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Visualizing The Epic Collapse Of Obamacare

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Visualizing The Epic Collapse Of Obamacare Back in the summer of 2016, as Obamacare rates were being set for the 2017 plan year, we repeatedly argued that the entire system was on the "verge of collapse" as premiums were soaring, risk pools were deteriorating and insurers were pulling out of exchanges all around the country leaving many Americans with just a single 'option' for health insurance (see "Obamacare On "Verge Of Collapse" As Premiums Set To Soar Again In 2017").

And while Democrats may be all too willing to quickly dismiss our analysis, just a few weeks ago we suggested that they should at least listen to the warnings of the CEO of one of the country's largest health insurers who said that Obamacare is in a *"death spiral."*  In speaking with the Wall Street Journal, Aetna CEO Mark Bertolini said, among other things, that the "*risk pools are deteriorating in the ACA"* to a point that it would inevitably result in more withdrawals this year.   Per The Hill:



*"It's not going to get any better; it's getting worse."*

 

"That logic shows just how much the* risk pools are deteriorating in the ACA*," Bertolini said.

 

He added: *"I think you will see a lot more withdrawals this year*. ... *There isn't enough money in the ACA as structured, even with the fees and taxes, to support the population that needs to be served*."

 

*"It is in a death spiral,*" he said, but did not say whether Aetna would participate in the exchanges in 2018.



All that said, we suspect that certain members of Congress don't like to read all that much and are more "visual learners."  As such, we thought the following graphics, which clearly depict the epic collapse of Obamacare, may help lend some perspective to Democrats who are vehemently fighting to preserve a system that is clearly very broken.   

Before we get into what could happen (and most likely will happen) over the next couple of years, here is a look at what has already happened to insurance coverage "options" for consumers across the nation.  As can clearly be seen, coverage options, particularly for people of the southeast and mid-west, have been decimated.  *(Dear Chuck Schumer and Nancy Pelosi, please note that all of the below happened well before President Trump moved into the White House).  *

Charts per Bloomberg:

 

And while some state-run marketplaces have been able to maintain decent coverage options, courtesy of high population densities in CA and NY no doubt, the federally run marketplaces are abysmal.

 

Unfortunately, things are likely to get even worse in 2018 even if Trump leaves subsidies in place.  Humana has already announced they won't offer marketplace plans in 2018, a move which will result in 1,000s of people in Tennessee not having a single health insurance option starting 1/1/18.

 

Meanwhile, Anthem has also signaled they may exit all exchanges next year as well which would leave another 250,000 consumers with no health insurance options.

 

But sure, Republicans are trying to 'ruin' healthcare in America. Reported by Zero Hedge 8 minutes ago.

Donald Trump Promised Ten Of These Things, Guess Which One He Actually Did

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*Like what you read below? **Sign up for HUFFPOST HILL** and get a cheeky dose of political news every evening! *

Today is Take Your Child to Work Day, an annual tradition where working men and women let their children leverage their parents’ political and business connections to avoid paying Chinese import tariffs on their line of shoddy jeggings. A con artist is operating in Mar-a-Lago and people are shocked to learn it’s someone other than the president. And “Sheeple” has been added to the dictionary, but if you aren’t asking why “chemtrail” wasn’t also added, then wake up sheeple. This is HUFFPOST HILL for Thursday, April 27th, 2017:

*IF YOU LIKE YOUR HEALTH CARE…THE FREEDOM CAUCUS MIGHT REALLY RUIN YOUR WEEK - *Laura Barrón-López: “*House Democrats will vote against a short-term spending bill to keep the government open if Republicans try to move on a bill to repeal Obamacare this week.* House Minority Whip Steny Hoyer (D-Md.) said that if Republicans try a second time to rush their latest bill to repeal the Affordable Care Act out the door, they will have to pass the one-week continuing resolution without Democratic votes…. The move by Democrats is a big threat as Republican leaders know they will likely need Democratic votes to pass the short-term resolution. If Congress fails to pass the stop gap measure, the government will shut down Friday at midnight…. *If Republicans go forward with a vote on their health care bill, they’ll be putting a ‘tattoo on their forehead,’ Pelosi said, indicating they will likely pay a political price later. ‘The minute they cast that vote they are putting doo-doo on their shoe,’ she said.” *[HuffPost]

Yeah, but that health care vote’s probably not happening anyway.

*Don’t forget Trump is still threatening to destroy the health insurance market! *“Many people in the insurance industry believe that if the government doesn’t fund this and doesn’t pay the insurance plans, that they will have breached their contract with the insurance plans, and this could result in millions of Americans losing their insurance coverage this year.” [HuffPost’s Jeffrey Young]

*ART OF THE (ARE YOU FOR REAL?) - *World’s worst kabuki theater. Arthur Delaney and Daniel Marans: “*President Donald Trump said Thursday that he was on the verge of withdrawing the United States from the North American Free Trade Agreement until the leaders of Mexico and Canada talked him out of it*. ‘I was going to terminate NAFTA as of two or three days from now,’ Trump said at the White House. But then, Trump said, he got phone calls from the leaders of Canada and Mexico, two men he likes very much. ‘They called me and they said, rather than terminating NAFTA, could you please renegotiate?’ Trump said. ‘I respect their countries very much. The relationship is very special and I said I will hold on the termination, let’s see if we can make it a fair deal.’” [HuffPost]

*POTUS IS A GIANT BABY -* Josh Dawsey, Shane Goldmacher and Alex Isenstadt: “The 70-year-old leader of the free world sat behind his desk in the Oval Office last Friday afternoon, doing what he’s done for years: selling himself. His 100th day in office was approaching, and Trump was eager to reshape the hardening narrative of a White House veering off course. So he took it upon himself to explain that his presidency was actually on track, inviting a pair of POLITICO reporters into the Oval Office for an impromptu meeting…. It was classic Trump: Confident, hyperbolic and insistent on asserting control. But *interviews with nearly two dozen aides, allies, and others close to the president paint a different picture — one of a White House on a collision course between Trump’s fixed habits and his growing realization that this job is harder than he imagined when he won the election on Nov. 8.*” [Politico]

