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      <title>Comments On: Insurance premium tax could net state extra $20 million per year under &quot;private option&quot;
    
      by David Ramsey</title>
      <link>http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option</link>
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      by David Ramsey</description>
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      <pubDate>Sat, 25 May 2013 00:00:01 -0500</pubDate>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2792697]]></link>

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    <author><![CDATA[John Pack]]></author>
    <description>
      
      <![CDATA[It is a great sign for the state's economy for bad for the public because they have to pay tax for it.<br>
<br>
<br>
term life insurance quotes
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=2792696">John Pack</a>]]>
    </description>
    <pubDate>Sat, 06 Apr 2013 02:02:46 -0500</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2730569]]></link>

    <guid isPermaLink="true"><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2730569]]></guid>
    <author><![CDATA[David Ramsey]]></author>
    <description>
      
      <![CDATA[eLwood, I'm not a lawyer but the tax will be levied on the insurance companies, not on the government. <br>
<br>
What you're describing is just a natural consequence of any of the various convoluted private-public schemes out there and I'm not aware of any legal challenge. The way this will work in practice is the feds will give the state Medicaid program money, the state Medicaid program will use that money to pay premiums to private insurers on the exchange, the state will assess fee on the insurer for selling on exchange. <br>
<br>
I'm not saying that's a smart or efficient way to go about providing public services but I don't see a legal issue, at least with this particular piece.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=2535465">David Ramsey</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 14:44:02 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2730115]]></link>

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    <author><![CDATA[eLwood]]></author>
    <description>
      
      <![CDATA[>>The good news just keeps rolling in about BeebeCare.<br>
<br>
That 2.5% tax they plan to levy on Medicaid premiums paid by the feds,not so fast:  <br>
<br>
One thing I learned in taxation is that one government entity is not allowed to tax <br>
another. It should be ruled unconstitutional on its face. It will be another ticking time bomb the Repubs have created.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1070329">eLwood</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 11:34:56 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2730108]]></link>

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    <author><![CDATA[Eureka Springs]]></author>
    <description>
      
      <![CDATA[Also on the point of Non profits Democrats with Republican delight killed off much of the allowances made for non profits in ACA during the fiscal cliff. SO the non profit angle which would have possibly beeen cheaper than for profit still would have been more than Single Payer or Tri care.... but it too is no longer an option.<br>
<br>
Options to mass looting always get killed.<br>
<br>
While You Were Sleeping, Fiscal Cliff Deal Whacked “Obamacare” Nonprofit Co-Ops<br>
<br>
<a href="http://www.nonprofitquarterly.org/policysocial-context/21586-while-you-were-sleeping-fiscal-cliff-deal-whacked-obamacare-nonprofit-co-ops.html" rel="nofollow" target="_blank">http://www.nonprofitquarterly.org/policyso&hellip;</a><br>
<br>
Time and time again this has always been about looting and ever rightward, cost/profit making.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1089135">Eureka Springs</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 11:26:31 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2730005]]></link>

    <guid isPermaLink="true"><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2730005]]></guid>
    <author><![CDATA[Eureka Springs]]></author>
    <description>
      
      <![CDATA[There you go again with that lie. "private option" is a lie... it is an option killer. It kills the option of keeping medicare as we knew it. It kills the only existing Single Payer entity the country has and it does it by giving private for profiteers thousands of additional dollars for nothing in return, total death panel inc. control over this nation. Remember PPACA specifically says if there is ever a problem we can only go to the insurance company to resolve it. That's total control with no option at insane prices. As I said to a friend of mine yesterday... fed money is nothing but monopoly money... but even when I played monopoly money as a kid I would (rightfully) get mad when someone tried to steal it. ANd that's what the Democrats are suggesting and Republicans are loving. Theft.<br>
<br>
If you think theft is good revenue stream for the state... then you think a criminal state is a good thing.<br>
<br>
Just as pretending a tax within a tax and a tax to cover that tax... all on insurance is something that could possible be about health, care or lower costs. Good gawd man... it's called another neoliberal looting ponzi scheme.<br>
<br>
As for dbi's negotiation of the "non profit" idea. In the USA non profit doesn't mean what you think it does. With the exception of the medicare (and tri-care V.A.) neoliberals are negotiating non profit away.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1089135">Eureka Springs</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 10:29:56 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729794]]></link>

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    <author><![CDATA[the outlier]]></author>
    <description>
      
      <![CDATA[Thanks, David, for clearing that up. I am so grateful for people like you who get down in the weeds to understand and explain this stuff.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1343245">the outlier</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 08:53:44 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729789]]></link>

