Posts Tagged ‘medicaid

20
Jun
14

ObamaCare: Signed. Sealed. Delivering.

Supreme Court Upholds Obama's Affordable Care Act

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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.

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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.

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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.

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SCOTUS ObamaCare

18
Jun
14

The Affordable Care Act Lives Up To Its Name

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Columbus Dispatch: Obamacare Premiums Average $80 A Month

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.

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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.

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Bozeman Daily Chronicle: Letter To The Editor: Affordable Care Act Feels Like I Won The Lottery

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.

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16
Jun
14

ObamaCare: Good News All Around

ObamaCare Awesome

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Amy Lynn Smith: Survey Shows The Newly Enrolled Are Happy About Their Health Insurance

A national survey conducted by PerryUndem for Enroll America provides some of the first insights into how people who got covered during the first Affordable Care Act (ACA) open enrollment period feel about their new insurance. Not surprisingly, they feel pretty darn good. The newly enrolled are four times more likely to say they are happy with their coverage than unhappy — 41% compared to 11%. 74% of new enrollees were very or somewhat confident they would be able to pay their premiums moving forward. The feeling that best expresses how the newly enrolled feel about having health insurance is “relieved.”

Although Republicans like Michigan Congressman Tim Walberg continue hunting for “horror stories” about the ACA, or Obamacare, they’re coming up empty-handed. Walberg asked about the impact of the Affordable Care Act on the center and the physicians responded that with the expansion of Medicaid [under the ACA] more people are coming to the practice instead of the emergency room. With improved access to health care, the new patients are getting better care for improved health.

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Image: US-POLITICS-ECONOMY-BUDGET-OBAMACARE-FILES

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Steve Benen: Everything’s Coming Up Aces For The ACA

The news surrounding the Affordable Care Act has been so good this week, it’s almost hard to know where to start. We could start with the fact that private insurers who skipped the exchanges now want in … or we could go with the fact, as expected, consumers are paying their premiums … … or we could talk about “Obamacare” cutting the rate of uninsured in New Jersey by 38%, Minnesota by 40%, and Kentucky by 50%.*

In all, a little less than a third of the country supports repealing the Affordable Care Act – the position Republicans have spent years touting as smart policy and politics. Looking at all of the good ACA news last week, Simon Maloy said, “We’re only six days into June, and opponents of the ACA have already had a terrible month.” For the health care opponents on the right, June looks even worse this week.

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German Lopez: 2 promising Signs For Us Health Spending

Health-care spending might not be growing so quickly after all. Earlier this year, the Bureau of Economic Analysis projected that health-care spending would massively increase in the first quarter of 2014. In the health wonk world, that inspired a lot of panic about the return of high health-care cost growth. Not only would that make health care more expensive for everyone, but it would further strain budgets at all levels of government. The good news is the latest federal data on health spending suggests that the Bureau of Economic Analysis’s initial estimates may have been wrong and could be revised downward. If that’s the case, health-care spending could still be growing at the same timid pace it has been for years.

For the federal government, the most promising news comes through Medicare. The latest data, as broken down by the Committee for a Responsible Federal Budget, shows underlying Medicare growth, even after adjusting for temporary policies, is growing at just 2.5 percent. That’s more than a full percentage point below economic and beneficiary growth. Medicare, in other words, is growing slower as a percent of the economy and on a per-person basis. A percentage point might not seem like a huge deal. But if the trend holds, it could translate to billions of dollars in savings for the federal government.

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Dan Diamond: In Every State So Far, More Insurers Are Asking To Participate In Obamacare

But the second year of Obamacare is bringing out more insurance carriers in New Hampshire. Not just one or two more—but four more. “New Hampshire residents have asked for options,” state Insurance Commissioner Roger Sevigny said last month, announcing the five plans that will participate in this fall’s enrollment period. “Choice is good for consumers and good for competition.”Sevigny may be the only state commissioner who gets to tout a 400% increase in the number of participating plans, but he’s hardly alone in seeing a surge on his state’s exchange. In every state that’s shared details thusfar, it appears there will be more choices in Obamacare, year 2: Michigan’s exchange is going from 13 participating companies in 2013 to 18 this fall. At least one additional carrier has filed to sell plans through Kentucky’s exchange.