*Well-oiled machine.* “For a few brief moments Thursday afternoon, it appeared as though the White House might be targeting your 401(k)s. Asked whether deductions for retirement savings would remain intact in its new tax reform package, White House press secretary Sean Spicer seemed to say no. ‘The current plan right now protects both charitable giving and mortgage interest, and that’s it,’ Spicer said, conspicuously leaving out those retirement savings…. It turns out the White House isn’t going to actually do this.” [WaPo’s Aaron Blake]

*Like HuffPost Hill? Then order Eliot’s book*, The Beltway Bible: A Totally Serious A-Z Guide To Our No-Good, Corrupt, Incompetent, Terrible, Depressing, and Sometimes Hilarious Government

Does somebody keep forwarding you this newsletter? Get your own copy. It’s free! Sign up here. Send tips/stories/photos/events/fundraisers/job movement/juicy miscellanea to eliot@huffingtonpost.com. Follow us on Twitter - @HuffPostHill

*MICHAEL FLYNN AND THE BAD JUDGEMENTS WOULD BE A GREAT BAND NAME -* Like, for a really stellar Nick Cave cover group. Willa Frej:* “President Donald Trump’s former national security adviser, Michael Flynn, failed to heed warnings from the Pentagon about accepting foreign funds for a trip to Russia in 2015, the House Oversight and Government Reform Committee announced Thursday*. The Department of Defense sent classified documents to committee chairman Rep. Jason Chaffetz (R-Utah), said ranking member Rep. Elijah Cummings (D-Md.) at a news conference on Thursday. One of them, which is being prepared for public release, is a letter from the Defense Intelligence Agency to Flynn. ‘This letter explicitly warned General Flynn, as he entered retirement, that the Constitution prohibited him from accepting any foreign government payments without advance permission,’ Cummings said. ‘DIA did not locate any records of Lieutenant General Flynn seeking permission or approval for the receipt of money from a foreign source.’ But Flynn did accept the funds from Kremlin-backed news agency RT and failed to disclose them when he applied for a security clearance last year, Cummings and Chaffetz said Tuesday. He may have broken federal law.” [HuffPost]

*Obama derangement syndrome proving incurable. *“Sean Spicer, who blamed Barack Obama’s White House on Thursday for signing off on Flynn’s security clearance. ‘[General Flynn’s] clearance was last reissued by the Obama administration in 2016 with full knowledge of his activities that occurred in 2015,’ Spicer said during Thursday’s press briefing, responding to a question about Flynn possibly breaking federal law by accepting foreign funds for a trip to Russia in 2015.” [HuffPost’s Ryan Grenoble]

*FRAUDSTER OPERATING IN MAR-A-LAGO - *It’s funny how much we lost it over Michaele Salahi back in the day because this whole administration is just a never ending sequence of Michaele Salahis. Tarini Parti: “*An admitted fraudster who owes hundreds of thousands of dollars to his victims has had access to President Donald Trump through his wife, who is the guest reception manager of Mar-a-Lago*, the Winter White House. Heather Rinkus is such a familiar figure at Mar-a-Lago that senior administration officials fondly call her the club’s ‘house mother.’ Her husband, Ari, is often on hand, too. There he was in February, waiting to greet President Trump in the special access area on the tarmac of Palm Beach International Airport, a few yards away from Air Force One. But it wasn’t that long ago that Ari, whose real name is Anthony Donald Rinkus, pleaded guilty in federal court to felony wire fraud for a complex financial con job. That guilty plea came on the heels of a previous one in state court for conducting a car-theft ring.” [BuzzFeed]

*WARREN CAUTIOUSLY CRITICIZES OBAMA FOR WALL STREET SPEECH -* Then again, you don’t want to too sharply criticize the guy who will give day two of your 2020 nominating convention pretty good ratings. Victoria McGrane: “*Massachusetts Senator Elizabeth Warren gently criticized former president Barack Obama Thursday for his decision to accept $400,000 from a Wall Street firm* to speak at a health care conference this fall. Warren was asked about the controversy during an interview about her new book on the SiriusXM radio show, ‘Alter Family Politics.’  ‘I was troubled by that,’ she said. That was the extent of her comments aimed directly at Obama. She quickly launched into a broader discussion of her views of the corrupting influence of money in Washington.” [Boston Globe]

Looks like Obama gave another one of those $400K speeches.

*FIX THE DEBT SUDDENLY NOT TOO CONCERNED ABOUT FIXING THE DEBT - *It’s like if Social Security Works changed its name to “Social Security: A Little Uneven At Points.” Ben Walsh, Alexander Kaufman and Emily Peck: “*HuffPost asked every single member of Fix the Debt’s CEO council for a response to the president’s tax outline, and as of press time, not a single one of the executives denounced it.* Why won’t executives who want less government debt condemn a proposal that dramatically increases government debt? Most of the executives on Fix the Debt’s CEO council either declined to comment or did not respond to HuffPost’s requests. But the executives who were willing to go on the record are pretty clear-cut about what is going on: It’s a corporate tax cut, so they think it’s good. For instance, a Deere & Company spokesman said on behalf of CEO Samuel Allen that the company ‘supports efforts to improve the corporate tax code to make U.S. business and investment more competitive in today’s global marketplace.’ That’s a not-even-well-disguised way of saying ‘it’s a tax cut, so it’s good.’” [HuffPost]

About Trump’s middle-class tax cut…

*EAST WING STILL PRETTY EMPTY -* Marina Fang: “Nearly 100 days into President Donald Trump’s administration, first lady Melania Trump has been reluctant to embrace her new role, and it’s unclear how she will define what can be a somewhat nebulous, arcane and sexist position…. Trump hired a communications director only a month ago. Leaving the key post unfilled for the first two months of her husband’s administration was particularly glaring, [author Kate Andersen] Brower said. Without someone to coordinate her message, Trump remains mostly unknown to the public, generating further speculation about her.” [HuffPost]

