EverydayHealth is reporting:
Few aspects of the Affordable Care Act are more critical to its
success than affordability, but in recent weeks experts have predicted
costs for some health plans could soar next year.
Now health law supporters are pushing back, noting close ties
between the actuaries making the forecasts and an insurance industry
that has been complaining about taxes and other factors it says will lead to rate shock for consumers.
"Most actuaries in this country -- what percentage are employed by
insurance companies?" Sen. Al Franken, a Minnesota Democrat, asked an
actuary last week at a hearing of the Committee on Health, Education,
Labor and Pensions.
The committee was discussing a study published last month by the Society of Actuaries (SOA) predicting that, thanks to sicker patients joining the coverage pool, medical claims per member will rise 32 percent
in the individual plans expected to dominate the ACA exchanges next
year. In some states costs will rise as much as 80 percent, the report
said.
The witness was unable to answer Franken's question, but the
senator made his point.
Insurance is why actuaries exist. The industry
and the profession are hard to separate.
Cue up Connie Francis. A lot of congressmen and senators are going to be out of office come next November.
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