Several more insurers may join the plans participating in Virginia, Washington, and Indiana’s exchanges. United HealthCare may jump into Georgia’s market. And the surge in carriers means that there will be many more actual options at the point of purchase, too. Peter Frost at the Chicago Tribune notes the number of companies competing on the Illinois exchange next year will inch up from six to eight—but the number of available policies will almost triple, from 165 to 504. Officials at HHS and the White House are thrilled by the growing turnout. “We are pleased to see an increase of insurers applying for state marketplaces,” a senior administration official told the Daily Briefing. “Where insurers compete for business, consumers benefit.”

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09
Jun
14

Rise and Shine

On This Day: President Barack Obama talks with kids from the Children’s Miracle Network in the East Room of the White House, June 9, 2010 (Photo by Pete Souza)

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Today (All Times Eastern)

10:50: The President meets with nurses to discuss immigration reform

12:30: Josh Earnest briefs the press

1:45: The President delivers remarks and signs a Presidential Memorandum on reducing the burden of student loan debt, East Room

2:40: Meets with governors of Western States via video teleconference

4:15: Welcomes the UConn men’s and women’s NCAA champion basketball teams

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The Week Ahead

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NYT: Obama Plans Steps To Ease Student Debt

President Obama on Monday will take executive actions to ease the burden of college loan debt for potentially millions of Americans, in a White House event coinciding with Senate Democrats’ plans for legislation to address a concern of many voters in this midterm election year. Mr. Obama’s main action will be to expand on a 2010 law that capped borrowers’ repayments at 10 percent of their monthly income. The intent is to extend such relief to an estimated five million people with older loans who are currently ineligible — those who got loans before October 2007 or stopped borrowing by October 2011.

But the relief would not be available until December 2015, officials said, given the time needed for the Education Department to propose and put new regulations into effect. Also, Mr. Obama will announce that the department will renegotiate contracts with companies that service federal loans to give them additional financial incentives to help borrowers avoid delinquency or default. The Education and Treasury Departments are to work with the nation’s largest tax-preparation firms, H&R Block and Intuit Inc., to ensure that borrowers are aware of repayment options and tax credits for college tuition.

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Josh Hicks: Kerry: Leaving Soldier Behind Would Be ‘Offensive And Incomprehensible’

Secretary of State John F. Kerry in an interview aired Sunday pushed back against criticism of the prisoner swap for U.S. Army Sgt. Bowe Bergdahl, who was captured by the Taliban after he left his post in Afghanistan in 2009. “It would have been offensive and incomprehensible to consciously leave an American behind, no matter what,” Kerry said on CNN’s “State of the Union.”

Republicans have accused the Obama administration of placing U.S. troops at greater risk by encouraging enemies to take prisoners for leverage, essentially putting a target on the backs of American troops. Responding to those concerns, Kerry said that the U.S. combat role in Afghanistan is over and that “we’re going to have very few people in that kind of position.”

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By the very wonderful @Chanlowe

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Simon Maloy: GOP’s Quiet Obamacare Disaster: How This Week’s Biggest Story Got Overlooked

While everyone obsessed over the Bergdahl flap, the real story was revealed by a nomination hearing and new data

Right around noon on Wednesday, the Senate voted to invoke cloture on Sylvia Mathews Burwell’s nomination to be the next secretary of Health and Human Services. The all-out Obamacare brawl that Republicans had promised when Burwell’s nomination was announced never materialized. Instead, it ended with a quiet, respectful display of bipartisan comity.

Losing the opportunity to grandstand on the Burwell nomination, however, was the least of the Republicans’ troubles this week when it came to the Affordable Care Act. We’re only six days into June, and opponents of the ACA have already had a terrible month.

