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The surprisingly simple way Nevada recruited more Obamacare insurers

Vern

back from Vegas
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There are a lot of stories right now about the Obamacare marketplaces losing health plans and becoming less competitive.

In Nevada, though, the opposite is happening. The state is expected to have two new health plans join the marketplace this year, which would mean a total of five options for shoppers to choose from.

Nevada made one policy decision that made selling marketplace coverage way more financially appealing (kudos to Louise Norris at HealthInsurance.org for reporting this first): It gave insurers that wanted to manage the state's Medicaid program an incentive to sell on the marketplaces too.".......

Nevada knew these were contracts insurers would want. So it told the health plans that Medicaid applications would get preferential treatment if the insurance plan committed to selling marketplace coverage in 2018.


https://www.vox.com/policy-and-politics/2017/5/10/15615172/voxcare-how-nevada-fixed-obamacare

See what happens when a state government isn't hostile to the idea of working class people getting healthcare. working with insurers and encouraging people to sign is like magic. More enrollees and insurers means lower costs for everybody. thanks Nevada.

First, a reassuring word from the woman in charge of the state’s Affordable Care Act program to the 89,061 Nevadans who signed up for coverage this year: You’re good.

“There isn’t any concern about 2017,” said Heather Korbulic, executive director of the Silver State Health Insurance Exchange.


https://lasvegassun.com/news/2017/mar/06/with-future-of-obamacare-in-doubt-nevada-exchanged/
 
I've been suggesting this for a while. Insurers are making bank on the Medicaid expansion piece of the ACA and yet some are deciding they don't want to sell in the exchanges? If they can play in the public space (and this goes for Medicare Advantage, not just Medicaid), they should be explicitly "encouraged" to play in the commercial space.
 
I've been suggesting this for a while. Insurers are making bank on the Medicaid expansion piece of the ACA and yet some are deciding they don't want to sell in the exchanges? If they can play in the public space (and this goes for Medicare Advantage, not just Medicaid), they should be explicitly "encouraged" to play in the commercial space.

Totally agree.

in fact.. there appears to be a perverse incentive in this to encourage larger public "space" Medicaid and Medicare.. to get easy profits and then basically skim profit off the big payers of private insurance.. i.e.corporations that provide healthcare insurance.
 
I've been suggesting this for a while. Insurers are making bank on the Medicaid expansion piece of the ACA and yet some are deciding they don't want to sell in the exchanges? If they can play in the public space (and this goes for Medicare Advantage, not just Medicaid), they should be explicitly "encouraged" to play in the commercial space.

Just think if more states enacted the "Greenbeard" rule , republicans stopped sabotaging Obamacare and encouraged people to sign up how many more people would have health coverage. But that would require republicans to admit they were lying the last 8 years. Sadly they put their party above America.
 
Just think if more states enacted the "Greenbeard" rule , republicans stopped sabotaging Obamacare and encouraged people to sign up how many more people would have health coverage. But that would require republicans to admit they were lying the last 8 years. Sadly they put their party above America.


no more would have health coverage.

Sorry man.. but your partisanship is why healthcare market is in such a pickle.
 
no more would have health coverage.

Sorry man.. but your partisanship is why healthcare market is in such a pickle.

jaeger, I really don't understand your emotional need to flail at me but I recognize that it exists. So in your determination to flail at me you ignore that some conservatives refused to sign up for Obamacare out of some deluded sense of patriotism. You also ignore republican attempts to sabotage Obamacare which has added to the cost. Be it not expanding Medicaid or sabotaging the risk corridor program. The uncertainty of Obamacare repeal also has insurers scared and cutting back. so if you have something you'd like to share besides whining at me and about me, please share it. thanks in advance.
 
jaeger, I really don't understand your emotional need to flail at me but I recognize that it exists. So in your determination to flail at me you ignore that some conservatives refused to sign up for Obamacare out of some deluded sense of patriotism. You also ignore republican attempts to sabotage Obamacare which has added to the cost. Be it not expanding Medicaid or sabotaging the risk corridor program. The uncertainty of Obamacare repeal also has insurers scared and cutting back. so if you have something you'd like to share besides whining at me and about me, please share it. thanks in advance.

