Reuters: New Medicaid enrollments top 7 million under Obamacare
More than seven million Americans have gained health coverage through government programs including Medicaid since enrollment in Obamacare health insurance was launched October 1, the U.S. administration said on Friday.
The U.S. Department of Health and Human Services (HHS) said 7.2 million new participants in Medicaid and the Children’s Health Insurance Program by June brought overall Medicaid enrollment to 66 million people.
The enrollees include uninsured Americans who gained coverage through traditional Medicaid, as well as a special Medicaid expansion in 26 of the 50 U.S. states under President Barack Obama’s Affordable Care Act.
…. A recent study in the New England Journal of Medicine estimated that 10.3 million uninsured Americans have gained coverage through the marketplaces and Medicaid, resulting in a 5.2 percentage point drop in the U.S. uninsured rate since last September.
On This Day: President Obama greets a young supporter at a campaign rally for gubernatorial candidate Creigh Deeds in Tyson’s Corner Va., on Aug. 6, 2009 (Photo by Pete Souza)
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Today (All Times Eastern)
10:0: The President delivers remarks and participates in Session One of the U.S.-Africa Leaders Summit at the State Department: Investing in Africa’s Future.
12:30: Participates in Session Two: Peace and Regional Stability
2:30: Participates in Session Three: Governing the Next Generation
5:0: Holds a press conference, State Department
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10:0: First Lady Michelle Obama, in partnership with former First Lady Laura Bush and the Bush Institute, will host a day-long spouses symposium at the Kennedy Center focused on the impact of investments in education, health, and public-private partnerships.
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Jonathan Cohn: Obamacare’s Impact On The Uninsured, State By State: Where Officials Wanted It To Work, It Did
Need another reminder of why Obamacare’s impact depends heavily on the state where you live? Gallup has one for you. On Tuesday, the organization published a state-by-state breakdown of how the law has affected the rate of uninsurance, at least according to its polling. Arkansas seemed to make the most progress: In that state, by Gallup’s reckoning, the ranks of the uninsured fell by 10.1 percentage points. Next was Kentucky, at 8.5 percentage points. The states that made the most headway covering the uninsured,
according to Gallup, are states in which officials decided to build their own insurance marketplaces and to make all low-income people eligible for Medicaid, as the Affordable Care Act originally envisioned. The Medicaid expansion is obviously the big factor here, because it meant many more people (into the millions, in the largest states) became eligible for government-subsidized insurance. But it’s safe to assume that the states that undertook both steps were also the ones that put the most thought and effort into promoting the program.
Service industries such as builders and retailers grew in July at the fastest pace since December 2005, signaling the U.S. economy was hitting its stride entering the second half of 2014. The Institute for Supply Management’s non-manufacturing index increased to 58.7, exceeding the highest estimate in a Bloomberg survey of economists, from the prior month’s 56, the Tempe, Arizona-based group’s report showed today. Readings greater than 50 indicate expansion. The median estimate in the Bloomberg survey called for 56.5.
Prospects for the world’s largest economy are improving as the group’s orders index reached an almost nine-year high, reflecting broad-based gains. Combined with another report showing factory bookings are also jumping, the pickup in demand raises the odds the job market will extend its recent progress. “We’re seeing numbers that we haven’t seen since well before the financial crisis and recession, and they seem to be more sustained,” said Terry Sheehan, an economist at Stone & McCarthy Research Associates in Princeton, New Jersey, whose ISM index projection of 57 was among the highest in the Bloomberg survey. The strengthening is “pretty much across the board for business activity, new orders and employment.”
The trade deficit in the U.S. unexpectedly narrowed in June, reflecting the biggest drop in imports in a year as the economy moved closer to energy independence. The gap shrank 7 percent to $41.5 billion, the smallest since January, from May’s $44.7 billion, Commerce Department figures showed today in Washington. The median forecast in a Bloomberg survey of 66 economists called for a deficit of $44.8 billion. The drop in purchases of foreign goods included declines in autos and cellular phones, while petroleum imports were the lowest in more than three years.
Demand for goods made overseas will probably rebound in coming months, helped by growing household spending and business investment. Exports were little changed at a record, a sign markets overseas will represent less growth for American factories as Europe’s economy struggles to pick up and geopolitical tensions mount. “Imports are going to bounce back because of the strength of the U.S. consumer,” said Jay Bryson, global economist at Wells Fargo Securities LLC in Charlotte, North Carolina. “The U.S. is doing better than most advanced countries.”
America’s growing immigrant population might not be all that bad for the country’s health-care system. In fact, it’s probably playing an important role in helping to keep it afloat. U.S. immigrants’ net contribution to Medicare’s Hospital Insurance Trust Fund, the program’s core funding source, was $183 billion between 1996 and 2011. US-born Americans? Negative $69 billion, according to a new report by the Partnership for the New American Economy, an immigration advocacy group. That means that immigrants have been pumping a lot more money in than they take out, while the rest of the population has been doing just the opposite. On a per person basis, immigrants contributed $62 more per person to the trust fund than the U.S.-born, and claim $172 less in benefits.
