“The federal health insurance website is trying to resolve glitches and security questions raised by the Government Accountability Office, so people can safely and successfully sign up for insurance at open enrollment Nov. 15.
Much of the Obama administration’s success in enrolling 8.1 million people in health insurance over the past year was overshadowed by the momentous problems with HealthCare.gov and several state exchanges. As administration officials prepare to test the site with insurers Oct. 7, they’re trying to manage expectations while portraying some confidence.
Centers for Medicare and Medicaid Services Administrator Marilyn Tavenner told a House panel Thursday that there will be “visible improvement, but not perfection” on HealthCare.gov.”:

“Here’s a health law pop quiz: Which two states have the least successful Obamacare health insurance exchanges?
You may guess a state in the Deep South where political opposition to the law is fierce. Or maybe Missouri? It passed a state law saying consumer advisors funded by the Affordable Care Act aren’t allowed to advise consumers.
In fact, Iowa and South Dakota are the two states where the ACA insurance marketplaces struggled the most. In both, just 11.1 percent of residents eligible for subsidized insurance signed up for it – the lowest rates in all 50 states and the District of Columbia, according to data from the Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.)”

“The Obama administration has found their line when it comes to setting expectations for the second roll-out of the federal exchange website: “Improvement but not perfection.”
It’s the semi-optimistic catch-phrase officials have used in congressional testimonies over the past few weeks to describe how well Healthcare.gov will work come November. Andy Slavitt, principal deputy administrator at CMS said it during his testimony with the House Ways and Means Committee last week. Marilyn Tavenner, CMS administrator used the line during her testimony Thursday morning for the House Committee on Government Oversight and Reform.
Voters also seem to be preparing for problems and not perfection as they head back to the site. Open enrollment begins November 15.
Morning Consult polling shows more than half of registered voters — 54 percent — are very concerned or somewhat concerned about security breaches on HealthCare.gov and the state exchange sites. Thirty-nine percent of registered voters were not too concerned at all.”

“Who’s up for the latest batch of bad Obamacare-related news?
(1) Consumers brace for the second full year of Obamacare implementation, as the average individual market premium hike clocks in at eight percent — with some rates spiking by as much as 30 percent.
(2) “Wide swings in prices,” with some experiencing “double digit increases.”(Remember what we were promised):
Insurance executives and managers of the online marketplaces are already girding for the coming open enrollment period, saying they fear it could be even more difficult than the last. One challenge facing consumers will be wide swings in prices. Some insurers are seeking double-digit price increases.”

“If you bought health insurance at an Affordable Care Act marketplace this year, it really pays to look around before renewing your coverage for next year.
The system is set up to encourage people to renew the policies that they bought last year — and there are clear advantages to doing so, such as being able to keep your current doctors. But an Upshot analysis of data from the McKinsey Center for U.S. Health System Reform shows that in many places premiums are going up by double-digit percentages within many of the most popular plans. But other plans, hoping to attract customers, are increasing their prices substantially less. In some markets, plans are even cutting prices.”

“We did not see big changes in employer-based coverage in the Kaiser-HRET annual Employer Health Benefit Survey released last week. Mostly this is good news, particularly on the cost side where premiums increased just 3%.
But one long-term trend that is not so good is how this market works for firms with relatively large shares of lower-wage workers (which we define as firms where at least 35% of employees earn less than $23,000). These low-wage firms often do not offer health benefits at all. And, as the chart below shows, when they do offer coverage, it has lower premiums on average (likely meaning skimpier coverage) and requires workers to pay more for it. Workers in low-wage firms pay an average of $6,472 for family coverage, compared with $4,693 for workers in higher wage firms.”

“Government insiders who flagged security issues prior to the launch of HealthCare.gov were right to be concerned. That’s according to a new audit by the Government Accountability Office, which concluded that security weaknesses are putting “the sensitive personal information” contained by HealthCare.gov and its related systems at risk.
As the Obama administration prepared to launch the website last fall, one of those insiders voiced concern about the vulnerabilities and complained about “cover-ups” masking the severity of the problems.”

“A day after Maryland committed to a gradual launch of its health exchange, state officials are still working out some key details — including where the opening day sign-up will be held — but experts say it could be a way to avoid a repeat of last year’s botched rollout.
Several health experts said the approach that limits enrollment in the first few days could allow Maryland to “kick the tires” on its new website.
“It’s a controlled way to open enrollment,” said Karen Pollitz, senior fellow at the Kaiser Family Foundation. “They can work with a controlled number of people for the first couple of days to see how this works in practice. I’m assuming there is some plan at the end of the day when people gather in a room and compare notes and say we need to fix this or that.””

“Enrolling in Missouri’s Medicaid program has not been easy.
Many applicants have experienced a barrage of problems when trying to sign up for the program, including long delays until coverage kicks in, lost paperwork and a lack of one-on-one interaction with caseworkers. State officials have blamed a new computer system used to process Medicaid applications.
But there is another reason why some Missourians struggle to get help.
When Deborah Weaver, 28, had issues enrolling in the state’s Medicaid coverage for pregnant women, a switch from her Medicaid disability coverage, she was directed to use a toll-free number, 1-855-373-4636. When she called, Weaver endured long waits and received no guidance.”

“Very few industries in bed with Obamacare come off smelling like a rose. But if one had to pick a bad actor above all others, it would probably be Big Health Insurance.
America’s largest and most influential health insurance companies actively supported passage of Obamacare in Congress, and continue to do so today. That’s not surprising, since the heart of Obamacare is a mandate on Americans to purchase the product the health insurance companies are selling (the individual mandate). The “essential minimum coverage” on “qualified health insurance plans” as dictated by the Department of Health and Human Services tend to emphasize first dollar insurance coverage whenever possible, which increases insurance company profits. Worst of all, insurance companies are the beneficiaries of a giant taxpayer bailout that makes their Obamacare participation a “heads they win, tails taxpayers lose” kind of scenario.”