Summary: “For months now, headlines about the Affordable Care Act have focused on complaints from big insurers that they haven’t been making money from individual insurance plans mandated by the act,” Michael Hiltzik writes in The Los Angeles Times. “The big insurer UnitedHealth Group has even whined about losing so many millions it’s thinking about withdrawing from the Obamacare marketplace as soon as next year. Others, including Anthem and Aetna, have mentioned that their exchange business isn’t yet profitable, though they’re not talking about pulling the plug. Here’s what they haven’t been saying so loudly: They’re making scads of money from Obamacare — so much that almost universally, they’re expanding their participation. What’s the catch? The big profits have come not from the insurance exchanges, but via the ACA’s Medicaid expansion, in which the largest insurers have been playing a major role. The same insurance executives who go out of their way to badmouth the ACA’s individual exchange plans talk as though they can’t get enough of the Medicaid business, especially its managed care component.” Michael Hiltzik, “Dirty little secret: Insurers actually are making a mint from Obamacare,” The Los Angeles Times.
Jeanne Pinder is the founder and CEO of ClearHealthCosts. She worked at The New York Times for almost 25 years as a reporter, editor and human resources executive, then volunteered for a buyout and founded ClearHealthCosts.
She was previously a fellow at the Tow Center for Digital Journalism at the Columbia University School of Journalism. ClearHealthCosts has won grants from the Tow-Knight Center for Entrepreneurial Journalism at the Craig Newmark Graduate School of Journalism at the City University of New York; the International Women’s Media Foundation; the John S. and James L. Knight Foundation with KQED public radio in San Francisco and KPCC in Los Angeles; the Lenfest Foundation in Philadelphia for a partnership with The Philadelphia Inquirer; and the New York State Health Foundation for a partnership with WNYC public radio/Gothamist in New York; and other honors.
Her TED talk about fixing health costs has surpassed 2 million views.