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Study: Obamacare Is Cheaper Than Employer-Backed Plans

POSTED BY: NIKI2
UPDATED: Friday, February 7, 2014 14:53
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Thursday, February 6, 2014 3:44 PM

NIKI2

Gettin' old, but still a hippie at heart...


Quote:

Health plans on Obamacare's insurance exchanges will on average cost less than employer-sponsored coverage, according to a new report.

The lowest-priced plan in 2014 on the Affordable Care Act's exchanges carries on average a premium that is 20 percent less than a comparable employer-sponsored plan, according to the report from the Health Research Institute at PricewaterhouseCoopers.

The researchers calculated the total average costs of employer-sponsored coverage—both those paid by the employee and by the employer. They then weighed those costs against the total average cost of lowest-price gold and platinum plans on the exchanges, before subsidies.

Gold and platinum plans typically carry higher monthly premiums, with lower out-of-pocket costs. The researchers used those plans for their comparison because they pay a similar percentage of health care costs compared with their employer-sponsored counterparts. Gold and platinum plans cover 80 percent and 90 percent respectively of a participant's health care costs, while on average employer-sponsored plans cover 85 percent of health costs.

For large firms, the question of cost comparison is academic: They are required to provide their employees with health insurance or face a tax penalty.

For small firms—those with fewer than 50 employees—it's a matter of greater consequence. They have the option to not offer employer-sponsored health insurance penalty free, instead leaving their employees to buy individual plans on Obamacare's exchanges, possibly with the help of federal subsidies. But if the businesses do decide to offer coverage, their employees are no longer eligible for federal subsidies.

"The plans we're seeing in the exchanges are competitive in terms of the services they provide at the cost they're listing," said Ben Isgur, director of the Health Research Institute.

The study compares the total cost of the plans, and does not differentiate for whether those costs are paid by an employer, an employee or subsidies.

That lump-sum calculation leaves it unclear which plans—employer-sponsored or exchange-purchased—will cost customers the most, as it does not attempt to calculate what an individual would receive in subsidies or in employer contributions. Nor does it attempt to calculate how the health plans employers offer affect the wages they pay their workers.

But the total cost is important, the researchers say, because it is what customers on the exchanges watch most closely. Premium prices, insurance companies say, are the most important factor in a consumer's health plan decision. According to a PricewaterhouseCoopers report from last fall, 94 percent of insurers believed this, and cited it as the primary reason they began to contract with fewer doctors and hospitals in an effort to rein in costs.

So how are the insurers offering plans on the exchanges keeping their costs down?

In part, the use of narrow networks, also known as high-performance health plans, allows insurance companies to increase competition among doctors and hospitals by being more selective about with which companies they include in their coverage.

Ceci Connolly, managing director of the Health Research Institute, said even employers are looking at narrowing their networks to lower costs.

"We anticipate that the public and private exchanges are going to continue to foster greater competition and ongoing pressure to provide better value," Connolly said. "Everyone's going to be able to look at what's out there and available on these exchanges. I think employers will turn around and ask insurers for similar good value, when they compare plan offerings and see if they're getting what they want for their money."

Her conversations with employers are backed up by data from the Kaiser Family Foundation which shows an upward trend in the use of narrow networks. While only 15 percent of employer-sponsored health plans contained a high-value performance provider in 2007, by 2013 that number jumped to 23 percent.

Some patients have expressed frustration with the trend, especially when it means less access to services and the loss of a family doctor. But even insurance companies could change their minds, Connolly said, if they start to see that it's not a tradeoff consumers are willing to make for a lower price.

"I think we're really going to learn a lot about what consumers want now that they really have this opportunity to choose from a lot of different plans," she said. "And ultimately competition coming to health care is a good and healthy thing."

PricewaterhouseCoopers' Health Research Institute is a nonpartisan health care consulting and data analysis group. http://www.nationaljournal.com/health-care/study-obamacare-is-cheaper-
than-employer-backed-plans-20140206




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Thursday, February 6, 2014 5:11 PM

AURAPTOR

America loves a winner!



The study is false.

ObamaCare will cost 2+ trillion dollars, and 2.5 million jobs.

Fathom the hypocrisy of a government that requires every citizen to prove they are insured... but not everyone must prove they are a citizen

I'm just a red pill guy in a room full of blue pill addicts.

" AU, that was great, LOL!! " - Chrisisall

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Thursday, February 6, 2014 5:15 PM

STORYMARK


Said with no evidence, as per usual.






"Goram it kid, let's frak this thing and go home! Engage!"