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Las Vegas Review-Journal: Shooters In Metro Ambush That Left Five Dead Spoke Of White Supremacy And A Desire To Kill Police

Two Las Vegas police officers were killed Sunday in what appears to be a politically motivated ambush in a pizza restaurant that spilled over to a nearby Wal-Mart, where the two shooters committed suicide after killing a woman in the store. Details are sketchy, but Metropolitan Police Department sources close to the investigation say the shooters shouted that “this is the start of a revolution” before opening fire on the officers, and draped their bodies with cloth showing a Revolutionary War-era flag. Investigators have also found paraphernalia associated with white supremacists. The shooters then stripped the officers of their weapons and ammunition and badges, according to a law enforcement official with knowledge of the investigation. They then covered the officers with something that featured the Gadsden flag, a yellow banner with a coiled snake above the words, “Don’t tread on Me.”

The flag is named for Christopher Gadsden a Revolutionary War general who designed it. It has recently come back in vogue as an adopted symbol of the American tea party movement. Brandon Monroe, 22, has lived in the complex for about two weeks. He said the man who lived in the apartment that was being searched often rambled about conspiracy theories. He often wore camouflage or dressed as Peter Pan to work as a Fremont Street Experience street performer. A woman lived with him, Monroe said, but he didn’t see her as often. They were weird people, Monroe said, adding that he thought the couple used methamphetamine. “The man told Monroe he had been kicked off Cliven Bundy’s ranch 80 miles northeast of Las Vegas while people from throughout the U.S. gathered there in protest of a Bureau of Land Management roundup of Bundy’s cattle.” Jessica Anderson, 27, said.

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Dan Diamond: Since Obamacare Passed 50 Months Ago, Healthcare Has Gained Almost 1 Million Jobs

Obamacare was once called “The Job-Killing Health Care Law.” But the latest jobs report suggests that the broader economy—and the health care sector, specifically—is adding jobs at a healthy rate. Since the Affordable Care Act was signed into law in March 2010, the health care industry has gained nearly 1 million jobs—982,300, to be more precise—according to Bureau of Labor Statistics estimates released on Friday.

Meanwhile, the rest of the economy has added 7.7 million jobs since March 2010, and for the first time, more people are working since the recession began five years ago. Private-sector jobs also grew for the 51st straight month, Justin Wolfers observes at The Upshot, which ties the longest consecutive streak on record and overlaps with the passage of Obamacare 50 months ago. But that streak is piddling compared to health care, which just reported its 131st straight month of job gains.

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Tiffany HSU: Job Recovery In Southern California Is Outpacing U.S. Gains

Southern California fell harder in the recession than the rest of the country and took longer to recover, but now the region’s job gains are outpacing the national employment upswing. Each month since April 2012 except one, Los Angeles County has seen at least 2% year-over-year job growth, compared with a 1.7% average across the country. On Friday, the Labor Department reported that all the jobs lost in the downturn are now back nationwide, with 217,000 net new jobs added in May. The unemployment rate stayed put at 6.3%, the lowest in more than five years. But a steadily growing population means that millions of people are still out of work. In Los Angeles County, only 330,800 jobs have returned, compared with the 435,400 jobs lost from December 2007 to January 2010.

Cheery economic reports showing rising home prices in Southern California, along with steadily recovering personal income, will help boost optimism, Kleinhenz said. But new opportunities will lure more job hunters into the labor force, requiring employers to add more jobs to keep unemployment rates low. But an LAEDC report this week showed promising signs. In April, Los Angeles County employers added 90,800 nonfarm jobs — a 2.6% boost from a year earlier. The area’s jobless rate improved to 9.8% last year from 10.9% a year earlier. LAEDC expects the gauge to fall to 8.7% this year and then continue sliding to 7.8% in 2015.

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Sen. Phillip P. Puckett

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Laura Vozzella: Va. Lawmaker To Resign, Paving Way For Jobs For Self, Daughter, According To Associates

Republicans appear to have outmaneuvered Gov. Terry McAuliffe in a state budget standoff by persuading a Democratic senator to resign his seat, at least temporarily giving the GOP control of the chamber and possibly dooming the governor’s push to expand Medicaid under the Affordable Care Act. Sen. Phillip P. Puckett (D-Russell) will announce his resignation Monday, effective immediately, paving the way to appoint his daughter to a judgeship and Puckett to the job of deputy director of the state tobacco commission, three people familiar with the plan said Sunday. The news prompted outrage among Democrats — and accusations that Republicans were trying to buy the Senate with job offers in order to thwart McAuliffe’s proposal to expand health coverage to 400,000 low-income Virginians.