*DAMN, THOSE ARE SOME STRONG NUGS - *Sebastian Murdock: “As North Korea continues to threaten the West with a nuclear attack, U.S. Rep. Brad Sherman (D-Calif.) suggested the isolationist nation could simply smuggle in a nuke through a ‘bale of marijuana.’ Sherman raised the issue Wednesday afternoon, when the entire U.S. Senate was called to a White House briefing on North Korea…. Sherman said at the briefing, and again in a tweet, that North Korea ‘could smuggle nuke into U.S. rather than use ICBM [intercontinental ballistic missiles]. Could smuggle inside a bale of marijuana.’” [HuffPost]

*CHECKING IN WITH THE ALWAYS EXCITING WORLD OF FAR-RIGHT THOUGHT* *-* This little gem from Erick Erickson takes hate-crime apologism — and who knew that was still a thing?!? — to tremendous new heights: “You know, I’m really damn tired of all the people running around making other people extremely uncomfortable then screaming about their rights and privileges when called out. If you want to go around making people uncomfortable, you’ve got the problem, not the rest of us. It all starts with Mike Enzi who has enraged the BLT&GQ community by declaring a simple fact. If a guy walks into a bar in Wyoming, he’s probably going to get punched. Enzi said the person would deserve it, which he apologized for, and the guy would not deserve it.* But it is probably going to happen and yes, the dude wearing the tutu shoulders some of the responsibility. He should have known better. And spare me the tirade about **Matthew Shepherd*.” [The Resurgent]*BECAUSE YOU’VE READ THIS FAR -* Here’s a puppy trying to make sense of a garden hose.

*ET’S FAKE GREEN CARD FINALLY GOING TO CATCH UP TO HIM - *This is top-notch trolling. Avalon Zoppo: “Aliens are here and up to mischief — if the prank calls to a newly established government hotline are to be believed. *Reports of space aliens and UFOs may have tied up lines at Immigration and Customs Enforcement’s newly launched office for victims following a frenzied Twitter campaign on Wednesday.* The VOICE hotline, established on Wednesday through an executive order, aims to provide public information and resources to the victims of crimes committed by undocumented immigrants.” [NBC News]

*COMFORT FOOD*

- How human life expectancy would be impacted if people didn’t die from natural causes.

- How to make the boeuf bourguignon from “Julie and Julia.” 

- A deep dive into dog fashion.

*TWITTERAMA* 


"Flynn is a good man. The media is doing a witch hunt."
"He's being investigated by the Pentagon."
"As I said, very bad guy."

— Kumail Nanjiani (@kumailn) April 27, 2017



Mr Peanut is not a specific peanut. it is a title. any peanut is free to challenge - if u can kill him, the hat is yours.

if u can kill him

— Albro (@bromanconsul) April 27, 2017



It makes for interesting headlines when you constantly read the names Rand/Ron Paul as RuPaul.

— Rebecca Klein (@rklein90) April 27, 2017


Got something to add? Send tips/quotes/stories/photos/events/fundraisers/job movement/juicy miscellanea to Eliot Nelson (eliot@huffingtonpost.com)

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 1 day ago.

Revised health care bill still has 'serious flaws', US bishops maintain

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Washington D.C., Apr 27, 2017 / 05:01 pm (CNA/EWTN News).- A leading U.S. bishop expressed grave concerns Thursday about a revised health care bill which the House may vote on within days.

The bill is an effort replace the Affordable Care Act, or Obamacare.

“It is deeply disappointing to many Americans that, in modifying the American Health Care Act to again attempt a vote, proponents of the bill left in place its serious flaws, including unacceptable modifications to Medicaid that will endanger coverage and affordability for millions of people, according to reports,” Bishop Frank Dewane of Venice, chair of the U.S. bishops’ domestic justice and human development committee, stated April 27.

Although the American Health Care Act was scuttled in March before a planned floor vote due to lack of support, an amended version of the bill was introduced in Congress this week, garnering the support of members of the House Freedom Caucus – which was instrumental in blocking AHCA last month.

The amended version includes allowing states to drop Affordable Care Act mandates that insurers cover “essential health benefits” such as maternity care, emergency services, and mental health and substance abuse services.

Bishop Dewane, who had serious concerns about the AHCA, said the new bill does not fix those concerns, especially regarding ensuring access to affordable health care for vulnerable populations.

“The House must not pass the legislation as it is. Members should insist on changes, especially for the sake of those who are struggling in our communities,” he said.

“Sadly, some of the recently proposed amendments – especially those designed to give states flexibility – lack apparent safeguards to ensure quality of care,” he said. “These additions could severely impact many people with pre-existing conditions while risking for others the loss of access to various essential coverages.”

The Christ Medicus Foundation (CMF) CURO, a Catholic health care ministry, called on Congress on Thursday to pass a bill that would honor conscience protections, respect the “sanctity of life”, and provide more “access to medical care for all, especially for the poor and single mothers,” as well as “empowering health sharing ministries as an affordable health care option for lower-income Americans.”

“We want to see an American health care system where people have access to care but where doctors and patients are making decisions consistent with their conscience and religious freedom,” Louis Brown, Esq., director of (CMF) CURO, stated, noting that premium increases and a decrease in the number of available health plans meant that “too many impoverished families do not have access to the quality medical care they deserve.”

In an earlier, March 17 letter to Congress, Bishop Dewane had outlined his chief concerns about the AHCA while praising certain aspects of it, including its barring of funding of abortions in tax credits and health plans and stripping funding from abortion providers.

However, the bill lacked sufficient conscience protections for doctors and health care providers, he said.

Additionally, the replacement of federal subsidies for purchasing health insurance with tax credits could disproportionately benefit the younger and wealthier while making affordability an issue for sicker and older populations, he said. Premiums for many elderly persons could rise significantly, he warned.

