Summary: What are your opinions on healthcare insurance exchanges? Are they a good thing? Are they a bad thing? Do you think they will work? Do you think we need them? What will the financial impact be?
Have you ever used Linkedin to pose a question in the general forum? This particular forum is extremely active and we have experienced great results. We posed these questions on Linkedin and received the following excellent, thought provoking answers.
- The important aspect of the exchanges is the financial impact. How will the states be able to support the costs to run the exchanges – specifically buildings, personnel, rent, and lights, to name a few. In addition to the states, how much will it cost the federal government to subsidize coverage as the law is currently written? Many group employers are opting to forgo offering health insurance and paying a penalty which is much less expensive than the cost of coverage. This is going to increase the cost of the exchanges as more individuals will be eligible. The bottom line is the exchanges will be very expensive for both the states and the federal government.
- Anything which is sponsored by the government can be disastrous. A few examples of such disasters are the post office. Amtrak, Medicare and of course the 16 trillion dollars of debt the US currently owes. There should be less regulation and greater access to insurance through online alternatives such as e-insurance. Insurance should be easy to obtain with competition driving the premiums down to a manageable level.
- Government interference causes concern for the reduced number of qualified medical professionals. Prevention will be of major concern as individuals won’t enjoy access to care as they have in the past. Let the waiting game begin….
- The exchanges will provide a place for all who qualify for a federal subsidy will be required to purchase insurance; hence they are of vital importance. It will be interesting to see if they can be setup and functional in time to meet the deadline set forth of October 2013. The respondent would rather be a part of a state exchange than have to deal with the federal government. The costs of the exchanges will certainly be expensive.
- There seems to be a benefit to the state health exchanges. Some controversial parts of the final bill were removed such as the public insurance option.
We would like to thank all those who participated in our poll. Many opinions on the subject of health insurance exchanges currently exist. The issue which wasn’t mentioned in the answers to this poll is that these exchanges will have to be setup by 2013 and effective in 2014. Exchanges have to be nationally accredited by an organization such as URAC. Is there time to have them setup and achieve URAC accreditation prior to go live?
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