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Thursday, February 6, 2014 7:06 PM

JONGSSTRAW


Obamacare has a plan where you never see a doctor or go to a hospital. The Cow Chip Plan is only $6.99 a month. Plan coverage provides you with Nyquil, rubbing alcohol, bandage gauze, Tylenol, and a Swiss Army Knife.

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Thursday, February 6, 2014 7:10 PM

BYTEMITE


Quote:

Originally posted by Jongsstraw:
Obamacare has a plan where you never see a doctor or go to a hospital. The Cow Chip Plan is only $6.99 a month. Plan coverage provides you with Nyquil, rubbing alcohol, bandage gauze, Tylenol, and a Swiss Army Knife.



!

If the plan gets canceled, do I keep the knife? And does the nyquil have alcohol in it?

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Friday, February 7, 2014 9:52 AM

GEEZER

Keep the Shiny side up


Quote:

Originally posted by BYTEMITE:
Quote:

Originally posted by Jongsstraw:
Obamacare has a plan where you never see a doctor or go to a hospital. The Cow Chip Plan is only $6.99 a month. Plan coverage provides you with Nyquil, rubbing alcohol, bandage gauze, Tylenol, and a Swiss Army Knife.



!

If the plan gets canceled, do I keep the knife? And does the nyquil have alcohol in it?



If you like your knife, you can keep your knife.


"When your heart breaks, you choose what to fill the cracks with. Love or hate. But hate won't ever heal. Only love can do that."

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Friday, February 7, 2014 9:57 AM

GEEZER

Keep the Shiny side up


Quote:

Originally posted by BYTEMITE:
Quote:

Originally posted by Jongsstraw:
Obamacare has a plan where you never see a doctor or go to a hospital. The Cow Chip Plan is only $6.99 a month. Plan coverage provides you with Nyquil, rubbing alcohol, bandage gauze, Tylenol, and a Swiss Army Knife.



!

If the plan gets canceled, do I keep the knife? And does the nyquil have alcohol in it?



If you like your knife, you can keep your knife.


"When your heart breaks, you choose what to fill the cracks with. Love or hate. But hate won't ever heal. Only love can do that."

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Friday, February 7, 2014 10:06 AM

GEEZER

Keep the Shiny side up


Double post.

So I'll comment on the article.

Per the article, this only has an impact on small (less than 50 employee) businesses. Since many of them will (again per the article) decide to drop employer-provided coverage and let their employees go to the market (especially if many their employees don't earn enough to be out of the subsidy range), the only folks it'll impact are employees of small high-paying companies.

The article also notes "The study compares the total cost of the plans, and does not differentiate for whether those costs are paid by an employer, an employee or subsidies." So you don't really know whether the employees are going to be paying higher costs, or if the employer picks up some or all of the cost.


"When your heart breaks, you choose what to fill the cracks with. Love or hate. But hate won't ever heal. Only love can do that."

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Friday, February 7, 2014 2:03 PM

NIKI2

Gettin' old, but still a hippie at heart...


When you get through picking nits, does any of what you claimed make any of the following untrue?
Quote:

Health plans on Obamacare's insurance exchanges will on average cost less than employer-sponsored coverage…The lowest-priced plan in 2014 on the Affordable Care Act's exchanges carries on average a premium that is 20 percent less than a comparable employer-sponsored plan


That is the point of the article; not who PAYS that premium.
Quote:

Since many of them will (again per the article) decide to drop employer-provided coverage and let their employees go to the market (especially if many their employees don't earn enough to be out of the subsidy range), the only folks it'll impact are employees of small high-paying companies.


I don't see anywhere in the study where it says "MANY" small businesses will decide to drop coverage (it says "they have the option"), or that "MANY" of their employees aren't in subsidy range, so your assumption is not accurate, it is merely an opinion. And again, it in no way changes the fact of the article, that health plans on Obamacare's insurance exchanges will on average cost less than employer-sponsored coverage.

You work too hard at trying to find something...anything...which will possibly negate any potential positives. Always, without fail. Your consistent and desperate need to quibble, nit pick and deny in order to try and highlight anything potentially negative you can find about the ACA is a dead giveaway and really sad to read.


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Friday, February 7, 2014 2:53 PM

BIGDAMNNOBODY


Quote:

Originally posted by Niki2:
You work too hard at trying to find something...anything...which will possibly negate any potential positives. Always, without fail. Your consistent and desperate need to quibble, nit pick and deny in order to try and highlight anything potentially negative you can find about the ACA is a dead giveaway and really sad to read.


Switch the two underlined words and you get yourself, IMHO.

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