By the institute’s estimates, the cash contributed by immigrants over the 16-year span was more than a mere inconsequential boost. “Our analysis indicates that non-citizen immigrants, a group that includes both authorized and unauthorized immigrants, played a particularly large role subsidizing the care of the U.S.-born population,” the report says. The net $183 billion contribution was enough to ensure the prolonged buoyancy of Medicare trust fund, which according to the most recent projection will remain solvent through 2030.
President Obama carries a cake into the Oval Office for a birthday party for Phil Schiliro, assistant to the president for legislative affairs, on Aug. 6, 2009 (Photo by Pete Souza)
President Obama waits to speak at a campaign rally for gubernatorial candidate Creigh Deeds in Tyson’s Corner Va., on Aug. 6, 2009 (Photo by Pete Souza)
President Obama waits backstage to speak at a reception in Tyson’s Corner Va., for gubernatorial candidate Creigh Deeds, on Aug. 6, 2009 (Photo by Pete Souza)
President Obama speaks at a campaign rally for gubernatorial candidate Creigh Deeds in Tyson’s Corner Va., on Aug. 6, 2009 (Photo by Pete Souza)
President Obama shakes hands at a reception in Tyson’s Corner Va., for gubernatorial candidate Creigh Deeds, on Aug. 6, 2009 (Photo by Pete Souza)
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President Obama walks into the Oval Office with newly confirmed Supreme Court Justice Elena Kagan, Aug. 6, 2010 (Photo by Pete Souza)
President Obama signs Elena Kagan’s commission in the Oval Office, before a reception in the East Room celebrating her confirmation to the Supreme Court, Aug. 6, 2010 (Photo by Pete Souza)
President Obama visits with Supreme Court Justice Ruth Bader Ginsburg and newly confirmed Supreme Court Justice Elena Kagan in the Blue Room of the White House, prior to Kagan’s confirmation reception in the East Room, Aug. 6, 2010 (Photo by Pete Souza)
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President Obama is briefed on the tragedy in Afghanistan by Defense Secretary Leon Panetta, Adm. Mike Mullen, Chairman of the Joint Chiefs of Staff, National Security Advisor Tom Donilon, Chief of Staff Bill Daley, and national security staff, at Camp David, Aug. 6, 2011 (Photo by Pete Souza)
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Members of the press document President Obama during the Honoring America’s Veterans and Caring for Camp Lejeune Families Act of 2012 signing ceremony in the Oval Office, Aug. 6, 2012. (Official White House Photo by Sonya N. Hebert)
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President Obama takes the stage to deliver remarks on housing and home ownership at Desert Vista High School in Phoenix, Ariz., Aug. 6, 2013 (Photo by Pete Souza)
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President Obama joins Jay Leno for a taping of the “The Tonight Show with Jay Leno” in Burbank, Calif., Aug. 6, 2013 (Photo by Pete Souza)
LEO Weekly: Medicaid Expansion Leads To Booming Reimbursements, Plunging Uninsured Rate In Kentucky
Kentucky’s Department of Medicaid Services has also provided this map that shows how the uninsured rate has plummeted within each county since 2012, assuming that 75 percent of Kynect enrollees did not previously have insurance (as indicated in their Kynect application): While this drop is staggering through the state, it is most pronounced in the four eastern Kentucky counties of Harlan, Letcher, Leslie and Perry, who went from 17-20 percent uninsured to less than 5 percent. These four counties went from some of the highest uninsured rates to the lowest in the entire state. Thanks, Obama.
While rural hospitals in Kentucky still face unique challenges that must be addressed, including how well Medicaid managed care is able to meet the increased demand for providers, the rosy estimates given by Gov. Beshear last year on the effects of embracing the Affordable Care Act appear to be coming to fruition. The question still remains whether Kentucky’s legislature will decide to continue these efforts next year, or whether a possible new Republican majority in the state House will decide to roll back the clock.
Mary Meehan: Affordable Care Act Refunds Due From Four Kentucky Insurers
Kentucky families will receive $6.2 million in refunds, an average of $43 per family, under a provision of the Affordable Care Act known as the 80/20 rule. The refunds announced Thursday by the federal government are the result of the rule requiring insurance companies to spend at least 80 percent of the money paid in premiums on patient care. If the companies don’t reach that amount with spending on bonuses or red tape, it must be refunded to their customers.
According to a news release from the federal Department of Health & Human Services, consumers nationwide will receive $330 million. Four Kentucky health insurance plans will refund money. Anthem Health Plans of Kentucky had by far the largest refund at $4.4 million. Humana Health Plan was at $766,295, Golden Rule Insurance Co., $342,336, and Time Insurance Co., $333,096.
