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Health Care Reform – Busting The 3 Biggest Myths Of ObamaCare


Health Care Reform – Busting The 3 Biggest Myths Of ObamaCare


In the previous few months, we have visible numerous Health Care Reform rules and policies being brought by the Health and Human Services Department. Every time that occurs, the media gets hold of it, and all kinds of articles are written inside the Wall Street Journal, the New York Times, and the TV community news programs talk approximately it. All the analysts begin talking about the professionals and cons, and what it manner to businesses and people.

The trouble with this is, generally, one author looked at the regulation and wrote a chunk approximately it. Then different writers start using portions from that first article and rewriting components to match their article. By the time the records get extensively disbursed, the real guidelines and policies get twisted and distorted. What honestly indicates up in the media every now and then does not genuinely represent the reality of what the regulations say.Myths

There’s loads of false impression approximately what is going on with ObamaCare. One of the matters that I’ve noticed in discussions with customers is an underlying set of myths that people have picked up approximately health care reform that simply is not true. But due to all they’ve heard of the media, people accept as true that those myths are in reality true.

Today we are going to speak about three myths I listen maximum generally. Of course, not everybody believes these myths; however, enough do, and others are unsure what to accept as true, so it warrants dispelling those myths now.

The first one is that fitness care reform best impacts uninsured human beings. The second one is that Medicare blessings and the Medicare application will not be stricken by health care reform. And then the ultimate one is that fitness care reform is going to reduce the costs of healthcare.

Health Care Reform Only Affects Uninsured



Let’s have a look at the first fable about fitness care reform handiest affecting uninsured human beings. In loads of the discussions I have with clients, there are numerous expressions they use: “I have already got insurance, so I may not be tormented by ObamaCare,” or “I’ll simply keep my grandfathered health insurance plan.” The remaining one – and this one I can give them a touch bit of leeway, due to the fact a part of what they’re saying is authentic — is “I have institution health insurance so I won’t be stricken by health care reform.”

Well, the fact is that health care reform is clearly going to have an effect on everybody. Starting in 2014, we’re going to have an entirely new set of health plans, and people plans have prosperous blessings with lots of extra capabilities that the existing plans today don’t offer. So those new plans are going to be a higher fee.

Health Care Reform’s Effect On People With Health Insurance

People who currently have medical health insurance will be transitioned into those new plans someday in 2014. So the insured could be immediately suffering from this because the health plans they’ve nowadays are going away, and they will be mapped into a brand new ObamaCare plan in 2014.

Health Care Reform Effect On The Uninsured

The uninsured have further difficulty in facing a mandate penalty if they did not get medical insurance in 2014. Some of the wholesome uninsured are going to take a look at that penalty and say, “Well, the penalty is 1% of my adjusted gross profits; I make $50,000, so I’ll pay a $500 penalty or $1,000 for health insurance. In that case, I’ll simply take the penalty.” But both manner, they will be at once affected by health care reform. Through the mandate, it affects the insured in addition to the uninsured.

Health Care Reform Effect On People With Grandfathered Health Plans

People that have grandfathered health insurance plans aren’t going to be at once affected by health care reform. But due to the life cycle of their grandfathered health plan, it’s going to make those plans more steeply-priced as they discover that there are plans available now that they can without difficulty transfer to that have a richer set of benefits that would be extra beneficial for any persistent fitness problems they’ll have.

For people who live in those grandfathered plans, the pool of subscribers within the plan will begin to reduce, and as that takes place, the price of these grandfathered medical insurance plans will grow even quicker than they are now. Therefore, humans in grandfathered fitness plans may also be impacted with the aid of ObamaCare.

Health Care Reform Effect On People With Group Health Insurance

The ultimate one, the small organization marketplace, will be the maximum extensively suffering from health care reform. Although the fitness care reform policies predominantly affect massive and medium-sized businesses and groups with 50 or greater employees, smaller organizations can also be affected. However, they’re exempt from ObamaCare itself.