A 30 percent premium fine for a significant gap in health coverage could also persuade some not to purchase health insurance at all, he added.

Rep. Chris Smith, a New Jersey Republican who chairs the House Pro-Life Caucus, was also among the opponents of AHCA in March.  He said he could not support the bill, despite its pro-life protections, because of how other provisions would “likely hurt disabled persons, the elderly and the working poor.” Reported by CNA 1 day ago.

Coal miners look to Trump to fulfill his campaign promises

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Federal fund that guarantees union miners health insurance, pension benefits will be empty soon if nothing is done Reported by CBS News 23 hours ago.

Donald Trump's Art Of The Retreat

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WASHINGTON ― Just three months into his presidency, Donald Trump’s bestselling The Art of the Deal might be due for a sequel: The Humility of the Failed Bluff.

The boastful businessman who claimed that his negotiating skills were unsurpassed appears to have met his match a number of times already.

Trump went from accusing the Chinese of manipulating their currency to agreeing that they didn’t. He has not made any visible progress in forcing Mexico to pay for a border wall. He was talked out of abandoning the North American Free Trade Agreement by the leaders of Mexico and Canada. And he was unable to bully Democrats into working with him to repeal the Affordable Care Act.

“He has folded like a lawn chair at the slightest hint of pressure, and he’s getting played like a violin by enemies like Vladimir Putin and Kim Jong Un,” said Adam Jentleson, former deputy chief of staff to retired Senate Democratic Leader Harry Reid of Nevada.

In Mexico, the country Trump has vilified since the start of his campaign nearly two years ago, a senator told The New York Times that political leaders there have started to see Trump primarily as a “bluffer.”

“In front of a bluffer, you always have to maintain a firm and dignified position,” Armando Ríos Piter told the Times.

Some Trump supporters challenge that view. Michael Caputo, a western New York political consultant who worked for Trump’s primary campaign last year, said Ríos and others who underestimate Trump will be sorry.

“Bluffers win. And they win big,” Caputo said. “At the end of the poker game that the senator is speaking about, we’ll end up with more chips. The senator is going to be awful surprised and out of the game early.”

But other Trump allies, including radio talk-show host Rush Limbaugh, are starting to fret about Trump’s strategy. “I’m not happy to have to pass this on,” Limbaugh told his listeners earlier this week. “But it looks like, from here, right here, right now, it looks like President Trump is caving on his demand for a measly $1 billion in the budget for his wall on the border with Mexico.”

On the campaign trail, Trump marketed himself as the ultimate closer, a tough-talking businessman who could renegotiate trade deals and international agreements to better benefit the American worker. He regularly disparaged “weak” and “stupid” leaders in Washington for failing to accomplish what someone who had actually sat at a boardroom table could easily do once in the Oval Office.“I’ve watched the politicians. I’ve dealt with them all my life,” Trump said in 2015. “If you can’t make a good deal with a politician, then there’s something wrong with you. You’re certainly not very good.”

Nearly 100 days into his presidency, however, Trump appears to be finding the job is much tougher than he imagined. He has issued bold ultimatums in negotiations on health care, immigration and trade only to have to back down. While his predecessor once said he never bluffed on the world stage, Trump has embraced the risky tactic on both foreign and domestic fronts ― with little to show for it.

“People put in for the TV character of Donald Trump, a hyper-confident negotiator, a wheeler-dealer mogul,” said GOP strategist Rick Wilson. “The real Donald Trump is a 70-year-old man who inherited a bunch of money who’s been bankrupt four times and who basically turned into a branding company.… He’s intellectually sloppy and temperamentally unsuited for the job.”

In the health care debate, Trump has been all over the map. He first warned Republican lawmakers that he would leave the Affordable Care Act in place and move on to other priorities unless they approved a bill to repeal and replace it. The ultimatum failed to sway skeptical conservatives in the House, and lawmakers bolted town for a two-week recess without voting on the measure. He and his aides then threatened to reach out to Democrats to resuscitate his stalled agenda, but that too went out the window. This week, the administration is once again pushing for a party-line vote on an Obamacare repeal bill.

Trump’s bluster toward Democrats also fell flat. Earlier this month, he threatened to sabotage Obamacare if they didn’t agree to proposed changes regarding the law. White House budget director Mick Mulvaney announced Wednesday that the administration was considering cutting off crucial payments to health insurance companies ― a move that would be devastating for people who buy coverage on their own, rather than through employers. Later that day, less than 48 hours before a crucial government funding deadline, Trump backed down and said he would honor the payments after all. 


People put in for the TV character of Donald Trump, a hyper-confident negotiator, a wheeler-dealer mogul.
GOP strategist Rick Wilson
Trump didn’t fare any better on funding his proposed border wall, either. Facing likely odds of a government shutdown, the president on Tuesday backed off demands that Democrats agree to fund the construction of a wall on the U.S.-Mexico border ― the same wall he said Mexico would pay for on the campaign trail. Trump maintained that the wall remained a priority and that it would eventually get built. But it’s hard to see what more he could do to persuade Democrats to vote to fund the wall between now and the next round of budget talks in September.

That issue, because it was a promise repeated throughout his campaign, could do Trump serious damage if he doesn’t deliver, said Ari Fleischer, a press secretary to former President George W. Bush.

“I think Trump must demonstrate this year, not necessarily now, progress toward building the wall or his base will be disappointed,” Fleischer said. “He went too far in saying Mexico will pay for it, but I believe his base cares far more about it being built and a lot less about who pays.”

Trump’s efforts to renegotiate the North American Free Trade Agreement may yet bear fruit. His threat to pull the U.S. out of the agreement brought Canada and Mexico to the negotiating table this week. But it’s less clear what kind of concessions he’ll be able to wring out of them. Even Trump admitted that withdrawing from the trade pact would amount to a “shock to the system.”

“If I’m unable to make a fair deal for the United States, meaning a fair deal for our workers and our companies, I will terminate NAFTA. But we’re going to give renegotiation a good, strong shot,” he said at the White House on Thursday.

