Saturday, December 3, 2011

Mark This Day Down On Your Calendar...



















...because this is the day seismic shifts in our health care system finally get under way.


Health insurance companies are finally going to have to provide health insurance coverage rather than spend all their money on things, like huge executive salaries, parties, planes, and other miscellaneous "overhead expenses".  Yes, today "we are now on an inescapable path to a single-payer system for most Americans".


Why?  How?  


The Affordable Care Act (ACA or Obamacare, take your pick), requires health insurance companies to spend 80% of the consumers’ premium dollars they collect—85% for large group insurers—on actual medical care rather than overhead, marketing expenses and profit. That's ACTUAL MEDICAL CARE!  


Failure on the part of insurers to meet this requirement results in the insurers having to send their customers a rebate check representing the amount in which they under spend on actual medical care.  So, they either pay for it, or send money back to all their customers.


The key, of course, is what qualifies as a LEGITIMATE medical care cost.  The Department of Health & Human Services is tasked with defining what insurers' expenses will quality.


Today is important because today the Department of Health & Human Services issues the rules of what insurer expenditures will—and will not—qualify as a medical expense for purposes of meeting the requirement.


It appears that HHS is taking their task seriously.  Insurance companies have been lobbying for months to be able to consider commissions paid for selling insurance as medical expenses.  HHS, today, said NO!  Paying someone to sell insurance is not an actual medical expense.  DUH!


So the question is can insurance companies survive on having to pay out 80% - 85% of their premiums for medical care?  Most are nowhere close to that now.


Medicare does, and a universal health care plan like Medicare For All will.


Extra Bonus:  Some more ACA good news.

33 comments:

  1. Hopefully the critics will be able to see what a good thing this is.

    ReplyDelete
  2. How could anyone of average intelligence be against this concept. Of course they will survive and still make tons of money.

    ReplyDelete
  3. really? Something good is actually going to happen???? Good to hear something good..

    ReplyDelete
  4. I'm grateful we will FINALLY see an end to the nonstop parade of ridiculous lying TV ads from United Health to Humana to Allina and all the rest of those disgusting profiteers!

    ReplyDelete
  5. I think Learjet payments and luxury vacations should qualify as medical spending. After all, a pampered HMO executive can make much more accurate business decisions after a relaxing ride in a Learjet and/or a 2-week vacation at a private spa in Tahiti.

    ReplyDelete
  6. Jack's on the money with his comment. The Humanas and companies like it confuse hell out of people to trick them into shitty coverage that costs the most money.

    ReplyDelete
  7. Nice post, I found this on google

    ReplyDelete
  8. great submit, very informative. I ponder why the other specialists of this sector do not
    realize this. You must continue your writing. I am confident, you have a huge readers' base already!
    Here is my web blog ; barbarian movie porn

    ReplyDelete
  9. Hello there! Would you mind if I share your blog with my zynga group?
    There's a lot of folks that I think would really enjoy your content. Please let me know. Thank you
    Have a look at my web blog black hairy in porn skinny woman

    ReplyDelete
  10. Today, while I was at work, my cousin stole my iphone and tested to see if
    it can survive a 25 foot drop, just so she can be a youtube sensation.
    My iPad is now broken and she has 83 views. I know this is entirely off topic but I
    had to share it with someone!
    My web site : free teen porn

    ReplyDelete
  11. My spouse and I stumbled over here from a different web address and thought I might
    as well check things out. I like what I see so now i am following you.
    Look forward to checking out your web page yet again.
    Also visit my blog post :: Hardcore gf Sex video online

    ReplyDelete
  12. Hello! This is kind of off topic but I need some help from
    an established blog. Is it tough to set up your own blog?
    I'm not very techincal but I can figure things out pretty quick. I'm thinking about setting up my own but I'm not sure where to start. Do you have any ideas or suggestions? Appreciate it
    My web-site - Asian Annie Cruz deepl anal fuck

    ReplyDelete
  13. What's up to every one, the contents existing at this site are actually amazing for people knowledge, well, keep up the nice work fellows.
    Here is my blog post : sachin retirement

    ReplyDelete
  14. Hey there! Would you mind if I share your blog with my facebook group?
    There's a lot of folks that I think would really enjoy your content. Please let me know. Thank you
    Also visit my web page vidacup compensation plan

    ReplyDelete
  15. Appreciate the recommendation. Let me try it out.
    Feel free to surf my web blog ; cheap dr. dre pro headphones online

    ReplyDelete
  16. Malaysia & Singapore & brunei ideal on-line blogshop for wholesale & quantity korean add-ons, earrings, earstuds, choker,
    rings, hair, bangle & trinket add-ons. Deal 35 % wholesale price cut. Ship Worldwide
    Also see my web page :: cialis

    ReplyDelete
  17. Hello friends, how is everything, and what you want to say regarding this piece of
    writing, in my view its really awesome in support
    of me.
    Stop by my webpage ... design

    ReplyDelete
  18. I am sure this post has touched all the internet visitors, its really really fastidious
    post on building up new webpage.
    Take a look at my web page free ps3 games

    ReplyDelete
  19. Appreciate the recommendation. Will try it out.
    My webpage: free ps3 games

    ReplyDelete
  20. I wanted to thank you for this wonderful read!! I absolutely enjoyed every
    bit of it. I have got you book marked to check out
    new things you post…
    My website: Satellite Dreambox

    ReplyDelete
  21. This web site certainly has all of the information and facts I needed about this subject and didn't know who to ask.
    Visit my website - pa unemployment website

    ReplyDelete
  22. Today, I went to the beach with my kids. I found
    a sea shell and gave it to my 4 year old daughter and
    said "You can hear the ocean if you put this to your ear." She placed the shell to her
    ear and screamed. There was a hermit crab inside and
    it pinched her ear. She never wants to go back! LoL
    I know this is entirely off topic but I had to tell someone!
    My webpage ; click the next page

    ReplyDelete
  23. This site really has all of the info I wanted concerning this subject and didn't know who to ask.
    Here is my web page - neucopia

    ReplyDelete
  24. I just couldn't leave your website prior to suggesting that I actually enjoyed the standard info an individual supply to your guests? Is gonna be again often in order to inspect new posts
    Here is my web-site - simply click the following web site

    ReplyDelete
  25. This information is really useful

    external hard drives

    ReplyDelete
  26. Thank you for the great info!

    best paper shredders

    ReplyDelete
  27. Nice article, thanks for the information. It's very complete information. I will bookmark for next reference
    jaring futsal | jaring golf | jaring pengaman proyek |
    jaring pengaman bangunan | jaring pengaman gedung

    ReplyDelete