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Frank Budaji April 22, 2014 at 08:17 AM
Some Facts About Obamacare Government Bureaucracy •Obamacare creates an unelected andRead Moreunaccount able board known as the Independent Payment Advisory Board (IPAB), which is15 unelected bureaucrats with terms longer than the President who will be able to ration care for seniors on Medicare by determining which services will and will not be covered. •Obamacare creates 159 new regulatory agencies. •Obamacare has 85 (and counting) new regulations that already total over 13,000 pages. This will result in over 60 million hours of new compliance and paperwork requirements for states and employers – with a total cost of $27.6 billion (which is the floor estimate, not ceiling). Just over $20 billion of these costs will be borne by our employers and private entities while states will absorb just over $7 billion of these costs. The top ten costliest regulations alone account for 88 percent of these regulatory costs. •There are already 63 pages to define what a "navigator" is to help explain ObamaCare to Americans. California alone wants to hire 21,000 to explain Obamacare. Medicare Cuts Obamacare cuts over $764 billion from Medicare. This figure comes directly from the non-partisan Congressional Budget Office. Below are some examples of where those cuts come from. In fact, for every $500 in increased payments for preventive services and prescription drugs, the rest of Medicare is cut by over $7,000. These cuts are achieved through reduced payments to Medicare providers and Medicare Advantage plans. As a result of Obamacare, Medicare reimbursement rates will now be even lower than Medicaid, which the Chief Medicare Actuary predicts that “Congress would have to intervene to prevent the withdrawal of providers from the Medicare market and the severe problems with beneficiary access to care that would result.” The 2012 Medicare trustees report concludes that these lower Medicare payment rates will cause an estimated 15 percent of hospitals, skilled nursing facilities, and home health agencies to operate at a loss by 2019, 25 percent to operate at a loss in 2030, and 40 percent by 2050. Operating at a loss means these facilities are likely to cut back their services to Medicare patients or close their doors, making it more difficult for seniors to access these services. According to a Centers for Medicare and Medicaid Services actuary, 7.4 million Medicare Advantage beneficiaries will lose their plan access by 2017. Additional Impact on Seniors •◦$260 billion from hospital services ◦$156 billion from reductions to Medicare Advantage plans (other estimates place this closer to $308 billion when you consider how these cuts interact with other provisions) ◦$39 billion to skilled nursing services ◦$17 billion to hospice services ◦$66 billion to home health services ◦$33 billion to other services ◦$31 billion in Disproportionate –Share Hospital cuts (in addition to $25 billion in Medicaid Disproportionate-Share Hospital cuts) Obamacare also eliminated a tax deduction for employer-provided retirement prescription drug coverage which will cause an estimated 90 percent of seniors to lose their retiree drug coverage by 2016. The Medicare Trustees estimate that as a result of this Obamacare provision, 7.6 million seniors will not have access to their retiree prescription drug plan by 2016. Ref: http://perry.house.gov/issues/facts-about-obamacare