-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. Reported by Huffington Post 20 hours ago.

Better buy? Medibank Private Limited vs NIB Holdings Limited

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Medibank Private Limited (ASX:MPL) may not be the best private health insurance option on the ASX. Reported by Motley Fool 20 hours ago.

Trump Calls Schumer's Bluff: "If There's A Shutdown, There's A Shutdown... Democrats Would Be To Blame"

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Trump Calls Schumer's Bluff: If There's A Shutdown, There's A Shutdown... Democrats Would Be To Blame With Democrats seemingly unsatisfied with Republicans dropping border wall funding and adjusting on Obamacare-related items, it appears President Trump is calling Schumer's and Pelosi's bluff, proclaiming *"If there's a shutdown, there's a shutdown," adding that Democrats would be to blame* if the federal government was left unfunded.

Schumer today:

· **SCHUMER: TRUMP CONCESSIONS BRING SPENDING DEAL CLOSER TO FINISH*
· *SCHUMER SAYS 'SOME STICKING POINTS' LEFT ON SPENDING BILL TALKS
· **SCHUMER SAYS REVISED GOP HEALTH CARE BILL 'WORSE' THAN INITIAL*
· *SCHUMER SAYS ISSUE OF POISON PILL RIDERS STILL OUTSTANDING

Pelosi added:

· *HOUSE DEMOCRATIC LEADER PELOSI SAYS WALL FUNDING ONE ISSUE
· *PELOSI: UNCERTAINTY RE OBAMACARE COST-SHARING PAYMT ALSO ISSUE
· **PELOSI: TYING STOPGAP SPENDING TO HEALTH BILL WOULD BE STUPID*

And so, as Reuters reports, President Donald Trump downplayed the severity of a potential government shutdown, *making it clear who will be to blame*...



*"We'll see what happens. If there's a shutdown, there's a shutdown," Trump told Reuters in an interview, adding that Democrats would be to blame if the federal government was left unfunded.*

 

Trump added that a *shutdown would be a "very negative thing" but that his administration was prepared* if it was necessary.



As part of the budget negotiations, *Democrats have called for financial support to prop up Puerto Rico's Medicaid program* covering health insurance for the poor, but many Republicans are opposed to the idea. Trump also said it would be *unfair to offer a debt bailout to Puerto Rico*, a U.S. territory, because it was unfair to people in U.S. states.



*"I don't think that's fair to the people of Iowa, and I don't think it's fair to the people of Wisconsin and Ohio and North Carolina and Pennsylvania that we should be bailing out Puerto Rico for billions and billions of dollars," *Trump said. " No I don't think that's fair."



Notably, while equity markets are whistling complecentlypast the graveyard, USA sovereign risk has surged back to its highest (relative to Germany) since Trump's election as the threat of a government shutdown gets priced into a non-manipulated market... Reported by Zero Hedge 20 hours ago.

Student Health Insurance Provider Global Secutive, LLC Acquires Compass Benefits Group, LLC

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Student health insurance provider Global Secutive, LLC acquires Compass Benefits Group, LLC

Princeton, NJ (PRWEB) April 28, 2017

Global Secutive LLC, an insurance agency that focuses on meeting the insurance needs of the cultural exchange profession and the international education industry, is pleased to announce the acquisition of student health insurance provider Compass Benefits Group, LLC of Hanover, Massachusetts.

Patrick Sullivan, CEO of Global Secutive, stated that, “We have had a long and respectful relationship with Compass Benefits, and its founder and President, John Fleming. We are pleased to be joining forces with Compass, and we are thrilled that John Fleming is joining Secutive to assist in our growth in the years ahead.”

John Fleming, President of Compass Benefits, stated that, “All of us at Compass are excited to have a dynamic and growing partner such as Global Secutive. We know that our clients will continue to be well served by the combined Secutive/Compass team, and we believe that together we will build the combined company to the true worldwide leader in our field.”

Global Secutive offers tailored insurance solutions for organizations providing international exchange programs. More information on Global Secutive can be found at http://www.secutive.com. Reported by PRWeb 16 hours ago.

Processing ACA Forms In Multiple Ways is Simple and Affordable With the Latest ez1095 Software

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Halfpricesoft.com now accommodates ez1095 ACA software customers to process and file forms with the best course of action that works for the business. Test drive before purchase at http://www.halfpricesoft.com.

Kansas City, MO (PRWEB) April 28, 2017

Halfpricesoft.com developers have released multiple versions of the latest ez1095 ACA form software to accommodate business owners in preparing and filing 1095 and 1094 forms. Now ACA testing, production, replacement or correction submission is easier than ever. No matter how customers want to process and file forms, ez1095 software will accommodate. The application offers, print and mail, efile, network or multi user version as well as single user version. (The cost will depend on the particular filing choice and version chosen by each user)

“The new ez1095 2016 software for printing ACA forms 1095 and 1094 has just been released by Halfpricesoft.com to accommodate multiple avenues in processing and filing forms.” said Dr. Ge, the founder of Halfpricesoft.com.

ez1095 software is compatible Windows 10, 8.1, 8, 7, Vista, XP and other Windows systems. Potential customers can download and try this software at no obligation by visiting http://www.halfpricesoft.com/aca-1095/aca-1095-software.asp.

Some unique features of this innovative application are:· Print ACA Form 1095-C, 1094-C, 1095-B and 1094-B on white paper for recipients and IRS with inkjet or laser printer.
· PDF print 1095-C and 1095-B recipient copies.
· Efile version available at additional cost.
· Support unlimited companies.
· Support unlimited number of recipients.
· Print unlimited number of 1095 and 1094 forms.
· Data import feature
· Print Form 1095 C: Employer-Provided Health Insurance Offer and Coverage Insurance
· Print Form 1094 C: Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns
· Print Form 1095-B: Health Coverage
· Print Form 1094-B: Transmittal of Health Coverage Information Return

Priced at just $195 for a single user version, ($295 for efile version) this ACA forms filing software saves employers time and money by processing forms, in-house. To learn more about ez1095 ACA software, customers can visit http://www.halfpricesoft.com/aca-1095/aca-1095-software.asp.