Many surveys and polls are starting to expose that some of the agencies that have 10 or fewer employees are going to appear severely at their option to drop medical health insurance altogether and not have it as a cost of the corporation. Instead, they may have their employees get health insurance thru the medical insurance exchanges.

In fact, a number of the vendors are now pronouncing they anticipate that up to 50% of small businesses with 10 or fewer employees are going to drop their medical insurance plan someday between 2014 and 2016. That could have a huge impact on each person who has group medical insurance, particularly if they may be a single of those small organizations that drop medical health insurance.

It’s now not simply the uninsured that will be tormented by fitness care reform; everybody will be impacted.

Health Care Reform Will Not Affect Medicare

The subsequent myth was that health care reform could not affect Medicare. This one is the type of funny due to the fact proper from the very get-move, the maximum notable cuts had been specifically targeting the Medicare application. When you look at Medicare’s portion of the general federal, you can see that in 1970, Medicare became four% of the U.S. Federal Budget, and employing 2011, it had grown to sixteen% of the federal price range.

If we examine it over the last 10 years, from 2002 to 2012, Medicare is the quickest growing part of the foremost entitlement applications within the federal authorities, and it’s grown by using almost 70% during that time period.

Because of how large Medicare is and how rapidly it’s developing, it’s one of the key programs that ObamaCare is trying to get a deal with, so it doesn’t bankrupt the U.S. Medicare will be impacted. In fact, the initial cuts to Medicare have already been set at about $716 billion.

Medicare Advantage Cuts And The Effects

Of that $716 billion reduces, the Medicare Advantage application receives to reduce the most and see the majority of the outcomes. What it’s going to do is grow the premiums people pay for their Medicare Advantage plans and decrease the blessings of those plans.

Increased Medicare Advantage Costs

Right now, many humans select Medicare Advantage plans due to the fact they have got zero top rates. When given a choice on Medicare plans, they view it as an easy preference because it’s a free software for them, “Sure, I get Medicare benefits, I do not pay something for it; why not.” Now they will see Medicare premiums begin to climb and go from zero to $70, $eighty, $ninety, $a hundred. We’ve already seen that with some of the Blue Cross Medicare Advantage plans this year. It’s going to get worse as we pass forward in the future.

Reduced Medicare Advantage Benefits

To decrease the premium increases, many Medicare Advantage plans will grow the copayments, boom the deductibles, and exchange the co-insurance fees. To keep the premiums down, they’ll simply push greater the prices onto the Medicare Advantage recipients. So increased charges and reduced benefits are what we will see coming in the Medicare Advantage plan.

Fewer Medicare Physicians

And then if that wasn’t terrible sufficient, as Medicare medical doctors start receiving decrease and decrease reimbursements for Medicare Advantage people, they’re going to stop taking new Medicare Advantage recipients. So we’re going to see the pool of medical doctors to assist humans in Medicare starting to shrink as well, except adjustments are remodeled over the course of the next five years. So Medicare is going to be affected, and it’ll be affected dramatically by fitness care reform. Everybody’s kind of on pins and needles, waiting to see what will occur there.

Health Care Reform Will Reduce Healthcare Costs

The closing one, and in all likelihood the largest myth approximately health care reform, is absolutely everyone wondering that ObamaCare will reduce healthcare costs. That’s complete hogwash. Early on inside the procedure, once they have been seeking to develop the guidelines and rules, the emphasis and one of the goals for reform turned into lessening healthcare charges.

But somewhere along the line, the purpose genuinely shifted from fee reduction to law of the medical insurance industry. Once they made that transition, they driven value discounts to the back burner. There are a few small price reduction components in ObamaCare, but the real emphasis is on regulating health insurance. The new plans, for instance, have a whole lot richer benefits than many plans these days: richer advantages manner richer costs.Health Care

Health Care Reform Subsidies: Will They Make Plans Affordable?

