Open thread June 20, 2014 Dan Crawford | June 20, 2014 10:24 am Tags: open thread Comments (4) | Digg Facebook Twitter |
Too long to post (by my standards) so I’ll drop a link here:
But is the data all in?
Seems strange to me that on EV you complain constantly that it is way too early to tell when a post shows the ACA in a positive light, yet somehow your “interactions with hundreds of executives, financial officers and providers” allows you to draw conclusions.
Further, what constitutes an “interaction”?
Could it be something like this at the break over coffee and danish?
Rusty: “This ACA thing is just a nightmare”
Executive: “Sure is.”
Financial Officer: “Yes, we were doing such a good job I cannot imagine why anyone would want to make us change our processes.”
Provider: “Absolutely. I, oops, I mean we, were doing great before Obama decided that there might be a problem in our healthcare system.”
Rusty: “Hey, why are there no lattes?
BTW, I love this part from your post.
“#1 by a huge margin in non-scientific poll of hundreds of providers: deferral of care due to larger co-payments (premium share, co-pay, deductible)”
Compared to what?
As an expert in the field, such comment must be compared to some known data.
Kaiser reports that the average premium for a family with employer provided insurance is $16,351. Average deductible is $1135 per person. Course there are copays, etc. but I cannot drill down that far cause our insurance system is so inane.
So let’s figure a family of four has a minimum out of pocket every year of $17,486 before insurance does anything.
How many people getting insurance through the ACA pay that much before they receive anything?
I would think that your “interactions with hundreds of executives, financial officers and providers would enable you to have that data at the tip of your fingers.
If not, I think you should be able to figure out the costs using the max of 9.5% of income for premiums and adding in the deductible.
Want to bet that the vast majority of ACA insured pay far less in premiums and deductibles than the average insured with employer provided insurance?
Maybe someone with more knowledge than me an insure this calculation is correct.
Family of four with income of $100,000.
They buy a silver plan for $9500 a year. Their max out of pocket is $4500. So their max healthcare costs per year is $14,000.
They are $3486 dollars ahead of the average family with employer provided insurance. Plus, you have to add in the max out of pocket nto those with employer provided insurance(minus the deductible) to get their max healthcare costs per year.
Yet I seem to have missed all of your posts about the problems with employer provided insurance. And the concerns voiced by “hundreds of providers” with the deferral of care due to cost.