    <guid isPermaLink="true"><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729789]]></guid>
    <author><![CDATA[David Ramsey]]></author>
    <description>
      
      <![CDATA[outlier, re: Arkansas and civilized societies, these fees ON INSURANCE COMPANIES are being used to fund exchanges throughout the country. As I said in my note at the bottom, the feds charge 3.5% fee to ins. cos if they sell on federally run exchange. Because the exchange features price controls and heavy (or in this case, full below 138 FPL) subsidies, this is a cost to insurance companies, not consumers. Seems reasonable to tax the private insurance companies since the exchanges are a public good that is really a gift-wrapped deal for the ins. companies. (the new Arkansas plan overall is still a transfer from public coffers to private profits but this tax is a very small transfer in the other direction). <br>
<br>
there's no clawback, the fee is part of the deal on offer. agree that other states are going to be very upset if arkansas is the only one that gets this arrangement.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=2535465">David Ramsey</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 08:48:58 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729714]]></link>

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    <author><![CDATA[the outlier]]></author>
    <description>
      
      <![CDATA[These guys are going to put Stewart and Colbert out of business in the laugh-making field.<br>
<br>
"A new short-term budget bill introduced on Monday by House Republicans includes a bizarre provision banning federal funding to anti-poverty group ACORN, despite the fact that the group has already been stripped of federal funding -- and has been defunct for nearly three years."<br>
<br>
Take that, ACORN! Maybe they fear ACORN is really a vampire and they have to drive another stake through its heart. There is no end to the monsters under conservative beds.<br>
<br>
<a href="http://www.huffingtonpost.com/2013/03/05/acorn-gop-budget-bill_n_2810345.html" rel="nofollow" target="_blank">http://www.huffingtonpost.com/2013/03/05/a&hellip;</a>
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1343245">the outlier</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 08:12:20 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729697]]></link>

    <guid isPermaLink="true"><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729697]]></guid>
    <author><![CDATA[the outlier]]></author>
    <description>
      
      <![CDATA[There are other states with legislators who don't seem to be clear on the concept. This one made me laugh.<br>
<br>
"Washington state Rep. Ed Orcutt (R–Kalama), a ranking member of the State Transportation Committee, argues that bicycling is bad for the environment and says bike riders should have to pay a tax to help maintain the state's roads.<br>
<br>
"In the message, Orcutt states bike riders pollute the environment because they produce more carbon dioxide than car drivers."<br>
<br>
<a href="http://www.huffingtonpost.com/2013/03/04/ed-orcutt-bike-riders-pollute-environment-washington_n_2805658.html" rel="nofollow" target="_blank">http://www.huffingtonpost.com/2013/03/04/e&hellip;</a><br>
<br>
From the comments at the story:<br>
<br>
"By that logic, we should hold GOP lawmakers directly responsible for polluting the environment by virtue of the hot air expended on much of their ridiculous proposed legislation."<br>
<br>
This post should not be construed as an endorsement of the tax. Nor should it be construed as a criticism. An argument can be made that cyclists should help pay for bike lanes. On the other hand, most cyclists also drive cars and pay state gasoline taxes already. Also, too, they are likely healthier and cost us less in health care dollars.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1343245">the outlier</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 08:03:49 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729600]]></link>

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    <author><![CDATA[couldn't be better]]></author>
    <description>
      
      <![CDATA[If we do the exchange on Medicaid, the costs are about $6000 each patient.  The "private option" costs are estimated at $9000 each.  The difference, using the new math, is $3000.<br>
<br>
Now the "private insurance" companies have 30% overhead and 30% of $9000 is $2700 of the additional $3000.  So we are just transferring most of the cost differnce to companies as more "business socialism" with the other $300 being the additional dollars that might rain down on the hospitals and doctors.<br>
<br>
I am sure that the Republicans will just be overjoyed to reward companies who can delay and other slow down the system.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1072655">couldn't be better</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 06:48:40 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729599]]></link>

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    <author><![CDATA[the outlier]]></author>
    <description>
      
      <![CDATA[What civilized society taxes health care premiums? Arkansas.<br>
<br>
Since the Feds have agreed to do it "our" way even though it costs more federal dollars, perhaps they might want to do a claw back of that twenty million to offset the extra money since other states will, again, be subsidizing this little ol' red state's hissy fit.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1343245">the outlier</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 06:47:21 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729590]]></link>

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    <author><![CDATA[UnHappiestOfAll]]></author>
    <description>
      
