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Higher-than-expected costs were the main reason behind the hike sought by Blue Cross and Blue Shield of North Carolina, which was allowed to impose a 13.5 percent increase for this year. The insurer cited the costs of emergency room use, heart and cancer treatments and the cost of specialty drugs treating hepatitis C in its rate justification filed with federal regulators.
Insurers will spend the next several weeks talking to regulators about their premiums before rates are finalized later this summer. The companies will have better data to back up their request for hikes, but that might mean little if they are negotiating with a regulator determined to hold down prices, said Dave Axene of the Society of Actuaries.
ObamaCare Insurance premiums are a sore subject with many readers; however, ObamaCare insurance premium increases are a response to the protections contained within the law, such as the mandate for insurers to cover people with pre-existing conditions. Other parts of the law like the rate review provision and the creation of the health insurance marketplace help to reduce premium costs.
These bundled payments reflect the known costs of meeting people’s needs in particular regions and circumstances, but they’re only part of the new payment model. If an ACO can achieve good outcomes more efficiently than expected—by coordinating care, eliminating waste or preventing costly complications—the organization gets to keep a share of the savings.
This is a direct contradiction to the "facts" presented by Obama right before passing Obamacare into law. He said that increased competition would reduce premiums for everyone, and that in order to help Obamacare stay on budget, they would find ways to make medical care more cost-effective and efficient.
So what happened? I thought Obamacare was going to be a socialist utopia of medicine. Everyone gets covered, premiums are reduced for everyone, and medicine becomes cheaper everywhere? Somehow we ended up with the complete opposite - millions are not covered and have to pay fines because of the mandate, medicine is more expensive than ever, and premiums keep rising.
I want my old fashioned free market capitalist medicine back. No more mandates, no more guaranteed coverage, no more fines. Before Obamacare I agree not everyone could afford insurance and I suppose that was bad, but it was still much better than what we have now.
Of course they're raising the cost, now. that's how extortion at a government level works.
People cannot afford it, so government steps in and creates Single-Payer, thus bringing in government-run, government-controlled, socialized medicine.
I'm just someone who has a problem with government dictating what I can eat, drink, smoke as it pertains to my health.
How about a government that dictates what your treatment should be (based upon your lifestyle choices) rather than you getting to dictate your healthcare options.
But they will be in charge of your "health". Remember all the past stories from "government" studies that showed that prostate exams, breast exams are unnecessary for the most part?
Embrace government control into your life. On a personal level, I will fight it tooth and nail.
But it's probably a lost cause, to be frank. Too many people don't want the responsibility that comes with freedom.
They'd rather have someone else or something else dictate what is best for them.
So he should be able to tell you that medicare now scales payments based (in part) on the number of x-rays you receive.
Take too many pictures, and a hospital gets less money. The government (through payment) is trying to engineer how a doctor may diagnose a patients injury.
Office Visit- $ 43.50
Delivering a Baby- $ 555.00
Newborn Infant Care- $ 90.00
Nursing Home Visit- $ 60.00
Rabies Injection- $ 12.00
Appendectomy $ 381.00
Tonsillectomy - Under 16 years - $132.08