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Nevada Gives Up on $91 Million Obamacare Exchange
Heritage Foundation ^ | May 28, 2014 | Alyene Senger

Posted on 05/28/2014 3:48:02 PM PDT by 1rudeboy

Nevada has become the latest state to announce it will concede Obamacare exchange enrollment responsibilities to the federal government via healthcare.gov.

Nevada became the third state-based exchange to make such a decision, joining Massachusetts, which is joining the federal exchange temporarily while it works to fix its state-based exchange, and Oregon, which has ditched its exchange entirely—making a total of 39 states dependent on the federal exchange for, at a minimum, enrollment in 2015.

Federal taxpayers already have sent about $4.9 billion total in grants to the states to establish exchanges, with almost $4.2 billion going to just the 16 states and the District of Colombia that had planned to operate their own exchanges in 2014.

Nevada received $91 million in grants and, as of April 19, had enrolled 45,390 people, for a federal taxpayer cost of $2,005 per enrollee. Cover Oregon, the exchange that was never able to successfully enroll one person online from start to finish, got $305 million in federal grants and had 68,308 enrollees, so its cost was about $4,465 per enrollee. Massachusetts’s per-enrollee cost was $5,648.  Hawaii received $205 million in grant money and enrolled only 8,592 people, for an astonishing per-enrollee cost of $23,859.

Worse yet, in Nevada, the federal government is now spending even more money to transition their exchange to the federal exchange.

According to Nevada’s announcement:

“The federal government will pay all costs associated with transitioning from the BOS [Xerox’s health insurance enrollment system] to healthcare.gov. Nevada will not be required to pay a monthly per -member per-month fee to healthcare.gov for its use. The federal government will pay 90 percent of any costs incurred to disconnect Nevada’s Medicaid system from the BOS and to connect Nevada’s Medicaid system to healthcare.gov. The initial high estimates of this cost ranges between $15 – $20 million, of which Nevada must pay 10 percent.”

As with much of Obamacare, it remains unclear where this additional money will come from, what the total costs will be or whether other states are receiving the same deal.

In response to this this continuous steam of Obamacare exchange spending, Sens. Orrin Hatch, R-Utah,  and John Barrasso, R-Wyoming, recently introduced a bill that would make states that choose to no longer operate their own exchange  return the taxpayer dollars that were spent on the failed exchanges to the federal government. The legislation would require states to repay 10 percent of their wasted federal grant funding each year for 10 years.  This would force Nevada, Oregon, and Massachusetts to repay a combined $575 million.


TOPICS: Business/Economy; Culture/Society; Front Page News; Government; News/Current Events; US: Nevada
KEYWORDS: nevada; obamacare

1 posted on 05/28/2014 3:48:02 PM PDT by 1rudeboy
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To: 1rudeboy

This damages the theory that the States can do things better than the Feds.

It’s absolutely incredible that so much money was spent for so little result.


2 posted on 05/28/2014 3:55:55 PM PDT by wildbill
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To: wildbill

$91 million is stolen money, pure graft. People should go to jail for this stuff.


3 posted on 05/28/2014 4:02:02 PM PDT by GeronL (Vote for Conservatives not for Republicans)
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To: 1rudeboy

$5 billion??

Insane. Throw the whole government in prison.


4 posted on 05/28/2014 4:03:03 PM PDT by GeronL (Vote for Conservatives not for Republicans)
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To: GeronL

And pretty much scotches any hope to repeal the thing altogether.


5 posted on 05/28/2014 4:04:55 PM PDT by knarf (I say things that are true .. I have no proof .. but they're true.)
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To: knarf

It started a long long time ago, the first state on the first day that federal money was taken. Once a hooker, always a hooker.


6 posted on 05/28/2014 4:08:23 PM PDT by Don Corleone ("Oil the gun..eat the cannoli. Take it to the Mattress.")
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To: 1rudeboy

What an absolute fiasco.

Here is what healthcare really costs. Compare these two.

http://samaritanministries.org/

Samaritan Ministries - a Biblical, non-insurance approach to health care needs.

This is a free market type solution. Notice the cost difference between self-insured and government regulated.

1. If I understand it properly, $370/mo for a family. Wont start paying out until you pay over $300.00 then it will cover you.

2. Compare this to any regulated insurance. My company’s plan is $1400/mo, with a deductible of $2500.


7 posted on 05/28/2014 4:10:43 PM PDT by ForYourChildren (Christian Education [ RomanRoadsMedia.com - a classical Christian approach to homeschool])
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To: 1rudeboy

Where is Rustler Reid?


8 posted on 05/28/2014 4:11:24 PM PDT by Paladin2
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To: GeronL

I have a proposal for an EXCHANGE for Nevada.

They exchange one Desert Tortoise for Harry Reid (living free in a government mental institution).

Sounds fair to me.


9 posted on 05/28/2014 4:14:51 PM PDT by MadMax, the Grinning Reaper
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To: MadMax, the Grinning Reaper

Harry isn’t even worth a turtle


10 posted on 05/28/2014 4:17:01 PM PDT by GeronL (Vote for Conservatives not for Republicans)
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To: wildbill
This damages the theory that the States government can do things better than the Feds free market.

