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Why Health Insurance Premiums Won’t Drop Under Obama Health Proposals

When it becomes law, families will save on their premiums,” President Obama declared in his weekly radio address before Christmas, pitching his health care reform.                                      If only that were so. Nobody who tracks health insurance sees any sign of softening premium prices for people who already have insurance, Obamacare or not. Premiums for 2010 were up 10% and are predicted to keep growing at the same rate in coming years.Health insurance is beginning to resemble air travel–where deep-pocketed business passengers subsidize penny-pinching vacationers. Insurance companies, under the measures in Congress, would be forced to take all comers, young and old, healthy and sick. Over ten years they would confront $871 billion in spending on uninsured and newly subsidized customers, costs that would be passed along to the young and healthy. The federal government isn’t going to pick up all of that tab. So those now insured through a private plan at work or one bought individually will have to chip in.

If you’re thinking the legislation will tamp down overall health care spending, reconsider. Policy analysts ranging from the neutral Congressional Budget Office to the HMO lobby see no abatement in the growth rate of health care spending. That sector of the economy is growing at a 7.4% annual rate, says actuarial firm Milliman. Medicare’s chief actuary, Richard Foster, thinks that the Senate bill would expand health spending by $234 billion above current projections.

The premium hikes will result from cost shifting, better known as passing the buck. The House and Senate insurance bills aim to cover their costs in part by cutting annual Medicare reimbursements to hospitals, doctors and drug companies by $45 billion. Those providers will likely try to offset the cuts by negotiating higher rates with private HMOs–which then get passed along through higher premiums. That’s exactly what occurred after past Medicare and Medicaid cuts, according to the CBO analysis. Families USA, a nonprofit group advocating expanded federal involvement in health care, says insured families are already absorbing $1,000 a year in costs shifted away from uninsured patients.

Keeping Your Health Insurance Premiums Low

Health Savings Accounts offer tax deductions for medical expenses, and the opportunity to set up an additional retirement account. But regardless of any other positive benefit of HSAs, lower premiums are the primary reason that thousands of Americans have chosen Health Savings Accounts as the best way to protect their family’s health and assets. Here are some key suggestions on how to keep your health insurance premiums low.
1. Choose an HSA-qualified plan for lower rate increases.
Average group health insurance premiums rose by 9.6% last year and rose over 10% for each of the previous six years. Individual plans went up even more. Yet it is expected most HSA plans will experience much lower rate increases. A very large study was recently published showing that rate increases over the past year for consumer-driven plans such as HSA plans was only 3.4%. Blue Cross of Minnesota has reported that its HSA customers spent 8% less than their traditional insurance clients. Humana has reported claims’ costs of 4.9% for consumer-driven plans, versus a 19.2% increase in claims for other plans. In fact, average HSA premiums for individuals have actually dropped 19.5% over the last two years.

The reason these plans have lower rate increases is that people who have HSA-qualifying high-deductible health plans are likely to pay closer attention to costs, and take better care of their health. For instance, an HSA owner offered a statin drug to lower her cholesterol may be more likely to request a generic version, or ask her doctor if inexpensive nutritional supplements such as niacin or fish oil may be a solution. These actions save the insurance company money and should result in lower rate increases.
2. Raise your deductible as your HSA account grows.
When you fund your account you build up a financial “cushion” which allows you to raise your deductible as your account grows. Every time you raise your deductible, your premium should go down.
By the way, don’t forget that every time you fund your account you get an instant tax-deduction. When you offset the tax savings against your premiums, you’ll find your net cost for an HSA plan can be very low.
The maximum allowable contribution goes up every year with the rise of the Consumer Price Index. Currently, the individual contribution limit is $2,700, and the family limit is $5,450. So each year you can deposit greater amounts into your HSA and continue to raise your deductible, if you choose.