You probably don't understand because I have zero.. zero "emotional need to flail" at you.
What should be ignored is your partisanship.

The idea that any significant portion of conservative americans "didn;t sign up for obamacare out of patriotism"... is simply your partisan BS.

People didn't sign up for Obamacare (as if there was a signing up for "obamacare" but anyway) not because they were democrats or republicans or conservatives, or liberals. it was because even with the subsidy they felt the insurance simply cost too much. Rightly or wrongly.

its that simple.

You can make out that it was "problems with risk corridors" and whatever BS you want to blame on republicans but that's just bull.

How long has obamacare been in place? Why did it not gain 100% coverage for everyone while Obama was in power.. 8 years?

Republicans couldn't substantially sabotage.. they couldn't repeal obamacare without the presidency.. unless you can point to where they overrode an Obama veto.... oops.

Secondly.. if you have a problem with states not expanding Medicaid.. well then you should place blame on the democrats for designing the program to give states the choice...

If not expanding Medicaid was a sabotage of obamacare.. then why did the democrats put it in there? It certainly wasn;t to get a majority of republican votes for passage.

Your fantasy partisanship doesn't help the discussion.
 
You probably don't understand because I have zero.. zero "emotional need to flail" at you.
What should be ignored is your partisanship.

The idea that any significant portion of conservative americans "didn;t sign up for obamacare out of patriotism"... is simply your partisan BS.

Your emotional need to flail at me again requires you to ignore simple facts. Republicans encouraged people not to sign up. Besides the travelling "show" to encourage people not to sign up certainly even a person of your intelligence remembers the "creep uncle sam" commercial. And if you think your conservative masters lying about Obamacare had no effect then I going to have to put you in front of an Obamacare death panel. And your emotional need to flail at me also requires you to pretend not to know what the "risk corridors" program was and how republicans sabotaged it.

People didn't sign up for Obamacare (as if there was a signing up for "obamacare" but anyway)

poor jaeger, "sign up for Obamacare" is well used enough phrase that your "clever" reply only makes you look more foolish as you flail at me.

Secondly.. if you have a problem with states not expanding Medicaid.. well then you should place blame on the democrats for designing the program to give states the choice...

poor poor jaeger. See if you can put it into words how republicans choosing not to expand Medicaid is the dem's fault.
 
Your emotional need to flail at me again requires you to ignore simple facts. Republicans encouraged people not to sign up. Besides the travelling "show" to encourage people not to sign up certainly even a person of your intelligence remembers the "creep uncle sam" commercial. And if you think your conservative masters lying about Obamacare had no effect then I going to have to put you in front of an Obamacare death panel. And your emotional need to flail at me also requires you to pretend not to know what the "risk corridors" program was and how republicans sabotaged it.

Yeah..I think you should examine who has an "emotional need" here Vern.. cause its not me.

. "death panels".. and "republican road shows".. are just a bunch of red herrings. The idea that "death panels" and republican road shows or commercials" were effective in keeping any significant amount of people away from buying insurance policies and taking advantage of subsidies is ludicrous. turn people that had insurance before Obamacare to having a negative perception of obamacare? Okay.

But dissuade a significant number of people that didn't have insurance to not take advantage of the subsidy and purchase healthcare they needed? Yeah no. There is no "fact" behind your premise vern.

The people that didn't sign up?.. didn;t sign up because they felt it was too expensive even with the subsidy.

poor jaeger, "sign up for Obamacare" is well used enough phrase that your "clever" reply only makes you look more foolish as you flail at me.

Yes.. its a well used and incorrect phrase. Just as "death panels" were and a whole host of other incorrect statements regarding the PPACA.

poor poor jaeger. See if you can put it into words how republicans choosing not to expand Medicaid is the dem's fault.

As soon as you explain why the democrats gave the states the choice to expand or not expand Medicaid when expanding it was necessary for Obamacare to work.

