People are dying and they are getting sicker and sicker.
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Doctors prescribed antibiotics, but Nerius just got sicker and sicker.
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The population gets sicker and sicker and sicker and sicker, the rates get higher to try and catch it, it's a fruitless chase, and ultimately you end up with a very bad pool of risk.
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In recent weeks, Patty has watched him get sicker and sicker.
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Every Monday, drugs were infused into my body, and I felt sicker and sicker.
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"She definitely appeared to be getting sicker and sicker," Ian Paregol told the news station.
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My patient got sicker and sicker in front of us and could no longer make decisions for himself.
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Then as HIV attacks the body's immune cells and patients get sicker and sicker, it becomes detectable again.
|
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As Patterson got sicker and sicker, weeks turning to months in the I.C.U., Strathdee finally headed for the internet.
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And the doctors, since they'd never seen measles before, misdiagnosed her repeatedly, sending her home, where she became sicker and sicker.
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But the city strenuously argued that the water was safe for human consumption, even as residents protested and got sicker and sicker.
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Mirabal allegedly told police that Zayden seemed to get "sicker and sicker" when she brought him home from the hospital after giving birth.
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|
As she got sicker and sicker and the need for immediate replacement was there, it was more difficult to bring her numbers up.
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|
Like in the real-life actions of ACT UP, some of them are doing all this while they themselves become sicker and sicker.
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|
It was during their work on The Deer Hunter – his final film – that Cazale got sicker and sicker and Streep morphed from lover to nurse.
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|
A man said he was getting sicker and sicker in his hotel room, but there were no doctors and he was not allowed to leave.
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|
More than anything, though, this latest case is a particularly grim reminder that ticks and insects are making us sicker and sicker (thanks in part to climate change).
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"To the contrary, these dolls create a real risk of reinforcing pedophilic behavior and they desensitize the user causing him to engage in sicker and sicker behavior," Goodlatte said.
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They'd be paying higher and higher premiums as the risk pool got sicker and sicker, possibly leading to a "death spiral" where insurance for them simply became unaffordable or unavailable.
|
|
"I see my wife just getting sicker and sicker, and I hear stories of people who wait too long, and they die, they just can't recover," Robinson, 55, tells PEOPLE.
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And Americans are sick — much sicker than many realize.
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And Americans are sick — much sicker than many realize.
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And insurance companies can deny these plans to sicker people.
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That would leave mostly older, sicker Americans in the market.
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Their only recourse: wait and get sicker until treatment arrived.
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Among those most impacted would be older and sicker Americans.
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|
"You can price for a smaller, sicker market," she says.
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"If you are older and sicker, not really," he said.
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|
But as he grew sicker, the feeling of invisibility returned.
|
|
For Sanchez, it dampened the victory of not being sicker.
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Iran's economy, in other words, is sick, and getting sicker.
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That could leave behind an older, sicker, and costlier market.
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|
When we are sick we don't want to get sicker.
|
|
And yet she looked sicker now than she ever had.
|
|
But do sicker patients really do better at teaching hospitals?
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|
I suspected America was far sicker than the politicians described.
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|
The sicker patients I see in the Intensive Care Unit.
|
|
As he grew sicker, he went to three other hospitals.
|
|
It also projected higher costs for older and sicker people.
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|
And being sick makes you poorer, which makes you sicker.
|
|
"So I slept in the studio, and I'm getting sicker and sicker — this Miami weather with the air condition f—ing me up," the Grammy nominee (real name: Belcalis Almanzar) said in the first post.
|
|
I'm a prisoner trapped on a plane without my insulin, feeling sicker and sicker, and I have to rely on Nicolas Cage to beat up some bad guys and find spare insulin to bring me.
|
|
Enrollees are also sicker and older than expected, the companies say.
|
|
At stake are billions in payments to insurers with sicker customers.
|
|
How does the quicker and sicker approach add up for nurses?
|
|
The insurer says its membership population actually got sicker in 2016.
|
|
As Camille gets sicker, she urges Amma to escape the house.
|
|
Villagers can see it getting sicker as the planet heats up.
|
|
Those without AI will be less educated, weaker, poorer and sicker.
|
|
That doctor told her that he was shocked she wasn't sicker.
|
|
Many of them will get sicker than they should have been.
|
|
But their collision course reveals a sicker truth about our society.
|
|
But his weight loss seemed to accelerate as he got sicker.
|
|
"I don't want my mom to get sicker," Ms. Hooker said.
|
|
After all of this spectacle, America will be a lot sicker.
|
|
The sicker people are who join, the more money they'll lose.
|
|
In Lynch's surreal black-and-white fantasia, an alien baby — possibly a lamb fetus, though Lynch has never revealed what he used — grows sicker and sicker until its bandages are removed and its organs fall apart.
|
|
The patient grew sicker and increasingly troubled by his political black mark.
|
|
The insurers would also be able to charge older sicker, patients more.
|
|
That's right: She sneezed on the beat and the beat got sicker.
|
|
As she got sicker, I made apple pie and delivered her samosas.
|
|
Insurers say Obamacare patients are sicker and more costly than they thought.
|
|
Poorer and sicker Americans will not be able to reap these benefits.
|
|
Sometimes I'm sicker and sometimes I'm more healthy: it ebbs and flows.
|
|
Having fewer scientists helps no one, and could make us all sicker.
|
|
Also, Medicare patients are older and usually sicker than non-Medicare patients.
|
|
Those who can't afford the requisite care get sicker and die sooner.
|
|
Because sicker beneficiaries need more care, restrictions on access hit them hardest.
|
|
Medicare pays plans more for sicker patients because such patients cost more.
|
|
Or, it's possible that the marketplace will continue to attract sicker enrollees.
|
|
Kidney issues are well known to make already sick patients even sicker.
|
|
The poor conditions inside are in fact making the sick even sicker.
|
|
With SARS in particular, the older the mice, the sicker they got.
|
|
Predictably, more comprehensive plans that cover more and sicker people are costlier.
|
|
Told he probably has the coronavirus, he says he is getting sicker.
|
|
Sicker people would opt for the compliant plans, which cover more benefits.
|
|
The 244 plans also offer more comprehensive coverage and cover sicker people.
|
|
"The damning truth is austerity is making our society sicker," he said.
|
|
For those people—older, sicker, crammed together—coronavirus represents an extraordinary threat.
|
|
Hospitals argues that these increases are due to an aging, sicker population.
|
|
But some sicker patients will — and those prices will add up quickly.
|
|
This means insurers could, in some circumstances, charge sicker people higher rates.
|
|
I came across no reports of people getting sicker from medicinal cannibalism.
|
|
"Even when he got sicker and sicker and eventually went into the hospital, it was kind of like this, oh, weird, Dave must have some really awful virus — that's one hell of a flu," his friend Dr. Mitchell said.
|
|
And small towns like this tend to be far sicker than the norm.
|
|
The US population is getting older, and older people tend to be sicker.
|
|
No one wants to eat crab if they're feeling sicker than a dog.
|
|
Soon afterward he got sicker and couldn't travel, which meant he couldn't work.
|
|
"Rural America, per capita, tends to be older, poorer and sicker," she said.
|
|
But this new rule will certainly succeed at one thing: making America sicker.
|
|
I dabbled in diet pills —ephedra—but they only made me feel sicker.
|
|
New Yorkers probably are not that much sicker than their New England neighbors.
|
|
This made insurance cheaper for sicker people but more expensive for healthier people.
|
|
Democrats, however, attacked the proposals, saying they will hurt older and sicker Americans.
|
|
The patients at home who are not receiving proper care will become sicker.
|
|
Stay away from the smells, the smells are going to make you sicker.
|
|
However, the company didn't lose money because it had sicker-than-expected enrollees.
|
|
Residents in nursing homes are older and sicker and live in close quarters.
|
|
Those sicker people now pay a premium much below their actuarially fair premium.
|
|
That action then raises the community-rated premiums of the remaining, sicker insured.
|
|
And so because the older sicker people are uninsured ... JF: After they die.
|
|
The next week, we returned to her office sicker than the week before.
|
|
People get sicker at a younger age when they are frustrated and hopeless.
|
|
Or, they can't afford their medical treatment and get sicker — sometimes they die.
|
|
Rural Americans tend to be older, sicker and lower-income than urban Americans.
|
|
Ambulances with paramedics could transport sicker COVID-19 patients to hospital emergency rooms.
|
|
Sicker customers, who had been shut out of the unregulated market, bought insurance.
|
|
Experts across the political spectrum worry that a world where people can buy insurance whenever they want is a recipe for a so-called death spiral, in which the insurance pool becomes sicker and sicker, and prices rise to unsustainable levels.
|
|
And while Obamacare bars insurers from medically underwriting, or charging sicker customers higher rates than healthy customers, Idaho would allow insurers to charge sicker customers who enroll in the new plans up to three times the amount charged the healthy.
|
|
For weeks now, Republicans have claimed that their new bill will protect sicker Americans.
|
|
His days also include walks, playtime and various medical treatments for the sicker animals.
|
|
The sicker she got, the more time she spent in bed, in her pajamas.
|
|
The more people that worried about me, the sicker I must be, I thought.
|
|
Above a certain level, breathing more smoke might not make a person much sicker.
|
|
Under the health law, sicker patients cannot be denied coverage or charged higher premiums.
|
|
When seniors cannot access proper health care they get sicker; many of them die.
|
|
Without proper treatment, patients will stay sicker, longer, potentially threatening their ability to work.
|
|
Those young people help balance out older, sicker people and reduce costs for insurers.
|
|
A plan with only older and sicker participants will quickly go out of business.
|
|
Most importantly, states can let insurers charge what they like to cover sicker individuals.
|
|
Many sicker, older, and poorer Americans would be priced out of the market altogether.
|
|
In some cases, a vaccine that hasn't been properly tested could make people sicker.
|
|
But from the start, the assisted living population was older and sicker than expected.
|
|
Untreated, the weak become weaker, the sick become sicker, and a terminal spiral ensues.
|
|
Non-compliance can lead to sicker patients who may wind up in the hospital.
|
|
Treatment has, at times, left me feeling sicker than I could have ever imagined.
|
|
Scientists and economists warn that extreme heat is already making them sicker and poorer.
|
|
Gao added that mutations can make the virus spread faster and make people sicker.
|
|
If he gets sicker and goes to Doggy Heaven, that will be very sad.
|
|
Now, stricter patient criteria mean that patients in an L.T.C.H. will be sicker still.
|
|
Now, stricter patient criteria mean that patients in an L.T.C.H. will be sicker still.
|
|
Older and sicker people would be able to buy plans that are more comprehensive.
|
|
That can often lead to patients getting sicker, or ending up with antibiotic resistance.
|
|
Doug Sicker is the Department head of Engineering and Public Policy at Carnegie Mellon.
|
|
Democrats had to make very clear trade-offs to advantage this older, sicker population.
|
|
The sicker people get and the closer to death, the more contagious they become.
|
|
The people signing up for the law, the insurer said, were sicker than expected.
|
|
The healthy people are crucial to balance out the bills of the sicker enrollees.
|
|
But older, sicker, and poorer Americans have a lot to lose under the Republican plan.
|
|
Pellegrino had preeclampsia much earlier in her pregnancy than I did and was even sicker.
|
|
Some of the healthy and younger people, in turn, would then grow older and sicker.
|
|
Meanwhile, sicker people might be more willing to pay the penalty since they need care.
|
|
As always, sicker people would have more incentive to stay insured in the first place.
|
|
The doctor told her not to cry because if she cries she will get sicker.
|
|
To be sure, insurers continue to struggle with sicker-than-expected customers and disappointing enrollment.
|
|
But it'll send the cost of more comprehensive plans — the plans sicker people need — skyrocketing.
|
|
Thus far, Obamacare's markets have been populated by larger numbers of older and sicker Americans.
|
|
But the influx of sicker patients into the individual market would drive those premiums up.
|
|
The sicker people get, and the closer to the death, the more contagious they become.
|
|
Without his mother's milk to provide him with immunity-boosting colostrum, Stanton became even sicker.
|
|
States would also have the option to allow insurers to charge sicker people higher premiums.
|
|
Sicker Americans with pre-existing conditions are a key catalyst for rising costs for everyone.
|
|
For example, survey respondents were sicker than the group researchers can usually reach, Chan explained.
|
|
It rolled out new regulations that were expected to drive up premiums for sicker Americans.
|
|
The sicker people get, and the closer to the death, the more infectious they become.
|
|
And for people suffering from PTSD, "war experience can make them clinically sicker," Morgan said.
|
|
For people suffering from PTSD, "their war experience can make them clinically sicker," Morgan said.
|
|
Whereas sicker beneficiaries tend to enroll in Fee-For-Service, healthier beneficiaries choose Medicare Advantage.
|
|
Premiums are rising sharply, and the pool of enrollees is smaller and sicker than expected.
|
|
Men on hormone therapy tend to be older and sicker, with more underlying health issues.
|
|
But what would that have done to our marriage, especially as my father got sicker?
|
|
"The economy is getting sicker," he said on Off the Chain, a digital assets podcast.
|
|
Alone in his room, he got progressively sicker without proper medical care for a week.
|
|
Hours later, as the boy grew sicker, no medically trained agents were on duty there.
|
|
Now, he said, he was getting progressively sicker and finding it more difficult to breathe.
|
|
In the meantime, he was getting progressively sicker and finding it more difficult to breathe.
|
|
With sicker customers, the company has higher costs and must raise the price of insurance.
|
|
Flu can last a week or longer, and kids are sicker, achier, and more miserable.
|
|
People who do sign up will likely be sicker, which could make insurance more expensive.
|
|
The equity markets were sicker than the virus that knocked them back on their heels.
|
|
Experts warn that would leave only sicker people enrolled, increasing premiums and potentially destabilizing markets.
|
|
Critics, including some insurers, argue the changes could raise costs on plans for sicker people.
|
|
The makeup of the ObamaCare risk pools has been sicker and costlier than insurers hoped.
|
|
"People don't have water, electricity … people are going to get a lot sicker," Merling said.
