Texas insurer seeking 60% price increase due to ACA

himkhan

Senior member
Jul 13, 2013
665
370
136
Obama's overhaul hasn't solved the problem of price spikes.

Not really true. In this and many cases nothing more than corporate greed.
 

MarkLuvsCS

Senior member
Jun 13, 2004
740
0
76
Is this the same state that turned down money for medicaid expansion that would ultimately go towards financially helping the system overall?
 

Sonikku

Lifer
Jun 23, 2005
15,752
4,562
136
Fact: Healthcare costs went up after ACA passed.

Then again, healthcare costs have been skyrocketing year after year long before that. Never the less, I am confident ACA is the sole reason as the Texas insurance company hiking rates so claims.
 
Feb 4, 2009
34,703
15,951
136
Similar thing happened in Massachusetts after Romneycare. We had sharp price increases for a few years (3 or 4 years its hard to remember) but then it leveled off.
 

trenchfoot

Lifer
Aug 5, 2000
14,680
7,178
136
Aren't insurance rate increases regulated and as such must be approved by some .gov agency?

In all honesty, I think most gov't agencies that have anything to do with regulating businesses that are big and/or are too big to fail are thoroughly corrupted. As such, regulating them is a farce.

If there are big businesses being caught and penalized, either they get the proverbial slap on the wrist due to their corrupting those that are supposed to regulate their behavior, they are being attacked by their competition who have more corrupt politicians in their cellar or they got excessively greedy to the point where the risk to cover for them cost too much political capital.
 

DrPizza

Administrator Elite Member Goat Whisperer
Mar 5, 2001
49,606
166
111
www.slatebrookfarm.com
So, they have roughly 600,000 individual policy customers, lost roughly 600 million, which works out to about $1000 per person, and want to raise premiums by 60%? wtf kind of math is that? Are premiums really that cheap in Texas that they need to raise them by 60% to cover the losses and provide a reasonable profit?
 

Slew Foot

Lifer
Sep 22, 2005
12,381
96
86
They didnt lose shit. The CEO only bought 14 Bugattis and is pissed the the CEO across the street bought 15.
 

trenchfoot

Lifer
Aug 5, 2000
14,680
7,178
136
So, they have roughly 600,000 individual policy customers, lost roughly 600 million, which works out to about $1000 per person, and want to raise premiums by 60%? wtf kind of math is that? Are premiums really that cheap in Texas that they need to raise them by 60% to cover the losses and provide a reasonable profit?

And then there's "In a statement, Blue Cross Blue Shield of Texas said its request is based on strong financial principles, science and data. "It's also important to understand the magnitude of the losses ... experienced in the individual retail market over the past two years," the statement said. The company says it lost $416 million in 2014 and $592 million last year."

I nearly choked from laughing so hard when I read that.
 

michal1980

Diamond Member
Mar 7, 2003
8,019
43
91
Is this the same state that turned down money for medicaid expansion that would ultimately go towards financially helping the system overall?

Yes. Because freedumb™ and tru™ patriots.

oh look partasin noobs.


Has the word Texas triggered your need for a safe space?

From the story: 44 percent (increase) in Vermont.

from other stories
New York : average 17% some plans over 80%
Oregon 30%
Maine 14-24

http://www.fool.com/investing/gener...ad-obamacares-2017-insurer-rate-requests.aspx

http://www.cnbc.com/2016/05/23/insurers-are-looking-for-obamacare-price-hikes.html
 

michal1980

Diamond Member
Mar 7, 2003
8,019
43
91
And then there's "In a statement, Blue Cross Blue Shield of Texas said its request is based on strong financial principles, science and data. "It's also important to understand the magnitude of the losses ... experienced in the individual retail market over the past two years," the statement said. The company says it lost $416 million in 2014 and $592 million last year."

I nearly choked from laughing so hard when I read that.

And stopped reading:

Regulators can request more information from the company, but the federal government can't order Blue Cross Blue Shield of Texas to roll back the increases, said Larry Levitt, an expert on the health care law at the nonpartisan Kaiser Family Foundation.

"Given how much money (the company) lost, it's likely that a substantial rate increase is merited," Levitt said.
 

trenchfoot

Lifer
Aug 5, 2000
14,680
7,178
136
And stopped reading:

Doesn't matter. My point was that any decent accountant with a bevy of lawyers to tap into can, with a wave of their enchanted wand, create wondrous works of financial alchemy that convincingly defy the laws of mathematical logic, which is, after all, precisely what their interpretation of "strong financial principles, science and data" actually mean.
 

Meghan54

Lifer
Oct 18, 2009
11,573
5,096
136
Fact: Healthcare costs went up after ACA passed.

Then again, healthcare costs have been skyrocketing year after year long before that. Never the less, I am confident ACA is the sole reason as the Texas insurance company hiking rates so claims.

Nope.

First, BCBS of Texas is actually part of Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company, that conducts business as Blue Cross and Blue Shield of Illinois/Texas/New Mexico/Oklahoma/Montana where it provides health insurance coverage to over 14 million members. So when HCSC says BCBS of Texas lost money, it seems it was partly covered by the other states it operates within, given that in the 2015 AM Best credit rating report it lists the 2014 net revenue loss of the company, HCSC, as $281M.

