Patrick Paule

Partner at Savage & Associates. Employee benefits advisor. Family guy and sports enthusiast.

[Patrick Paule @patpaule]

@sallypipes What impact has the reduction in fee schedule through Medicare and Medicaid had on the private insurance market?

[Patrick Paule @patpaule]

@brian_blase Larry's a smart man. He knows the difference between a tax deduction and a tax credit...he's simply banking on "the stupidity of the American voter" rules his buddy Jon Gruber and he believe in.

[Patrick Paule @patpaule]

@brian_blase @kerpen @DominicJPino I understand your underlying point but painting this as a huge windfall to insurance companies simply can't be true with MLR rules. That being said, continuing ARPA enhanced subsidies simply makes costs worse.

[Brian Blase @brian_blase]

Next year, in the absence of Biden's COVID credits, there will still be huge subsidies for Obamacare plans.

As the figure shows, most enrollees will have access to a fully subsidized bronze plan.

The delta between the dashed & solid lines is the enrollees' share of the premium.

[Patrick Paule @patpaule]

@kerpen Uninsured increase is partially due to the CBO baseline numbers included anticipated enrollment from states that didn't take Medicaid expansion. Cuts the narrative of lost coverage in half.

[Patrick Paule @patpaule]

@neoavatara It was never about controlling costs either.

[Patrick Paule @patpaule]

@operationdanish The other component that is driving these costs is the elimination of any annual or lifetime maximums. Not only is their an incentive to grow larger it also gave an incentive to Pharma, Hospitals, and all other health care professionals to increase the costs of their services.

[Patrick Paule @patpaule]

@kerpen The unintended (intentional) consequences of giving a blank check to those who provide care and putting a "cap" on health insurers. Both drive costs up not down. Why else would Pharma and the AMA have back Obamacare?

[Patrick Paule @patpaule]

@charliebilello I would assume they are using the ARPA subsidy enhancement to artificially make this number appear lower for families.

[JD Vance @JDVance]

Judge for yourself, but do you think Dana was as tough with Kamala as with me? No, of course not.

But I don't care. I'm running to be the people's Vice President.

If you respect this country, you should go anywhere, talk to anyone, and make your pitch. The people deserve it.

[Joel Berry @JoelWBerry]

RFK: “Let’s make America healthy again!”

The media, 2 seconds later:

[Patrick Paule @patpaule]

Easy to manipulate and misstate when subsidy is based on income projection for the year. Especially coming out of a period of high Medicaid enrollment.

[Sally Pipes @sallypipes]

Enhanced Obamacare subsidies are encouraging fraudulent claims, with over 50% of enrollees reporting questionable incomes. https://t.co/7UK3EUFykO

[Patrick Paule @patpaule]

@brian_blase No mention of Navigators or IRS?

[Veronique de Rugy @veroderugy]

Student Loans: Ben Kamens Perfect Spokesman for Democratic Party | National Review https://t.co/ygeh5HLd77

[Patrick Paule @patpaule]

While true that costs of care have exploded, the #1 factor driving debt for those w/ cancer & other life threatening illnesses is loss of income. Protecting your wages is something few people do. Short & long term disability insurance can provide security for these situations.

[The Wall Street Journal @WSJ]

Gwendolyn Jackson was financially sound before her cervical cancer diagnosis—she was gainfully employed, insured and secure in a home of her own. But now, she has tens of thousands of dollars of medical debt. https://t.co/cshr71fPVF https://t.co/cshr71fPVF

[Patrick Paule @patpaule]

@MikeBertaut Gruber and Sommers have never been honest.

[PerrysburgBasketball @Jackets_Bball]

We see you future Jackets ! 🐝

[Patrick Paule @patpaule]

@greg_fann Quite the accomplishment...https://t.co/jA6XFI0F7n

[Jessica Riedl 🧀 🇺🇦 @JessicaBRiedl]

Reminder that the Sanders/Jayapal M4A bills are a joke. Empty skeleton bills that promise huge new benefits but lack:
1) Any new payment system to achieve all those promised efficiency savings (bill says TBD)
2) Any financing mechanism to pay the $32 trillion 10-year cost (oops!)

[Patrick Paule @patpaule]

Estimated 12.5 million losing Medicaid.
3.8 million new #Obamacare enrolled.

Net loss of coverage over 8.7 million and HHS...celebrates?

https://t.co/jA6XFI0F7n

[HHS @HHSGov]

15.3 million Americans have already signed up for quality, affordable health coverage on https://t.co/UkTACLkiWf. That’s an additional 3.8 million people compared to the same time last year! https://t.co/6JtctTANaS

Visit https://t.co/UkTACLkiWf before the Jan. 16 deadline!