Insurers Win Big Health-Rate Increases- UnitedHealthcare 260% stock growth 5 yrs.- ACA passed in2010
Carl C. Schuessler, Jr., DHP, DIA, GBDS
Managing Principal at Mitigate Partners | Delivering EMPLOYER-Built Health Plans | I Build Trusted Partnerships by Customizing Competitive Benefit Plans, Reducing Costs by Up to 38% and Saving Clients Over $100K Annually
Nobody understands that insurance companies need to make money, but UnitedHealthcare's 260% growth in stock price over the last 5 years since ACA /Obamacare was implemented is unheard of. Employers’ costs of doing business have gone up substantially the last 5 years with ACA weighing in as well, and healthcare makes up the second biggest item on his P&L behind payroll, and now more health insurance increases?
As I like to say, for decades we have focused on the cost of insurance rather than the cost of care . We continue to work in a system based on price fixing and lack of transparency. ACA did nothing to address the cost of care which is why
The article below appeared in the Wall Street Journal on 8-26-15 discussing the large increases insurance compnaies are seeking for 2016.
From the CNN website today on UnitedHealthcare (see below chart) - https://money.cnn.com/quote/quote.html?symb=UNH
UnitedHealth Group Inc (NYSE:UNH) as of 12:00 p.m. on 8-27-15
https://www.wsj.com/articles/insurers-win-big-health-rate-increases-1440628848
Insurers Win Big Health-Rate Increases
Some state regulators say new costs justify hefty increases under the Affordable Care Act
Insurers demonstrated to several state insurance commissions that hefty increases for 2016 are needed to cover huge costs of sick people who signed up for individual policies in the first two years of the Affordable Care Act. PHOTO: ANDREW HARRER/BLOOMBERG NEWS
By LOUISE RADNOFSKY and STEPHANIE ARMOUR
Aug. 26, 2015 6:40 p.m. ET
At a July town hall in Nashville, Tenn., President Barack Obama played down fears of a spike in health insurance premiums in his signature health law’s third year.
“My expectation is that they’ll come in significantly lower than what’s being requested,” he said, saying Tennesseans had to work to ensure the state’s insurance commissioner “does their job in not just passively reviewing the rates, but really asking, ‘OK, what is it that you are looking for here? Why would you need very high premiums?’”
That commissioner, Julie Mix McPeak, answered on Friday by greenlighting the full 36.3% increase sought by the biggest health plan in the state, BlueCross BlueShield of Tennessee. She said the insurer demonstrated the hefty increase for 2016 was needed to cover higher-than-expected claims from sick people who signed up for individual policies in the first two years of the Affordable Care Act.
Several regulators around the country agree with her, and have approved all or most of the big premium increases sought by the largest health plans in their states for the new sign-up season that begins Nov. 1.
Not all states have made their rate decisions, and some have approved relatively modest increases. A number of the states with lower average increases this year had higher rates to begin with. Some also fared better with enrollment under the law. Insurance premiums vary from state to state, for a number of reasons including regional disparities in the costs of care.
Still, the upsurge is likely to be a big talking point not only during the three-month enrollment season, but through the 2016 campaigns, where GOP opponents of the law are expected to use it as a defining issue against their Democratic rivals.
The law provides for government subsidies in the form of tax credits for some consumers who buy insurance on their own because they don’t have coverage through a job or government program such as Medicare. Those subsidies will blunt the impact of price increases for individuals who get them, but the tab is picked up by the federal government.
EARLIER COVERAGE
- Health Insurers Seek Hefty Rate Boosts(May 21)
- Sorting the Numbers: Insurers’ Huge Requests for 2016 Obamacare Premiums(May 22)
- Oregon Backs Hefty Rise in Health-Insurance Premiums(July 3)
White House spokeswoman Katie Hill said rate review processes, which were beefed up under the law, had helped lower proposed premiums “in a number of states.” She also said that under the health law, it was easier for customers to switch to a new insurer.
“Last year, more than half of re-enrolling customers on HealthCare.gov actively shopped and selected a new plan, something that wasn’t possible for many consumers prior to the ACA due to the risk of being charged a higher premium or denied coverage entirely due to a pre-existing condition,” she said.
