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O-Care ‘Back End’ Fix: Just Estimate Payments

From an unquestioning Reuters:

Short-term fix eyed for another problem with U.S. healthcare website

By Roberta Rampton and Caroline Humer | December 3, 2013

WASHINGTON – (Reuters) – President Barack Obama’s administration has found a short-term fix to pay insurance companies for plans selected on HealthCare.gov, the not-yet-complete government website [sic] used to shop for insurance required under Obama’s healthcare program.

The Centers for Medicare and Medicaid Services (CMS) has not yet finished building the part of the website that would transfer billions of dollars in subsidies for plan premiums and cost-sharing payments to insurance companies. It is part of a long technical to-do list that has so far focused on fixing the errors and lag times in the part of the website used by consumers…

They have their priorities. And never mind that payment part, the cash register, is the most important part of the website. Since buying insurance is supposed to be the reason the Obama-Care website exists.

The administration is planning a "workaround" for payments, said Daniel Durham, vice president for policy and regulatory affairs at America’s Health Insurance Plans.

Health plans will estimate how much they are owed, and submit that estimate to the government. Once the system is built, the government and insurers can reconcile the payments made with the plan data to "true up" payments, he said…

Hilarious. The Obama administration is going to take the word of evil insurance companies. What business in the real world would ever try to work like this? We are talking billions of dollars.

The fix puts an additional "burden" on insurance companies, already taxed by having to double-check faulty enrollment data from the HealthCare.gov system. Now, companies need to quickly put together financial management systems to make the payment estimates, so they can be paid beginning in January, he said.

"They have to recognize that plans are already quite stressed and introducing this at the last minute just adds substantial burden for plans to deal with," Durham said.

What are these insurance companies complaining about? They have from Christmas Eve until New Year’s Day to get everything up and working perfectly. That should be plenty enough time.

And never mind that the same administration will gleefully sue any of these companies into bankruptcy if they make even the slightest mistake.

This article was posted by Steve on Wednesday, December 4th, 2013. Comments are currently closed.

One Response to “O-Care ‘Back End’ Fix: Just Estimate Payments”

  1. Petronius says:

    “Now, companies need to quickly put together financial management systems to make payment estimates….”

    At last, the regime has finally found a way to create jobs.


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