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Thread: Southern governors secede from Medicaid

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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Wiggen View Post
    I have no idea what your talking about. I'm sure it made sense to you, but then lots of things make sense to you that nobody else understands.
    You quoted from TPM. When this is pointed out you suddenly have no idea what is being talked about? You belittle on biased source and yet use your own biased source.
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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Simon W. Moon View Post
    What I have read is that insurance companies make their money by investing the premiums.
    That's how I understand it works too.
    Also, we need to legalize recreational drugs and prostitution.

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    Re: Southern governors secede from Medicaid

    On the main page, this thread title displays "Southern governors secede...". Deja vu.
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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Wiggen View Post
    In your dreams. You're so consumed by hatred for the President that you are unable to think rationally.
    Right. I'm imagining that the voters threw out 63 Democratic members of the House, the biggest loss since 1938. Just me being consumed by hatred.
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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Kandahar View Post
    They could still have a reserve during a good year, it would just have to come out of the remaining 20%. Similarly, if they didn't have a reserve they could just post a corporate bond, and then pay its interest out of the remaining 20%.



    If it's just one year, no big deal. They borrow money and pay it back next time they have a good year. If it's a consistent problem, then they just aren't charging enough for premiums.
    If they only have 20% to cover expenses and overhead and "profit" from, how will they pay it back?

    If they have to increase premiums, how does that lower the cost of health care?
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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Simon W. Moon View Post
    What I have read is that insurance companies make their money by investing the premiums.
    But that investment doesn't matter if they're limited to a 20% "profit" to cover overhead, salaries, and as a carry over for future expenses.

    They would essentially have to return that "investment" to the buyers until what they have left is that 20% of total revenue...and then apply that 20% to operations.
    Last edited by tessaesque; 07-12-12 at 09:55 AM.
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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by tessaesque View Post
    If they only have 20% to cover expenses and overhead and "profit" from, how will they pay it back?
    Well, let's suppose that this insurance company has calculated their premiums so that they'll spend exactly 80% of them on health care in any given year, and exactly 20% on everything else including profits. During a "bad" year, the extra cost will have to come out of the remaining 20%...they could either pay it in cash and forgo annual dividends, or they could borrow money through a corporate bond. Then they could pay it back out of that 20% in the future.

    If they have to increase premiums, how does that lower the cost of health care?
    This is just a hypothetical example, not the reality for all health insurance companies. If they can't afford to pay all their bills, year over year, then they just aren't charging enough for premiums...regardless of whether they have an 80/20 rule or not. The 80/20 rule doesn't change this overall cost structure.
    Last edited by Kandahar; 07-12-12 at 10:21 AM.
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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Simon W. Moon View Post
    What I have read is that insurance companies make their money by investing the premiums.
    In a Kaiser report from a few years ago, the downturn of the market and insurance companies investment losses was cited as part of rapidly rising medical insurance premiums.
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    Re: Southern governors secede from Medicaid

    Further reading on this subject has brought some more things to light.
    The feds are only going to cover, new eligible Medicaid at 100% costs, for the first 3 years and after that they'll pay 90%.

    Seeing that Medicaid, tends to be one of the largest budget items for states to begin with and even paying for these people at 90%, it still represents a greater burden on the states finances, to cover these people.
    If I were a state governor/legislature I'd reject it to, based on future financial obligation.
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    Re: Southern governors secede from Medicaid

    Quote Originally Posted by Harry Guerrilla View Post
    Further reading on this subject has brought some more things to light.
    The feds are only going to cover, new eligible Medicaid at 100% costs, for the first 3 years and after that they'll pay 90%.

    Seeing that Medicaid, tends to be one of the largest budget items for states to begin with and even paying for these people at 90%, it still represents a greater burden on the states finances, to cover these people.
    If I were a state governor/legislature I'd reject it to, based on future financial obligation.
    yeah, requiring states to spend an extra $30 without helping them raise that money, at this moment, aint soo smart.

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