Flail away Vern.
 
. "death panels".. and "republican road shows".. are just a bunch of red herrings. The idea that "death panels" and republican road shows or commercials" were effective in keeping any significant amount of people away from buying insurance policies and taking advantage of subsidies is ludicrous. turn people that had insurance before Obamacare to having a negative perception of obamacare? Okay.
But dissuade a significant number of people that didn't have insurance to not take advantage of the subsidy and purchase healthcare they needed? Yeah no. There is no "fact" behind your premise vern.
The people that didn't sign up?.. didn;t sign up because they felt it was too expensive even with the subsidy.
You obviously don't know what the phrase "red herring" means jaeger. you should google it. And since you bring it up, how many people didn't sign up because Palin told them there were death panels? Anyhoo, here's a number from 2014. Literally 17% of 34% refused to sign up because they oppose Obamacare.

one-third (34 percent) said they intend to continue without health coverage. When asked why, 41 percent said health insurance is too expensive, 17 percent cited opposition to the Affordable Care Act, and 13 percent said they’re healthy and don’t need coverage.

Many Uninsured Still Unaware About Obamacare

so 17% of 34 % of 28 million is 1.6 million. Add in the 4.8 million in states that didn't expand medicaid and we're talking 6.5 million people. That’s a pretty big number due to republican efforts. Here’s another “tidbit”

50 percent of Republicans who plan to stay uninsured say the main reason is that they don’t like Obamacare, but only 5 percent of Democrats in that group say the same thing.

Yes.. its a well used and incorrect phrase. Just as "death panels" were and a whole host of other incorrect statements regarding the PPACA.
Yes jaeger, me saying "sign up for Obamacare" instead of "sign up for coverage provided via the Obamacare exchanges " is just like telling people there are "death panels where bureaucrats will judge if you deserve to live". Jaeger, you equating the two is exactly what desperation looks like

As soon as you explain why the democrats gave the states the choice to expand or not expand Medicaid when expanding it was necessary for Obamacare to work.
that's the thing, they didn't give them a choice. republicans sued and the supreme court blocked it. republicans own it and are responsible for the 4.8 million not only being denied Medicaid but also denied subsidies. see if you can look that up by yourself.
 
You obviously don't know what the phrase "red herring" means jaeger. you should google it. And since you bring it up, how many people didn't sign up because Palin told them there were death panels? Anyhoo, here's a number from 2014. Literally 17% of 34% refused to sign up because they oppose Obamacare.

one-third (34 percent) said they intend to continue without health coverage. When asked why, 41 percent said health insurance is too expensive, 17 percent cited opposition to the Affordable Care Act, and 13 percent said they’re healthy and don’t need coverage.

Many Uninsured Still Unaware About Obamacare

.

Yawn... so at best 17% said they don't like Obamacare. so the vast vast majority of those people did it because it was too expensive. Because if you are healthy and don't need it.. it means its too expensive. and you don't even know what they meant by "I don't like OBamacare"? What exactly does that mean? It could mean that its too expensive, etc. The insurance didn't cover where they lived.. so on and so forth.

Yes jaeger, me saying "sign up for Obamacare" instead of "sign up for coverage provided via the Obamacare exchanges " is just like telling people there are "death panels where bureaucrats will judge if you deserve to live". Jaeger, you equating the two is exactly what desperation looks like

The only one that's desperate is you. yes.. saying "sign up for Obamacare".. which has caused people to believe that Obamacare is a government insurance program is just as erroneous as saying that there are death panels. In fact.. probably more erroneous since while death panels are not existent there are provisions in that ACA that try to reduce needless end of life care While OBamacare is not in anyway a government insurance program and actually was a free market idea.

that's the thing, they didn't give them a choice. republicans sued and the supreme court blocked it. republicans own it and are responsible for the 4.8 million not only being denied Medicaid but also denied subsidies. see if you can look that up by yourself.

Actually since Medicaid is a federal program that states get to choose to belong to.. then yes.. by using Medicaid.. the democrats did give them a choice....