About halfpricesoft.com
Founded in 2003, Halfpricesoft.com has established itself as a leader in meeting the software needs of small businesses around the world with its payroll software, employee attendance tracking software, check printing software, W2 software, 1099 software and bar-code generating software. It continues to grow with its philosophy that small business owners need affordable, user friendly, super simple, and totally risk-free software. Reported by PRWeb 11 hours ago.

Meadows Anticipates a Vote on Revised Health Care Bill ‘In the Coming Days’

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Rep. Mark Meadows (R-N.C.), chairman of the House Freedom Caucus, says he was on the phone until almost 11 o’clock Thursday night, but Republicans are still “a few” votes short of passing a health insurance bill.

-- Reported by CNSNews.com 10 hours ago.

US employment costs climbed steadily in first quarter

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Wages and salaries, which account for 70 percent of compensation costs, rose 0.8 percent. Benefit costs, which cover pensions and health insurance, increased 0.7 percent. Reported by SeattlePI.com 10 hours ago.

Insurance companies are freaking out about Trump's Obamacare threats

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Insurance companies are freaking out about Trump's Obamacare threats Insurance companies are getting nervous about President Donald Trump's saber rattling on healthcare.

Trump, in interviews and tweets in recent days, has raised doubts about whether the White House will continue to fund the Affordable Care Act's so-called cost-sharing reduction (CSR) payments.

CSR payments are provided to insurers to defray the cost of offering low-income Americans cheaper out-of-pocket costs on the ACA's individual insurance exchanges. The money is funneled through the plans to providers to make up the difference in copays or deductibles paid by Americans making 200% of the federal poverty line or less. Any money not used to lower the costs is returned to the federal government.

Currently, the roughly $8 billion in payments comes from the White House rather than a congressional appropriation. The payments have been the subject of a lawsuit between the Republican-controlled House and the executive branch dating back to the Obama administration.

Trump's recent threats to cease the payments have caused insurers and industry groups to grow increasingly worried about potential losses and their participation in the individual insurance markets.

Anthem, one of the big five public insurance companies, said Wednesday that if CSR payments are not funded, they could either raise premiums in the individual market by as much as 20% or leave them altogether.

Anthem CEO Joe Swedish said on the company's earnings call that it was making the assumption that CSR payments would be funded. He said the company's outlook would change if the payments are pulled.

"However, we are notifying to our states that, if we do not have certainty that CSRs will be funded for 2018 by early June, we will need to evaluate appropriate adjustments to our filing," Swedish said. "Such adjustments could include reducing service area participation, requesting additional rate increases, eliminating certain product offerings or exiting certain individual ACA-compliant markets altogether."

Other major insurers such as Aetna and Cigna also warned earlier in the year that their participation in the exchanges would be based on the payments. Aetna already announced it would pull out of Iowa's marketplace.

Mario Molina, the CEO of Medicaid-focused insurer Molina Healthcare, wrote a letter to congressional leaders on Thursday about the CSR payments. He urged House Speaker Paul Ryan, House Minority Leader Nancy Pelosi, Senate Majority Leader Mitch McConnell, and Senate Minority Leader Chuck Schumer to fund the CSR payments for the next two years.

"If the CSR is not funded, we will have no choice but to send a notice of default informing the government that we are dropping our contracts for their failure to pay premiums and seek to withdraw from the Marketplace immediately," Molina wrote.  

In the letter, Molina — whose company has turned a profit from the exchanges — said without the payments, the company would have to immediately drop up to 700,000 marketplace enrollees if the payments were ceased and 1 million people would lose their coverage in 2018.

Major lobbying groups have also pleaded with the administration and congressional leaders to continue the payments.

Groups including America's Health Insurance Plans, American Medical Association, American Hospital Association, Blue Cross Blue Shield Association, and the US Chamber of Commerce sent a letter to lawmakers to urge them to continue CSR funding.

"As medical professionals, insurers providing health care services and coverage to hundreds of millions of Americans, and business leaders concerned with maintaining a stable health insurance marketplace for consumers, we believe it is imperative that the Administration and Congress fund the cost-sharing reduction program," the letter read.

The Trump administration told congressional leaders on Wednesday that it would continue to fund the payments for now, but did not make a longer-term commitment that many insurers feel they need to plan for 2018.

Insurers have to submit their plans for 2018 plan year coverage on the exchanges by late June or drop out of the markets.

*SEE ALSO: Trump goes on raging tweetstorm against Democrats over negotiations to avoid a government shutdown*

Join the conversation about this story »

NOW WATCH: Trump's approval rating plunged to 35% in just 69 days — here's how that compares to other presidents Reported by Business Insider 9 hours ago.

Horizon Blue Cross Blue Shield of New Jersey “A” Credit Rating Affirmed

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Ratings agency warns of potential future downgrade from deteriorating reserves.

Newark, NJ (PRWEB) April 28, 2017

Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) announced today that Standard & Poor’s has affirmed the company’s credit rating of “A” and its outlook as “stable.” At the same time, the ratings agency cautioned that the company’s rating could be downgraded if capital reserves, which have fallen in recent years, dip below “capital adequacy” thresholds required for its strong rating.

“Horizon is committed to being a prudent and responsible steward of the premium dollars entrusted to us so that our 3.8 million members can always have the financial peace of mind they deserve,” said Robert A. Marino, Chairman and CEO, Horizon BCBSNJ. “The health insurance industry, in New Jersey and nationally, remains highly volatile, and our company’s financial stability continues to be tested. We’re pleased that S&P has acknowledged how well Horizon has managed through the many risks to our business operations, and understands how hard we are fighting to make transformative changes to the health care system that improve care quality while lowering costs and enhancing the patient experience.”

