“More than 12,000 people who purchased policies through Cover Oregon could owe a combined $1.12 million at tax time because of errors in subsidized premiums issued by the health insurance exchange.
The vast majority of people affected are expected to owe no more than $10 per month that their policy was in effect. That figure is not final, however, because a $10,000 consultant’s study intended to settle the question did not succeed. The exchange is planning to commission a second, more in-depth study.”
“Why do Democrats and Republicans view this law so differently? Ideology plays a big role. Democrats are generally more willing than Republicans to look to government to help address people’s problems.
Demographics shape the debate, too.
If a community has a large concentration of people without health insurance, there is a good chance it is represented by a Democrat in Congress. Of the 50 congressional districts with the most uninsured people, all but nine are represented by Democrats.”
“The Obama administration and liberal activists hope that Gov. Gary Herbert (R-UT) will be the next governor lured into Obamacare expansion on the false promise of flexibility and free money. Herbert says he is nearing the end of negotiations with the federal government and wants to call a special session for the legislature to sign off on the Obamacare expansion plan. Unfortunately, most of the details of the plan remain a mystery. He’s given a few snippets of information here and there, but has thus far not released a detailed proposal.
Utah is often seen as a national leader for its values of helping individuals help themselves. Yet, Medicaid expansion undermines that very value system. Governor Herbert’s Obamacare expansion efforts are disappointing for the many unintended consequences that will follow in the state, and in light of his very strong position against Obamacare in the past. Obamacare Medicaid expansion will replace Utah’s compassionate ‘neighbors helping neighbors mentality,’ and weaken the family values that have been strong in the state for so long.”
“President Obama said healthcare costs are rising for Indiana steel workers because employers are not “shopping” correctly for insurance plans during an event at Millennium Steel Service in Princeton, Ind., on Friday.
“We are seeing almost a double-digit increase in health-care costs every year,” General Manager Mihir Paranjape said. “Do you think that trend is going to go down, and what can we do to control that trend?”
“That’s really interesting, you’re gonna have to talk to Henry,” Obama said, referring to the company’s CEO, Henry Jackson. “The question is whether you guys are shopping effectively enough.”
Obama said healthcare premiums were rising at the slowest rate in 50 years and that the higher-ups at Millennium Steel were simply not aware of the options they have in the healthcare market to ensure they are getting the best deal.”
“If there’s one thing that the left and right can agree about on Obamacare it’s that the employer mandate is bad policy. The health care law’s requirement that companies with 50 or more full-time equivalent workers offer health insurance locks further in place our unique, and idiosyncratic employer-based health insurance system. But just because the employer-based system of health insurance is itself undesirable, doesn’t mean that there’s nothing we can learn from it. After all, it makes sense that if anyone holds the keys to improving the performance of our health care system, it might just be the companies that have been involved in paying for it for over half a century.
A recent report from the Kaiser Family Foundation underscores one such lesson – the growing takeup of private exchanges has the potential to be a catalyst for some major revolutions in our health care system.”
“The other night in a debate between Senate Majority Leader Mitch McConnell (R., Ky.) and his challenger, Alison Lundergan Grimes (D.), McConnell argued that it was “fine” to keep Kentucky’s insurance exchange, called Kynect, while repealing Obamacare “root and branch.” This has led the lefty blogosphere to explode in outrage. But Sen. McConnell is right. Repealing Obamacare would leave many states’ exchanges in place. But exchanges like Kynect, under a more market-oriented system, would be meaningfully different than those under Obamacare. And that’s a good thing.”
“California’s health insurance exchange is canceling Obamacare coverage for 10,474 people who failed to prove their citizenship or legal residency in the U.S..
Covered California, the state-run insurance exchange, enrolled more than 1.2 million people during the rollout of the Affordable Care Act this year. For most consumers, the exchange said, it could verify citizenship or immigration status instantly with a federal data hub.
But more than 148,000 enrollees were lacking proof of eligibility and needed to submit documentation. People living in the U.S. illegally aren’t eligible for health law coverage.””
“Colorado’s 2.0 “Kentucky-style” system that is supposed to simplify the way people get health insurance won’t be ready until days before the Nov. 15 open enrollment starts.
And as Colorado’s health exchange enters its busy season, a third “chief” has announced she’s leaving Connect for Health Colorado. Chief Executive Patty Fontneau departed in August. Chief Financial Officer Cammie Blais left two weeks ago. And Chief Operating Officer Lindy Hinman announced her resignation and plans to leave next month after open enrollment begins.”
“In an effort to slow health care spending, more employers are looking at capping what they pay for certain procedures — like joint replacements — and requiring insured workers who choose hospitals or medical facilities that exceed the cap to pay the difference themselves.
But a study out Thursday finds employers might be disappointed with the overall savings. While the idea, known as “reference pricing,” does highlight the huge variation in what hospitals and other medical providers charge for the same services, the report says, it does little to lower overall health care spending.
“It’s zeroing in on a piece of the health spending puzzle that is critical, the unreasonably high negotiated prices paid by health plans … but it’s not going to get you there if you need to save a lot of money,” said co-author Chapin White.”
“Sandra Grooms recently got a call from her oncologist’s office. The chemotherapy drugs he wanted to use on her metastatic breast cancer were covered by her health plan, with one catch: Her share of the cost would be $976 for each 14-day supply of the two pills.
“I said, ‘I can’t afford it,’ ” said Grooms, 52, who is insured through her job as a general manager at a janitorial supply company in Augusta, Ga. “I was very upset.”
Even with insurance, some patients are struggling to pay for prescription drugs for conditions such as cancer, arthritis, multiple sclerosis or HIV/AIDS, as insurers and employers shift more of the cost of high-priced pharmaceuticals to the patients who take them.”