Health Insurance Fear vs. Other Fears, Pt.6 – Can it Work?
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One effect is that by mandating part of the system, the HCA
can save money by spending less, much like a single-payer
health insurance does. By caping spending, this induces
providers to use available funds more cost-effectively. This
makes the cost-effective HCA more and more attractive for
businesses to choose to adopt. As such the HCA will
expand. As time goes on, more and more Americans are
found within the cost-controlled structure. Lewin's
estimates, the starting membership of HCA will be about 128.6
million members. Most of these will be either small businesses
or individuals. Still about 122 million Americans will
be with either employer-provided health insurance or private
health insurance. It is estimated that there would be
177.4 million members the HCA by 2017. Meanwhile, private
insurance is expected to reduce to only to 93.5 million.
If these conditions were to occur, it is estimated that the
effect of the slower spending of the HCA would save $1
trillion.
There is a down side, though. Since the HCA would be
competing with the conventional private health insurance/care
open market, it may have an edge with its more attractive
terms. It is hoped that the HCA will take a lead over the
private health insurance/care market. The risk, tho is
that "The combined effect of increased market share and a
constrained rate of growth in Health Care for America spending
would result in pressure on providers to shift costs to the
private insurance market," according to Lewin. This could
have the effect of increasing the cost of private insurance
premiums and create a runaway condition caused by the
ever-increasing difference in the cost of HCA premiums compared
to those of the private insurance market.
Continued…
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