In its ratings report, Standard & Poor’s noted that Horizon’s management team “exercises prudent control of operations by maintaining financial strength, efficient administrative expense controls, expanding and optimizing network provider relationships, and improving systems technology platforms to support its entire product line.” The agency also noted: “The team has also been at the forefront of various innovative payment models to make the New Jersey health-care system more effective, efficient, and affordable. These models include patient-centered medical homes and pediatric programs, episodes of care models, and accountable care organizations. These arrangements have been successful so far in improving health and lowering costs.” S&P added that Horizon BCBSNJ’s OMNIA Health Plans have “exceeded expectations” and “we believe that OMNIA has potential to support management's goals of lowering healthcare costs while increasing quality of care.”

While maintaining Horizon BCBSNJ’s “A” rating and outlook as “stable,” S&P took note of how a raid on the company’s capital reserves could impact its financial stability, viewing “any such event as a source of potential capital volatility.” S&P added that diminished “capital adequacy” could trigger a downgrade in the future. The ratings agency took note that Horizon’s BCBSNJ’s capital reserve as measured by a Risk-Based Capital (RBC) ratio, has been in decline, and “we expect continued modest deterioration in capital. We assume its RBC will remain about 575%-600% in 2017-2019, translating to continued 'AAA' capital redundancies per our risk-adjusted model, though with a much tighter reserve (less than 5%) relative to historical levels.”

“In its report and its ratings, S&P has recognized Horizon’s efforts to operate with the kind of sound financial judgment and fiscal prudence that have been the guiding principles of our company for 85 years,” said David R. Huber,” Horizon BCBSNJ Senior Vice President, Chief Financial Officer and Treasurer. “While risks and uncertainties continue to presents real threats to our stability, we are more determined than ever to protect the interests of the members we serve.”

Standard & Poor's Ratings Services is the world's leading provider of independent credit risk research and benchmarks. The agency publishes more than a million credit ratings on debt issued by sovereign, municipal, corporate and financial sector entities.

Journalists seeking further details and information about the ratings report can do so by contacting Thomas_Vincz(at)HorizonBlue(dot)com.

About Horizon Blue Cross Blue Shield of New Jersey:
Horizon Blue Cross Blue Shield of New Jersey, the state’s oldest and largest health insurer is a tax-paying, not-for-profit health service corporation, providing a wide array of medical, dental, and prescription insurance products and services. Horizon BCBSNJ is leading the transformation of health care in New Jersey by working with doctors and hospitals to deliver innovative, patient-centered programs that reward the quality, not quantity, of care patients receive. Learn more at http://www.HorizonBlue.com. Horizon BCBSNJ is an independent licensee of the Blue Cross Blue Shield Association serving more than 3.8 million members.
### Reported by PRWeb 6 hours ago.

Brexit: Brits could lose holiday healthcare rights, MPs warn

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People with long-term illnesses could be forced to spend thousands of pounds on private health insurance, experts say Reported by Independent 6 hours ago.

Here’s what WellCare did not get in the Universal American deal

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WellCare Health Plans Inc. is adding members and revenue with the now-completed acquisition of Universal American Corp. But WellCare is not getting Universal American’s CEO, Richard Barasch, who is leaving the company. WellCare (NYSE: WCG), a health insurance company headquartered in Tampa that provides managed care for government-sponsored programs including Medicare and Medicaid, said Friday morning it has completed its acquisition of Universal American, a White Plains, New York-based insurer… Reported by bizjournals 5 hours ago.

White House advisor reiterates Trump's commitment to religious freedom

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Washington D.C., Apr 28, 2017 / 12:10 pm (CNA/EWTN News).- A White House advisor rejected recent concerns that the Trump administration supports the controversial HHS mandate, saying it is simply a matter of timing in finding a “litigation-proof” alternative.

“The administration is not stepping back. It's doing precisely what it should be doing here... because of the way people are attacking Trump executive orders, it's very important that this thing gets done right and be as litigation-proof as possible, knowing full well they're going to get sued anyway,” said White House advisor Leonard Leo, according to Axios.

His comments came amid concerns by religious groups after the Washington Post on Tuesday reported that the Justice Department had asked a federal appeals court for 60 extra days to negotiate an agreement with East Texas Baptist University and several other plaintiffs challenging the controversial HHS mandate. The Supreme Court last year had instructed the Obama administration to negotiate with the plaintiffs as the next step in the litigation process.

During his presidential campaign, Trump had promised Catholics relief from the HHS mandate, which requires employers to offer health insurance plans covering contraception, sterilization and some early abortion drugs. In a letter to the Catholic Leadership Conference last October, he pointed to his opponent Hillary Clinton’s support for the mandate, and said “that is a hostility to religious liberty you will never see in a Trump Administration.”

After Trump’s election, the plaintiffs challenging the mandate widely expected that the new administration would drop the government’s appeal of the lawsuits, which federal circuit courts may re-examine in the coming months.

Instead of dropping the cases, however, the administration had indicated earlier this week that it intends to take the next step in the litigation process.

According to Axios, “The Trump administration is considering a range of options, from providing blanket exemptions to allowing schemes that would let insurance companies deal directly with employees.”

The HHS mandate was formed under the Affordable Care Act, which required preventive coverage in employer health plans. Obama’s Department of Health and Human Services interpreted this to include coverage for contraceptives, sterilizations, and drugs that can cause abortions.

After a wave of criticism from religious employers to the original mandate, the Obama administration announced an “accommodation” whereby objecting non-profits would tell the government of their opposition, and their insurer or the third party administrator for the plans would be notified separately to include the coverage.

Many non-profits – including Catholic dioceses and the Little Sisters of the Poor – said that the process still forced them to cooperate in immoral behavior against their consciences. Some critics voiced concern that the cost of coverage would still end up getting passed along to the objecting employers in the form of higher premiums.

Hundreds of non-profits and other plaintiffs filed lawsuits over the mandate, even with the accommodation. Among these plaintiffs is EWTN Global Catholic Network. CNA is part of the EWTN family.