|
|
And it would make the remaining buyers, on average, sicker and more expensive to cover.
|
|
Those customers were needed to help offset the expenses accrued by older, and sicker, customers.
|
|
Without a mandate, he said, only sicker people would remain enrolled, leading to higher premiums.
|
|
Let me be clear: this budget will make America sicker, poorer, hungrier and less safe.
|
|
Functional insurance markets need healthy enrollees to balance out the costs of the sicker patients.
|
|
But centrists worry that will effectively happen if insurance companies can charge sicker individuals more.
|
|
The poorer you are, the more likely you are to be sicker, and die younger.
|
|
It keeps the insurance mandates that cause the prices to rise, which chase young, healthy people out of the marketplace, and leads to what people call adverse selection, where you have a sicker and sicker insurance pool and the premiums keep rising through the roof.
|
|
It keeps the insurance mandates that cause the prices to rise, which chase young, healthy people out of the marketplace and leads to what people call adverse selection, where you have a sicker and sicker insurance pool and the premiums keep rising through the roof.
|
|
First, it could badly damage the individual market by leaving behind a sicker, more expensive population.
|
|
Emotionally, the quicker and sicker model means the long hours are engineered to be less fulfilling.
|
|
One targets a program designed to reimburse some insurers for the costs of covering sicker customers.
|
|
Besides, enjoying The Circle as trashy fun almost seems like a sicker burn than panning it.
|
|
Rural areas tend to be populated with older, sicker and lower-income people than urban areas.
|
|
Noncompliant plans will appeal to healthier people, leaving sicker people to buy ACA-compliant health plans.
|
|
The Democrats are getting in line on Obamacare, while the Republicans are getting sicker of it.
|
|
"If the sicker people are the ones signing up, can this be priced for?" asked Freedman.
|
|
Incarceration can make people sicker, or kill them, even those who enter prison in good health.
|
|
The sicker a bee is, and the more useless its wings, the fewer plants it pollinates.
|
|
"Because he takes care of me when I'm sicker than a dog," she captioned the image.
|
|
" Pelosi characterized the proposed cuts as a "cruel and shortsighted ... roadmap to a sicker, weaker America.
|
|
One way the plans may disadvantage some sicker beneficiaries is by making care harder to get.
|
|
Such an exodus would leave the ObamaCare markets with sicker, more expensive customers, driving up costs.
|
|
Such plans would then be less attractive to sicker patients who need more health care services.
|
|
This year 10.3 million are enrolled—and these individuals are older and sicker than CBO forecast.
|
|
Everything becomes pathologized and restricted; people can get caught up in what will make them sicker.
|
|
The people who will drop out are healthier, leaving a sicker and more expensive market behind.
|
|
The coronavirus is proven to affect older and sicker people more than younger and healthier people.
|
|
The purpose of the cash transfers is to reduce incentives for insurers to avoid sicker patients.
|
|
The sicker a population gets, the more people – especially older citizens – will need to be hospitalized.
|
|
Our political culture is sick and getting sicker, and confirmation bias is now a leading toxin.
|
|
Today's graying prison population is older and sicker than at any time in our nation's history.
|
|
His preferred replacement of Obamacare would reduce health care benefits for sicker, poorer and older Americans.
|
|
This will lead the healthy to forego coverage, leaving a sicker and costlier composition of demanders.
|
|
By then you're older and possibly sicker, so buying another term plan can be very expensive.
|
|
She cannot travel to the U.S. I see her face every day getting older and sicker.
|
|
A recent study found a commonly used algorithm favored treating white patients over sicker black ones.
|
|
As he grew sicker, he finally admitted he was vaping, but wouldn't say what he used.
|
|
Millions of Yemenis are hungrier, sicker and more vulnerable today than they were a year ago.
|
|
"Between the dust, the rain and the heat, he kept getting sicker," said Ms. Figueroa, 30.
|
|
That would encourage healthy people to forgo insurance, leaving companies to cover a smaller, sicker population.
|
|
This ramped up as he got sicker—he died of multiple sclerosis when I was 19.
|
|
The law works when younger, healthier people and older, sicker people all sign up for coverage.
|
|
"So I slept in the studio, and I'm getting sicker and sicker — this Miami weather with the air condition f—ing me up," she said in the post "But I need to do one more song for my album, I just really need to do it."
|
|
And so instead of risking getter sicker and something happening to me, it's better to go home.
|
|
But the treatment that has kept Sean and Patrick alive since birth is also making them sicker.
|
|
The constant hot showers and vomiting can contribute to dehydration and malnutrition, which make people even sicker.
|
|
He takes away another source of funding for sicker people: the premiums of healthy individual market enrollees.
|
|
But sicker people will end up paying the price of those healthy people exiting the Obamacare marketplace.
|
|
She drank water only when it was clear enough and looked like it wouldn't make her sicker.
|
|
This means that the overall pool of people on the marketplace were sicker in 2015 than 2014.
|
|
If they are sicker as a result, it will be even harder for them to get work.
|
|
In addition, insurers are prohibited from charging healthy and young consumers less than older and sicker ones.
|
|
And plans with sicker patients say the payments are too low and unpredictable to make a difference.
|
|
That would leave sicker, older people to share the costs in the market, resulting in higher premiums.
|
|
Less publicly, the Trump administration has pushed forward regulations that will drive up premiums for sicker Americans.
|
|
That would make the insured population sicker as a whole and therefore even more expensive to cover.
|
|
Officials are particularly concerned about older, sicker people who are at highest risk of developing serious illness.
|
|
It is hard to imagine that more insurers would wish to participate in this smaller, sicker market.
|
|
He said that he was getting progressively sicker and that there were no doctors or medicine available.
|
|
This doesn't mean that some people don't become sicker — with pneumonia, for example — after contracting these coronaviruses.
|
|
In short, Republicans have made health insurance even more unaffordable, especially for older, sicker, or poorer Americans.
|
|
When she became pregnant, she was afraid of becoming sicker and dying, leaving her young children orphaned.
|
|
Curtailing these valuable programs will likely drive up employer costs as employees become sicker and less able.
|
|
We thought it was Lyme Disease at the time, but she was much sicker than we realized.
|
|
And the sicker the insurance pool got, the more the companies would charge for their health plans.
|
|
Republicans are creating lower-cost alternatives to Obamacare, which means shifting costs to older and sicker people.
|
|
Courtemanche thought this was probably because they were sicker to begin with and needed the most care.
|
|
They explain that Agatha is getting sicker by the day, and Ambrose realizes it's time to tell Hilda.
|
|
A higher risk score means the person is sicker, and consequently the government pays the health plan more.
|
|
As people are getting older, sicker and richer in many developed countries, that presents a big growth opportunity.
|
|
Many insurers have lost money on the exchanges as customers have been older and sicker than they expected.
|
|
The move followed criticism that the original bill would result in a sicker - and more expensive - insurance pool.
|
|
That might help Amazon corner a market of older, sicker and wealthier users, which mirrors general demographic trends.
|
|
"I knew that there was a possibility that we would get sicker and something could happen," Katie says.
|
|
In the end, the data is clear: Americans living in the southern United States live shorter, sicker lives.
|
|
Other insurers have lost a lot too because they say Obamacare users are far sicker than anticipated. 5.
|
|
Moderates already had concerns that previous versions did not do enough to protect poorer, sicker and older Americans.
|
|
But their participation is needed to defray the costs of insuring older, sicker Americans in the system. 2.
|
|
But that would leave the sicker, more expensive consumers in the Obamacare plans, causing their premiums to spike.
|
|
But if the marketplaces continue to serve a smaller, sicker group of people, urgent action may be needed.
|
|
Correction: An earlier version of this story described the rising risk scores as indicating a sicker marketplace population.
|
|
The Senate's bill, it seems, would gut coverage for poorer, sicker people while redistributing wealth to the richest.
|
|
This means that potentially 17.5 million Americans become sicker each year because they can't afford their prescription medication.
|
|
Their bones show evidence of dietary stress: they were shorter, they were sicker, their mortality rates were higher.
|
|
That has kept the mix of people in the pool sicker — and more expensive to insure — than expected.
|
|
As the companies increase prices to compensate for having sicker patients, fewer healthy people will buy the insurance.
|
|
Forgoing care can exacerbate medical conditions leading to sicker patients and a higher reliance on hospital emergency departments.
|
|
Convict No. 9653 refused to ask for a pardon, even as he grew sicker, and leaner, and weaker.
|
|
The image added even more pressure to make a diagnosis and treat the child before he got sicker.
|
|
Burrell said dwindling enrollment and a much sicker risk pool are the main contributors to such high rates.
|
|
About 9 percent of the patients were women, who tended to be older and sicker than the men.
|
|
So while we technically have less patients than we usually would in March, the patients are much sicker.
|
|
The result was especially striking, Dr. D'Angelica said, because patients who got pumps were sicker to begin with.
|
|
This is also the point at which that person could face higher prices for being a sicker patient.
|
|
Over all, wealthier and healthier Americans tend to be more likely to vote than their poorer, sicker counterparts.
|
|
Young and healthy people are going to go into the market and pay for the older, sicker people.
|
|
For days I became sicker as I traveled, lacking the space in my schedule to visit a doctor.
|
|
"We're sicker here than in Central America," said Dr. Smiddy, who has volunteered on charity health trips there.
|
|
Without one, the theory goes, mostly sick people buy insurance, and premiums rise to cover that sicker pool.
|
|
With so much uncertainty, Anthem said, it expects to serve a smaller, sicker group of people next year.
|
|
Obamacare enrollees are sicker and more expensive than enrollees in pre-Obamacare individual plans or employer-based plans.
|
|
Insurance companies need to collect payments from healthier people in order to offset the costs of sicker ones.
|
|
"A Cure for Wellness is a movie about a 'fake' cure that makes people sicker," the statement said.
|
|
With his father getting sicker, the teenager wanted to donate a kidney himself, but he was too young.
|
|
All day, House leaders struggled to shake the hardening narrative that sicker Americans would suffer under their plan.
|
|
Health care policy is so complicated because some people can be expected to be much sicker than others.
|
|
That could prompt insurers to raise rates for the older and sicker folks who remain in Obamacare policies.
|
|
Insurers won't run from the market, but they will raise premiums to cover a sicker group of people.
|
|
Without those people in the insurance marketplaces, insurers will raise rates to cover their sicker pool of customers.
|
|
But they could be costly for older and sicker Obamacare enrollees who rely on the law's current requirements.
|
|
That bill would allow states to obtain waivers for insurers that would let those companies charge sicker people more money for coverage than healthier people if they let their insurance plans lapse, as long as the state creates a program to give those sicker people financial aid for their coverage.
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"I knew that there was a possibility that we would get sicker and something could happen," Katie told People.
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Because many Obamacare enrollees were sicker (and costlier) than anticipated, premiums skyrocketed and insurers backed out of state exchanges.
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Over the decade-long study, Americans as a whole got older, sicker, less white and better educated on average.
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She had gotten progressively sicker over the years after her diagnosis, and progressively less able to control her bowels.
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"Because he takes care of me when I'm sicker than a dog 😷🤧🤒," she captioned the image.
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They can charge higher premiums to sicker patients, for example, or not cover the health law's essential health benefits.
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It's also possible that kids who were admitted to a hospital were sicker than kids who had outpatient procedures.
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"My greatest concern is for the children ... who are arriving sicker than ever before," the March 28 letter reads.
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After they get kicked off the bus, Lizzie keeps feeling sicker and continues to throw up bug-infested vomit.
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By not expanding Medicaid in many states, poorer and sicker patients had no affordable options to get health insurance.
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I realized that in order for me to not get sicker I had to leave my island, my home.
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Ending these payments raises premiums for anyone who uses Obamacare: older people, younger people, sicker people, and healthy people.
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"Because he takes care of me when I'm sicker than a dog 😷🤧🤒," she captioned the image.
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The result is that the ACA brought in sicker, more expensive patients while healthy, low-cost patients remained uninsured.
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All they have done is make it sicker and the reason is simple: they refuse to accept the diagnosis.
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People widowed during the study were more likely to be women, black, older, sicker, depressed, and experiencing cognitive decline.
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It doesn't want to pick up sicker customers, who invariably have lower incomes that entitle them to exchange subsidies.
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"I knew that there was a possibility that we would get sicker and something could happen," Katie tells PEOPLE.
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The population buying coverage on the Obamacare marketplace could be getting sicker and less healthy, a new analysis finds.
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"'A Cure for Wellness' is a movie about a 'fake' cure that makes people sicker," the movie studios said.
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"I knew that there was a possibility that we would get sicker and something could happen," Katie told PEOPLE.
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But long-term care experts said that some residents who are sicker might also be good candidates to leave.
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They treated sicker patients, depressives and psychotics, but believed that the talking cure, designed for neurotics, could help them.
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And two temporary programs to stabilize premiums, by compensating insurers with sicker patients and high claims costs, are ending.
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The law provides "risk adjustment" payments to encourage insurers to welcome all new enrollees, including sicker-than-average people.
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Most historical and statistical evidence shows that life used to be shorter, sicker, poorer, more dangerous, and less free.
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Sicker employees who opt for less coverage will probably have high out-of-pocket expenses and higher net costs.
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That builds a market that functions well for healthy people but is terrible for sicker and lower-income Americans.
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It finally happened: Beyoncé LITERALLY sneezed on the beat last night and the beat... wait for it... got sicker.
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No one came away from the hole feeling sicker than Ernie Els, a runner-up in 276 and 22007.
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Without adequate coverage, people got sicker before seeking medical attention, and then came in with far more serious symptoms.
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It's not surprising that people who are sicker and need more care would have more problems paying for it.
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At this point it's not clear that pregnant women have a higher risk of getting sicker from the coronavirus.
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Insurers could charge the sicker people a higher premium for one year before dropping down to the regular rate.
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Experts had previously warned that breaking up the market that way would lead to skyrocketing costs for sicker people.
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The likely result, experts told Vox's Sarah Kliff, is that sicker people would stick to the comprehensive, compliant plans.
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Rural populations are older and sicker than the rest of the country, making them high-risk for severe coronavirus.
