westernrvparkowner wrote:
The fact they are stopping PPOs for individuals and not employer groups would indicate that BCBS got severe "adverse selection" in their enrollment. Many people predicted this. To me, it was obvious the most likely people to buy insurance under the ACA were those people who had pre-existing conditions, were older, those who could only afford a policy with the financial supplements (and you can easily document that poverty is linked to poorer health) and those people who already were paying for a policy and had to make the jump to an ACA approved policy.
The entire financial structure of the ACA was to force younger, healthier, and hence profitable, people into the system to offset the costs of those other people. This obviously has not happened. Employer group policies do not have this adverse selection. Businesses tend to hire younger, healthy people.
And finally, I would guess that BCBS of Texas has determined that out of Texas claims cost them more than claims from in state. Somewhat logical, since there is more paperwork, and less local control. Logic again would suggest that employees based in Texas are more likely to seek treatment in Texas than members of Escapees.
Now for my political comment: If the government tells you they are going to help you, it is most likely they mean they are going to help you empty your wallet.
Whoa! :E
I'm glad that you stated that your post was
"just a guess," because it's packed with misinformation as well.
Your claim of;
"severe" "adverse selection" above, needs some factual links to back-up your allegation(s) as just one example of your non-fact based claims.......
I am based out-of-Texas for nearly 40 years straight.
I subscribe to, and am a member of BCBSTX for at least a couple of decades+, and much of what you wrote is not only preposterous, but just plain wrong (as in incorrect.....) wrver.
I'd suggest you do some homework on the FACTUAL specifics of BCBSTX healthcare and insurance, and get back to us with your newly found, factual information regards BCBSTX going forward in Texas.