3. Stay healthy, so you can switch plans.
All health insurance plans have rate increases, and weve even seen premiums jump on some HSA plans. If a rate increase happens to you, you can switch to a different insurance company but only if you pass their underwriting requirements. If chronic disease develops, you may be stuck with your current plan, and its accompanying rate increases, for eternity. Or at least it may seem that long
If you pay attention to the pharmaceutical commercials, you learn lifestyle really has nothing to do with disease, and it is natural and healthy to be on many medications for the rest of your life, which will then solve your health problems.
If you pay attention to the science, you know the truth is quite different. It appears lifestyle is probably 95% of the picture, and we know the occurrence of degenerative disease can be dramatically reduced and even prevented.
Fortunately, most HSA owners are interested in health, wellness, and disease prevention. After all, theyre paying for their own doctor visits if they do get sick. HSA owners are also “forward thinking” people, and like to plan for their future both financial and physical. You can improve your odds of excellent health with just a few key habits:
Eat very high quantities of fresh vegetables and fruits. Shoot for 35% of your calories. This will lower your risk for diabetes, high blood pressure, heart disease, cancer, and much more.

Limit your intake of sugar and starchy carbohydrates like bread and pasta. The majority of health problems in the U.S. are related to metabolic diseases that involve insulin resistance.
Exercise and lift weights. Exercise guru Jack La Lanne turns 93 on September 26, and he says if you have muscles you never feel old.
4. Compare your plan to other available plans at least once a year, or whenever you get a rate increase.
Often-times people keep their plan much longer than they should, and end up paying too much. If your rates go up, you should compare a wide variety of plans to determine if you are in the right plan for your needs and budget.
By using these four strategies, the typical family can save thousands of dollars in health insurance premiums and still protect themselves against unexpected major medical expenses.

Paychecks to Shrink Because of Higher Health Premiums

Workers will pay more for their health care next year as U.S. companies prepare for provisions of the overhaul signed into law by President Barack Obama, according to a survey released today.

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About 63 percent of businesses plan to make employees pay a higher percentage of their premium costs in 2011, said the Washington-based National Business Group on Health, which surveyed 72 companies that employ more than 3.7 million people. The survey showed 46 percent plan to raise the maximum level of out-of-pocket costs that workers must bear.

The companies surveyed expect their costs of health-care benefits to rise an average of 8.9 percent next year. The legislation Obama signed in March will contribute an estimated 1 percentage point to the higher expense, Helen Darling, the business group’s president, said at a press conference in Washington today. Employee-paid portions may see small increases, she said.

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“They’re usually very small increments,” Darling said. “It could be as little as 1 percent.”

Employers may be using the health-care law as cover for changes they already planned to make to their benefits, said Igor Volsky, a health-care researcher at the Washington-based Center for American Progress, which supported the overhaul.

Giving Blame

“Costs are always increasing but they’re going to blame what they’re going to blame,” Volsky said yesterday before the survey’s results were released.

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The companies, each of which has at least 5,000 workers on its payroll, said they expected their health-benefit costs to rise 7 percent this year, half a percentage point higher than employers estimated in a separate survey released by the National Business Group on Health and the consulting firm Towers Watson & Co. in March.

The health-care overhaul was designed to help rein in rising costs while enabling employers to make adjustments to their benefits, said Jessica Santillo, a spokeswoman for the Department of Health and Human Services. “As was the case before the Affordable Care Act was enacted, employers have flexibility to make choices about how to design or revise their health care plans,” Santillo, who had not seen the survey, wrote in an e-mail yesterday.

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About 57 percent of the employers in today’s study said their workers paid a higher portion of their premiums this year, and 36 percent of the companies increased the out-of-pocket maximums this year.

Companies said they plan to offer more so-called consumer- directed health benefits, such as insurance with high deductibles paired with tax-free health savings accounts. Twenty percent of companies will replace their current offerings with such plans in 2011, according to the survey, compared with 10 percent who did so this year. Wellness programs, including those that offer discounts for weight-loss, smoking-cessation and other lifestyle changes, are among the more-popular benefit changes planned for next year.

Survey: Individual health insurance premiums jump


Survey: Individual health insurance premiums jump
INDIANAPOLIS – A new survey says people who buy their own health insurance have been hit lately with premium hikes…

Read more on Boston Herald

Individual health-care premiums to soar up to 60%


Individual health-care premiums to soar up to 60%
Individual health-insurance rates in Illinois will rise this year up to60 percent, according to Michael McRaith, director of insurance forIllinois. McRaith said insurance companies have filed reports showing that theindividual plans’ base rates will increase from 3 percent to more than60 percent.

Read more on The Beacon News