Saturday, January 21, 2017

THE FIRST DAY



Although in my last blog I tried to sound optimistic about Trump’s Presidency one of his first Executive Orders has been discouraging.



Once again in typical Trump fashion he has gone blindly charging ahead without any known plan of action.


The pundits that seem to have knowledge of the contents  in his   last night's executive order regarding ‘Obama Care” state that it is broad, vague, and with no specifics.



According to Maggie Fox of the Washington Post;” The executive order, signed in the Oval Office as one of the new president’s first actions, directs agencies to grant relief to all constituencies affected by the sprawling 2010 health-care law: consumers, insurers, hospitals, doctors, pharmaceutical companies, states and others. It does not describe specific federal rules to be softened or lifted, but it appears to give room for agencies to eliminate an array of ACA taxes and requirements.”



Larry Levitt, senior vice president at the Kaiser Family Foundation has remarked that “Potentially the biggest effect of this order could be widespread waivers from the individual mandate, which would likely create chaos in the individual insurance market.” “The order suggests that insurers may have new flexibility on the benefits they must provide.”

"The details of the required benefits are left up to HHS. So for example, it's pretty clear from the statute that insurers have to cover hospital care, physician visits, drugs and other services."

But it doesn't say insurance companies have to pay for every single one. So the new administration could move quickly to allow more flexibility and let insurance companies decide they will only pay for a certain number of visits, or limit how many days they'll pay for in a hospital — no matter how sick someone is.

"There is nothing in the law that says hospital care has to be unlimited,"



Fox further quotes Levitt "The law lays out 10 categories of essential benefits that insurers have to provide.” "The law lays out 10 categories of essential benefits that insurers have to provide," Levitt said. "The details of the required benefits are left up to HHS. So for example, it's pretty clear from the statute that insurers have to cover hospital care, physician visits, drugs and other services."

But it doesn't say insurance companies have to pay for every single one. So the new administration could move quickly to allow more flexibility and let insurance companies decide they will only pay for a certain number of visits, or limit how many days they'll pay for in a hospital — no matter how sick someone is.

"There is nothing in the law that says hospital care has to be unlimited."



It would seem that this Exec Order will allow HHS and the insurance carriers not to pay for birth control advice and the free contraceptive medications.



Levitt also suggests that the law would end the subsidies to the insurance carriers used to provide low cost policies to the low income population.

"Insurers would still have to provide coverage with low copayments and deductions but they wouldn't get paid for doing so," Levitt said. "Their contracts with the federal marketplace allows them to get out of those contracts if the subsidies end. “Said Larry Levitt, senior vice president at the Kaiser Family Foundation. In addition, he said, the order suggests that insurers may have new flexibility on the benefits they must provide.


Under attack is the mandated coverage requirement with its penalties. This is unpopular with the healthy young since the premiums are adjusted upwards to make more affordable those that cover the needs of the elderly and those with chronic illnesses.

"The Trump administration could virtually end the individual mandate all on their own by using their authority to grant hardship waivers," Levitt said. "There is no definition of hardship in the law."


This is a potential that will impact on everyone who now has health care insurance.

(I have extracted from material by as well as Maggie Fox in articles in Saturday’s Washington Post)

3 comments:

  1. Buckle Up Doc ... could be a bumpy ride!

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    Replies
    1. Always uses my seat belt.The first three days bode ill.

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  2. They only bode ill for the wacko leftists and illegals who protested this weekend and the Progressive celebrity elites and globalists.

    ReplyDelete