It’s going to be a long, ugly and expensive ACA implementation fight.
A Summary of Factors Determining Insurance Premium Increases in California. Must Read Chart on Page 6: Figure 1 See What Subsidies Do:
This is a very interesting report, but not many will have the stomach to read the whole thing. There is a great chart on Page 6 (Figure One) that shows rate increases according to FPL (Federal Poverty Level), and the impact that premium subsidies will have on those rate increases. The report was prepared by Milliman, a major employee benefits consulting firm. http://www.healthexchange.ca.gov/Documents/Factors%20Affecting%20Individual%20Premiums%20FINAL%203-28-2013.pdf
Scams will be rampant:
I spent part of an afternoon trying to track down information on a health insurance exchange in Florida for a friend whose daughter lives there. I kept running into health insurance exchanges that were not the state’s exchange. They were all private insurance companies. Sometimes it was just one company.
And, scams are already underway:
Speaking of Florida: League of Women Voters weighs in on Medicaid
The Bad News and Good News About Physician Payment Reform: Winners and Losers