“At a hearing to discuss the rising costs of healthcare benefits for Miami-Dade County, Fla., employees this year, a labor union consultant raised his hand to ask what seemed like a basic question.
Could the committee charged with reducing Miami-Dade labor’s healthcare expenses look at the spreadsheet showing the rates that the county pays local hospitals and doctors for medical services to employees?
“We really need to understand where the money is being spent in order to be insightful about benefit design changes,’’ said Duane Fitch, a healthcare consultant for SEIU Local 1991, which represents physicians and nurses at the county-owned Jackson Health System.”
“Despite the success of the Affordable Care Act in Kentucky, state Democrats are having a hard time winning over even those Republicans who admit they are benefiting from the law.
The Affordable Care Act allowed Robin Evans, an eBay warehouse packer earning $9 an hour, to sign up for Medicaid this year. She is being treated for high blood pressure and Graves’ disease, an autoimmune disorder, after years of going uninsured and rarely seeing doctors.
“I’m tickled to death with it,” Ms. Evans, 49, said of her new coverage as she walked around the Kentucky State Fair recently with her daughter, who also qualified for Medicaid under the law. “It’s helped me out a bunch.”
But Ms. Evans scowled at the mention of President Obama — “Nobody don’t care for nobody no more, and I think he’s got a lot to do with that,” she explained — and said she would vote this fall for Senator Mitch McConnell, the Kentucky Republican and minority leader, who is fond of saying the health care law should be “pulled out root and branch.””
“Proposition 45 would give California’s elected insurance commissioner the authority to reject excessive health insurance rate hikes, a power the commissioner already wields for auto and homeowners insurance rates.
The campaign against it — for which the insurance industry has so far put up $37.3 million — is now airing a 60-second radio ad narrated by a nurse named Candy Campbell.
What does the ad say?
Campbell says voters have a choice between letting the state’s “new independent commission” negotiate rates and reject expensive plans, or handing that power over to “one politician” who can “take millions in campaign contributions from special interests.”
Is it true?
The “commission” Campbell is referring to is the board of Covered California, the state’s new health insurance exchange created by the Affordable Care Act, commonly called “Obamacare.” Covered California is indeed an independent part of state government. But it’s somewhat misleading to describe the board as “independent.” The board members are appointed by politicians — the governor and the Legislature.”
“States have developed various ways to avoid paying their fair share of Medicaid expenses over the years, in some cases costing the federal government hundreds of millions of dollars in extra funding for the program.
The Department of Health and Human Services, which runs Medicaid through its Centers for Medicare and Medicaid Services (CMS), has known about the issue for more than a decade, but states still find ways to game the system. The agency’s inspector general this year listed the issue among 25 key problems the agency needs to address.”
“A federal judge on Thursday struck down Ohio’s law barring people from knowingly or recklessly making false statements about candidates in a case that the United States Supreme Court said needed to be heard. The judge, Timothy Black, said that the answer to false statements in politics is “not to force silence, but to encourage truthful speech in response, and to let the voters, not the government, decide what the political truth is.” The case began in the 2010 congressional race after Steve Driehaus, a congressman at the time, filed a complaint when the Susan B. Anthony List planned to post billboards claiming the Democrat’s support for President Obama’s health care overhaul equated with support for abortion, even though he opposed abortion.”
“An NBC affiliate in Virginia reports that nearly 250,000 people in that state will lose their health care plans due to Obamacare:
“Nearly a quarter million Virginians will have their current insurance plans cut this fall,” said the local anchor. “That is because many of them did not–are not following new Affordable Care Act rules, so a chunk of the companies that offer those individuals their policies will make the individuals choose new policies.”
Says the reporter, “This goes back to that now heavily-criticized line we heared before Obamacare was put in place: ‘If you like your plan, you can keep it.’ Ultimately, that turned out not to be true for thousands of Virginians and companies in the commonwealth. … Wednesday Virginia lawmakers on the health insurance reform commission met for the first time this year. Turns out, a staggering number of Virginians will need new plans this fall.””
“TOPEKA — The three private insurance companies that administer the Kansas Medicaid program under KanCare lost $72.6 million in the first half of 2014, after losing $110 million in 2013.
Rep. Jim Ward, a member of a KanCare oversight committee who requested the fiscal information from the Kansas Department of Health and Environment, questioned Tuesday how long the three companies can sustain such losses.
“These companies can’t keep subsidizing Medicaid to the tune of $100 or $150 million per year, and that’s what’s happening,” said Ward, D-Wichita.
KanCare is the initiative launched by Gov. Sam Brownback on Jan. 1, 2013. It moved virtually all the state’s Medicaid enrollees into health plans run by Amerigroup, UnitedHealthcare Community Plan and Sunflower Health Plan, a subsidiary of Centene.
The three managed care organizations, in information to be filed with the National Association of Insurance Commissioners, reported a total of about $96 million in underwriting losses in the first half of this year. The claims they paid outstripped the $394 million to $483 million each received from the state based on how many Medicaid clients they have.”
“Arkansas’ “Private Option” ObamaCare Medicaid expansion has been rough. Costs have run over budget every single month. The Medicaid director who spearheaded the program abruptly resigned to “pursue other opportunities.” The program’s chief legislative architect, a three-term Republican state representative, lost his primary for an open Senate seat to a political newcomer. And the Private Option is already prioritizing coverage for able-bodied adults over care for truly needy patients like Chloe Jones. News is so bad that Governor Beebe’s office is secretly trying to silence negative press about this failed ObamaCare experiment.
Understandably, the Governor is pretty desperate for some good news. Unable to find any, it seems he decided instead to make it up. Beebe’s office sent out a self-congratulatory press release about next year’s Private Option premiums, hoping to salvage the program’s deteriorating image. But a careful review of the facts makes one thing clear: any promise of Arkansas’ ObamaCare expansion costing taxpayers less money next year is just as empty as the empty promises Beebe and other ObamaCare cheerleaders made to get the program passed in the first place.”
“DETROIT– A lawsuit has been filed on behalf of potentially thousands of immigrants who have been rejected for full Medicaid coverage in Michigan because of computer problems.
The lawsuit in Detroit federal court says the state has known about the problem for weeks but is moving too slowly to fix it. Attorneys are asking a judge to issue an injunction to get things moving.
The Center for Civil Justice in Flint says many immigrants are approved only for emergency services. The group says federal law typically grants full health coverage under Medicaid to low-income refugees and poor lawful permanent residents.”
“RICHMOND — Gov. Terry McAuliffe (D), who vowed in June to defy the Republican-controlled legislature and expand healthcare to 400,000 uninsured Virginians, unveiled a much more modest plan Monday after being thwarted by federal rules and a last-minute change to state budget language.
McAuliffe outlined measures to provide health insurance to as many as 25,000 Virginians, just a fraction of those he had hoped to cover by expanding Medicaid under the Affordable Care Act.
The biggest change, covering 20,000 people with severe mental illness, will need funding approval from the General Assembly to continue past the current fiscal year. McAuliffe also offered proposals to improve care for people already in Medicaid and boost outreach efforts to those who qualify but are not enrolled.”