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He was tested Monday after growing sicker, and officials got the preliminary results that evening at a local hospital.
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It makes coverage cheaper for younger, healthier people by repealing regulations that keep it affordable for older, sicker people.
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That would leave a disproportionately sicker, more expensive population in the Obamacare plans, further driving up already-rising premiums.
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Rural Americans tend to be older and sicker, with higher rates of cigarette smoking, high blood pressure and obesity.
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The result could be that only sicker, costlier people remain in ObamaCare plans, leading to a spike in premiums.
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The plans are different, with Affordable Care Act plans covering more and sicker people and offering more comprehensive benefits.
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Larger insurance marketplaces are generally more stable, with more healthy enrollees who can offset the costs of sicker shoppers.
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Pressed with statistics and his previous comments referring to the fact that older and sicker Americans would pay more, Price said, "those who are sicker, who are older, who are poorer — they will get larger subsidies so that they will able to get the kind of coverage they need and for their family."
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It was also the first year that insurers were barred from charging sicker customers higher premiums or denying coverage altogether.
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These young adults are key to making the system work because they offset the costs of those who are sicker.
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It could also end up raising premiums on sicker people and abolish key protections for people with preexisting convictions. Sen.
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Health plans would charge low premiums to healthy, young individuals but higher ones to those who are sicker or older.
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"Being bald and wearing a wig, it makes you look sicker and feel worse than you actually are," she said.
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It always expected initial enrollees would be sicker because previously they were denied coverage because of their pre-existing conditions.
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The difference isn't because hospitalized patients are becoming younger and healthier; by and large, today's patients are older and sicker.
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"There's that myth that the sicker you are, the healthier your baby is, and that's just not true," she said.
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In other words, the change in incentives would likely lead disproportionately sicker individuals to enroll in coverage, driving up premiums.
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It's possible of course that the patient will get sicker because of this treatment before he/she begins to recover.
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The studies that controlled for these sicker people found that moderate drinkers had no health advantage over the true nondrinkers.
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If we are not closely monitoring them, they might get sicker and go into organ failure before you know it.
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The rules around private insurance would change a lot, in a way that is much less friendly to sicker Americans.
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Instead, it cited problems from last year, suggesting that the people who signed up were sicker than the insurer expected.
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The carnage he sees, however, is the wrong kind: NAFTA hasn't hurt US manufacturing, but it has made people sicker.
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In turn, however, that would increase costs for older, sicker customers who need the larger benefits that Obamacare policies provide.
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Older studies also found that sicker people tended to prefer traditional Medicare and were more likely to leave Medicare H.M.O.s.
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Reed: For the insurers, it's that this group of people is sicker and costlier to cover than they bargained for.
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" Said vaccines make children sicker to get people to buy more medication: "Why do they even want to do this?
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Getting healthier people to enroll in health coverage is meant to balance out the cost of those who are sicker.
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Slavitt pointed to recent work on the Medicare Advantage program to provide higher reimbursement for healthcare providers serving sicker patients.
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The startup plans to have an in-person healthcare component particularly focused on sicker patients covered by Medicare and Medicaid.
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An almost 'perfect killing machine' The older and sicker one is, the greater the chance of dying from the virus.
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Clorox used that information to increase digital ad spending to sicker areas and pull back in places that were healthier.
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With West Virginia's shrinking population getting older, sicker, and poorer, Jenkins says access to critical emergency care is dwindling too.
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You don't want to give them more virus—more "viral load"—and make them or both of you even sicker.
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Ms. Smith said patients now are older and sicker than they used to be, frequently arriving directly from a hospital.
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Without it, they said, the people who sign up would disproportionately be sicker, causing insurance to become ever more expensive.
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The insurers charged too little for these policies, experts say; policyholders have turned out to be much sicker than anticipated.
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"It does not appear that the enrollees today are noticeably sicker" than they were last year, the Kaiser report finds.
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But one factor can include social demographics: Rural populations are often older, sicker and poorer than urban populations, he said.
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It's senseless to prohibit high-deductible health plans from covering services that prevent the chronically ill from growing even sicker.
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Cruz and Lee, however, say there is enough money in the legislation to stabilize costs for older and sicker people.
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They are sicker than the rest of the population and their lives are shorter, because their medical care is worse.
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Absenteeism already costs employers $225.8 billion a year and a growing number of sicker employees will make that problem worse.
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Brutal heat waves are becoming unbearable, making people sicker and poorer, and diminishing the living standards of 800 million people.
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Without enforcing the mandate, healthier people might consider going without insurance, possibly resulting in a costlier pool of sicker patients.
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The GOP's answer to this problem is to try to quarantine sicker people off to the side in subsidized plans.
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The CBO also predicts that premiums for young, healthy people would go down but significantly increase for older, sicker people.
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If their enrollment drops while older, sicker people keep signing up, premiums are going to increase even more next year.
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And making matters worse, people who live out in the country tend to be older and sicker than their urban counterparts.
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I'm now on a medication that is not FDA approved for what I have, but works and doesn't make me sicker.
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Sicker individuals, on the other hand, would do absolutely everything they could to sign up and avoid a gap in coverage.
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Trump will have created a bifurcated market, where sicker and poorer people stayed in Obamacare, and healthier, middle-class people exited.
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But they jumped 24 percent on average for 2017 after insurers found they were covering patients who were sicker than anticipated.
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"Because he takes care of me when I'm sicker than a dog 😷🤧🤒," she captioned the image posted Monday.
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The idea was to force younger, healthier consumers to sign up to mitigate the costs of covering older and sicker Americans.
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Older, sicker people in every state could end up paying more as states try to make up for a funding shortfall.
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In reality, the risk pools are dominated by older and sicker customers, with a severe shortage of younger and healthier customers.
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The payments are intended to help stabilize health insurance markets by compensating insurers that had sicker, more expensive enrollees in 2017.
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|
As he grew older and sicker, Bill shuffled around the house in slippers and didn't seem as physically threatening, Christal said.
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That could draw younger and healthier customers away from Obamacare and send premiums skyrocketing for sicker people left in the exchanges.
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The medicine will be administered to everyone diagnosed with HIV, whereas previously antiretroviral treatment (ART) has been reserved for sicker patients.
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Such studies are often flawed, however, in that those on Medicaid are often poorer and sicker than those who are uninsured.
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Without an influx of new sign-ups, the remaining enrollees will tend to be sicker and cause higher premiums, Lee warns.
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Part of the problem is that Medicare Advantage attracts younger and healthier enrollees, leaving older and sicker patients in traditional Medicare.
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Children will become sicker without the proper nutrition, ending up in hospitals or on the rolls of what social services remain.
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It's because patients like Lucia are so much sicker and require more care by the time they come in for treatment.
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Under the risk adjustment program, insurers with healthier policyholders contribute money, which is then divvied up among carriers with sicker ones.
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How it works: Under risk adjustment, insurers that enroll healthier-than-average people compensate insurers that enroll sicker-than-average people.
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And many Amazon users are getting older, sicker and wealthier, making health and senior care an ideal target for the company.
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I could hear some of our team members shifting behind me, eager to move on to some of our sicker patients.
|
|
Social isolation and loneliness among older, sicker populations isn't something caused by the coronavirus, but it will be worsened by it.
|
|
Premium credits are more generous — yet it is also more likely that the insured population will be sicker, driving up premiums.
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Major insurance plans like UnitedHealth and Aetna quit selling coverage there because the population that signed up was sicker than expected.
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It creates the same group of winners (high-income, healthier people) and the same group of losers (low-income, sicker people).
|
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A sicker Obamacare enrollee population will drive up premiums for anyone who wants to sign up for coverage in the future.
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|
The patients coming in now are sicker than before because they were advised to try to recover at home, doctors said.
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One longstanding concern is that some hospitals may disproportionately attract sicker patients, who are more likely to have worse health outcomes.
|
|
The big picture: Rising prices and more services for some sicker patients are among the many reasons why this is happening.
|
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The actuaries warn that without the incentive for healthier people to enroll, sicker and costlier people would remain, driving up costs.
|
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These high drug costs prevent many Americans from accessing vital treatments -- meaning they are at risk of getting sicker or dying.
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So I wait in the E.R. for the same patients to return even sicker and even more dependent on the hospital.
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The sicker the patient, the smaller the penalty for a bad outcome, and the greater the reward for a good one.
|
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Not enough young healthy people have enrolled to offset the cost of older, sicker patients who are more costly to insure.
|
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They can deny people coverage based on their health status, charge sicker and older people higher premiums, and limit their benefits.
|
|
Prior to the Affordable Care Act, insurers in the individual market worked to sign up healthier people and avoid sicker people.
|
|
Mass incarceration breaks up families and makes communities sicker, Duke researcher Susan Reif told me, contributing to the racial health disparities.
|
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As a result, insurers selling A.C.A. plans would be left covering an older and sicker population, forcing them to increase premiums.
|
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Left in place would be ACA provisions that prohibit insurers from discriminating against sicker customers, and minimum health benefits in insurance plans.
|
|
People who received standard dialysis tended to be sicker when they started this treatment than the patients who only got emergency dialysis.
|
|
The so-called "risk adjustment" program takes payments from insurers with healthier customers and redistributes that money to companies with sicker enrollees.
|
|
But the odds say that sick people stay sick or get sicker, and insurance companies don't make a profit by paying out.
|
|
The sicker the pool, the more likely that costs will outweigh revenue from premiums, which would lead insurers to increase their prices.
|
|
In August 2014, Yvette Teixeira's eldest daughter, Makayla, who had been born with sickle cell anemia, was suddenly much sicker than usual.
|
|
The end result of that combination of policies is a risk pool that's comprised much more heavily of older and sicker people.
|
|
Children here seem slower and sicker than most, says Shirley's husband, David, whose own brother died at 16 after years of illness.
|
|
Because former employees who continue benefits on COBRA are generally sicker, and when costs are pooled traditionally, active workers' costs go up.
|
|
Looking back, we now know a number of past presidents and presidential candidates who were actually much sicker than the public knew.
|
|
Insurers warned that without such an incentive, the markets could be sent into a "death spiral" as only sicker people bought coverage.
|
|
These plans appeal to younger, healthier people, which means that older, sicker workers could end up paying higher premiums, according to Brookings.
|
|
It compels young and healthy people to join health insurance markets and help lower premiums by offsetting the costs of sicker patients.
|
|
"I'm going to go with girl just because you've been a little bit sicker with this one than with Memphis," Keeley added.
|
|
Zweig said that is likely due to the recent improvements these companies have made in positioning their technologies for sicker, older Americans.
|
|
More context: The individual market has had sicker-than-expected enrollees, but states like California and Florida still have maintained stable markets.
|
|
Older and sicker people could no longer be denied coverage, and were happy to take advantage of lower premiums and government subsidies.
|
|
It just so happens that employed people are younger, healthier and less expensive to insure than the sicker people who cannot work.
|
|
The agency found that the House bill could leave sicker folks unable to afford quality coverage in many parts of the country.
|
|
The pool of beneficiaries is becoming sicker, in part because healthier people are not coming in at the same level we hoped.
|
|
And they get sicker at earlier ages than the general population, with higher overall rates of cognitive impairment and dementia, in particular.
|
|
Removing healthier, cheaper customers from the Obamacare "risk pool" would make insurance companies raise rates to finance benefits for sicker, costlier ones.
|
|
Without it, health care experts have warned insurers will likely hike premiums since more of their customers will be older and sicker.
|
|
As healthier people are drawn out of the marketplace into cheaper plans, the remaining population is on average sicker and more expensive.
|
|
As a result, younger, healthier folks could see their premiums go down, but sicker Americans could find themselves priced out of policies.
|
|
"He had said, as he was getting sicker, that I should do some kind of political funeral with his body," Robinson said.
|
|
The less careful we are, however, the more we will stay away from older, sicker relations out of caution, worsening their isolation.
|
|
That's because the bill basically overcharges healthy people and younger people in order to partially offset the cost of covering sicker people.
|
|
But if those companies funnel their sicker workers into the ACA markets, then premiums for the Obamacare coverage are going to increase.
|
|
Those people are expected to be sicker — people who really need insurance — meaning premiums will rise for all Obamacare enrollees in 2019.
|
|
They explain an additional problem with scrapping the mandate: Insurance premiums will rise, because the pool of the insured will be sicker.
|
|
Next morning, the young man called the team doctor and said he was sicker — feverish, passing more blood, and with worsening pain.
|
|
Known as "risk adjustment," it requires companies with a healthier client pool to essentially transfer money to insurers with statistically sicker populations.
|
|
This is classic adverse selection: Covering older and sicker people drives up costs for insurers, who then raise premiums or cut benefits.
|
|
Obesity is a painful subject in the Pacific islands, where indigenous peoples have gotten fatter and sicker on a first-world diet.
|
|
The sicker the patient, the more UnitedHealth was paid by Medicare Advantage — and the bigger the bonuses people earned, including Mr. Poehling.
|
|
Insurers need healthy people, with low medical expenses, to pay premiums that help cover the bills for sicker people with higher costs.
|
|
Their patients tend to be older, poorer and sicker, and their profit margins much narrower, if they make any profit at all.
|
|
Still, the best recent evidence we have is that giving free care to poorer and sicker people improves health and saves lives.
|
|
A severe asthmatic, she had developed chronic sinus problems since the leak began, she said, and got sicker every time she went home.
|
|
HANNITY: You&aposve been-- GINGRICH: It is a snake pit, and it would - the more we learn, the sicker we realize it is.
|
|
Their participation is crucial to balance out the higher costs of older and sicker enrollees, whom insurers are required to cover under Obamacare.
|
|
"What happens when people can't afford insurance is that the only people that tend to buy it are the sicker people," said Slavitt.
|
|
Insurers have sustained losses from their Obamacare business, saying they have not attracted enough healthy customers to offset the costs of sicker members.
|
|
Once inside a locked floor with none of those amenities, I realized I would be surrounded by patients much sicker than I was.
|
|
The losers would be sicker Americans, who would once again have to navigate an individual insurance market that is expressly discriminating against them.
