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Obamacare Rigged to Fleece Taxpayers
Citizens' Council for Health Freedom ^ | 6-11-14 | Twila Brase

Posted on 06/11/2014 2:43:38 PM PDT by TurboZamboni

Never doubt the cleverness of Big Health. Obamacare does not redistribute wealth to the poor. Instead, the law's various requirements redistribute wealth and wages to Obama's partner in crime: large health plans. These corporations are then by law allowed to keep the cash and shortchange the care under "medical necessity" guidelines, demonstrating again that coverage is not care.

New evidence shows how one Obamacare tactic, called "risk adjustment" (RA), will be used to redistribute premium dollars from one health plan to another health plan. In short, the health plans with the sickest (riskiest) patients on paper win. Under RA, enrollees in non-grandfathered individual plans (3.5 million people) and small group plans (18-24 million people), in and outside of the government exchanges, are assigned "individualized risk scores." These scores are used to generate an "average risk score" for each plan, ostensibly representing the plan's predicted expenses.

Wealth redistribution begins here. Plans that create the highest-risk scores win. As explained by the Kaiser Family Foundation: "Under risk adjustment, plans with a relatively low average risk score will make payments into the system, while plans with relatively high average risk scores will receive payments." HHS collects the dollars from one set of plans and hands it over to the other set. This means your premium dollars could end up in another health plan's pockets.

It also means health plans that make their enrollees look the sickest can bleed their competition dry. To grab more of the RA dollars without necessarily providing more care, health plans are now conducting home visits to gather data on their enrollees.

(Excerpt) Read more at ...

TOPICS: Health/Medicine
KEYWORDS: cronyism; obamacare; riskadjustment
Health plans are already using RA to defraud taxpayers. Last week, the Center for Public Integrity revealed that auditors looking into Medicare Advantage (Medicare HMOs) have "concluded that all six health plans they visited couldn't justify the money they took in for 40 percent or more of their patients." Federal payments to Medicare Advantage health plans have been determined by risk adjustment since 2004. The overpayments for the six plans were estimated at $650 million in 2007 alone.
1 posted on 06/11/2014 2:43:38 PM PDT by TurboZamboni
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To: TurboZamboni

At least the EXEMPT Congress made certain
that THEY, their families, staff, felons and Moslems
would be EXEMPT.

How damn special is that?

2 posted on 06/11/2014 2:48:43 PM PDT by Diogenesis
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To: TurboZamboni
Sounds similar to the various state "Boards of Equalization" that make sure that every school district, no matter how poorly run and no matter what they collect in property taxes, gets the same amount of money.

Equality before fairness.

3 posted on 06/11/2014 2:50:14 PM PDT by who_would_fardels_bear
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To: Diogenesis
Feds Keep Health Sharing ACA Exemption Secret It happened again. Often when media or government sources discuss exemptions to the Obamacare mandate, they donʼt list Christian health sharing organizations. First, I thought this was just because all nine exemptions are rarely listed. But now I wonder if itʼs because they donʼtwant people to know these organizations exist. A recent CBO report on people who will pay the uninsured penalty lists those exempt as illegal immigrants, people who donʼt have to file income tax returns, lower-income people in states that refuse to expand Medicaid, people with coverage options legally deemed “unaffordable,” Indian tribe members and those in prison. Meanwhile membership in health sharing organizations is booming. Think about joining one and getting the word out. “Payments of Penalties for Being Uninsured Under the Affordable Care Act: 2014 Update,” Congressional Budget Office, June 5, 2014.
4 posted on 06/11/2014 2:53:11 PM PDT by TurboZamboni (Those who make peaceful revolution impossible will make violent revolution inevitable.-JFK)
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To: TurboZamboni


All those billions in subsidies? They go strait from the US Treasury to the insurance companies in the form of ‘premiums’.

That’s what this has been all about from the get go

5 posted on 06/11/2014 3:12:47 PM PDT by Lorianne (fedgov, taxporkmoney)
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To: TurboZamboni


Insurance? Socialism.

Socialism Is Legal Plunder - Bastiat

Now, legal plunder can be committed in an infinite number of ways. Thus we have an infinite number of plans for organizing it: tariffs, protection, benefits, subsidies, encouragements, progressive taxation, public schools, guaranteed jobs, guaranteed profits, minimum wages, a right to relief, a right to the tools of labor, free credit, and so on, and so on. All these plans as a whole — with their common aim of legal plunder — constitute socialism.

Social security (socialism) liability $17,000,000,000,000+
Prescription drug (socialism) liability $22,000,000,000,000+
Medicare (socialism) liability $89,000,000,000,000+

U.S.A. (United Socialists of America) have sent us, our children, our grandchildren into debt slavery.

6 posted on 06/11/2014 4:29:14 PM PDT by PGalt
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To: who_would_fardels_bear

College Work Study has been run this way for years. Colleges can offer the same grant to two or more different students, knowing full well that only one of them will be able to find a job. They can claim that 99% of the students who apply for aid are awarded aid.

Just as coverage is not the same thing as care, so is being awarded aid not the same thing as receiving aid.

7 posted on 06/11/2014 4:51:57 PM PDT by scrabblehack
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To: PGalt

Unsustainable numbers.

It will be better if the collapse is sooner than later.

8 posted on 06/11/2014 8:40:10 PM PDT by yorkiemom
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To: yorkiemom

Socialism is unaccountable, uncaring, unsustainable. DEPOPULATE socialists from the body politic. DEFUND/DISMANTLE their collectives.

It’s easy to…

live - free - republic

From Bastiat...

How to Identify Legal Plunder

But how is this legal plunder to be identified? Quite simply. See if the law takes from some persons what belongs to them, and gives it to other persons to whom it does not belong. See if the law benefits one citizen at the expense of another by doing what the citizen himself cannot do without committing a crime.

Then abolish this law without delay, for it is not only an evil itself, but also it is a fertile source for further evils because it invites reprisals. If such a law — which may be an isolated case — is not abolished immediately, it will spread, multiply, and develop into a system.

The person who profits from this law will complain bitterly, defending his acquired rights. He will claim that the state is obligated to protect and encourage his particular industry; that this procedure enriches the state because the protected industry is thus able to spend more and to pay higher wages to the poor workingmen.

Do not listen to this sophistry by vested interests. The acceptance of these arguments will build legal plunder into a whole system. In fact, this has already occurred. The present-day delusion is an attempt to enrich everyone at the expense of everyone else; to make plunder universal under the pretense of organizing it.

9 posted on 06/11/2014 9:02:20 PM PDT by PGalt
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To: TurboZamboni

10 posted on 06/11/2014 9:20:40 PM PDT by Doomonyou (Let them eat Lead.)
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To: Doomonyou

I wonder if he knows Major Pain

11 posted on 06/12/2014 4:19:01 AM PDT by TurboZamboni (Those who make peaceful revolution impossible will make violent revolution inevitable.-JFK)
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