Lingering Obamacare Schadenreude

Time to clean the Obamacare Schadenfreude crypt again, before the skeletons get too restive.

Doctors Begin To Refuse Obamacare Patients

Obamacare plans have shrunk payments to physicians so much that some doctors say they won’t be able to afford to accept Obamacare coverage, NPR reports.

Many of the eight million sign-ups in Obamacare exchanges nationwide already face more limited choices for physicians and hospitals than those in the private insurance market. But with low physician reimbursement rates, the problem could get even worse.

For a typical quick patient visit, Dr. Doug Gerard, a Connecticut internist, told NPR a private insurer would pay $100 while Medicare would pay around $80. But Obamacare plans are more likely to pay closer to $80, which Gerard says is unsustainable for his practice.

“I cannot accept a plan [in which] potentially commercial-type reimbursement rates were now going to be reimbursed at Medicare rates,” Dr. Gerard told NPR. ”You have to maintain a certain mix in private practice between the low reimbursers and the high reimbursers to be able to keep the lights on.”

The next step is to force doctors to accept Obamacare reimbursements. After that, they'll have to draft doctors.

But what you lose in networks and doctors you make up because it's cheap, right? Not so fast.

If You Like Your Obamacare Plan, It'll Cost You

If you like your Obamacare plan, you can keep it—but you might end up paying a whole lot more.

People who decide to stick with the coverage they've already gotten through Obamacare, rather than switching plans, are at risk for some of the biggest premium spikes anywhere in the system. And some people won't even know their costs went up until they get a bill from the IRS.

Insurance plans generally raise their premiums every year, but those costs are just the tip of the iceberg for millions of Obamacare enrollees. A series of other, largely invisible factors will also push up many consumers' premiums.

In some cases, even if an insurance company doesn't raise its rates at all, its customers could still end up owing thousands of dollars more for their premiums. It's all a byproduct of complicated technical changes triggered, ironically enough, by the law's success at bolstering competition among insurers.

Many consumers will need to switch plans in order to keep their costs steady, but health care experts question how many people will do that. Switching plans can entail changing your doctor and adjusting to new out-of-pocket costs, never mind the fresh trek through HealthCare.gov. The White House has already set up an auto-renewal process, making it easier to stick with the status quo.

Since many of Obamacare's new signups have never had insurance before, navigating the changing landscape of healthcare insurance is going to be a foreign experience.

Florida Obamacare Premiums To Jump Up 13.2 Percent

Health insurance is going to be more expensive in 2015 for those in Florida who purchase it on the individual market's exchange set up by the Obamacare. The Miami Herald reports:

Floridians who buy health insurance on the individual market for next year will face an average increase of 13.2 percent in their monthly premiums, according to rate proposals unveiled Monday by the state’s Office of Insurance Regulation.
The rate proposals affect all Affordable Care Act-compliant health plans on the individual market, whether they’re sold through the federally-run exchange or not. Small and large group health plans typically offered by employers were not included in the data released by the state.
The rate proposals affect all Affordable Care Act-compliant health plans on the individual market, whether they’re sold through the federally-run exchange or not. Small and large group health plans typically offered by employers were not included in the data released by the state.
Fourteen companies filed ACA-compliant plans for Florida’s 2015 individual market, including three new companies that did not participate on the federally-run exchange last year.
Of the 11 returning plans, eight filed average rate increases ranging from 11 to 23 percent, and three filed rate decreases ranging from 5 to 12 percent, the state’s insurance regulator reported.

Public approval of Obamacare is near an all-time low, according to Real Clear Politics's poll average, with around 40 percent approving and 56 percent disapproving.