The Soapbox

Hoodafan

Joined: 09/29/2013 Posts: 60790
Likes: 57383


Don't see it mentioned below and I believe it's in the full video iirc


from when I looked at this before, but a few of the highlights:

- Get rid of the 3X premium cap, set it at a min 5X and allow states to adjust up as they see works best. Will allow the young and healthy to opt in more easily and cheaply since they won't be paying 1/3rd what the most expensive and heavily insured folks pay.

- Allow much more flexibility in what is mandated coverage to allow for more high deductible catastrophic type plans killed by ACA, and set the minimum coverage at much lower levels.

- Tort reform (which I don't think will move the needle like they want to claim, since those efforts are being done at the state level, and fundamentally I'm against tort limits) which presumably would reduced the liability costs of medicine.

- More competition by allowing selling across state lines. I'm not sure how that really does much if there isn't some way to also get rid of the problems from in-network/out-of-network pricing issues, nor if they don't address problems from getting the same coverage from the same insurance co. at drastically different prices based on the pool you're in or its size. Presumably those problems would have to be addressed too. Nor if the states can still put exorbitant requirements to do business there, thus defacto getting rid of that competition.

- Medicaid done through block funding to the states so they can design it as best meets their constituents needs and reduce some administrative costs involved with a central system.

- Set up high risk pools for the most expensive folks. Not sure what that does in terms of overall cost since I have to assume the bulk of that cost would have to be put on the taxpayer, so it seems we're only trading off lower tax premiums for a higher tax bill (not saying that's bad per se, just is).

They will keep the requirement to allow for pre-existing conditions (and there is absolutely no way they would get rid of that IMO), as well as the maximum lifetime OOP (both of which I have to think account for a large portion of the jumps we've seen under ACA because that can't be cheap). Personally I think they should get rid of allowing kids to stay on parents plans until 26 (unless a full time student or disabled and unable to care for themselves), since that's just cost rolled into the premiums and adds to the sticker shock by having them enter the market at a higher price (especially with the 3X cap), and thus leads to more of them paying the fine/tax instead of seeing health insurance as the wisest option and worth the expense. But I don't they would have the political balz to do that given it would be unpopular with those thinking they're getting a "deal" now, and all indications are that they don't.


(In response to this post by SabreNation)

Posted: 01/13/2017 at 2:13PM



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Current Thread:
  Thank you! -- SabreNation 01/13/2017 3:54PM
  Funny. Those look like tweaks to me. -- HoosWillWin 01/13/2017 2:46PM
  Is there still an individual mandate? ** -- RML Hoos 01/13/2017 10:04AM
  Some. The main differences I see, are where -- 111Balz 01/13/2017 09:34AM
  Government subsidy regardless, similar to ACA ** -- 111Balz 01/13/2017 12:09PM
  Republican free shit is different. ** -- Shenhoo 01/13/2017 11:44AM
  A tax credit does not depend on taxes -- AlexHoo 01/13/2017 10:35AM
  Some are ** -- Shenhoo 01/13/2017 10:55AM
  So it's exactly the same? ** -- WahooRQ 01/13/2017 10:22AM

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