Sebelius Plays Santa Claus, By Running Afoul of the Takings Clause
The latest extra-legal, ad hoc attempt to stave off the cataclysmic consequences of Obamacare, and the utterly inept implementation thereof, is quite something to behold. Because the vaunted Healtcare.gov website does not incorporate a payment function (such an exotic concept, I know) and because insurers are receiving so much bad information, it is likely that a pathetically small fraction of the pathetically small number of individuals who have run the gauntlet to complete an application will actually pay their premiums in time to be covered by 1 January, 2014. To avoid the catastrophe of large numbers of individuals finding themselves uncovered in the new year, the administration is “strongly encouraging” (euphemism alert!) insurers to play claims on policies that have not been paid for. Moreover, since there is mounting concern over access to physicians, the administration is also “strongly encouraging” insurers to pay claims for physicians and hospitals that are not in the networks associated with the policies the insurers have issued. Furthermore, there is further “strong encouragement” that insurers pay to renew prescriptions that are not covered under existing policies.
With respect to the paying claims on unpaid-for policies, the administration is essentially enforcing insurers to extend credit in a business that does not normally extend credit. In private insurance markets, policies doe not come into effect until premiums are paid. Given that a good fraction of those on exchanges are likely not to be very creditworthy, this exposes insurers to the risk of substantial credit losses. Since the policies were priced on the presumption that they did not embed credit, insurers are exposed to losses for which they will not be paid.
Are insurers to be compensated for the inevitable credit losses? By whom? The Federal Government? If so-has such compensation been duly authorized by Congress? (Rhetorical question.) If Congress hasn’t authorized it, where is the money going to come from?
If not-is this diktat not an unconstitutional taking of the property of insurers? Does it not compel them to provide services without compensation?
Similarly, insurers designed policies, physician and hospital networks, and premiums to trade-off costs and benefits. To economize on premiums, they limited network access. Forcing them to provide costly access to a broader network, but not permitting changes in premiums, is yet another taking
In other words, Sebelius is trying to play Santa Claus, but in so doing, is running afoul of the Takings Clause. The property of private insurers is being taken without compensation. They are being forced to provide valuable things (credit, access to a broad physician network, prescription coverage) for which they are not being paid. All to shield the administration from the catastrophic consequences of the baked-in defects of Obamacare, and its comical incompetence in implementing it.
The lawlessness of this administration, especially when it comes to Obamacare, is quite beyond belief.