This may not get the same amount of press attention as the damning--though ultimately flawed--AHIP/PricewaterhouseCoopers report on the impact of reform measures on the price of premiums. But White House officials are already decrying a new insurance company report alleging that health care reform will cause premiums to spike.
BlueCross BlueShield has sent an analysis to members of Congress--along with a letter, which you can read here--that reaches a similar conclusion to the PwC analysis: The provisions of the health care reform proposals on Capitol Hill that BlueCross don't like will cause people's premiums to skyrocket.
An administration official scoffed at the findings: "This report isn't quite as egregious as the AHIP report...if the AHIP report was a $3.50 bill, this one's a $3.00 bill."
Like the AHIP/PwC report, Blue Cross farmed theirs out to consultants--in this case Oliver Wyman. One of the most damning claims: "We estimate that in most states, premiums for the youngest 30 percent of the population will increase by 69 percent under a 2:1 age band included in the Senate HELP and House Committee bills compared to a 5:1 age band."
The various reform proposals on the Hill peg the age band at different levels. Basically, the band outlines the degree to which insurers are allowed to increase peoples' premiums based on age. Under the terms of the House legislation, this ratio would be 2:1 (i.e. an insurer could double the premiums of a 64 year old over those of an 18 year old simply based on age alone). Under the Senate Finance Committee bill, that ratio would be 5:1. The narrower the age band, the more young people will be paying in to the system to subsidize the cost of caring for the middle-aged and elderly.
So it's true that a narrow age band taken on its own would push up premium prices for younger consumers. But the report does not factor in other considerations, such as the fact that individual insurance plans will be purchased in a competitive exchange, or that the exchange might include a public option, which could drive down premiums even further. (In fact, in its letter, BlueCross urges Congress to "reject" the public option altogether.) And though the report does incorporate the mitigating effect of subsidies when it comes to the impact of a strong vs. weak individual mandate, it does not appear to address the degree to which subsidies will offset the premium increases incurred by narrowing the age band.
A call to Oliver Wyman was not immediately returned.

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The Commenter Formerly Known as NCSteve
October 14, 2009 4:44 PM
If anyone had the slightest doubt that health insurers are tacitly colluding to jack up premiums in the cycle immediately following passage of the bill and blame Congress and Obama, despite the fact the law won't take effect for another couple of years, this should dispel that doubt.
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LFC
October 14, 2009 5:46 PM in reply to The Commenter Formerly Known as NCSteve
The insurance companies will jack up premiums if we get above normal snowfall this year. They are in this business to maximize profit, not to help people. If they can jack up costs and blame it on somebody else, they'll do it in a heartbeat. And if they can increase profits while insuring fewer people, they'll do that in a heartbeat.
The absolute necessity for a public option is becoming clearer and clearer.
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3star2nr
October 14, 2009 5:53 PM in reply to LFC
the insurance companies wwill jack up premiums because ben nelson combed his hair differently.
Itss hilarious how the whitehouse is so shocked that an industry whose buisness model revolves around robbing people and screwing them over would be so taken back that they are attacking them.
They are handling this all wrong. Instead of bashing the reports they should embrace them and push for a strong public option
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ohyeathatsright
October 14, 2009 6:05 PM in reply to The Commenter Formerly Known as NCSteve
How is this different from their tactics even before all this reform was in the works?
http://www.nchc.org/facts/cost.shtml
Premiums are rising and coverage is declining anyway. Make AHIP and Bluecross take on the burden of proof to show us how they intend to fix the problem. They're as useful as Republicans, but I can't say I didn't expect that.
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_jonny_5_
October 14, 2009 5:11 PM
Of course this is their plan...
They are also betting on the SCOTUS repealing the ban on corporate funding of elections in order to funnel these jacked up profits to any candidate that says they will repeal all of the HCR accept the Individual mandate.
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tiowally
October 14, 2009 5:17 PM in reply to _jonny_5_
So cynical. So true.
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jimbomoron
October 14, 2009 5:37 PM
Brian, Finance is 4:1 community rating. The 5:1 was modified.
Also, the savings from the Exchange bargaining power and the public option will not offset the increases for young people from a 2:1 community rating. There's just no way that can happen. I know this because I live in MA, where we have a 2:1 community rating, and for similar levels of coverage, premiums on the Connector for my age (29) are twice as much as that of CT on ehealthinsurance.com, and even more in CA. There's no way an Exchange's bargaining power and the public option can compensate for this -- not even close.
Now that said, by giving insurance companies less latitude to vary premiums by age, health insurance in the individual insurance market that today is unaffordable to many people will be affordable if the 2:1 community rating is passed. That's worth the tradeoff, and it's a sacrifice I'm willing to make.
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Andreams
October 14, 2009 6:02 PM
Younger people are more likely to be eligible for a subsidy. I make more than 400% of the poverty level, which makes me ineligible for a subsidy but my insurance premium, for the same plan I have now, will cost me $2,889. per month. So, I'm old, make too much for a subsidy, but will have to pay more than 100% of my income for insurance.
That ain't right, folks!
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jimbomoron
October 14, 2009 6:12 PM in reply to Andreams
I agree with that. But 300% FPL for a single is $33,000/yr. Many entry-level positions pay more than that, although most offer health insurance. And these people are going to be asked to pay 10-12 percent of their income for a policy having 70 percent actuarial value (around a $2,000 deductible, 20% co-insurance, and $4,000 out-of-pocket cap). That's a lot of resources for a single person living in NYC, DC, SF of this income level to spend on health insurance.
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bluebell
October 14, 2009 6:04 PM
Why stop with public option? They're basically saying that nothing short of single payer can reform the system away from the greed care system it has become. And what is surprising about that after all? Irony upon irony here. The insurance companies expose themselves but they also expose what a bad bill this is.
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Cleo
October 14, 2009 6:28 PM
I agree with Bluebell. Why have we not played our best card yet? They threaten to jack up premiums, we tell them ok, if you try to raise premiums then we take everything off the table and go for single payer.
Or even threaten price caps.
I think that should make them shut up for a while.
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CalKate
October 14, 2009 7:26 PM
Just for a little perspective on premiums for young people BEFORE reform, here are the premiums I have paid for my daughter for the last 3 years. She has her own plan and was 18 when we first purchased the policy. This is Anthem Blue Cross of California, and we have never changed the policy (which has a 2500 deductible).
2009 $2,521/yr
2008 $1,860/yr
2007 $996/yr
If they had been holding rates down in the past, I guess I might worry about their threats of rate increases. But insurers systematically screw buyers in the individual market place, and they need to lose their monopoly/oligopoly power.
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jimbomoron
October 14, 2009 7:44 PM in reply to CalKate
That's comparable to MA -- where we have a 2:1 community rating. On the Connector, a $2,000 deductible, $5,000 out-of-pocket cap policy for a 19-year-old costs $2,940/yr. But the minimum level of coverage required is going to be higher than this policy, so premiums reflect this.
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