maybe limiting profits (and even that is stifling to business) - but MANDATING a loss? There is no way any business could operate under those conditions. __________________ Good Hunting! Captain Haplo