Tennessee’s Ms. McPeak said she’s required to protect state residents by blocking unjustified increases but also guaranteeing that health plans stay financially sound. “Politics, and any opposition to the ACA, doesn’t have anything to do with it,” she said. “Do I wish they were lower? Absolutely, because I know what it means to consumers.”
Kentucky Insurance Commissioner Sharon Clark approved the 25.1% increase requested by the Kentucky Health Cooperative, the largest insurer on the state’s insurance exchange. Kentucky has taken a more supportive stance toward the health law, including operating its own insurance exchange rather than using the federal government’s HealthCare.gov.
“We’re lucky” by comparison to Tennessee, Ms. Clark said.
Oregon’s Laura Cali allowed an average 25.6% increase for Moda Health Plan Inc., the biggest plan on that state’s exchange. In Ohio, Lt. Gov. Mary Taylor approved a 14.5% increase from Medical Mutual. In Michigan, BlueCross BlueShield won approval for the average 11.4% increase from insurance director Patrick McPharlin.
In Idaho, insurance director Dean Cameron said that an average 23% increase by Blue Cross of Idaho Health Service Inc., was disappointing but “not unreasonable” and that he didn’t have the power to stop it.
The 2010 federal health law overhauled the way insurance is priced and sold, requiring companies to allow anyone to buy policies, regardless of their medical history and with only limited variation in premiums based on their age.
Many of the most popular plans in the country offered low rates for the first and second year of the law’s rollout, unsure what to expect but eager to snap up the new business. That was especially true in Tennessee, which had some of the lowest premiums in the U.S. initially.
Now, insurers have found that business has been more costly than expected. They’ve incurred steep losses, the American Academy of Actuaries said in a recent paper, and some programs designed to cushion them against high-risk enrollees are ending.
Some people will be able to switch plans and pay a modest increase from 2015, according to an analysis of proposed rates earlier this year by the consulting firm Avalere Health LLC.
For the Obama administration, that means a stepped-up campaign this fall to persuade people to return to HealthCare.gov and shop around in the coming open enrollment season.
The administration said late Tuesday it would automatically renew the coverage of people who signed up through the site last year and don’t come back to it by Dec. 15 this year.
The administration said that for the current year, about half of the site’s users returned. Of those, about half switched insurance providers and half opted to stay with the one they had.
States that were able to keep rate increases down breathed a sigh of relief this week. In Indiana, Anthem Inc. had asked for, and was granted, a 3.8% average increase. In Virginia, Anthem reduced an initial request of 13.2% to 8.6%. In Arkansas, BlueCross and BlueShield was approved for an average increase of 7.15%.
Write to Louise Radnofsky at [email protected] and Stephanie Armour at[email protected]
To learn how we shine the light on healthcare costs and quality to promote transparency in healthcare and continuing our constant innovation with outside the box ideas to educate on healthcare consumerism, healthcare price-transparency and population health management, contact us.
Carl C. Schuessler, Jr., DHP, DIA, GBDS
Founder and Managing Principal of BenefitStrategies, LLC.
Population Health Manager
404.941.5519
Carl C. Schuessler, DHP, DIA, GBDS is the Managing Principal of BenefitStrategies, LLC. an Insurance and Employee Benefits Brokerage and Consulting firm. We specialize in Insurance, Risk Management and Employee Benefit Consulting and educate on healthcare consumerism, healthcare price-transparency and population health management. BenefitStrategies helps improve your cash flow, save money and retain top talent with well-structured employee benefit and financial planning solutions. With more than 20 years of experience in employee and executive benefits consulting and financial planning experience, he guides large firms, privately held companies and executives through the challenges of evaluating planning opportunities. We pride ourselves on our ability to be creative in designing innovative, optimum plans and helping companies and individuals make the most of their financial resources. We are an intentionally small “concierge” consulting firm providing a unique approach to benefits management to a select group of clients.
Prior to founding BenefitStrategies, LLC. in 2002, Carl worked as a Wealth Management Advisor with the Northwestern Mutual Financial Network and Northwestern Mutual Strategic Employee Benefit Services from 1988 – 2002. He was asked to join Lockton Companies, the world's largest privately held broker, in 2006 while still operating BenefitStrategies, LLC. and left Lockton in 2008 to pursue a proprietary consulting model he developed. BenefitStrategies, LLC. is an Insurance and Employee Benefits Brokerage and Consulting firm. They specialize in insurance, risk management and employee benefit consulting.