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Wow. That's all I can say - Wow. This is absolutely the most ridiculous thing I've ever heard of. If I understand this right, she wants to tax Obamacare recipients (and others) to help pay for the premium subsidies that the state exchange pays for Obamacare recipients??
Wow. That's all I can say - Wow. This is absolutely the most ridiculous thing I've ever heard of. If I understand this right, she wants to tax Obamacare recipients (and others) to help pay for the premium subsidies that the state exchange pays for Obamacare recipients??
Maybe I'm wrong, but that's just not how I read it. It seems that the exchange -- which serves only 30,000 subscribers, costs $30.9 million to operate. This has nothing to do with paying subsidies, it has everything to do with running... e-commerce servers. Now, how can it be that it costs in excess of $1,000 per subscriber to simply enroll a person in the federal health plan? Maybe Amazon.com should be given the contract...
Quote:
Originally Posted by Projo
Targeted to take effect in January 2016, the premium surcharge that Raimondo proposes would raise an initial $6.2 million of the $30.9 million the Raimondo administration is proposing to spend during the year that begins on July 1 to operate the state's “health-insurance marketplace’’ over the next year.
What next? Taxing medical visits, or prescription drugs?
I'm sure some of it is driven by the ACA regulations -- probably there has to be 24/7 live tech support, god knows how many compliance and performance reports submitted to HHS, meeting HIPPA requirements, and because it ties into so many other systems, probably a lot of code maintenance to keep up with changes made by external partners.
Even so, that does sound like a lot, and is yet another example of how RI is hurt by scale: too small at the state level, and too much devolved down to too many towns that are too small in size. There are plenty of places in the US where you would have one police chief and one fire chief for a population of a million, operating under a single pension system.
Why isn't there any competition in this state? I run my own consulting practice, so I have an individual plan outside of the exchange. I can choose any flavor of insurance I want -- any flavor at all, so long as it's Blue Cross.
^ Thanks -- very disgusting and just what one would expect, though it appears the man is in a world of hurt due to his actions.
On the flip side, I wonder if health insurance providers like Tufts don't want to enter the individual market in RI because of pay to play?
As to this fee Wall Street Gina wants to impose? Hey, I didn't buy through the exchange, so why should I have to pay for it? And if this state wishes to encourage entrepreneurship, why hit guys like me who are hustling to expand? Why tax individual plans but not corporate ones? Gina does what her leash-holding hedge fund masters say. Creep. She's really a creep.
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