A lot of humans desire, “The subsidies are going to make medical insurance plans more low priced, won’t they?” Yes, in some instances, the subsidies will help to make plans less expensive for humans. But if you make $1 an excessive amount, the affordable plans are unexpectedly going to turn out to be very steeply-priced and can cost lots of dollars extra over the route of 12 months. Will a subsidy make it cheap or not low priced is simply difficult to discuss at this point in time. We’re going to ought to, without a doubt, see what the rates appear to be for those plans.

New Health Care Reform Taxes Passed On To Consumers

Then there is a whole ton of new health care reform taxes that have been introduced into the gadget to help pay for ObamaCare. In that manner, anybody who has a medical insurance plan, whether or not it’s in a large organization, a small organization, or simply as a person, goes to be taxed to pay for the cost of reform. Health care reform adds diverse taxes on health care that insurance agencies will need to accumulate and pay; however, they’re simply going to pass it right through to us, the purchaser.

Mandate Won’t Reduce Uninsured Very Much.

During the initial years of health care reform, the mandate is truly pretty susceptible. The mandate says that everyone should get medical insurance or pay the penalty (a tax). What it’s going to do is make healthful human beings simply take a seat on the sidelines and wait for the mandate to get to the point wherein it sooner or later forces them to buy health insurance. As a result, people with continual health situations that couldn’t get health insurance formerly are all going to leap into healthcare at the start of 2014.

At the end of that year, the cost for the plans goes to head up in 2015. I can guarantee that that will occur because the young, wholesome humans are not going to be prompted to get into the plans. They might not see the benefit of joining a pricey plan, whereas the chronically unwell humans will get into the plans and power the expenses up.

Health Care Reform’s Purpose Is Just A Matter Of Semantics

The ultimate part of that is, one of the key things – and it is funny, I noticed it for the primary two years, 2010, and ‘eleven – one of the key matters that changed into listed within the documentation from the Obama management turned into Health Care Reform could assist reduce the value that we might see in the future if we do not anything these days. That was emphasized over and over again. That becomes how they presented health care price discount, that it would reduce the destiny expenses. Not today, but it might reduce what we might pay in the destiny if we did nothing approximately it now.

Well, that’s wonderful, 10 years from now we’re going to pay less than we’d have paid. And all of us recognize how to correct future projections normally are. But, in the meantime, we are all paying more these days, and we’re going to pay even more in 2014 and more in 2015 and 2016. People are going to be pretty disappointed about that.


Those three myths that health care reform is handiest going to affect the uninsured, that it may not affect Medicare beneficiaries, and that ObamaCare is going to lessen healthcare charges are just that. They are myths. There’s not anything to them.

You must pay attention to what’s taking place with health care reform because there are greater modifications that are coming as we undergo this yr, 2013. So knowing how to function yourself so that you’re within the proper spot to make the exceptional choice at the beginning of 2014 is certainly critical for each person.

Tim Thompson is the founder of SPF Insurance Services in San Diego, CA, and has been writing approximately coverage topics for over 10 years.

At SPF Insurance, we’re your Health Care Reform specialists in California. Sign up for our newsletter at the SPF Insurance website to live up to date on changes, or you can subscribe to the SPFInsurance YouTube channel to get our video updates, or you can sign on for our podcasts and see the updates thru iTunes. Any of these will maintain you recently on what’s taking place, and specifically, how it’s going to have an effect on you.

At SPF Insurance, we do not just come up with “here’s the information that occurred,” we inform you what you could do to make your situation better, notwithstanding all the modifications taking vicinity.

Jacklyn J. Dyer

Friend of animals everywhere. Problem solver. Falls down a lot. Hardcore social media advocate. Managed a small team training dolls with no outside help. Spent high school summers creating marketing channels for Elvis Presley in Minneapolis, MN. Prior to my current job I was donating wooden trains in Hanford, CA. Spent the 80's getting my feet wet with accordians in Jacksonville, FL. Spent the 80's writing about crayon art in Africa. Managed a small team getting to know inflatable dolls in Gainesville, FL.