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WellPoint, Obama administration battle over cost of health reform to employers

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On The Beat Industry News In Brief

At this point in the health reform debate, you have to take numbers from any side with a grain of salt. That said, Indianapolis-based WellPoint Inc. has done perhaps the only local analysis of how proposed reforms would affect the cost of health insurance for employers.

Its conclusion? Reform would generally reduce premiums for Indianapolis companies with workers in poor health but raise them for Indianapolis companies with workers in good or average health.

An eight-person firm in Indianapolis with unhealthy workers would enjoy a 23-percent premium cut under health care reform. But WellPoint figures a firm the same size with workers in average health would suffer a 20-percent increase. And an eight-person firm with healthy employees could see its premiums shoot up nearly 94 percent.

The increases do not include any rise in medical costs, which have been going up about 6 percent each year. They do, however, factor in federal subsidies to help uninsured Hoosiers buy health coverage, as well as savings that would come for some because WellPoint could no longer charge more based on health status and gender—and would be restricted in how much it could charge to older customers.

President Obama’s administration immediately criticized WellPoint for failing to give enough credit to the cost-saving measures of health care reform. The administration also countered with its own report, stressing that nearly 77,000 companies in Indiana would be eligible for premium tax credits to reduce their burden.

The White House report also emphasized that small employers would have access to low-cost plans in the health insurance exchange, which could save their employees as much as 28 percent on premiums compared with average family policy premiums today.

And it added that, by insuring more people, health reform would reduce the “hidden tax” that comes from shifting the costs of caring for the uninsured on to those who are insured.

“Health insurance reform will lower premiums for small businesses,” it asserted.

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  • White House's Rosey Prediction
    The White House claims the "exchange" will provide cheaper coverage, but we don't know that because we still don't know what will be mandatory coverage under "Essential Health Benefits." If the package is too rich, it will be costly. Plus with limitations on rating bands, those employers with healthy employees (and therefore cheaper current rates) will see premiums go up. The degree of subsidies is still undefined, as is the risk adjustment mechanism that is supposed to stabilize premiums. Until rules are finalized, there is no basis to predict how much, if at all, the exchanges will save money.

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  1. Saw the Indy Men's Chorus "Music of Gilbert & Sullivan" at the Indiana Historical Society on Sunday evening.

  2. Temporary workers are not "tools" they are people and companies that keep large amounts of temp staff are cheating.

  3. I miss having them around. I hope one of their stores is in the general Meridian/86th Street area. I will make good use of it.

  4. The Fringe! Plus, the simple fact that there are so many local faves in such close proximity to each other.

  5. I remenber, watching the toll road, being built, through South Bend, when I was 10 years old. I believe, back then that it was estimated, that the toll road, would be paid for in 20 years and then it would be free. I am now 71, what happened? Since the power is in the people, by that, I mean that, we the people are in total control of everything. I, suggest that no one ever use the toll road again, let it go broke. We the people can control the price of everything, from groceries to gas, if we would just do it. If we don't pay the asking price, the sellers will lower the price and if we wait awhile, they will lower the price to what we accept as reasonable. I would like to know why a highway like interstate 94, is so well maintained, a much better highway, than the toll road, but has no tolls. I would also like to know why, a sitting governor, with a term limit, maximum of eight years, can lease, public property, for 75 years. Even though I have transponders in both of my trucks and will not be affected by the increase, I have been and will contine to avoid using the toll road. I make many trips from northern Indiana to Chicago, every year, and I prefer the better highway, I94!

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