|
|
Instead of reforming Obamacare, Republicans are in knots over a bill that would leave millions of Mr Trump's own voters sicker and poorer.
|
|
Metzl explains that counter to what many working class Trump voters believe, GOP policies are making their very lives harder, sicker, and shorter.
|
|
Looking back, we now know a number of past presidents and presidential candidates who have actually been much sicker than the public knew.
|
|
Some insurers are fleeing Obamacare exchanges after racking up big losses dealing with a pool of patients who've been sicker than anticipated. 5.
|
|
Basically, the ACA forces people who don't require as much care to pay more so that sicker people can afford policies they need.
|
|
The marketplace lost many plans this year as the people buying coverage turned out to be sicker and older than insurers initially expected.
|
|
That implies many Blues plans had sicker enrollees in the ACA's exchanges, or they were more aggressive in coding their members' medical conditions.
|
|
In order to compete, she said the insurer priced below competitors, attracting patients who were sicker and thus racked up higher health costs.
|
|
Harry Fortuna, Quartz) Elder care costs deplete savings of a generation (Jane Gross, New York Times) Can we grow older without getting sicker?
|
|
Health insurers have been counting on younger, healthier people to sign up with ObamaCare to help defray costs of the older, sicker populations.
|
|
Not surprisingly, older, sicker and poorer seniors were all more likely to spend a greater share of their income on health care expenses.
|
|
We can give insurers better risk adjustment, so they can be compensated if their pool of customers comes in sicker than their competitors'.
|
|
They've suffered under the ACA, losing billions of dollars in the law's exchanges, where enrollees are sicker and more costly than they anticipated.
|
|
Most importantly, they may be sicker at baseline (perhaps they quit drinking because of alcoholism, or because of a health issue like cancer).
|
|
She was referring to the age-old saying, of course: Beer before liquor, never been sicker; liquor before beer, you're in the clear.
|
|
If patients don't get treated, it can exacerbate medical conditions, leading to them being sicker and a higher reliance on hospital emergency departments.
|
|
The New Health Care New evidence suggests Medicare Advantage may not serve some sicker Medicare beneficiaries as well as it does healthier ones.
|
|
The cost of insurance plans will continue to rise because fewer people will buy insurance and those that have insurance will be sicker.
|
|
The rule is meant to ensure enough young, healthy people are in Obamacare to offset the costs of covering sicker and older people.
|
|
"The people who grow our food can't afford to eat it, and they are sicker because of it," said an advocate for farmworkers.
|
|
The pool of enrollees has been smaller and sicker than expected and many insurers now need to raise premiums to stop losing money.
|
|
She says legislation subsidizing insurance companies for the losses they incur covering sicker populations has a better chance of passing next year anyway.
|
|
That's a fancy way of saying that you need a balance of young and healthy and older and sicker participants in your plan.
|
|
Instead, money is collected from insurers who have healthier enrollees and given to insurers with sicker enrollees to help them cover those costs.
|
|
We spend twice as much money on health care than other industrial nations, yet we're far sicker and a third can't afford care.
|
|
A study in the journal Science just found a widely-used algorithm gave more complex treatment to white patients than sicker black patients.
|
|
More important, the exchanges are attracting sicker, poorer people, who drain money, and are not attracting the healthier people who pour money in.
|
|
Insurance plans prefer younger customers because they tend to use fewer health services while paying premiums that support benefits for older, sicker enrollees.
|
|
Insurers think fewer healthy people will enroll without a penalty in place, leading to sharply higher premiums because the remaining pool is sicker.
|
|
These projections make abundantly clear that many more people will get sicker sooner under the "some control" scenario than under the severe scenario.
|
|
Children infected with multiple viruses did not appear to be sicker than those infected with a single virus, but they stayed sick longer.
|
|
When babies arrive early, they tend to be smaller and sicker — with trouble breathing, heart, brain, and metabolism problems, and underdeveloped immune systems.
|
|
Still, her son went through a period of night terrors, convinced that the doctors had made a mistake, and she really was sicker.
|
|
In 2017 we were informed that our rich are not rich enough, our poor can get still poorer and the sick ever sicker.
|
|
It bars insurers from charging higher rates to people who are sicker or to women, a standard practice in the pre-Obamacare market.
|
|
Across the country, shrinking rural communities like Oceana, which tend to be poorer and sicker than urban areas, face a similar EMT shortage.
|
|
That way, the groups being compared should be equivalent, with no group healthier or sicker, or older or younger, than another on average.
|
|
Liberals have accused them of prioritizing economic interests over the lives of older and sicker Americans who are more vulnerable to the virus.
|
|
Minnesota officials said the large rate hikes were the result of high prescription drug costs and sicker-than- expected customers, among other factors.
|
|
UnitedHealth Group bilked Medicare out of perhaps billions of dollars by making people look sicker than they were, a whistle-blower suit says.
|
|
The public option will have to shoulder the greater burden of caring for poorer populations, which tend to be sicker, thus increasing costs.
|
|
On a relative basis, more young and healthy people could get insurance, while fewer older, sicker people could be able to afford coverage.
|
|
The goal is to do a better job of taking care of sicker people in the government-funded healthcare programs Medicare and Medicaid.
|
|
Or should we talk instead about the Congressional Budget Office assessment of Trumpcare, which would be devastating for older, poorer and sicker Americans?
|
|
Sorry, but where is the cost calculation for the millions who will be sicker without insurance and use hospitals and emergency rooms anyway?
|
|
Those people have a different obstacle course, but one that is still much harder to navigate if you earn less or are sicker.
|
|
Their letter concerns ObamaCare's "reinsurance" program, designed to protect insurers against high costs for sicker enrollees in the early years of the law.
|
|
The aim is to do a better job of taking care of sicker people in the government-funded healthcare programs Medicare and Medicaid.
|
|
Premiums are rising on the Obamacare marketplaces largely because the people who signed up for coverage were sicker than the insurance companies expected.
|
|
Namely, they are okay with sicker people paying more (or not getting coverage at all) to allow healthy people to get cheaper coverage.
|
|
All in all, the replacement plan benefits people who are healthy and high-income, and disadvantages those who are sicker and lower-income.
|
|
Without it, those people are more likely to leave the market, which will make the remaining market older, sicker, and ultimately more expensive.
|
|
With a sicker pool left behind, health insurers are likely to either increase premiums even more next year or leave the market altogether.
|
|
Hearing Ted Cruz speak my employer's name made me sicker than that time something white fell out of his mouth and he licked it.
|
|
"If you might have a sicker-than-average family, your employer is not going to be too happy to keep you on," said Bagley.
|
|
If sicker, less healthy people are the ones enrolling in the individual marketplace, insurers will abandon those markets even faster than they are now.
|
|
Some coronaviruses produce proteins that can fend off the immune system, and when patients have to mount even larger immune responses, they get sicker.
|
|
What it means: The preexisting rule made insurance cheaper for sicker people but more expensive for healthier people, so healthy people didn't like it.
|
|
So I was thinking, I can also help both of my parents start to retire, because they're not getting younger and they're getting sicker.
|
|
The leaked bill would generally be worse for people who are poorer and sicker, but better for attracting enrollees who are young and healthy.
|
|
"The worse I got and the sicker I got, the better a lot of people around me were saying that I looked," she said.
|
|
Such folk believe a conspiracy grips America: that jabs are promoted as a plot to dupe and impoverish a supposedly ever-sicker American public.
|
|
Where we hear this the most is in the rural parts of our states, where the population may be a bit older and sicker.
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Old-school Votomatic booths will make you feel sick, and sampled drum patterns will make you feel sicker—just a different kind of ill.
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From a consumer perspective, monthly premiums and deductibles are skyrocketing, largely because insurers have been forced to enroll customers who are sicker than average.
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Increasing enrollment could help ease insurer concerns about a group of enrollees, known as the risk pool, that is smaller and sicker than expected.
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The second is even sicker, though: a trio of braided, Bantu-style buns; multicolored highlights; a dual-colored smoky eye; and purple freakin' brows.
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" Because we're expected to be sicker, we're also expected to be less good at our jobs—because, turns out, sick people aren't as "productive.
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Furthermore, sicker, more chronically ill rural patients are more expensive to care for – and depend heavily on home health providers as their primary caregivers.
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And other, more recent studies found that lower-income, less educated and sicker people reported worse experiences in Medicare Advantage than in traditional Medicare.
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" Americans "live shorter and sicker lives compared to those living in all other rich democracies," and the country "has the world's highest incarceration rate.
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The Republican healthcare plan, as made clear by the CBO report, is a redistribution of welfare from older sicker people to younger healthy ones.
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Insurers say a sicker group of people is signing up during the extra periods, contributing to many insurers losing money on the ObamaCare marketplaces.
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CareFirst is proposing a 64 percent increase for its approximately 4,500 customers in the commonwealth, citing an increase in sicker people entering the marketplace.
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At issue is a program that collects fees from most insurers and uses the money to help pay high-cost claims for sicker people.
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Get rid of it, and experts generally agree you'll see a sicker population signing up for coverage because they expect to really need it.
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As his mother, played by Felicity Jones, gets sicker from cancer, Conner goes to live with his cold, reserved grandmother, played by Sigourney Weaver.
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Here again, the people who will leave the market under a weaker mandate are younger and healthier, leaving an older and sicker pool behind.
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It released a lengthy report in March on how the health law's enrollees have been sicker and more expensive than the plan had expected.
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These policies could lead to healthy people dropping out of the market, creating a sicker pool and higher costs for insurers, the brief said.
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The changes "will lead to less [insurers] playing in this market and potentially a sicker risk pool which translates to higher premiums," Lucia said.
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These moves siphon off healthy enrollees, damaging the A.C.A. "risk pool," so that its customers tend to be sicker and more expensive to carriers.
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And while I have been sicker with other things like bronchitis or stomach viruses or really bad colds, this feels like a constant fatigue.
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But there is a need to draw in younger, healthier people to offset the costs of older, sicker people and keep the premiums steady.
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The A.C.A. had made a basic societal deal: The young, healthy and rich would subsidize access to insurance for the older, sicker and poorer.
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The MacArthur Amendment could push premiums down even more by allowing plans that cover fewer benefits and by discouraging sicker customers from buying insurance.
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They would still have to offer comprehensive plans to everyone, but those policies would cost a lot more because they would attract sicker patients.
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Premiums also climbed faster this year as insurers adjusted to a mix of ObamaCare enrollees that was sicker and more costly than they expected.
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This would prompt many young healthy people to drop those policies, leaving insurance companies with a larger percentage of sicker older people to insure.
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That would drive up the cost of insurance in aggregate because insurers and the government would be left covering mostly older and sicker people.
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The problem for them is that these customers are sicker and less predictable in their needs, which makes it difficult to set a price.
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However, the association health plan expansion is not the only factor contributing to a sicker and more expensive risk pool in A.C.A.-regulated plans.
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In exchange, states would have to set up a high-risk pool where older, sicker people could buy coverage, likely at much higher prices.
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Younger and wealthier people have been moving away for years, leaving an older and sicker population in the hands of an underfunded healthcare system.
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Looking back, we now know a number of past presidents and presidential candidates who were actually much sicker in office than the public knew.
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We would expect more healthy people to drop out of the markets without the mandate, leaving the remaining pool sicker and therefore more expensive.
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That leads to a sicker insurance pool, higher costs for everyone who has coverage, and even less incentive for healthier people to join the pool.
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For one thing, the types of people signing up for the exchanges are generally sicker and more expensive to cover than insurers like Aetna expected.
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And, at the time, research suggested that asthma not only occurred at a higher rate within these populations, but they also seemed to get sicker.
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Thus, it was filled with sicker and higher-cost customers, which is why many companies have either pulled out of the exchanges or raised premiums.
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Details: Unsurprisingly, health care coverage is especially expensive in the South and in rural areas, which often have less competition among providers and sicker populations.
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Studies show that these modern elixirs have virtually no measurable effect on coughs, and when not used properly, they can make you feel even sicker.
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Outside experts have warned this would segment the market, with healthy people buying skimpier non-Obamacare coverage and sicker people buying more robust Obamacare plans.
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In states that did pursue and receive these waivers, health plans would have full authority to charge sicker patients higher premiums to offset their costs.
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The plans they have proposed so far would leave millions of people without insurance and make it harder for sicker, older Americans to access coverage.
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They say they sorely need more healthy customers to balance out the costs of covering the sicker, older people who have flocked to exchange plans.
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"You'd think that if, in some generic way, college students were sicker than they were 20 years ago, these numbers would reflect that," Schwartz said.
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"They have counseling and we've been very honest with them, they know their mom will get sicker and eventually not be here anymore," she says.
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He didn't mention that nearly every Republican proposal would let insurers charge sicker patients a higher rate if they ever had a break in coverage.
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Bill Cassidy (R-La.), a physician who has sponsored a healthcare overhaul of his own, warned Tuesday against isolating sicker patients in separate insurance pools.
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Chronically stressed by the increasing demand to care for a greater number of sicker patients in less time, most doctors are emotionally and physically exhausted.
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These regulations forced insurance carriers to raise premiums on young and healthy individuals in order to subsidize the health care of sicker and older customers.
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"People are dying or getting sicker because they can't afford their insulin, just so Eli Lilly and Novo Nordisk can make outrageous profits," he tweeted.
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By 1977, the poor were getting 14 percent more care than the wealthy— an appropriate difference since the poor are sicker and need more care.
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Instead money is collected from insurers with healthier patients overall and redistributed to insurers with sicker and more costly patients to help cover their costs.
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Insurers fear they will then be left with sicker and older policyholders, prompting them to request higher rates to cover the anticipated increase in claims.
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Critics say the Cruz-Lee amendment would lead healthier people to flock to cheap, bare-bones plans, sending premiums for older and sicker people soaring.
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The Obama and Trump administration have made cost-sharing reduction payments to reimburse insurance companies for providing coverage to sicker individuals because of federal mandates.
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Provisions in the law require insurance plans with healthier patients to pay competitors with sicker patients a fee, but getting the formula right is difficult.