Fixed it.

11 posted on 05/28/2014 4:18:51 PM PDT by FatherofFive (Islam is evil and must be eradicated)
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To: GeronL

155 million to Illinois? I am betting that 100 million went to the Chicago mob.


12 posted on 05/28/2014 4:21:54 PM PDT by EQAndyBuzz ("Heck of a reset there, Hillary")
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To: EQAndyBuzz

Like Stimulus I think most of this goes right into the pockets of the most corrupt


13 posted on 05/28/2014 4:22:48 PM PDT by GeronL (Vote for Conservatives not for Republicans)
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To: wildbill

600 mill for what is essentially an automated form is astounding, more so because he wasn’t nailed for it.


14 posted on 05/28/2014 4:28:31 PM PDT by Lizavetta
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To: 1rudeboy

$91,000,000 of money laundering.


15 posted on 05/28/2014 4:36:15 PM PDT by blueunicorn6 ("A crack shot and a good dancer")
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To: ForYourChildren

Thank you for the link ... I was thinking about this yesterday and couldn’t remember the name of the organization.


16 posted on 05/28/2014 4:54:42 PM PDT by knarf (I say things that are true .. I have no proof .. but they're true.)
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To: ForYourChildren

And a terrific home page, too ... thanx


17 posted on 05/28/2014 4:56:42 PM PDT by knarf (I say things that are true .. I have no proof .. but they're true.)
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To: 1rudeboy
Unfortunately most do not realize the corruption that we are under as long as the power is in the hands of the communists Democrats with their King, King Obama, the useless backward miserable piece of a human.
18 posted on 05/28/2014 4:57:44 PM PDT by Logical me
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To: 1rudeboy

What an incredible load of money down a rat hole to disguise a government expansion of Medicaid.


19 posted on 05/28/2014 5:11:07 PM PDT by headstamp 2 (What would Scooby do?)
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To: knarf

Thanks!!


20 posted on 05/28/2014 5:18:30 PM PDT by ForYourChildren (Christian Education [ RomanRoadsMedia.com - a classical Christian approach to homeschool])
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To: 1rudeboy

The more states switch to the federal exchange, the quicker Obamacare will collapse once SCOTUS rules that the law does not permit subsidies for persons who are not enrolled on a “state exchange.”


21 posted on 05/28/2014 5:42:03 PM PDT by AuH2ORepublican (If a politician won't protect innocent babies, what makes you think that he'll defend your rights?)
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To: wildbill

“This damages the theory that the States can do things better than the Feds.”

Not really, State governments are still governments like any other. The only difference is they don’t have unlimited pockets books, or patents. Honestly I’m surprised Nevada carried it on this long despite domestic opposition.

The problem with Governments particularly Government agency like the department of health licencing out programs is the people who run theses agency’s tend to be the sort of people who don’t understand Computers and really do their bureaucratic jobs off memory in a chaotic way.

You can sit down with theses people and get a description of their work and thus the application one week, and a few months later find out they had forgotten to mention critical details that totally change the foundation of the application. Effectively seating you back to square one, or just is likely find out that the detail has changed. Its like getting an order to build a house and just as your driving in the last Nail you find out they want/need a boat instead.

Theses kinds of bureaucrats and software development cycles don’t generally mix to well.


22 posted on 05/28/2014 6:14:35 PM PDT by Monorprise
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To: AuH2ORepublican

“The more states switch to the federal exchange, the quicker Obamacare will collapse once SCOTUS rules that the law does not permit subsidies for persons who are not enrolled on a “state exchange.””

The Federal employees in black robes have already demonstrated their utter contempt for the technical wording of the law. If they support a cause they will rewrite the whatever law they need to make it happen.

The Federal injustice system has no anchor but their own ideological commitment. Don’t hold your breath that they will even bother to read the law.


23 posted on 05/28/2014 6:18:39 PM PDT by Monorprise
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>> The federal government will pay all costs associated with transitioning from the BOS

“The fed” being the taxpayers in other states.


24 posted on 05/28/2014 11:48:49 PM PDT by Gene Eric (Don't be a statist!)
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To: wildbill

“This damages the theory that the States can do things better than the Feds.”

True dat. While it’s not a popular theme to bring up at FR, most of your really wretched government abuses are at the state and local level. For example, gun control. There hasn’t been a significant, new gun control law at the Federal level in the better part of 20 years. Tell that to the folks in CA where a stupid state level gun control proposal seems to be a weekly affair. Licensing? Business killing regs? The Feds are amateurs as compared to NY state.


25 posted on 05/29/2014 2:22:51 AM PDT by RKBA Democrat (Relocate and Dominate: freestateproject.org)
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To: wildbill

It’s absolutely incredible that so much money was spent for so little result.”””

Population here in Nevada is about 3 million.

Sure was an expensive experiment-—and people needing doctors are having a hell of a time finding one.


26 posted on 05/29/2014 7:18:23 AM PDT by ridesthemiles
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To: FatherofFive

Point taken.


27 posted on 05/29/2014 8:27:23 AM PDT by wildbill
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