In a statement, McAuliffe (D) acknowledged that Puckett’s resignation had created “uncertainty” for his plan to expand the federal-state health program for the poor to 400,000 uninsured Virginians. But he contended that he still had a majority of the Senate on his side. “I am deeply disappointed by this news and the uncertainty it creates at a time when 400,000 Virginians are waiting for access to quality health care, especially those in Southwest Virginia,” McAuliffe said. “This situation is unacceptable, but the bipartisan majority in the Senate and I will continue to work hard to put Virginians first and find compromise on a budget that closes the coverage gap.” Senate Republicans, meanwhile, issued a statement praising Puckett. “Although Senator Puckett has decided to end his tenure in the Senate of Virginia, his legacy there will endure,” said Senate Minority Leader Thomas K. Norment Jr. (James City). “And, his commitment and service to the people of Southwest, who honored him with their votes in five successive elections, will continue.”

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Reuters: U.S. Deaths In Afghanistan May Have Only Tenuous Link To Bergdahl

The frantic search for Bowe Bergdahl began the moment his comrades discovered he was no longer inside the fragile outpost in a rock-strewn valley in one of the most hostile corners of Afghanistan. Exactly why Bergdahl left is subject to intense scrutiny. But accounts by two Taliban sources as well as several U.S. officials and fellow soldiers raise doubt over media reports that he had sought to join the Taliban, and over suggestions that the deaths later that year of six soldiers in his battalion were related to the search for him.

His dramatic release on May 31 after five years in captivity in return for five Taliban commanders sparked a national controversy over whether President Barack Obama paid too high a price for his freedom. That was fueled by allegations by some in his battalion that he was a deserter, and that soldiers died because they were looking for him after his disappearance in the early hours of June 30, 2009. While many questions remain, a Reuters reconstruction of his disappearance indicates that at the time when Bergdahl’s six comrades in the 1st Battalion of the 501st Parachute Infantry Regiment were killed in August and September 2009, his fallen comrades were on other missions like securing the Afghan elections and, according to one U.S. military official, the period of intensive ground searches had already ended.

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Jason Millman: Obamacare Is Adding Insurers Where They’re Most Needed

State health insurance marketplaces that offered consumers very few health plan choices in 2014 are starting to add more insurers — slowly, in most cases. But this is a sign that insurers are feeling confident about the second year of the Affordable Care Act’s coverage expansion. The development is important for a few reasons. For one, recent research suggests that more competition in the exchanges could help temper premium increases. Other new analysis shows that exchange plans, on average, are cheaper than individual plans offered outside the insurance marketplaces. And given the narrow networks in exchange plans, more insurers could mean better access to providers.

In New Hampshire, the exchange’s only insurer last year had excluded 10 of 26 hospitals in the state from its network, meaning the exchange’s customers were limited in their choice of care providers. In 2015, though, New Hampshire will have five insurers selling individual and family health plans on the exchange, state officials announced this week. That also includes the expansion of two non-profit, co-op plans that received start-up funding from the Affordable Care Act. Then there’s West Virginia, a poorer state and one of the least healthy in the country — not exactly an attractive market for insurers. Just one insurer sold 2014 exchange plans, but a second insurer from Kentucky, another co-op, will join in 2015. Kentucky Health Cooperative, which signed up 75 percent of the approximately 82,000 people who selected private plans in Kentucky’s exchange, will sell plans statewide in West Virginia next year.

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EPIC Moment Number One: Audra McDonald wins a historic 6th Tony; beating Angela Lansbury and Julie Harris’s previous records of 5 wins

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EPIC Moment Number Two: Bravo, Quest Love for the beats and arrangements, and bravo to T.I., Hugh Jackman, and LL Cool J

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On This Day

President Obama listens to a point being made in a meeting with senior advisors in the Oval Office, June 9, 2009 (Photo by Pete Souza)

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First Lady Michelle Obama greets Debra Ness, president of the national partnership for women and families, before speaking to their 40th anniversary luncheon in Washington, DC, on June 9, 2011

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