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At issue is ObamaCare's reinsurance program, which is designed to protect insurers against high costs for sicker enrollees in the early years of the law.
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Collins and other moderates expressed strong opposition to the plan, fearing that it would lead to sicker Americans becoming segregated in the insurance markets. Sen.
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Individuals who would purchase these short-term insurance plans are likely to be younger and healthier, leaving older and sicker workers in the individual marketplace.
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Insurers would once again be able to charge sicker people much higher premiums — and pick and choose which health care services they want to cover.
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That's one problem with ACA exchanges right now—too few young healthy people ("young invincibles") are signed up to cover the costs of sicker people.
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The cause of the Great Barrier Reef's illness is clear, and we know what we'd need to do to keep it from getting any sicker.
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These plans would likely have lower premiums, but they would also provide fewer benefits -- which could leave sicker and older workers out in the cold.
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They have said it creates unwarranted government intervention in personal healthcare and have warned that insurers would be left to cover sicker and older individuals.
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That means that businesses that remain in the normal small-business market may end up having sicker and more expensive workers, on average, increasing premiums.
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Democrats said the new insurance options would attract healthier people, leaving sicker people in the Affordable Care Act marketplace, where they could face higher premiums.
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It revised the Republican bill to let states waive out of Obamacare's "community rating" provision, meaning states could once again charge sicker people higher premiums.
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The fear is that the lack of a mandate would discourage healthy people from signing up, leaving the marketplaces with sicker enrollees and higher costs.
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Over all, healthier people tend to pay more in the current market than they would in an association of similar people, but sicker people don't.
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Some doctors have struggled to stabilize patients who became sicker after they were switched from a brand-name to a generic, or between generic versions.
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She missed her first year of high school and instead studied at home, where her family has been wearing masks to avoid getting her sicker.
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They deliver high-quality care to more than nine million patients who are, on average, older, sicker and poorer than those served by other systems.
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The report was sharply critical of the idea that sicker patients could be protected in a system that allowed insurers to charge them higher premiums.
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Supporters also argue expanding Medicare access will strengthen the Obamacare exchanges since older Americans, who are often sicker and costlier, will be shifted to Medicare.
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The findings showed that insurers were adding on conditions like diabetes and even cancer, reporting that patients were sicker, to receive higher payments from Medicare.
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Some fear those changes would hurt women because they become sicker as they age and would be more likely to exceed a fixed federal contribution.
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Under Republican policies, this family will face even higher premiums because the ACA risk pool will get sicker and more expensive, which means higher premiums.
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Obamacare advocates fear these plans will siphon off those with fewer health care needs, pushing up premiums for the sicker enrollees left in the exchanges.
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The American people should be gleeful that we have dodged a bullet — for now — that would have made us sicker and poorer as a country.
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Experts have expressed concern that this would bifurcate the market with healthy people migrating to these plans and then premiums skyrocketing for sicker people. Sen.
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In general, Indigenous people in Canada are poorer, sicker and less educated than other Canadians, as well as overpoliced and overrepresented in the country's jails.
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Mandating that insurers accept all customers would likely mean only the sicker patients — people who expect to use lots of health care — would sign up.
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That may or may not be a good idea for the young and healthy, but it undoubtedly shifts the costs to the older and sicker.
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Economists roundly expect premiums to rise if the individual mandate disappears, as healthier people exit the market, leaving behind a sicker, more expensive insurance pool.
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Insurers need the low-cost patients to help cover the costs of the sicker ones, who are more likely to rack up big medical bills.
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Under Obamacare, insurance companies can charge up to three times more for someone older -- and more likely sicker -- compared with their younger, and presumably healthier, counterparts.
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Several insurers, including Aetna and Humana , have largely left the Obamacare exchanges, citing a pool of patients who are sicker than expected and therefore more expensive.
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The price increases will reflect not only higher medical costs, but also the fact that many plans are seeing older, sicker enrollees than they had projected.
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Black patients who were sicker were given equal risk scores to white people who were healthier, diverting health care resources away from Black patients in need.
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When attempted in the past, this has led to healthy people fleeing the markets for cheaper, unregulated plans, leaving behind sicker people who faced spiraling costs.
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Better Way would maintain the ban on pre-existing conditions but it would not maintain Obamacare provisions that bar insurers from charging sicker Americans higher rates.
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And for those still buying individual plans, the American health insurance system will prioritize the needs of young and healthy people more, and sicker people less.
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If the law's minimum insurance thresholds are removed, new groups and new products will form to offset the sicker population in the pool with healthier consumers.
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But in exchange, insurers could (and would) charge older and sicker people more, making it tougher for people who actually need medical care to get insurance.
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It could also spell trouble for sicker people that will be at risk of rising premiums, but are often shut out of the short-term plans.
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The mandate compelled healthy people to buy insurance to offset sicker patients' costs after Obamacare barred insurers from denying coverage to people with pre-existing conditions.
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But waiving the essential health benefits rule increases the risk that sicker people would not be able to buy insurance that covers the services they need.
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The Senate will now have to figure out how to lower premiums for healthier and younger Americans, while keeping insurance affordable for sicker and older consumers.
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The CBO found that while the House bill would decrease health care premiums for healthier, younger Americans, it could drastically increases costs for sicker, older citizens.
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Trump announced that he was ending subsidy payments to insurers that would give them incentives to cover poorer and sicker people without raising premiums on others.
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A plan with sicker enrollees might have a risk score that's twice as high and so would be paid $213 per person per month, she added.
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Many insurers have said they are losing money because the Obamacare population is sicker than foreseen and the risk-adjustment payments from the government are insufficient.
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Failure to adhere to treatment programs leads to sicker patients who often require care that in the long run is dramatically more expensive than preventative therapies.
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This means that they will not only be sicker earlier than expected, but a much longer course of illness will result in even higher healthcare costs.
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It's also worth noting that even if Medicare Advantage doesn't serve some sicker patients as well as traditional Medicare on average, experience can vary within groups.
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That means there would be a ratio limiting how much more people could be charged in the sicker pool compared to those in the healthier pool.
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That left a gaping hole in insurer finances on top of the other problems they were already facing, like a sicker group of enrollees than expected.
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It also drove the costs up for healthy people, who were suddenly asked to pay more to help cover those expensive bills from the sicker people.
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Repealing the essential health benefits would hurt the exact same people who would lose under the repeal of community rating: people who are sicker and poorer.
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Losers: The insurers reporting "receivables" are owed money from risk adjustment, presumably because they had sicker ACA members (or because they have more medical coding experience).
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Experts at the Brookings Institution have argued that even without a lapse, the market would bifurcate and sicker people could end up priced out of insurance.
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In some ways, their expectations were unrealistic, but in other ways, it may have been that the people who signed up were sicker than people expected.
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Lots of insurance plans have said in their rate filings that they are worried about a "shrinking market" or sicker enrollees that will drive up premiums.
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"The more we learn about the repeal and replacement for the Affordable Care Act, the sicker New York gets," Cuomo said in a statement Monday night.
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The fundamental problem is sicker people would be drawn to the more robust Obamacare plans, while healthier people would gravitate toward the skimpier non-Obamacare coverage.
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Economists think that lifting a requirement for healthy people to buy insurance will tend to make the resulting pool of customers sicker, driving up insurance premiums.
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So the volume I'm seeing, I think things are going to shift as people get sicker, but I don't think we're seeing any surge right now.
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Once infected the chronically homeless are more likely to get much sicker or die because of underlying medical conditions and a lack of reliable health care.
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Those undergoing lumpectomy — perhaps, the authors hypothesize, because those women were sicker and deemed less likely to survive more invasive surgery — were most likely to die.
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That made H.M.O.s more willing to sign up unhealthy people, but it also gave them a new incentive: to make people appear sicker than they were.
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About 20 GOP lawmakers — mostly moderate or centrist Republicans worried about sicker Americans paying more for premiums – have now added their names to the "no" column.
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For sicker Medicare beneficiaries, the Harvard economist Amitabh Chandra and colleagues found, increased Medicare hospital spending exceeded any savings from reduced drug prescriptions and doctor's visits.
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Both of those actions have the effect of leaving fewer healthy people in ObamaCare plans, which drives up premiums for the remaining group of sicker enrollees.
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Another factor: In states that did not expand their Medicaid programs, some sicker, higher-cost consumers that would otherwise be Medicaid-eligible are in marketplace plans.
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While the rate increases should be high enough to shield insurers from losses on sicker enrollees, they would not necessarily result in big rebates for consumers.
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Meanwhile, some nursing homes, including Central Island, were finding that their residents sent over from local hospitals were older, sicker and higher-risk than ever before.
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Insurers have also said that they have found the pool of Obamacare enrollees to be sicker and less predictable in their health care needs than expected.
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In the RAND study, poorer and sicker people — exactly the kind more likely to be on Medicaid — were slightly more likely to die with cost-sharing.
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In recovery from my initial surgery, I shared a room with a man whose face I never saw but who seemed much sicker than I was.
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Tricare costs have climbed steadily, and the Tricare population is younger and healthier than the general population, while Veterans Affairs patients are generally older and sicker.
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Obamacare's architects needed a way to encourage healthy people to enroll in coverage, which would make it more affordable for the sicker people also signing up.
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The consequence of doing so is driving up next year's insurance premiums, as health plans compensate for what they expect will be a sicker customer base.
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It also drove up the costs for healthy people, who were suddenly asked to pay more to help cover those expensive bills from the sicker people.
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The risk, according to health policy experts, is that young and healthier people will flock to this skimpier coverage, making the Obamacare markets older and sicker.
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The idea is to give those people coverage but keep premiums lower for other, healthier patients by pulling these sicker patients out of the insurance pool.
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The CBO estimates, for example, that premiums would rise 20 percent without an individual mandate as healthy people leave the market and a sicker population remains.
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As premium support comes online, the younger - and healthier - enrollees would be kept separate from older, sicker people in the legacy program, whose care is more expensive.
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But he gets them backward, insisting that the updates strengthen protections for sicker patients: This bill is much different than it was a little while ago, okay?
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Before Eliza got accepted into the clinical trial, the family made the difficult decision to live in a self-imposed quarantine to prevent Eliza from getting sicker.
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What to watch: There are signs that the ACA population may be getting sicker — they spent more days in the hospitals than in the past 3 years.
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She also noted that hospitals are treating more patients who are getting sicker and living with chronic diseases like hypertension and heart disease as the years pass.
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The office thought the House bill's unwinding of insurance regulations would have a slight positive impact on coverage, but also price some sicker people out of insurance.
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It could be something unique to their population — maybe they happen to be sicker overall, or cover more people with expensive conditions who are driving up costs.
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Ultimately, under this plan it looks like fewer birds are getting fed, and the sicker, more vulnerable birds are less likely to get the food they need.
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At least in theory, that means the healthier people in the non-compliant plans and the sicker people in compliant plans would balance out each other's premiums.
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Decades of neglect of the market for individual health insurance plans created a much sicker than expected uninsured population that deferred medical treatment for a long time.
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The Affordable Care Act created a program called risk adjustment to help steer funding from health insurance companies with healthier customers to companies that attract sicker people.
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And we know another group of people who will definitely be disadvantaged by the Trump rules: sicker Americans, who won't be allowed into these skimpy new plans.
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Health policy experts know exactly how this would play out: Healthy people would pick the skimpier plan, and sicker people would enroll in the more robust plan.
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The mandate compelled healthy people to buy insurance to offset sicker patients' costs after Obamacare barred insurers from denying coverage to people with pre-existing health conditions.
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It would also be a smart investment: Child poverty costs the U.S. economy an estimated $672 billion a year in lost wages, higher crime, and sicker kids.
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But he gets them backwards, insisting that the updates strengthen protections for sicker patients: This bill is much different than it was a little while ago, okay?
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First, larger pools spread the insurance risk across a greater number of people, so that younger and healthier people subsidize the cost for the older and sicker.
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That is, younger and healthier customers will benefit from more affordable health plans with less coverage, but that will raise costs for sicker people, the Journal reported.
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Also, home health beneficiaries living in rural areas are also older, sicker, have lower incomes, and are living with more chronic conditions than the general Medicare population.
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It is likely that the same thing would happen with a public option: The private insurers would attract healthier customers, leaving sicker patients to the public plan.
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"A Cure for Wellness is a movie about a 'fake' cure that makes people sicker," Regency Enterprises, one of the film's producers, told BuzzFeed earlier this week.
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Recent research also found that climate change will lead to shorter and sicker lives, primarily because of the harmful effect of more extremely hot days on health.
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But insurance experts see a risk that healthy people might sign up for the low-cost, less comprehensive policies, leaving sicker people in the more expensive plans.
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If President Trump pulls the United States out of the Paris climate treaty, he would hurt the planet, make people (especially children) sicker and aggravate geopolitical tensions.
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"We also have nurses that are taking care of sicker patients, so they have one to four when maybe they should be one to three," Summers said.
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EmCare said that it allowed hospitals to treat sicker patients when it takes over, and that an increase in such patients explained the higher billing in Newport.
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I had been getting progressively sicker with flu-like symptoms (fever, coughing, sore throat) for several days when my mother decided to take me to the pediatrician.
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As you mull the legislation over your holiday recess, think about the consequences of cutting access to care for millions of mostly poorer, sicker and older Americans.
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If insurers attract too few consumers with little or modest health needs and, instead, attract a larger proportion of sicker ones, health care costs outstrip premium revenue.
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"The more we learn about the repeal and replacement for the Affordable Care Act, the sicker New York gets," Mr. Cuomo said in a statement Monday night.
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EmCare said that it allowed hospitals to treat sicker patients when it takes over, and that an increase in such patients explained the higher billing in Newport.
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They would be prohibited from denying people coverage based on their health status or charging sicker people higher premiums; they could not have annual or lifetime limits.
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Obamacare supporters would say it's because repealing the mandate destabilizes the market: Healthy people skip out on coverage, while sicker people keep buying, increasing costs to insurers.
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Several of the largest U.S. health insurers have pulled out of the exchanges for individual coverage after losing money on a sicker-than-expected group of patients.
