The Obama administration is reportedly preparing to implement a “workaround” that instructs insurers to “estimate” the cost of health care plans and the government will determine the actual costs later, Reuters reports. This “workaround” is needed because the Obamacare payment system isn’t working properly.
“You’re touting this improved Healthcare.gov,” a befuddled Kelly began. “How does the system work without a payment mechanism? There is no cash register!”
Reuters has the “bombshell” report on the new “workaround”:
The administration is planning a “workaround” for payments, said Daniel Durham, vice president for policy and regulatory affairs at America’s Health Insurance Plans.
Health plans will estimate how much they are owed, and submit that estimate to the government. Once the system is built, the government and insurers can reconcile the payments made with the plan data to “true up” payments, he said.
“The intent is to make sure plans get paid on time, which is a good thing,” Durham told Reuters.
The fix puts an additional “burden” on insurance companies, already taxed by having to double-check faulty enrollment data from the HealthCare.gov system.
Kelly was shocked that the administration would “let the insurance companies estimate what they should get.”
“Then the feds are going to cut them a big check and figure out later what the real amounts are supposed to be! That’s your money!” she added. “Think about that for a moment. Think about that. We’re talking about one-sixth of the U.S. economy and this is the system that they have now settled on.”
Kelly went on to remind viewers that President Barack Obama on Tuesday assured the American people that Obamacare is “working and will continue working in the future.”