Obamacare Security Breach

Much has been made, at least in some circles, of the vulnerability of your personal information

that will be filtered through the #Obamacare #datahub.

For the most part, the lame stream media has ignored this topic and when they have mentioned it they simply parrot what DC says indicating there is nothing to fear.

Security watchdogs know that hacking is a potential threat but most data breaches come from within, not outside the firewall.

That being said, the first known problem in the Obamacare #exchange has already been reported.

Two reviews are planned of MNsure, the state's new online health insurance exchange, after an employee accidentally distributed confidential information about more than 2,400 insurance agents.

A legislative panel and the legislative auditor said Friday they want more information about the breach. MNsure officials acknowledged mishandling private information. They said the employee sent an email to the office of an Apple Valley insurance broker on Thursday afternoon that contained Social Security numbers, names, business addresses and other identifying information.

LaCrosse Tribune

"Only" 2400 insurance agents.

No big deal, right?

If you buy from the Minnesota health insurance exchange, or any other exchange, how can you be 100% this won't happen to you?

Users of the exchanges will have to provide sensitive information, including Social Security numbers. The information will be sent to a federal hub to verify such things as citizenship and household income. The privacy of confidential data has been a long-time concern for some skeptics of the exchange.

"The people who believe in this are so driven that there's a sub-context of, `Just let us do our job and get as many people signed up as possible, and we'll pick up the debris later,'?" said Steve Parente, a University of Minnesota finance professor who specializes in information technology related to the health industry.

Yes, the push is to sign as many up as quickly as possible. Get more people dependent on the government for free money.

I would be remiss if I failed to mention another option for purchasing your new Obamacare health insurance plan, and it does not involve the data hub or navigators who have had 3 days of training..

Buy OFF exchange through a licensed insurance professional.

This Sceptered Isle, Part DCIV

From the Telegraph of London on 9/11: 

"Death rates in NHS hospitals are among the highest in the western world, shock figures revealed yesterday. British patients were found to be almost 50 per cent more likely to die from poor care than those in America."

Hat tip to Tim Worstall's enjoyable blog, which generally focuses on economics.

The Telegraph article also cites this comment from a U.K. Professor Sir Brian Jarman, who is considered a globally-recognised expert on hospital performance:

"I expected us to do well and was very surprised we didn’t do well – but there is no means of denying the results as they are absolutely clear."

Paul Krugman famously attempted to pre-empt this kind of factual finding several years ago, when he declared  "In Britain, the government itself runs the hospitals and employs the doctors. We’ve all heard scare stories about how that works in practice; these stories are false."

Shucks, a school child knows facts cannot be both absolutely true and absolutely false.   Facts are facts, and in that sense are not political.

Yet in real life the debate over centralized government control of the medical care system rages on, in many cases fueled by expert disagreement over whether facts are true or false.

HHS Wants You to Meet Jamie

Continuing their ongoing effort to "educate" people on PPACA, HHS has introduced us to Jamie. Jamie is a 27 year old college graduate. She has been working at the coffee shop for four-and-a-half years and has never made more than $20,000 in a year.

Self admittedly, she really "has no plan...but that's just how her life has worked out." She hasn't been to the doctor since her junior year of high school. If she ever got really ill or injured she couldn't afford to pay for treatment. She doesn't have any savings and struggles to get by with all of her current bills.

For Jamie life with health insurance will provide her with "comfort and stability and safety". She's very eager to sign up for subsidized insurance.

Starting October 1st (maybe?) Jamie will be able to get the health insurance she so desires. Here is her scenario after running through the Kaiser Family Foundation subsidy calculator:

1. Purchase a Silver Plan: Cost to Jamie is $1,021 per year. She will also qualify for MOOP (Max Out Of Pocket) assistance under this plan which will lower her worst case scenario to $2250.
2. Purchase a Bronze Plan:  Cost to Jamie is $480 per year. However, if she takes this option she will not qualify for MOOP assistance and will face a worst case scenario of $6350.
3. Stay without insurance and pay Uncle Sam a "shared responsibility payment" of roughly $200 and role the dice that she will stay healthy.