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Repealing Obamacare's individual mandate will hurt the law's insurance marketplaces because fewer young and healthy people will buy coverage, leaving an older, sicker, and more expensive pool behind.
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A year later, after Ali updated her fans and revealed she was getting sicker, Lakshmi commented on the post that she planned to be there for her again.
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In addition, participants who dropped out of the study over time tended to be frailer and sicker than those who remained and were included in the final analysis.
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The way the whole thing works requires healthy young people to pay into the system in order to help offset the health care expenses of sicker, older people.
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That would leave an older, sicker group of people seeking coverage, and to cover the cost of their care, insurers would mostly like raise premiums — by a lot.
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I felt a lot sicker during this pregnancy, and so we thought that it may be because there was a little girl inside, but we were definitely wrong.
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"While hitting older, sicker and lower-income people with increased costs, the bill would also increase taxes on the middle class — all while cutting taxes for the wealthy."
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After all, patients discharged more quickly may tend to be sicker, more prone to complications or require a level of care that's harder to provide outside the hospital.
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But the risk is that predominantly healthy people will withdraw from the individual marketplaces and the remaining participants will be sicker — causing premiums to rise for everyone else.
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The Freedom Caucus says they were told, for example, that the new proposal would once again allow insurers to charge sicker patients higher premiums in the individual market.
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What's more, the late enrollment penalty would be far lower than the additional premium insurers would charge to many sicker individuals if they were able to do so.
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The mandate is designed, after all, to bring healthier people into the market — without it, we would expect the remaining customers to be sicker and therefore cost more.
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Experts had warned that canceling the fine could lead to a sicker insurance pool because young and healthy people would not face consequences for failing to purchase insurance.
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The health insurer relies on a concept known as risk pooling, where enough healthy people sign up to offset the costs in benefits paid out to sicker people.
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One proposed amendment to the GOP health plan would also establish an "invisible" high-risk pool, which keeps sicker customers in the traditional market but subsidizes their care.
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The association health plans could attract young, healthy people and leave a sicker, more expensive patient pool in the individual insurance markets created under Obamacare, driving up premiums.
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People end up in the hospital because they are sick, and, compared with citizens of other rich countries, Americans are a lot sicker — often because of unhealthy living.
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Health policy experts, however, counter that the waivers could leave low-income, older or sicker residents with fewer choices and higher costs while favoring the young and healthy.
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A perverse consequence of a lack of competition is that plans can garner additional government payment by "upcoding," or making their enrollees appear sicker than they really are.
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When researchers discover that their GMO-fed rats still have significant health problems compared to their (contaminated) control group, they simply "replace" their controls with even sicker animals.
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Healthy people are the most likely to drop coverage because of a lack of outreach, leaving a sicker group of enrollees that drives up costs for everyone else.
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But because premium prices for 2018 are already set, repealing the mandate soon could mean that healthier customers would drop off coverage, leaving insurers with costly, sicker customers.
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Standing on its hind legs in the gutter, foaming and bristling, it seems to grow larger and thicker, wilder and sicker, its bright, eggy eyes gleaming with moisture.
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Those who are sicker - have more chronic and severe symptoms, multiple medical comorbidities and impairments in functioning at work and home are also less likely to receive treatment.
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Those plans tend to have a wider choice of doctors and a stronger brand name, and the insurers say the people signing up are sicker than they expected.
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If the penalty attached to the mandate disappears, many health people might drop their coverage, leaving the exchange plans heavier with sicker people who have high medical bills.
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This means that sicker patients would have to move to states that offer more generous benefits and, in turn, put more burden on that state's health care resources.
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Medicaid patients are younger and healthier than Medicare patients, so it takes much longer to show benefits from access to primary care than in an older, sicker patient.
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Sicker people would likely stay in the community-rated market, but that market's costs would increase as it became more concentrated with people who have high medical costs.
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The healthy people stay in those plans, and don't move onto the new market, and that means the sicker people on average are purchasing in the new market.
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But that penalty would be far lower than the additional premium insurers would charge to many sicker individuals if they were able to discriminate based on health status.
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Individuals with income between 100 percent and 138 percent of the federal poverty level — who are sicker on average — would move from Medicaid to the private insurance market.
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And the excess is used by insurers to cross-subsidize the health care of sicker members of the risk pool whose premiums are below their actuarially expected costs.
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Relative to actuarially fair premiums, this switch would raise premiums for relatively healthy people who now are forced to cross-subsidize the health care of relatively sicker people.
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When researchers excluded people who died within the first two years of follow-up - who might have been sicker than others, explaining their inactivity - the results didn't change.
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The individuals likely to flee the Obamacare markets for association plans would probably be younger and healthier, leaving behind an older, sicker pool for the remaining ACA market.
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But the sicker I became, the more "hope" was a word that pointed to the unbearable: a husband and a baby left behind, an end without an ending.
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That's because employers in states where individual coverage is currently available relatively cheaply will have a stronger incentive, particularly if they have a sicker workforce, to offer HRAs.
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Bill Nelson (D-FL) providing more federal funding to health insurers to offset any premium increases that might result from a sicker marketplace if the mandate is repealed.
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"But if you're sicker, you would generally want to wait until you're feeling better," since symptoms of your illness could be confused with possible reactions from the vaccine.
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If guaranteed issue is to survive, they want something that compels folks to sign up so that the risk pool does not only include sicker and older people.
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In casting about for additional revenue, they're trying tactics like opening pharmacies and home care agencies, and accepting sicker patients, including those on ventilators, at higher reimbursement rates.
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This may seem like a radical extension of the medical mandate, but the poorer and the sicker our patients are, the more likely they are to be disenfranchised.
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For another, the A.C.A. won't actually collapse; it will just become a program more focused on sicker, poorer Americans — and the political opposition to repeal won't go away.
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Patients older than 50 who become ill after vaping tend to be sicker than younger ones: more likely to need ventilators and to stay longer in the hospital.
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As a patient grows sicker, families become amateur scientists, scouring the internet for research papers, support groups, an expert somewhere in the world who can provide any insights.
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It's important to remember that people who go on Medicaid are sicker than those with other forms of coverage, so they may have more pain that warrants opioids.
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The Patient Protection and Affordable Care Act (ACA) included a risk adjustment program that transfers funds from health plans with relatively healthier enrollees to those with sicker enrollees.
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Health policy experts blasted the change, saying it would leave poor, older or sicker residents with higher costs and fewer choices while favoring the young and healthy. 503.
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The version of the bill that passed the House is likely to exclude more people who are older and sicker, while covering more who are younger and healthier.
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Sicker patients earn them (us) higher payments and drive each healthcare team member to concentrate on the services they alone deliver, not the patient as a whole person.
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Larry Levitt, a health policy expert at the Kaiser Family Foundation, said the cuts would lead to reduced enrollment and higher premiums from a sicker mix of enrollees.
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Consumer advocates are concerned that these plans will draw healthy people out of the exchanges leaving sicker folks in the system -- which in turn would drive up premiums.
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Economic Scene Republicans, you are probably tired of hearing how so many Americans are sicker than their peers in other rich countries, lacking access to needed medical care.
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But House Republicans have come up with their own cudgel to compel healthy Americans to purchase coverage, with the goal of offsetting the costs of insuring sicker patients.
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That move could cause serious concern for insurers, who say the individual mandate is crucial for getting healthy people to enroll, balancing out the cost of sicker enrollees.
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Once again, this would lead to an older and sicker population holding on to insurance, driving up overall costs and incentivizing insurers to pull out of more marketplaces.
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All it does is shift money around, largely by taking it away from subsidizing health coverage for older, sicker, and poorer people and plowing it into tax cuts.
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The American Health Care Act makes a number of changes to the Affordable Care Act that'll likely disadvantage poorer and sicker Americans, and result in fewer people covered.
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When people with cystic fibrosis get a respiratory virus, they can get sicker than someone without cystic fibrosis, because germs thrive and multiply in the sticky, mucus-y environment.
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The health care law expanded Medicaid to tens of thousands of previously uninsured patients, providing new revenue streams for rural hospitals, which often serve a poorer, sicker patient population.
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Obamacare could only satisfy the insurance industry's financing needs if it mandated pooled enrollment of both healthy young adults, people suffering from chronic diseases, and the sicker older adults.
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But if a large number of poorer and sicker ordinary Americans become the loudest critics of the White House or one of its major policies, all bets are off.
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But since that means the people in the Obamacare-compliant plan are, on average, sicker and more expensive, the insurance company has to raise premiums even further on them.
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The result has been that the population actually signing up for coverage is both smaller and sicker than it would otherwise have been, forcing insurers to charge higher premiums.
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And while most insurers did expect sicker patients to sign up early — those who needed care the most would likely be Obamacare's most enthusiastic customers — Aetna's struggles haven't improved.
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Because the risk pool is comprised of older and sicker people, the average premium is very high because the average health cost of the risk pool is very high.
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Without it, the population of people who choose to buy insurance there will likely be sicker on the whole, meaning premiums will be raised even further as a result.
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Compared with the Affordable Care Act, this proposal would generally be worse for people who are poorer and sicker — but better for those who are higher-income and healthy.
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These plans are likely to attract young and healthy consumers, leaving behind a pool of older and sicker patients in the Obamacare markets and driving up the prices there.
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Premiums would go up as healthy people drop out of health insurance and companies struggle to bring in enough cash to pay out on their remaining, presumably sicker, customers.
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After raising premiums this year to better balance out their risks on older, sicker exchange enrollees, S&P expects many of the insurers will break even on Obamacare plans.
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Its benefits are more concentrated on a smaller group of sicker, poorer people, while the middle class has gotten an increasingly bad deal as the law's scope has shrunk.
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The new tool is meant to help states complete applications that could allow them to set up high-risk pools for sicker residents and establish state-operated reinsurance programs.
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It's also important to note that association health plans will provide coverage to people with pre-existing conditions, and they won't charge sicker people more money for their insurance.
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As a practicing physician it never made sense to me to mandate coverage for a young healthy person in order to provide funds to cover an older sicker person.
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At the Magallanes Clinic in Punta Arenas, a nurse, Mauricio Seron, told The Associated Press that a woman "with a gastric problem" was the sicker of the two patients.
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"Like other poisons, young children can become much sicker than other older individuals with any given dose of liquid laundry detergent because their body weight is less," Smith said.
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"We can't afford to have millions of Americans get sicker than they should, and in some cases die, because they can't afford to go to the doctor," Sanders wrote.
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The Obama administration has struggled for several years to bring young, healthy people into the marketplaces, which is needed to offset the medical costs of older and sicker customers.
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Dr. Leslie Cho, director of the Women's Cardiovascular Center at the Cleveland Clinic, emphasized that the women in the study tended to be older and sicker than the men.
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But as sicker patients come in and stories are forwarded from doctors near Seattle about young people also becoming very ill, I admit I'm afraid of what will happen.
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Democrats derided the new policies as "junk insurance" that will lure healthy people away from the broader insurance market, raising premiums for sicker people and putting purchasers at risk.
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That could still allow insurance companies to craft plans that omit certain services, putting sicker people at risk of being unable to find coverage that includes what they need.
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They all sought care at a VA health facility, which may mean they're sicker than other veterans who were not treated within the VA system, the study team notes.
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Chet Burrell, the president and chief executive of CareFirst, said the rate increases were unsustainable and would drive healthier people from the market, leaving a pool of sicker customers.
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Some insurers, including Blue Cross and Blue Shield plans, oppose association health plans, saying they would skim off healthier consumers and leave traditional insurers with sicker, more expensive customers.
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That could inadvertently discourage the youngest and healthiest people from buying insurance, leaving a higher percentage of sicker people with expensive treatments on the exchanges, driving up insurers' costs.
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Compared to hospitals serving few minority patients, hospitals serving more minorities tended to treat younger patients, but also sicker patients with more chronic complex health problems, the study found.
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"The people who grow our food can't afford to eat it, and they are sicker because of it," said Joel Diringer, a public health specialist and advocate for farmworkers.
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Similarly, in the new study, the patients whose hearts stopped off-hours could have been sicker in ways that weren't measured by the study, Ofoma and his colleagues wrote.
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Flatlining The sicker a person with cystic fibrosis gets, the more work they need to do to stay relatively well -- and the harder it is to do that work.
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As a pediatrician, I am very familiar with the sinking feeling that comes when you hear that a child you thought was doing fine has in fact gotten sicker.
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Even with older, sicker enrollees, all-in-one Medicare Advantage plans can still be lucrative for insurers if they can keep them at home and avoid costly hospital stays.
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Many of the patients have said they had been vaping THC, the high-inducing ingredient in marijuana, when they became short of breath and grew sicker, officials have reported.
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Perhaps most importantly, Medicaid expansion created an incentive for states to prioritize signing up able-bodied adults over sicker or disabled adults who qualified for Medicaid prior to expansion.
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The result, said Donald H. Taylor Jr., a health policy professor at Duke University, is that people who buy coverage are sicker, causing the cost of premiums to soar.
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He felt sick, sicker than ever, and what made it worse was that there was no smell to that room, which might as well have been on the moon.
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The individual mandate is meant to ensure a viable health insurance market by forcing younger and healthier Americans to buy coverage to help offset the cost of sicker patients.
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Without a mandate, some healthy people are likely to go without coverage, leaving sicker people in the market, and prices are likely to rise more than they otherwise would.
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Participants in the A.C.A. marketplaces are less numerous, and sicker, than anticipated: 8.3 million fewer people enrolled through the exchanges this year than the Congressional Budget Office had projected.
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The bill would change the rules of the individual market to advantage people who are younger, healthier, and higher-income — but disadvantage people who are older, sicker, and poorer.
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Without the mandates, CBO estimates, millions of people, particularly younger and healthier people, will drop coverage, and those who hold on to it will generally be older and sicker.
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She's pretty sure that her mother made up the idea that she will get sicker if she doesn't use her wheelchair and that they lied to a lot of people.
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Coverage declines, but older, sicker people will leave the market, making the overall risk pool healthier and reducing the number of major medical expenses that insurers have to pay for.