Sara Kliff: Survey: 57 Percent Of Obamacare Enrollees Were Previously Uninsured
A slim majority of Obamacare’s private insurance enrollees were uninsured when they signed up for coverage, a new survey from the Kaiser Family Foundation finds. Obamacare opponents have regularly argued that most enrollees already had coverage, meaning that health reform wasn’t driving down the uninsured rate. The new Kaiser survey, which uses a randomly-selected panel of 742 people who bought private coverage through the new exchanges,
finds that 57 percent of those who signed up for private coverage didn’t have an insurance plan when they enrolled. The Kaiser survey suggests that most people who bought on the marketplace weren’t trying to replace a plan they already had. They were people who lacked insurance coverage, and were using the new health care law to gain access to a plan they didn’t have before.
Mother Jones: About Half of Obamacare Exchange Enrollees Were Previously Uninsured
A new Kaiser survey shows that 57 percent of those who bought health insurance on Obamacare exchanges were previously uninsured. That’s about 4.5 million people who gained private insurance via the exchanges, and the vast majority of them say they would have remained uninsured if not for Obamacare. If this number is correct, it suggests that the number of newly insured by the end of the year will be a little higher than I’ve projected before—perhaps around 11-13 million.
Tara Culp-Ressler: Young Adults Got Healthier And More Financially Stable After Obamacare Was Implemented
Obamacare’s efforts to expand access to health insurance for young Americans may be helping them maintain better health and financial security, according to a large new study analyzing the impact of health care reform over the past four years. The study, published in the Journal of the American Medical Association (JAMA) on Wednesday, found that young Americans are now reporting better physical and mental health and their out-of-pocket medical expenses have declined. “The health insurance that people are gaining seems to be doing what it is supposed to do,” Dr. Kao-Ping Chua, a pediatrician at Boston’s Children’s Hospital and the lead author of the study, told the Los Angeles Times. In 2010, Obamacare began allowing young adults to remain on their parents’ health insurance plans until the age of 26. Since then, several surveys have found that the rate of uninsurance among that population has sharply declined. The JAMA study is one of the first to attempt to more broadly measure the impact of this aspect of the Affordable Care Act in the four years since it took effect.
In order to assess Obamacare’s impact, the researchers analyzed annual survey data collected between 2002 and 2011, before and after the coverage provision’s implementation. They tracked information from more than 60,000 people who fell into one of two different groups: young people between the ages of 19 to 25, who became newly eligible to remain dependents on their parents’ plans, and a control group of older adults between the ages of 26 to 34 who could not take advantage of that provision. Some significant differences emerged between the two populations. Among the younger group, there was a 6.2 percentage point increase in people reporting excellent physical health, as well as a 4 percentage point increase in people reporting excellent mental health. That group was also more likely to be insured, and experienced an 18 percent decline in their annual out-of-pocket medical costs.
People who signed up for coverage under President Barack Obama’s health-care law are paying about $80 a month in premiums on average, the administration reported yesterday. The new numbers from the Health and Human Services Department cover only the 36 states where the federal government took the lead in setting up new insurance markets, accounting for about 5.4 million of the 8 million people who signed up nationally. Major states like California and New York were not included, but that might not affect national averages by much. The law limits what people pay for a benchmark plan to a fixed share of their income, regardless of where they live.
Among the major findings: • Taxpayers are subsidizing 76 percent of the average monthly premium in the 36 federally administered markets. • The average premium is $346 a month, but the typical enrollee pays just $82. Tax credits averaging $264 a month cover the difference. The government pays the subsidy directly to insurers. • After tax credits, Mississippians paid the least for coverage — averaging just $23 a month on average premiums of $438.
Alex Walsh: Obamacare Side Effect: Alabama Medicaid Enrollment Goes Over 1 Million Due To Awareness, Rule Changes
Alabama has so far rejected the federal government’s proposal to expand Medicaid. Regardless, the Affordable Care Act still had the effect of increasing the size of Alabama’s Medicaid rolls. Medicaid enrollment in Alabama jumped up noticeably in January 2014, from around 970,000 to just over 1 million. Part of the reason behind the increase was a rule change enacted by the Affordable Care Act. The ACA required the state to transfer about
23,000 children from ALL Kids (Alabama’s Children’s Health Insurance Program, or CHIP) over to the Medicaid rolls. Health care analysts also say that the roll-out of the Affordable Care Act brought a new wave of attention to health insurance, motivating many Americans to check their eligibility for various existing programs. This effect has been called “wood working” by some organizations, including Kaiser.
I must add my so so appreciative voice to all the press about the Affordable Care Act (ACA). I must say it is the best thing that has come along in my lifetime since “sliced bread.” My husband and I paid $14,520 in premiums alone this year for very high deductible policies. The ACA is allowing the premium cost to stay within 9.5 percent of your income if you are in the 400 percent above poverty income range. Our premiums were well above that percentage of our income.
This high premium stuff with riders and coinsurance has been going on for us since 2007 when we lost our group coverage, with hugely increasing premiums every year. Before we got any help from insurance our out-of-pocket would have been $30,000. Our joined premium per month will be $660 and our maximum out-of-pocket for care will be $3,250 each. I feel like I won the lottery: no riders and no preexisting Blue Cross policies with nationwide providers.