A number of those cases made their way to the Supreme Court in Zubik v. Burwell. Plaintiffs in the case include East Texas Baptist University, the Little Sisters of the Poor, the Archdiocese of Washington, and other dioceses, schools, and charities.

In March of 2016, the Court asked both the plaintiffs and the government to submit briefs explaining whether a compromise could be reached that provided for cost-free contraceptive coverage for employees and yet still respected the religious freedom of the objecting non-profits.

That request, which came after oral arguments and in the middle of the case, was almost unprecedented in its timing.

After both parties outlined ways where they believed both goals could be achieved, the Supreme Court last May sent the cases back to the federal circuit court level, vacated the previous decisions of those courts, ordered the government not to enforce the fines against plaintiffs for not complying with their demands, and instructed the courts to give the parties time to find a solution on which they could agree.

  Reported by CNA 4 hours ago.

Novo Nordisk has been accused of engaging in a 'white coat marketing scheme' to sell diabetes drugs

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Novo Nordisk has been accused of engaging in a 'white coat marketing scheme' to sell diabetes drugs Danish pharmaceutical giant Novo Nordisk is being accused of engaging in a "white coat marketing scheme" to entice doctors to prescribe three of its diabetes drugs — NovoLog, Levimir, and Victoza.

Together these three drugs made Novo Nordisk $6 billion in sales in 2013, comprising 10% of the company's worldwide sales for the year, according to the complaint.

Specifically, whistleblowers allege that the company illegally hired Certified Diabetes Educators (CDEs) and employed them as sales reps, and then sent them into doctors offices to promote the drug through its "Changing Life with Diabetes Program."

The suit claims that, because the company's sales reps were titled as CDEs, they got unprecedented access to doctors. However, "they were sales representatives in every way except title."

Once inside the CDE's allegedly educated doctors for free. Novo Nordisk, for its part, is a member of the powerful PhRMA lobby, which prohibits member companies from exchanging free medical education for prescriptions.

The government is jumping in because these drugs are all covered by federal health insurance programs — Medicaid, Medicare, and Tricare. And the suit could be a sign that, in an effort to reduce costs, the government is focusing on its reimbursement of drugs.

Novo Nordisk has responded to Business Insider's request for comment with the following statement:

“In February 2011, the U.S. Attorney’s Office for the District of Massachusetts served Novo Nordisk with a subpoena calling for the production of documents regarding potential civil and criminal offences relating to the company’s marketing and promotional practices for the following products: NovoLog®, Levemir® and Victoza®. This matter is being conducted by the US Attorney for the District of Columbia.  We’ve reached an agreement in principle to settle certain claims related to this investigation, and the unsealing is a part of that process.  The process is not finalized, and as such we can’t provide further comment to this matter at this time.”

Here's the full text of the complaint:

US v Novo Nordisk - Unsealed Complaint by Linette Lopez on Scribd

 

*SEE ALSO: One company symbolizes everything sickening about the opioid crisis*

Join the conversation about this story »

NOW WATCH: Amateur astronomers just found objects in space that could lead to the biggest discovery of our Solar System in over 150 years Reported by Business Insider 4 hours ago.

The National Campaign Applauds Introduction of Legislation that Improves Information and Access to Birth Control for Women in the Military

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We Urge Congress to Support this Act

Washington, DC (PRWEB) April 28, 2017

The National Campaign to Prevent Teen and Unplanned Pregnancy (The National Campaign) announces its support for the Access to Contraception for Women Servicemembers and Dependents Act of 2017. The bill, introduced yesterday by Sen. Jeanne Shaheen (D-NH) and Rep. Jackie Speier (D-CA), will help to ensure that all members of the Armed Forces receive high quality education about the full range of contraceptive methods and related sexual health information—including what might be the best birth control method for them during a particular deployment.

The legislation will also ensure that all women covered by TRICARE, a health insurance program for service members, have coverage of the full range of birth control methods without co-pays, and women treated for sexual assault at military treatment facilities receive information and access to emergency contraception.

“All women who serve our country in the military should have the power to decide if, when, and under what circumstances to become pregnant,” said Ginny Ehrlich, CEO of The National Campaign. “This bill will help ensure that all servicewomen and their families will have high quality information and access to services so that they are able to plan and space their pregnancies. Doing so will not only strengthen our military, but also increase women’s educational and economic opportunities, improve maternal and infant health, strengthen families, result in fewer abortions, and reduce public and private costs for unplanned pregnancies.”

Polling shows strong support for women having more information about the full range of birth control methods. Seventy-four percent of adults in the United States (including 66% of Republicans and 83% of Democrats) agree that more people would use birth control if they knew about the many birth control methods available.

“When servicewomen have the information to choose the most appropriate contraceptive method for their situation, unplanned pregnancy will decline and our Armed Forces will be even stronger,” Ehrlich stated.

About The National Campaign: The National Campaign is a private, non-partisan, non-profit organization that seeks to improve the lives and future prospects of children and families by preventing teen and unplanned pregnancy. Please visit us at http://www.TheNationalCampaign.org or follow along on Facebook and Twitter. Reported by PRWeb 2 hours ago.

Covered California: Federal health care changes would send premiums soaring, enrollment plunging

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A Covered California analysis finds the state health insurance marketplace may see rising premiums and up to 340,000 people drop off their plans next year. Health plans preparing to set 2018 prices this June continue to face uncertainty as federal health care policy hangs in the balance. If current proposals to reduce federal reimbursements to the state and remove the individual mandate become reality, premiums in California can rise by 28 to 49 percent in 2018. Hundreds of thousands of people will… Reported by bizjournals 43 minutes ago.

Personal tragedy shaped congressman’s effort on health care

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WASHINGTON (AP) — New Jersey Rep. Tom MacArthur has experienced personal tragedy and understands the need for health insurance. “I lost my mother at 4 years old. My father had no insurance and I watched him until I was in college pay off medical bills,” says the two-term Republican lawmaker. Years later, MacArthur suffered the […] Reported by Seattle Times 37 minutes ago.
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