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The Blue Cross Blue Shield Association has complained for months now that the people who signed up for marketplace coverage were much sicker than those who get coverage at work.
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Illness and poverty make it even more difficult, if not impossible, to take the time to cook healthy food or go for a run, which can make sick people sicker.
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When lots of children are born in countries that are largely poor and unhealthy, and few in better-off places, the world taken as a whole becomes poorer and sicker.
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The big picture: The analysis suggests that the ACA marketplaces are stable and profitable for insurers, even if individual market enrollees tend to be sicker than they were pre-ACA.
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Others estimate Plan F premiums to soar because new healthy 65-year-olds will no longer come into the plan, resulting in an older, sicker pool of people to cover.
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Moderates didn't: The bill's Medicaid cuts are just as deep, and the latest version didn't do much to cover more people or make coverage more affordable to older, sicker consumers.
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At first she thought she had the flu, but then she kept getting sicker, got a rash, and went to the hospital, where doctors—in disbelief—diagnosed her with smallpox.
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But on basic measures of access and satisfaction with care, Medicaid beneficiaries look very much like people with private employer coverage despite the fact that they are sicker and poorer.
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Experts had anticipated more healthy people would sign up in 2015, after the initial influx of sicker people, many of whom had been barred from coverage because of preexisting conditions.
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They are a requirement for states that want to opt out of certain ObamaCare requirements, such as the one that currently prohibits insurers from charging sicker customers more for coverage.
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Bringing a higher percentage of young and healthy people, or increasing the overall enrollment number, would help ease insurer concerns about a smaller and sicker group of enrollees than expected.
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Before the November elections, the main problem facing the law was that some insurers were dropping out because of financial losses from enrollees who were sicker and costlier than expected.
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But at the same time, patients also are coming to the hospital sicker and being sent home with complex care needs that once would have meant a lengthy hospital stay.
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This change alone will cause premiums to be 10% higher because fewer healthy people will buy coverage, leaving insurers with a sicker and costlier group of policyholders, the CBO projected.
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In Iowa insurance officials have asked the Trump administration for a waiver that would allow them to set up funding to make up potential losses from sicker, high-risk enrollees.
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It's unclear and too soon to tell whether the alternative -- buying health insurance on your own -- would cost more, but that is likely for those who are older and sicker.
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Consumer watchdogs are concerned that the association health plans will siphon off younger and healthier workers, leaving older and sicker Americans in the Obamacare exchanges for individuals and small firms.
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Aetna and other insurers have complained that "special enrollment periods," which are sign-up opportunities for people in certain circumstances outside the normal window, are leaving them with sicker enrollees.
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Another drawback is the potential for people to stop drinking or be lifelong abstainers because of health issues that make them sicker or less content than people who do drink.
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During the next two weeks of her confinement, Yazmin felt powerless as her daughter got sicker, rebounded, and got sick again, battling a virus that started with a common cold.
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The result would be, according to outside experts, that healthier people would gravitate to the skimpier non-Obamacare coverage and sicker people would stick with the more robust Obamacare plans.
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Why this matters: Insurers like Humana are exiting Obamacare because they said they didn't have enough young and healthy members to offset the higher costs of older and sicker people.
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"There are indications that the risk pool has become somewhat sicker in the last couple of years, suggesting healthier enrollees may be dropping out of the market," the brief said.
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If that's all you do, those who sign up for coverage will be a lot sicker than those who don't, which means a bad risk pool, which means high premiums.
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"There's nothing more destabilizing" than health care workers falling ill, Hotez told CNN, and he said it will take time to determine what is making them sicker than other patients.
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A third issue is that such a move would provide no help to sicker people, those with the dread preexisting conditions, because insurance companies could set their premiums arbitrarily high.
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They expect that businesses with healthy employees would join association plans that offer fewer benefits, while businesses with sicker workers would be stuck in more generous plans with higher premiums.
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I learned that in nonfiction life, the patient who was placed on ECMO grew sicker and ultimately died, while on TV we are allowed to hope that both patients lived.
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Mr. Azar was referring to the risk adjustment program, which aims to stabilize insurance markets by redistributing money from health plans with healthier customers to those that enroll sicker people.
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Trump's administration is also allowing states to make major changes to their Obamacare markets, which could also leave low-income, older or sicker residents with few choices and higher costs.
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Hospitals typically justify the higher payments by contending that the patients they serve are sicker, older, and possess a more vulnerable demographic profile than those seen in the physician's office.
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That would increase premiums by reducing the incentive for healthy people to sign up for insurance and make it harder for insurers to offset the cost of covering sicker ones.
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That would turn its device into more of a medical device, not just an exercise tracker, and open up opportunities for the company to sell to an older, sicker demographic.
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But the administration and Republican leaders have been silent about whether they would continue reinsurance and cost-sharing payments to insurers for taking on low-income enrollees and sicker patients.
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But it would not have put in place other incentives for people to obtain coverage — a situation that insurers say would leave them with a pool of sicker, costlier customers.
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His administration is also allowing states to make major changes to their Obamacare markets, which could also leave low-income, older or sicker residents with few choices and higher costs.
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Some Blue Cross insurers are also starting to see cost trends on the exchanges stabilize, after raising rates to account for the older, sicker risk pool in the last year.
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The high-risk pool funding could be a way to help stabilize the insurance market after the repeal bill passes, by providing funding that would help insurers cover sicker people.
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The easiest way to constrain spending is to seek out healthier patients and dump sicker ones – no cost control strategy works as well as manipulating who enrolls in the program.
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She also pointed to changes her department announced this week to a program called risk adjustment, which shifts money from insurers with healthier enrollees to those with sicker, costlier ones.
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Without subsidies, the budget office said, enrollment in health plans would shrink, and the people who remained in the individual insurance market would be sicker, with higher average health costs.
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"If they get sicker to the point where they need an ICU or other medical intervention, then you take them to the hospital, but there's no need to overwhelm hospitals."
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The law's insurance markets have already been beset by skyrocketing premiums and diminishing competition, problems that are likely to grow worse if the customer base becomes even smaller and sicker.
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The self-employed individuals likely to flee the law's markets for association plans would probably be younger and healthier, leaving behind an older, sicker pool for the remaining Obamacare plans.
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But, as time went on and my father became sicker, I started to feel more comfortable in the company of adults who ignored me than I did with my own peers.
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Sicker Americans would still be able to purchase coverage on the individual market, but those plans would be expected to get more expensive as healthier people flock to the cheaper options.
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Only nine of the twelve members made it to the end, and two became so badly ill that the scientists halted the study altogether for fear of the others becoming sicker.
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Indonesian rule has been frequently brutal, and indigenous Papuans, largely shut out of their region&aposs economy, are poorer, sicker and more likely to die young than people elsewhere in Indonesia.
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"The irony is, when I was very very sick and getting sicker, I would hear about how much better and better I was looking, and that is [the] problem," she said.
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That could leave behind a disproportionately sicker, and thus more expensive, group that needs the protections of Obamacare, driving up prices for those still on the small group or individual markets.
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The risk adjustment program is designed to spread out the financial risk of insuring people with Obamacare plans by redistributing money from insurers with healthier customers to companies with sicker customers.
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A continuous coverage requirement that makes it harder for sicker individuals to enroll in and afford coverage may help mitigate this impact — at the cost of care for the less healthy.
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Finally, risk adjustment is designed to mitigate the risk that plans will only want to enroll health people by transferring premiums from plans with healthier populations to those with sicker populations.
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Older prisoners tend to be sicker than younger ones, and people often enter prison having had drug problems, mental-health woes and little access to good health care on the outside.
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In a Time magazine opinion article on Friday, Gates argued for why the cuts to global health in Trump's budget proposal last week would actually make Americans sicker and less safe.
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While the details have yet to be released, the amendment would create a risk-sharing fund aimed at subsidizing the cost of sicker patients, such as those with cancer or diabetes.
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This Idaho plan would have the same effect, in practice, as the federal regulations: moving healthy people to a cheaper market while leaving sicker people behind in a more expensive market.
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Health insurers that are found to have healthier customers (according to a federal formula) pay money into the program, and then insurers who have sicker customers receive money out of it.
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Health policy experts know exactly how this would play out: Healthy people would pick the skimpier plan, while the comprehensive plan would essentially become a high-risk pool for sicker Americans.
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"In comparison to adults in the other 10 countries, adults in the United States are sicker and more economically disadvantaged," the latest Commonwealth Fund report comparing the countries found last November.
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One limitation of the study is that data on chronic illness came from hospital admissions, which might represent sicker children or kids without good access to primary care, the authors note.
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Health policy experts say the individual mandate is needed to induce young, healthy people who may otherwise forgo coverage to buy insurance and offset the costs of sicker, more expensive patients.
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Selma Blair has dreams of getting back to one of her biggest passions, horseback riding, but she's unsure of when that will happen as she gets "seemingly sicker" from multiple sclerosis.
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But if the Cruz amendment survives and the individual mandate is gone, the legislation would surely produce higher premiums for the most vulnerable Americans: the elderly and those who are sicker.
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A subset of young and healthy people will have lower premiums, but premiums will shoot up for everyone else, as the market of people buying decent insurance becomes older and sicker.
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The large number of younger and healthy members that would balance the risk for insurers has not materialised, leaving Aetna and others with a big pool of older and sicker customers.
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This mandate was originally included in ObamaCare as a way to drive healthy and younger people into the markets to help cover the costs of people who are older and sicker.
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Data show they are older, sicker, more likely to live in poverty, to be a minority, and in need of more assistance with basic daily activities than the average Medicare population.
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Insurers did stop offering some plans after the law took effect, including those that didn't provide required benefits like maternity care or that charged higher premiums to older or sicker people.
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The baby boomers are getting older and sicker, and they have more complex conditions than they did when they were younger, including arthritis, high blood pressure, pulmonary disease, diabetes and cancer.
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Historically, the city system has struggled to meet the goals of a pay-for-performance model in part because its patients are generally sicker and poorer and often lack adequate housing.
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A couple of Popsicle sticks work fine as finger splints and cost practically nothing, and a Pro-Tick Remedy key removes ticks without breaking off their heads or making you sicker.
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Some scientists worry the Moderna vaccine could cause "immune enhancement," a complicated reaction that makes a vaccinated person sicker when they catch the virus than if they hadn't gotten the shot.
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That means epidemic control measures — from proper hand-washing to social distancing — are just as important for the young and healthy as they are for people who are older or sicker.
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Maybe our kitchen has ants, and maybe we have to listen to the Super Bowl on our outdated radio from the '90s, and maybe, possibly, he is getting sicker now, too.
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There may be more of a place for stents in patients who are sicker, who have disease in more than one blood vessel, or who fail to respond to medical therapy.
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"What we have seen is that for some of the older, sicker boys who have been using it, the price is more," said Dr. Ed Kaye, the chief executive of Sarepta.
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If Donald J. Trump decides to gut the basic guarantee of Medicare and revamp its structure so that it hurts older and sicker people, Democrats must and will push back hard.
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That would lift the uninsured rate, which has fallen dramatically since the law went into effect, and could hurt ObamaCare's sustainability by leaving a smaller, sicker and costlier pool of enrollees.
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As our population continues to grow older and sicker and more people learn that this law exists, we will need a highly trained work force to steward patients through this process.
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After talking about it for waaaay too long (I'm feeling sicker by the second) he agrees to order pad thai for pick up along with a coconut soup and spring rolls.
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The Affordable Care Act, as of now, bars insurers from charging sicker customers higher premiums, and also mandates that insurance plans contain a minimum set of "essential health benefits" for customers.
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A major reason for the improved health of Obamacare, the report said, was an increase in premiums approved this year to compensate for a larger-than-expected share of sicker patients.
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The C.B.O. report clarified just who stood to lose the most under the Republican plan, which in effect would shift health insurance costs from younger, healthier Americans to older, sicker Americans.
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Tacking on this new amendment would undoubtedly cause an even greater decline in coverage, as sicker patients would be priced out of the market in states that take up the waiver.
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Pain weakens immune response, so it can make animals sicker; it makes animals eat less and grow more slowly, which isn't convenient for farmers; and it leads animals to reject their offspring.
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McCue told CNBC that insurers could become more profitable if more young adults become enrolled in Obamacare plans, and began paying monthly premiums to offset the health costs of older, sicker customers.
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States would get more funding to help provide insurance coverage but there is no guarantee that they would reach the low-income, sicker population that needs that type of assistance the most.
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Another paper claims to have found evidence of the "man-flu"—the phenomenon of men turning into deflated balloons and becoming sicker than women the moment they feel the sniffles coming on.
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You are gonna get sicker and weaker and when that demon is ready to be born, that's when you die and the spirit comes out and does it again to someone else.
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The government's proposals come as many Obamacare plans are seeking double-digit percentage increases for 2017, based in part on arguments that their risk pools are sicker than than they had anticipated.
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The idea is that sicker people who use more health services know to buy insurance, but healthy people — the ones who bring down costs for everyone — have to be prodded and reminded.
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Among other considerations, if his guests keep providing him with substances to shoot into that line, it may well become infected and unusable, and he will get even sicker than he is.
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The CBO projects that while this would lower premiums for some younger, healthier people, it would also lead to sicker people being priced out of insurance in states that sought the waivers.
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The people who signed up for coverage were sicker than the company had expected, and Oscar, like many other insurers, is asking for double-digit rate increases to break even next year.
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The insured who previously were able to get by with cheap insurance, or none at all, would now be forced to pay more to subsidize the coverage of poorer and sicker Americans.
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The Congressional Budget Office estimates it would result in 23 million fewer Americans with health insurance and raise costs for older and sicker people while providing a tax cut for the wealthy.
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The current system permits corporations to carve out special plans for their cheaper-to-cover populations, leaving everyone else to fend for themselves in a much sicker and more expensive risk pool.
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Many healthcare experts, including insurers, have suggested this approach would result in young and healthy people purchasing minimal plans, unbalancing risk pools and leaving older and sicker Americans to shoulder higher costs.
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One insurance industry source recently predicted that this would trigger a wave of cancellation notices, as insurers would want to ditch their sicker patients and start from scratch with a healthier population.