I have READ the ACA... have you?
 
Actually since Medicaid is a federal program that states get to choose to belong to.. then yes.. by using Medicaid.. the democrats did give them a choice....
Lets just focus on this. The democrats made the expansion mandatory. Republicans sued and won. Now the expansion is voluntary. Republicans chose not to expand in 19 states. Repubicans are responsible for the 4.8 million not getting coverage.

You said "dems shouldn't have made it voluntary". Dems didn't make it voluntary. See how you just cant address the simple facts and your own words in an honest and straight forward manner. Why do you think you do that? I know the reason. I just wonder if you do.
 
Lets just focus on this. The democrats made the expansion mandatory. Republicans sued and won. Now the expansion is voluntary. Republicans chose not to expand in 19 states. Repubicans are responsible for the 4.8 million not getting coverage.

You said "dems shouldn't have made it voluntary". Dems didn't make it voluntary. See how you just cant address the simple facts and your own words in an honest and straight forward manner. Why do you think you do that? I know the reason. I just wonder if you do.

I accept your defeat on the other points. See how you can't address the simply facts and your own words in an honest and straightforward manner. Why do you think you do that? Why do you make everything a partisan screaming match Vern? I know the reason.. so does everyone else on this forum.. except for you. .

In regards to the expansion of Medicaid. The democrats used Medicaid which the states take voluntarily and thus the expansion was voluntary. And the courts affirmed that. If you think not expanding Medicaid was a death blow to the ACA.. you have the democrats to blame as well Vern. Do you have honesty to admit it?
 
I accept your defeat on the other points.


poor jaeger, still desperate to claim victory I see. As long as you continue to argue ´dems made expansión voluntary´you are going to look foolish. It seems to be a position you are comfortable with.
 
poor jaeger, still desperate to claim victory I see. As long as you continue to argue ´dems made expansión voluntary´you are going to look foolish. It seems to be a position you are comfortable with.

Vern... the only one that's desperate here is you. I blew up your premise with several points.. none of which you can refute. You have now latched onto semantics of whether going with expanding Medicaid which is voluntary for states to take.. is voluntary expansion or not.

You have nothing but partisan diatribe.
 
Vern... the only one that's desperate here is you. I blew up your premise with several points.. none of which you can refute. You have now latched onto semantics of whether going with expanding Medicaid which is voluntary for states to take.. is voluntary expansion or not.

You have nothing but partisan diatribe.

jaeger, I dont know if its Vern Derangement Syndrome or you just lacking the integrity to admit you are wrong the person playing Word games is you. When you´re in a hole, stop digging

The law previously required states to expand coverage to everyone making less than 138% of the Federal Poverty Level (FPL) or lose federal funding to Medicaid. However, that provision was changed during a supreme court ruling on ObamaCare.


https://obamacarefacts.com/obamacares-medicaid-expansion/

you simply cant spin that as dems making the expansión voluntary.
 
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jaeger, I dont know if its Vern Derangement Syndrome or you just lacking the integrity to admit you are wrong the person playing Word games is you. When you´re in a hole, stop digging

The law previously required states to expand coverage to everyone making less than 138% of the Federal Poverty Level (FPL) or lose federal funding to Medicaid. However, that provision was changed during a supreme court ruling on ObamaCare.


https://obamacarefacts.com/obamacares-medicaid-expansion/

you simply cant spin that as dems making the expansión voluntary.

Yes vern.

Please look at your bolded part:

The law previously required states to expand coverage to everyone making less than 138% of the Federal Poverty Level (FPL) or lose federal funding to Medicaid

So right there.. the states can CHOOSE to expand coverage.. or choose not to and get out of Medicaid.


Vern derangement syndrome? Huh... surprising that you would admit that you are deranged. But it would explain a lot.
 
Yes vern.

Please look at your bolded part:

So right there.. the states can CHOOSE to expand coverage.. or choose not to and get out of Medicaid.

Vern derangement syndrome? Huh... surprising that you would admit that you are deranged. But it would explain a lot.

