I don't see a desire in Congress to fix the system. They catch hell if they repeal. They catch hell if they don't repeal and raise taxes to pay for it. Insurance lobby has a say. RX lobby has a say. Medical lobby has a say. The list goes on.
Politicians keep mouthing about "carrier competition". There is no price competition when the carriers are looking at the same claims. They can force claims down with restricted networks, POS
, EPO etc but premiums are all about claims.
Government could have a self-funded plan with carriers administering. That won't happen. The argument about admin costs and Medicare at 2% vs 17% for carrier administered. I'd like to see where those numbers came from and what's included as "administration". I suspect that the 2% number isn't including some necessary services.
Regarding the comment that "Aetna raised rates 4%. That is 1 data point only. Low rate increases (especially 0 increase) ONLY means that the carrier over estimated claims in the preceding year and premiums were higher than necessary essentially meaning that the payer over paid.
Unfortunately, people don't understand this. We had 1 case where renewals were always at least 20% and sometimes 30%. These were a group of accountants and they understood when it was explained - the carrier paid more in claims than it collected in premium. That means 1) your group received a discount off medical expenses and 2) the entire thing was tax deductible. They still didn't like the increases.
To fix this, we need to enroll everyone, stop the inflation and pay for it. We don't need to let carriers "become creative" and sell high commission cheap policies that don't pay claims which is one of the proposals on the tabe.
Does anyone here want to be covered by a hospital plan that pays 70% commission as your only coverage? Didn't think so but some Repub proposals are headed that way in the name of freedom, states rights and free market. **** them for even putting that on the table.