Most federal insurance cooperatives created under the Affordable Care Act are losing money and could have difficulty repaying millions of dollars in federal loans, an internal government audit has found, prompting the Obama administration to step up supervision of the carriers.Details
Almost 950,000 new customers selected health coverage on HealthCare.gov outside of the open-enrollment period after they became eligible due to changes such as losing their employer-provided insurance or having a baby, according to a government report on the federal health insurance exchange.Details
Despite concerns over the continued rise in health care spending and questions over what contributions President Barack Obama’s health care law will make to the federal deficit, a left-leaning group says what the government actually needs to do is spend more money on Obamacare.
This position was published Tuesday in a paper by the Urban Institute, which said the Affordable Care Act will not work as intended without another $559 billion over the next decade.Details
The Associated Press has reported that the U.S. Attorney’s office has issued subpoenas to the Massachusetts Health Connector (the state’s insurance exchange). The subpoenas cover the period during which the website experienced major technical problems and mismanagement as the state transferred to an Obamacare (ACA) exchange under former Governor Deval Patrick (D-MA).Details
Earlier this month, the Department of Health and Human Services (HHS) released new county-level enrollment data revealing how many Americans had picked plans on the health insurance marketplaces. This new data also includes information on a number of key factors: consumers’ age, race/ethnicity, income, financial help received, metal level of plan selected, and new or renewal customer status. The maps show the distribution of consumers in a state who enrolled in marketplace plans in the 37 states that used HealthCare.gov as an enrollment platform during the 2014 open enrollment period. The map is interactive, and clicking on a county within a state displays more information on the number and proportion of consumer who enrolled there.Details
American families, promised they would save $2,500 a year on health insurance premiums, are bracing themselves to see just how much their costs will increase again next year.
Health insurers across the country are seeking premium increases of 20% to 40% or more. Some carriers requested only modest increases, largely because they priced premiums in line with expected medical expenses in the first year. But many others found enrollees are sicker and more costly than anticipated.
Blue Cross and Blue Shield of New Mexico requested a 52% increase for 2016 individual plans, but the hike has been denied by the state’s insurance regulator.
President Obama is jawboning regulators to lower rates, but that can only go so far when plans face multimillion dollar gaps between premium income and claims payments.Details
Decades later, my dad and I can laugh about this story, but only because he was able to step up and pay for the repair, and I did indeed make good on payday.
But they’re not laughing about this on Capitol Hill. At least five states took federal money to build Obamacare state exchanges, then had to close or abandon the exchanges when they failed to work. And now, as some of the contractors responsible for those failures are being forced to make good, the states want some of that money.
Oregon is right now paying $650 per hour to a law firm with connections to former Gov. John Kitzhaber, who resigned in disgrace partially over the state’s health exchange debacle, to pursue a lawsuit against Oracle its own attorneys say it has little chance of winning. Why?Details
Obamacare continues to be haunted by its complexity.
The federal insurance exchange created under the health law doesn’t effectively verify critical information about applicants’ income and citizenship—information that is used to determine whether an applicant qualifies for federal subsidies—according to a new report by the Health and Human Services (HHS) Office of the Inspector General.
It’s the latest confirmation of continuing technical troubles for the health care law, and yet another indication of how difficult it’s proving to get the law to work as intended.Details
Some consumers who got health coverage or subsidies through HealthCare.gov might not have been eligible to receive them last year because of deficiencies in the federal exchange’s internal controls, according to a government report likely to further stoke Republican criticism.
Not all the internal controls were effective in determining if applicants were properly eligible for health insurance or subsidies, the Health and Human Services’ Office of Inspector General concluded in a report released Monday. It also found problems resolving inconsistencies between some applicants’ information and federal data.
The Centers for Medicare and Medicaid Services, which implements the health law, said the report examined the first open enrollment period in 2014. The agency said it was aware of the majority of the technology issues during those early days and corrected them prior to the inspector general’s report.Details
About 1.8 million households that got financial help for health insurance under President Barack Obama’s law now have issues with their tax returns that could jeopardize their subsidies next year. Administration officials say those taxpayers will have to act quickly.
“There’s still time, but people need to take action soon,” said Lori Lodes, communications director for the Centers for Medicare and Medicaid Services, which runs HealthCare.gov.Details