Menu Close

Obamacare Begins A Death Spiral – The Numbers Will Make You Sick

This is a syndicated repost published with the permission of Money Morning - We Make Investing Profitable. To view original, click here. Opinions herein are not those of the Wall Street Examiner or Lee Adler. Reposting does not imply endorsement. The information presented is for educational or entertainment purposes and is not individual investment advice.

The cost of Obamacare is turning out to be higher than all but a few critics had anticipated.

Health insurance companies have submitted their Obamacare rate proposals for 2016, and many requests are for increases in the double digits. These are “individual” plans offered to those who do not get their insurance through their employer (known as “group” plans).

In at least four states – Arizona, Alabama, Idaho, and Nevada – health insurers have proposed Obamacare rate increases of at least 70%.

While that’s exceptionally high, the top rate increase requests in 43 states is at least 20%.

And there are plenty of states with rate increases everywhere in between. Oregon’s insurance commissioner has already approved a 25% increase for the Moda Health Plan and a 33% increase for LifeWise. Two other Oregon insurers have asked for increases of 43.97% and 51.54%.

“Rate increases will be bigger in 2016 than they have been for years and years and will have a profound effect on consumers here. Some may start wondering if insurance is affordable or if it’s worth the money,” Jesse Ellis O’Brien, a health advocate at the Oregon State Public Interest Research Group, told The New York Times.

Now, it’s true that the rate increase proposals range all the way down to the low single digits, so the cost of Obamacare will vary greatly depending upon the state in which you live and the health plan you have.

But when you average it out, the increase is still in the double digits.

Health insurance research firm HealthPocket calculated the costs for a 40-year-old non-smoker to get an idea of what those using Obamacare can expect in 2016.

The Average Cost of Obamacare in 2016

HealthPocket found that typical premiums for all four tiers would rise in 2016, from 9% for a low-end Bronze plan to 11.75% for a top-level Platinum plan. The average Gold plan will increase by 16%, and the average Silver plan – the most popular tier, chosen by two out of three Obamacare users – would rise 14%.

cost of obamacare“Given the rate of general inflation in the country, and the economic situation, the rate increases were surprising to us,” Kev Coleman, HealthPocket’s head of research and data, told CNBC.

A single person with a premium of about $300 a month now can expect an increase of about $42 a month. A family of four with a typical Obamacare premium of about $800 faces an increase of more than $100 a month.

But with many rate increases being far higher, some unlucky folks will see their premiums go up hundreds of dollars a month as of Jan. 1, 2016.

It wasn’t supposed to be this way. In fact, the supporters of the Affordable Care Act promised that insurance rates would go down, not up.

But things aren’t working out as they expected…

Why the Cost of Obamacare Is Rising

The Obamacare strategy was for millions of young, healthy people to sign up. They would use less healthcare than what their premiums covered, creating a surplus to help pay for the influx of older, sicker people into the system.

The healthier people have not signed up in the expected numbers. But the older, sicker people have, and it’s thrown the economics of Obamacare out of whack.

“Our enrollees generated 24% more claims than we thought they would when we set our 2014 rates,” Nathan T. Johns, the chief financial officer of Arches Health Plan, told The New York Times. Arches participates in the Utah exchange. The insurer has requested 2016 rate increases of 45% on average.

Other insurers have had a similar experience in the first full year under Obamacare rules that require them to accept all patients and prohibit them from charging sicker patients higher premiums.

Blue Cross and Blue Shield of Minnesota paid out 115% more last year in claims than it collected in premiums, generating a loss of $135 million.

The ACA law specifies that any rate increase over 10% is subject to review by the states. And although some states may cajole some reductions, the insurers now have plenty of hard data to justify the higher rates. If the proposed rates come down, it won’t be by much.

Does Obamacare Face a “Death Spiral”?

The bigger question is whether the trend that caused the cost of Obamacare to spike will continue. If so, we could see the dreaded “death spiral” that critics warned about.

That’s when insurance costs for younger, healthier people are so high that they elect to pay the tax penalty instead. That means a higher proportion of older, sicker people in the risk pool, which, as we’ve seen, leads to steep rate hikes.

The fact that most of the health insurance companies asking for big rate increases are among the largest in the industry – Blue Cross Blue Shield, Aetna Inc. (NYSE: AET), UnitedHealth Group Inc. (NYSE: UNH) — suggests that what’s happening this year is a red flag.

These are the costs – and risks — of Obamacare that its proponents didn’t want to talk about back in 2009.

“This is really the first time that America’s really seeing true Affordable Care Act rates,” HealthPocket’s Coleman said.

The Bottom Line: A miscalculation on the part of the authors of the Affordable Care Act has left health insurers paying out more than they’re taking in. Now they’re asking for huge rate hikes in many states. But the main concern is that these rate hikes may only be the start of the dreaded “death spiral” that could lead to big Obamacare rate hikes every year.

To get full access to all Money Morning content, click here

About Money Morning: Money Morning gives you access to a team of ten market experts with more than 250 years of combined investing experience – for free. Our experts – who have appeared on FOXBusiness, CNBC, NPR, and BloombergTV – deliver daily investing tips and stock picks, provide analysis with actions to take, and answer your biggest market questions. Our goal is to help our millions of e-newsletter subscribers and visitors become smarter, more confident investors.

Disclaimer: © 2015 Money Morning and Money Map Press. All Rights Reserved. Protected by copyright of the United States and international treaties. Any reproduction, copying, or redistribution (electronic or otherwise, including the world wide web), of content from this webpage, in whole or in part, is strictly prohibited without the express written permission of Money Morning. 16 W. Madison St. Baltimore, MD, 21201.


The post Cost of Obamacare Plans to Rise as Much as 70% in 2016 appeared first on Money Morning. Reposted with permission.

Join the conversation and have a little fun at If you are a new visitor to the Stool, please register and join in! To post your observations and charts, and snide, but good-natured, comments, click here to register. Be sure to respond to the confirmation email which is sent instantly. If not in your inbox, check your spam filter.


  1. jeremyrnr

    Insurers exit the market now!  The democrats are more than willing to throw you under the bus.  The Democrats will break you and turn around and blame the greedy corporations for insurance turmoil.

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Follow by Email