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Experts believe that could entice healthier people to exit the marketplace in favor of less-expensive, short-term plans, leaving the marketplace with a sicker population that could drive insurance costs higher.
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Senior citizens in the United States are, as a group, sicker than their counterparts in 10 other wealthy countries despite having near-universal health coverage provided by Medicare, a new report says.
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Cigna said it anticipates sicker people will be entering the market this year because of the repeal of the individual mandate, which required people to buy insurance or face a tax penalty.
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Idaho is one flashpoint, where the state has tried to permit insurers to offer skimpier but cheaper non-ACA compliant plans to the healthy that could push up premiums for sicker people.
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That's not the case in some of the state marketplaces where individuals can buy coverage — too few healthy, lower-cost people have enrolled to balance the higher costs of their sicker population.
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But they would have permitted insurance companies in some states to avoid covering certain types of medical treatments or to charge higher prices to sicker customers who had let their coverage lapse.
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They would be free to preserve the central consumer protections created by Obamacare, or to decide to allow insurers to limit benefits or charge higher prices to sicker customers than healthier ones.
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So every iteration of Obamacare replacement that Republicans considered would spend less money on helping people get health insurance and consequently leave sicker people and people with higher financial needs worse off.
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Still, the upshot of this change would be that more of the health costs for older, sicker people will fall on those people themselves, rather than being spread across the whole population.
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They say association health plans will tend to attract employers with younger, healthier workers, leaving behind sicker people in more comprehensive, more expensive plans that fully comply with the Affordable Care Act.
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Judging from the Finnish experience, it may make the younger kids among them in particular sicker, stunt their cognitive development, and increase their risk of mental health problems for decades to come.
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These actions translate directly into much higher premiums: Insurers don't know if they'll be compensated for major costs, and they have every reason to expect a smaller, sicker risk pool than before.
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The changes are likely to result in fewer people being covered, and those people could be much sicker, said Dr. Stephen Ondra, a former insurance executive who worked under the Obama administration.
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It's also true that after initially offering surprisingly cheap policies on the Obamacare exchanges, insurers found that the people signing up were sicker, on average, than they expected, leading to higher premiums.
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Throw in the Affordable Care Act, which literally and foolishly leaned on younger and healthier Americans to foot the bill for covering older and sicker people, and you see a pattern here.
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In exchange, carriers would also need to offer a set of more comprehensive plans, and the federal government would set aside a fund to help make those plans affordable for sicker Americans.
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Sicker patients would be likely to flock to more comprehensive coverage, driving up prices, while healthier patients would be more likely to choose stripped-down plans with fewer benefits and financial protections.
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Pricing restrictions — which essentially mandated that insurers overcharge younger customers relative to older ones — created the wrong incentives, and so too many older, sicker individuals joined, and younger, healthy people were discouraged.
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Cancer or multiple sclerosis patients will need more comprehensive coverage but without young healthy people buying such plans, with only sicker people choosing them, the premiums will be sky high — often unaffordable.
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The waivers the Senate reportedly might still allow could still adversely affect sicker people — if, for example, plans could exclude certain services from their benefits, as they would be permitted to do.
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"That is just not possible," she said, adding it would leave people sicker and result in battles over resources such as water and land, with coastal residents losing homes to rising seas.
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WASHINGTON – The Trump administration said Saturday it&aposs freezing payments under an "ObamaCare" program that protects insurers with sicker patients from financial losses, a move expected to add to premium increases next year.
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A risk pool is the pool of insurance customers whose costs from sicker customers are, ideally at least, more than offset by the premiums paid by healthier customers who use fewer medical services.
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The mandate plays a critical role in Obamacare by requiring young, healthy people, who might otherwise go without coverage, to purchase insurance and help offset the costs of covering sicker and older Americans.
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"I truly believe that the only reason we weren't sicker or didn't have the same outcome that these poor people had is probably because we were a bit younger and healthier," she said.
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It created winners (the rich, the young and healthy) and a lot of losers (older, sicker folk, and most of the additional 24m people who, it is estimated, would be uninsured by 2026).
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Her memories came rushing back: José Daniel, her partner of 10 years, getting sicker by the hour during Hurricane Maria, both of them trapped in their second-story apartment as the street flooded.
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The end result: Millions of people will now lose insurance, as the Congressional Budget Office found in an earlier version of the bill, and, thus, Americans will be sicker -- and many will die.
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For example, it hasn't intervened in Idaho, where regulators recently told insurers they can simply disregard many of the Affordable Care Act rules and sell new "freedom plans" that discriminate against sicker enrollees.
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The amendment would set aside some more money to help lower premiums for sicker people, providing $15 billion for states to reimburse health insurers for covering those patients, who often are more costly.
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They worry that these changes will divert healthy people into cheaper policies outside the ACA's exchanges, leaving those markets with a sicker and more expensive customer base, which would cause premiums to rise.
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The fear — among Democrats as well as insurance companies — is that those healthier consumers would choose these new plans and leave only sicker, more expensive consumers buying comprehensive coverage through the ACA's exchanges.
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The goal here is to have insurers compete on the basis of plan benefits and quality, not on the basis of whether their customers are sicker or healthier than those of other insurers.
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Food and Drug Administration (FDA) Commissioner Scott Gottlieb said Wednesday that drug discounts known as rebates are not directly benefiting sicker patients, an area where the Trump administration is looking to make changes.
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Ineffective drug treatments that make veterans even sicker instead of offering them non-traditional approaches like equine therapy or yoga or peer-warrior retreats like Boulder Crest or programs like K9s For Warriors.
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" Many insurers, including Aetna, have been losing money on the ObamaCare marketplaces, also known as exchanges, in part because of a sicker and more costly mix of enrollees, known as the "risk pool.
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About 85033 million fewer people than expected have signed up for the insurance marketplaces nationwide, resulting in higher costs for some insurers as they face a pool of customers who are sicker overall.
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Because younger and healthier people are more likely to leave the markets and buy short-term insurance, leaving an older and sicker pool behind, the ACA markets are likely to face higher premiums.
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The law's insurance markets have shrunk, becoming increasingly concentrated with sicker people who need health insurance no matter what and lower-income people who receive the most generous federal aid under the law.
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Insurers submitted data showing that they had lost tens of millions of dollars in the exchanges because customers were sicker than expected and, in some cases, dropped their coverage after receiving expensive care.
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The findings cannot tell us if intense intervals would be similarly popular with or workable for anyone who is older, sicker, more reluctant to experiment with strenuous exercise, or listens only to Bach.
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Another from earlier this year in the BMJ found that older patients who were treated by foreign medical graduates had lower mortality as well, even though they seemed to be sicker in general.
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These cheaper, sub-standard plans would attract the youngest and healthiest individuals, who would leave the pool of plans that meet ACA standards and no longer help balance out older and sicker enrollees.
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It's true that before Trump's election, insurance plans worried that the people signing up for coverage were sicker than they had expected and that enrollment numbers weren't as robust as forecasters had expected.
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And the people who showed up didn't seem to be significantly sicker; it didn't seem as if they had unmanageable health problems that they'd put off treating until they gained an insurance plan.
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Associations may become a more attractive coverage option for industries with lots of young, healthy workers — say, dog walkers — and less attractive for industries where workers are older and sicker, like, say, roofers.
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He expected to see someone who looked a lot sicker than she did — patients with Crohn's are often thin and pale and have symptoms outside the gut at the time of their diagnosis.
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It also found that the pool of Obamacare customers, while less healthy as a group than before the law took effect, showed no signs of becoming sicker in the latter part of 22017.
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That's because healthy, younger people who may only buy insurance to avoid paying a fine may drop it if the mandate is repealed, leaving costs to be shared among a sicker, older pool.
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This would lead to what health experts call a "death spiral" as insurers raise rates because they are left covering people who are older and sicker, leading to even more people dropping coverage.
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There's also doubt over whether the Senate parliamentarian will approve $138 billion in funding to set up high-risk pools for older, sicker Americans in states that opt out of ObamaCare's insurance requirements.
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In the area of health care, this bureaucratic morass and lack of unaccountability has resulted in our veterans waiting in long lines to see a doctor, some getting sicker and others even dying.
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While the President and his political allies continue to undermine the Affordable Care Act, poor people in North Carolina become sicker than they need to be because they aren't receiving basic health care.
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She also pushed for and obtained commitments to take steps minimizing the impact on older and sicker Americans of a provision of the bill that would repeal part of the Obamacare healthcare law.
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And the prices revealed Tuesday for individual health plans mirror trends seen elsewhere in the United States: much higher Obamacare prices proposed for 2017 after some insurers cite losses and sicker-than-expected customers.
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Since employees working inside the water park were sicker than the ones working outside, and chloramines are known to cause eye and lung irritation, the CDC settled on these chemicals as the likely culprit.
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Insurers also worry that repealing the individual mandate without creating a measure to prompt enrollment, would increase the risk that only sicker, high-cost enrollees would sign up for coverage in the individual market.
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Their costs have risen over the years, and some, like Aetna and Humana, have pulled out of public exchanges because sicker, and more expensive, patients, who need medical care right away, have signed up.
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But losing them would presumably boost the costs for older and sicker people remaining in the ACA market's pool, resulting in an estimated average 10 percent premium hike for people with individual marketplace plans.
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The absence of a mandate gives healthier people less of an incentive to sign up for coverage, meaning the people who buy insurance are even more likely than before to be older or sicker.
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But here's the thing: that outward migration of healthy enrollees would undoubtedly hurt the sicker people who wouldn't be allowed into the cheap plans — or wouldn't want them, because the coverage was so skimpy.
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Price said Republicans want to address "the real cost drivers" of health care price spikes, which he said were not necessarily sicker patients, but a heavy regulatory burden, taxes and lawsuits against medical professionals.
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The goal of adding a public option would be to stabilize Obamacare, which has seen several large insurers downsize their presence and premiums rise as insurers try to deal with sicker-than-expected enrollees.
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The Ottawa Citizen also ran an opinion piece with the title, "Hospital food should heal, not make you sicker," which argued that hospitals should serve food that both nourishes patients and raises their spirits.
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The third proposal would have also offered $1.1 billion, but pay for it with money from the Affordable Care Act's Prevention and Public Health Fund, making some people sicker to make other people well.
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Now the Trump administration appears to be settling for the second-best thing: weakening Obamacare's insurance regulations, changes that will hurt Americans who are older and sicker while benefiting the young and the healthy.
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That's meant to encourage healthy people to buy insurance to avoid a "death spiral" — when healthy people opt out of purchasing insurance, leaving insurers with only sicker, more expensive patients in need of coverage.
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Though the administrative fix provided a short-term analgesic to people who had lost coverage or who could not afford new coverage, the modifications further skewed the risk pool toward older and sicker customers.
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If people are no longer required to have insurance, healthy people would likely drop out of the marketplace, leaving sicker, more costly people in and causing premiums to rise and insurers to lose money.
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Republican lawmakers have termed the "risk corridor" funding — designed to help soften the financial blow of insuring sicker members — a "bailout" for insurance companies, and have introduced legislation to block any potential settlements. Sens.
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If that were to happen, the remaining risk pool of insurance customers would tend to be older, and sicker, increasing the cost of the health plans because of their higher use of medical services.
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According to a survey conducted by the Harvard School of Public Health and the Kaiser Foundation, more than half of all Americans who do not take prescription medications because of cost report becoming sicker.
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He heard their complicated story of traveling to Colorado and feeling sick, then returning to Boston and feeling sicker; then going to Mass General and getting a diagnosis of myocarditis, but not getting better.
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Big Pharma has been pilloried for decades but still flourished, not least because it keeps producing life-saving innovations needed by Americans, who are in aggregate getting fatter, older and sicker by the year.
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Without that requirement, healthy people tend to avoid buying insurance until they need it, leaving insurance plans with a sicker population to cover, thereby driving up health care costs for everyone across the nation.
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The companies say it is not just that consumers were generally sicker than expected, but also that insurance companies offering access to a wider variety of doctors and hospitals ended up with costlier patients.
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But if that's all you do, only sicker people will sign up; many will wait until they get sick to buy insurance; and so costs will be high due to a bad risk pool.
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Insurance companies can practice risk underwriting on a company's entire workforce (charging more to companies with older and sicker workers) but it can't individually discriminate among workers, and the company itself can't discriminate either.
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But the mandate plays a critical role in Obamacare by requiring young, healthy people, who might otherwise go without coverage, to purchase insurance and help offset the costs of covering sicker and older Americans.
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To control for the fact that some patients are much sicker than others to begin with, Medicare uses "risk-adjusted" readmission statistics to prevent unfair penalties when higher-risk patients return to the hospital.
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If they flock to these plans, experts say the older and sicker people remaining in the Obamacare marketplace will see their healthcare premiums spike since the young and healthy are no longer subsidizing them.
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The lawsuit was filed in federal court in Manhattan and accused Anthem of submitting inaccurate diagnosis data to the government, allowing it to obtain inflated payments meant to compensate insurers for covering sicker patients.
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But that in itself isn't enough, because if policies cost the same for everyone, those who sign up will be sicker than those who don't, creating a bad risk pool and forcing high premiums.
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It found that those responsible for more of the cost of care use far less of it — and with no short-term adverse health outcomes (except for the poorest families with relatively sicker members).
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It turns out that her grandmother (Jessica Lange) has Munchausen by proxy and has been giving Infinity injections that make her sicker so that Infinity will be dependent on her and won't leave her.
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One would be the current Obamacare plans that are sold on government-run marketplaces, which would cost more than other plans but would tend to disproportionately attract sicker customers who needed the guaranteed benefits.
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Like Nelcy and her daughters, the new arrivals from Central America are coming in much sicker, after being held far longer than ever before in bare-bones government detention facilities never intended for children.
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But some insurers have been able to adapt to a smaller and sicker market, using tactics like narrowing the number of doctors available to control costs and improving communication with consumers about their care.
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Under the MacArthur Amendment added to the bill in late April, states would also be allowed to waive "community rating," a provision in Obamacare that bans insurers from charging higher premiums to sicker people.
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