I wonder what option Jamie will choose? Surely her Navigator will explain all of this and the implications behind each option.

Cavalcade of Risk #192: Call for submissions

Nancy Germond hosts next week's Cav. Entries are due by Monday (the 16th).

To submit your risk-related post, just click here to email it.

You'll need to provide:

■ Your post's url and title
■ Your blog's url and name
■ Your name and email
■ A (brief) summary of the post

PLEASE remember: ONLY posts that relate to risk (not personal finance tips and the like). And please only submit if you are willing to link back to the carnival if your submission is accepted.

What a Waste of Time

For the last several months agents have been working on educating ourselves and our clients on the various administrative atrocities of PPACA. The latest one is the so called "Notice of Exchanges". The notice is a three page document that essentially all employers must provide all employees about the Health Insurance Marketplace. The notice is to "assist" people as they evaluate options for health insurance products they are being forced to purchase in 2014.

My guess is that I have over 40 hours put into developing a plan of action for distributing the notices to my clients. Even yesterday Hank and I were exchanging emails on this topic. On top of my time, many hours have been put in across our professional organization in determining and defining things like minimum value standard and affordability.

According to the original draft, the notice was supposed to be sent out by March 1, 2013, but then there was a delay. So, now the notice must be distributed no later than October 1, 2013. The DOL guidelines state that non compliance will result in a $100 per employee per day fine. So you can see why we have such a sense of urgency behind this matter.

This came September 11, 2013 at 4:55PM. In a frequently asked questions release the DOL determined that while the notice should be distributed there are no fines or penalties for failing to provide the notice. So in the course of a couple of months the government has gone from "we will fine you" to "meh, no big deal".

Just another one of our great government efficiencies...

Chickens, Roosting

Although the ObamaTax was heavily promoted by various unions, it appears that buyer's remorse is inexorably setting in:

"The AFL-CIO on Wednesday approved a resolution critical of parts of [the ObamaTax] ... The strongly worded resolution says ... will drive up the costs of union-sponsored health plans to the point that workers and employers are forced to abandon them."

Oh, methinks that ship sailed some time ago.

But not to worry, the new health insurance Exchanges will provide a safe landing for union members (and regular folks), so there's a silver lining.

Or maybe not:

"Obamacare is likely to have a "rocky" enrollment start on October 1 in some U.S. states, because of ongoing technology challenges facing new online health insurance exchanges"

Oh.

According to consulting firm Leavitt Partners (a Utah-based consulting firm that "has been involved in the design and development of some state exchanges and tracks exchange progress nationwide"), "not a single state appears to be completely ready" for the roll-out, scheduled to begin in less than 3 weeks.

And remember, final security testing has been put off until (literally) the last minute, so October 1st should prove, um, interesting.

Obama to blow up cost of Drug Plans

The problem we have when people like Obama and his apostles write sweeping reform is they have no clue how the system works which leads to all sorts of unintended consequences. We have a doozy of one coming.

Large Employers and self funded plans must comply with the out of pocket (OOP) cap. For 2014 they can have separate caps if, for example, an Rx plan is administered separate from a medical plan; in 2015 they must be combined. Currently that cap is $6,350 for an individual.

Lets look at a real world situation:  we have a client with a member taking Xyrem. It cost $9,000 per month or $108,000 per year. Plan has a 20% co-pay currently so the plan pays $86,400 and the member pays $21,600.

Except the member doesn't really pay $21,600. Like most Brand name drugs Xyrem has an assistance program, the manufacturer increases the price then refunds the member some portion of their liability. In this case the member pays $35 per month; that is correct, they only pay $$420.00 a year of their $21,600 co-insurance. The pharmaceutical company writes off the rest.

Under Obama's ingenious plan though, once we show the member was liable for $6,350 we need to start paying it at 100%. Now my client will be spending $101,650 per year. That extra $15,250, is pure profit to the pharmaceutical company. In Obama's world that apparently translates into affordability.

And for the member, their OOP for the year, thanks to Pharmaceutical games, is a whopping $35.

In case you think this is an isolated problem: while not all Rx cost this much, almost every brand name drug has a similar program.