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Yahoo (AP)By TOM MURPHY, AP Business Writer Tom Murphy, Ap Business Writer – Fri Dec 25, 11:50 am ET
INDIANAPOLIS – Health insurers get some big presents in the Senate's health overhaul bill — about 20 million new customers and no competition from a new government plan.
Taking advantage of those boons might take some time, though.
The bill imposes hefty new taxes and coverage rules that will pinch insurers by forcing them to cover more sick people without gaining enough healthy, lower-cost customers, industry insiders say. The industry is also worried the bill doesn't do enough to control health care costs.
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The Senate bill also calls for the industry to pay annual fees for the plan that start at $2 billion in 2011 and increase to $10 billion by 2017. Analysts say costs like these will be passed to consumers because insurers want to protect profit margins, which are generally thinner than other health care companies like drugmakers.
"I think we're going to be discussing health care reform continuously for the next several years as we try to fix all the things that are broken with this existing bill," Fluegel said.
Added up, insurers say the bill would mean higher premiums for consumers and likely for employers who buy coverage. And that's on top of hikes spurred by rising medical care.
The stock market no longer seems worried. Shares of the five largest managed care companies have risen more than 120 percent, on average, since they bottomed out in early March. In contrast, the Standard & Poor's 500 index has increased about 63 percent over the same span.
Investors had big worries when the debate picked up steam last spring, but stocks started climbing as they realized "doomsday scenarios" such as a government takeover would not happen, Funtleyder said.
He thinks insurers will learn to live with the overhaul and eventually benefit from it. They should be able to adjust their prices to accommodate taxes, fees and the new regulations once they understand the claims their exchange customers will generate.
"It's kind of tricky, at least in the beginning."
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