      <![CDATA[Having read Mr. Brill's article in last weeks Time magazine, I am appalled at what the consumer (sick & dying) has to deal with by being billed by the "chargemaster."  I was unaware that health care was a negotiable trade in America.  After consuming Mr. Brill's argument, it is hard to understand how any person other than a "NON-profit" hospital would be against expanded Medicare coverage for all citizens.  If I own a restaurant, I am not able to charge people based upon how hungry they are.  I cannot pray upon their thirst to charge exorbitant fees for water, but it seems that hospitals can.  They can triple-charge a terminally ill person for care without batting an eye.  For all of us who are cared for by UAMS, Children's, St. Vincent, or Baptist, please look at your bills and question them thoroughly.  No one should $10 for an aspirin that should be %0.02
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1225430">UnHappiestOfAll</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 05:48:33 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729416]]></link>

    <guid isPermaLink="true"><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729416]]></guid>
    <author><![CDATA[radical centrist]]></author>
    <description>
      
      <![CDATA[DBI - It's timely that you should mention private, non-profit plans.  They're checking it out.  See the front page of the Tuesday Dem-Gaz.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1068154">radical centrist</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 01:56:57 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729367]]></link>

    <guid isPermaLink="true"><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729367]]></guid>
    <author><![CDATA[DeathbyInches]]></author>
    <description>
      
      <![CDATA[This appeared in the NY Times in October, 2012:<br>
<br>
"Under the Affordable Care Act, at least one of the nationwide health insurance plans must be offered by a nonprofit entity. Insurance experts see an obvious candidate for that role: the Government Employees Health Association, a nonprofit group that covers more than 900,000 federal employees, retirees and dependents, making it the second-largest plan for federal workers, after the Blue Cross and Blue Shield program......Supporters of the national plans say they will increase competition in state health insurance markets, many of which are dominated by a handful of companies.<br>
<br>
The national plans will compete directly with other private insurers and may have some significant advantages, including a federal seal of approval. Premiums and benefits for the multi-state insurance plans will be negotiated by the United States Office of Personnel Management, the agency that arranges health benefits for federal employees."<br>
<br>
This is over my head but gives me a little hope that it is a back door way to eventually strangle For Profit health insurance companies on down the road. As I see it our only hope is for someone to dictate what hospitals and doctors can charge for their services because the bottom line is that going to the doctor and or the hospital cost so so so so much that no working person can afford it even if they have insurance. Doctoring costs too damn much, way way too much, ridiculously too much and keeps going up daily.  <br>
<br>
Our health insurance should work like Medicare which tells the medical world how much they'll be paid for anything they do. So what if doctors and hospitals don't like it. It's not like they're going to move to Canada or Mexico and show us!  <br>
<br>
It's totally possible to get rich getting paid Medicare rates. You just can't get island-buying rich in the first 5 years of practicing medicine.....tickles me pink.....look look I'm playing the world's smallest violin with my fingers. <br>
<br>
In case you missed it here's the very long excellent read about why health care is killing us these days. <br>
<br>
<a href="http://healthland.time.com/2013/02/20/bitter-pill-why-medical-bills-are-killing-us/" rel="nofollow" target="_blank">http://healthland.time.com/2013/02/20/bitt&hellip;</a>
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1069753">DeathbyInches</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 01:43:02 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729344]]></link>

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    <author><![CDATA[Verla Sweere]]></author>
    <description>
      
      <![CDATA[This plan makes less sense than sales tax on food.  Yes, local governments like sales tax on food, but that does not make it right.  The gap between rich and poor just keeps growing.  You can bet this will do nothing to help the state/city attract the kind of talent it needs for our great tech park.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1265623">Verla Sweere</a>]]>
    </description>
    <pubDate>Tue, 05 Mar 2013 00:06:34 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729322]]></link>

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    <author><![CDATA[Sound Policy]]></author>
    <description>
      
      <![CDATA[Hardly.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1076411">Sound Policy</a>]]>
    </description>
    <pubDate>Mon, 04 Mar 2013 23:38:16 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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          <item>
    
    <title><![CDATA[Re: Insurance premium tax could net state extra $20 million per year under "private option"]]></title>

    
    <link><![CDATA[http://www.arktimes.com/ArkansasBlog/archives/2013/03/04/insurance-premium-tax-could-net-state-20-million-per-year-under-private-option/#2729287]]></link>

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    <author><![CDATA[radical centrist]]></author>
    <description>
      
      <![CDATA[The good news just keeps rolling in about BeebeCare.
        
        <br />
        Posted by 
        
          <a href="http://www.arktimes.com/arkansas/Profile?oid=1068154">radical centrist</a>]]>
    </description>
    <pubDate>Mon, 04 Mar 2013 22:51:48 -0600</pubDate>
    <source url="http://www.arktimes.com">Arkansas Times</source>
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