Obamacare "risk cooridor"

Chris0nllyn

Well-Known Member
a.k.a....bailout

Humana announced that it expects to tap the three risk adjustment mechanisms in ObamaCare for between $250 and $450 million in 2014. This amounts to about 25 percent of the insurer’s expected exchange revenue. This money is needed to offset losses that the insurer will take as a result of slower enrollment in its ObamaCare plans, and a skewed risk pool that weighs more heavily toward older and less healthy members than it originally budgeted.

Humana said that it had enrolled 202,000 people on its exchange-based health plans as of January 31st, of which 82 percent were eligible for subsidies.

Among the other nuggets that Humana offered: Most people (58%) are selecting silver plans, but not as many as the insurer originally anticipated. Cost sharing subsidies only attach to silver plans. These are extra subsidies designed to offset out of pocket costs for consumers who fall between 150% and 250% of the Federal poverty level. The tilt toward silver plans suggests that the exchanges are still drawing heavily from this income demographic — but not as heavily as expected.

Humana management told the UBS managed care analyst team, in a follow up call, that this was a concern for the insurer. Humana is seeing more people enrolling in platinum plans (21%) than it expected. These are most likely higher cost members who are paying the higher premiums to buy down their anticipated co-pays and deductibles. In other words, they plan to tap their health coverage for medical claims. The company also reported that bronze plans account for 9% of applications, gold for 10%, and catastrophic plans for 2%.

Finally, the mix of people enrolling in Humana plans still skews toward older individuals. Only 20 percent of enrollees are below the age of 30,while 42 percent are aged 50-64. This is consistent with earlier estimates put out by the Federal government, which suggests that the demographic mix is largely unchanged.

http://www.forbes.com/sites/scottgo...-bailout-for-one-insurer-450-million-in-2014/

$250-$450 Million bailout, with only 202,000 being insured.





Right here, right now, I'm calling it. Our insurance premiums will increase, big time, within a few years.
 
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