Jaeger, you are correct, the dems technically gave states a choice. repulicans didnt like that choice and changed it via the courts. Sadly you win the point but still look foolish saying its the dems fault republicans chose not to expand medicaid. Your narrative ónce again proves ´personal accoutability´is a meaningless phrase for conservatives.
 
Rebuking Congress, Cuomo Plans to Keep State Health Care Plans Intact
ALBANY — Striking pre-emptively at an increasingly frequent foil, Gov. Andrew M. Cuomo plans to announce a series of steps on Monday to safeguard insurance coverage against a possible repeal of all or parts of the Affordable Care Act in Washington.

The measures, taken via emergency regulations, will include requiring any private company doing business on the state’s insurance marketplace to guarantee the 10 “essential health benefits” required by President Barack Obama’s signature 2010 health care law. The governor will also direct the state’s health department to blacklist any company that withdraws from the exchange from participating in Medicaid or its children’s health plan.
 
Jaeger, you are correct, the dems technically gave states a choice. repulicans didnt like that choice and changed it via the courts. Sadly you win the point but still look foolish saying its the dems fault republicans chose not to expand medicaid. Your narrative ónce again proves ´personal accoutability´is a meaningless phrase for conservatives.

Yep.. I am correct.

And the only one that looks foolish is you. Yes.. some republican states decided to not take Medicaid. That's their responsibility for that decision. I have no problem with that.

YOUR narrative proves that once again.. personal responsibility is a meaningless phrase to liberals.. because you don't want to take responsibility for how the democrats crafted Obamacare and some of the failings of obamacare.
 
Yes.. some republican states decided to not take Medicaid. That's their responsibility for that decision. I have no problem with that.

jaeger, do you not even know what you post?

Secondly.. if you have a problem with states not expanding Medicaid.. well then you should place blame on the democrats for designing the program to give states the choice...
.
 
jaeger, do you not even know what you post?

I understand exactly what I post.

1. If a state decides to not expand Medicaid.. then its their choice.

2. However.. IF democrats complain that states not expanding Medicaid is a dell knell for their healthcare program,, they should understand that they bear responsibility in using Medicaid which is a voluntary program.

Its how logical works Vern when you stop seeing everything from a partisan filter.

Take off your partisan glasses vern.. its a much more logical world.
 
I understand exactly what I post.

1. If a state decides to not expand Medicaid.. then its their choice.

2. However.. IF democrats complain that states not expanding Medicaid is a dell knell for their healthcare program,, they should understand that they bear responsibility in using Medicaid which is a voluntary program.

Its how logical works Vern when you stop seeing everything from a partisan filter.

Take off your partisan glasses vern.. its a much more logical world.

Jaeger, you didn't reply to your own words. That's no shock to me. I've seen it before. Here, read your own words again. slowly this time

Yes.. some republican states decided to not take Medicaid. That's their responsibility for that decision.

if you have a problem with states not expanding Medicaid.. well then you should place blame on the democrats

I cropped a bit more so you wont have as many words to try to read. And you made up the "death knell" narrative. I simply pointed out it was just another attempt by republicans to sabotage Obamacare and raising the costs to Americans. Hey remember the days when conservatives obediently whined about the Obamacare costs? I do. Its just another example of the flaming hypocrisy of conservatives.
 
Jaeger, you didn't reply to your own words. That's no shock to me. I've seen it before. Here, read your own words again. slowly this time





I cropped a bit more so you wont have as many words to try to read. And you made up the "death knell" narrative. I simply pointed out it was just another attempt by republicans to sabotage Obamacare and raising the costs to Americans. Hey remember the days when conservatives obediently whined about the Obamacare costs? I do. Its just another example of the flaming hypocrisy of conservatives.

I did reply to you and addressed my own words.

You don't like logic and that's on you vern.

Face facts.. if states deciding not to take expanded Medicaid sabotages Obamacare.. then the democrats bear responsibility designing the program using Medicaid.

Its just that simple.

And the hypocrisy goes both ways Vern.
 
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