Second, while true ACA has cost them money, it's not the only place this BCBS has had expenses exceed revenues.......from AM Best:

HCSC has recently reported underwriting and net losses mostly driven by the impact of provisions of ACA and new exchange enrollment. The company’s operating performance was negatively affected by the grandfathering of individual commercial plans as this provision was not included in the company’s pricing assumptions for this segment.


To a much lesser degree, under-writing and net income was also impacted by the company’s expansion into Medicare and Medicaid as the company invested significantly in these operations.


http://www.hcsc.com/pdf/AM_Best_report.pdf


And as of 2014, the company's capital and surplus was its second highest amount since 2010, with 2013 being the highest. In 2010, it had capital and surplus of $7.763B. In 2013, it held $10.271B in capital and surplus; in 2014 that figure decreased to $9.942B--which was still higher than 2012's figure of $9.553B.
 
Feb 4, 2009
34,703
15,951
136
Nope.

First, BCBS of Texas is actually part of Health Care Service Corporation (HCSC), a Mutual Legal Reserve Company, that conducts business as Blue Cross and Blue Shield of Illinois/Texas/New Mexico/Oklahoma/Montana where it provides health insurance coverage to over 14 million members. So when HCSC says BCBS of Texas lost money, it seems it was partly covered by the other states it operates within, given that in the 2015 AM Best credit rating report it lists the 2014 net revenue loss of the company, HCSC, as $281M.

Second, while true ACA has cost them money, it's not the only place this BCBS has had expenses exceed revenues.......from AM Best:



http://www.hcsc.com/pdf/AM_Best_report.pdf
[/SIZE][/FONT]

And as of 2014, the company's capital and surplus was its second highest amount since 2010, with 2013 being the highest. In 2010, it had capital and surplus of $7.763B. In 2013, it held $10.271B in capital and surplus; in 2014 that figure decreased to $9.942B--which was still higher than 2012's figure of $9.553B.

Wait are they doing the Utility accounting technique? Essentially say they want to earn one billion but revenue comes in at 900 million with 350 million in expenses, then say we need to raise rates because we were 100 million short last year.
 

waggy

No Lifer
Dec 14, 2000
68,145
10
81
sad thing is the ACA was supposed to help those above the poverty level yet below what i guess is upper middle class.

yet it seems to be hitting those people the hardest.

guess this also shuts down the argument that the ACA was written by the insurance compaines to make more profit..

the ACA is a mess.
 

hal2kilo

Lifer
Feb 24, 2009
23,652
10,515
136
sad thing is the ACA was supposed to help those above the poverty level yet below what i guess is upper middle class.

yet it seems to be hitting those people the hardest.

guess this also shuts down the argument that the ACA was written by the insurance compaines to make more profit..

the ACA is a mess.

This is exactly the group that gets punished the most when the state does not accept expanding Medicaid coverage which is what Texas did.
 

zinfamous

No Lifer
Jul 12, 2006
110,810
29,564
146
sad thing is the ACA was supposed to help those above the poverty level yet below what i guess is upper middle class.

yet it seems to be hitting those people the hardest.

guess this also shuts down the argument that the ACA was written by the insurance compaines to make more profit..

the ACA is a mess.

...in the states that actively rejected that very specific help...because of "freedom-based politics" and some other nonsense.

What a nice coup for these forward-thinking governors: reject ACA subsidies to aid those target groups, then blame the ACA several years later when the lack of ACA presence puts those individuals in a bad place.
 

Hayabusa Rider

Admin Emeritus & Elite Member
Jan 26, 2000
50,879
4,266
126
I know Saddam must have snuck those WMDs into Iraq. I'll never stop believing we did the right thing.
 

dullard

Elite Member
May 21, 2001
25,214
3,627
126
What a nice coup for these forward-thinking governors: reject ACA subsidies to aid those target groups, then blame the ACA several years later when the lack of ACA presence puts those individuals in a bad place.
It is the way of life for so many politicians. Claim the government does things poorly, then as part of the government make sure things go poorly, and then beat your chest saying that you were correct. That is far easier and gives a far better ego boost than actually making things run well.

Look at the USPS for example. Claim that the government is inefficient and terrible. Then give high requirements for service at the same time preventing sufficient price increases to meet those requirements. Bingo, you now have proof that the government is inefficient and terrible. The ACA is just one of many in that list.
 

wetech

Senior member
Jul 16, 2002
871
6
81
And then there's "In a statement, Blue Cross Blue Shield of Texas said its request is based on strong financial principles, science and data. "It's also important to understand the magnitude of the losses ... experienced in the individual retail market over the past two years," the statement said. The company says it lost $416 million in 2014 and $592 million last year."

I nearly choked from laughing so hard when I read that.

I'd say that strong financial principles would dictate you either discontinue a business that loses almost $400m-600m per year, or you raise prices to cover the cost.
 

sm625

Diamond Member
May 6, 2011
8,172
137
106
So, they have roughly 600,000 individual policy customers, lost roughly 600 million, which works out to about $1000 per person, and want to raise premiums by 60%? wtf kind of math is that? Are premiums really that cheap in Texas that they need to raise them by 60% to cover the losses and provide a reasonable profit?

I'm sure it is far more complicated. The number of people in Group A who pay for insurance but do not use it is dropping, and the number of people in Group B who use far more than they pay for is rising. Obviously the insurance companies want as many from Group A as possible. If you lose all of Group A, you are done no matter what.
 
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