“At least three health insurers plan to offer insurance statewide in Georgia’s exchange for 2015. This year, only one health plan – Blue Cross and Blue Shield of Georgia – went statewide in the exchange. And the proposed Blue Cross rates for next year’s exchange will decrease by an average of 7 percent. Those were among the immediate highlights of data on proposed premiums, released by Georgia’s department of insurance, from the health plans seeking to participate in the state’s exchange next year. A total of nine insurers are seeking to offer exchange plans in 2015. That’s up from five insurers for the current year.”
“Sicker patients have prompted Denver Health to ask for a 17.5 percent hike next year in health insurance rates while the biggest carrier in western Colorado, Rocky Mountain Health Plans, is working to keep rates flat in high-cost resort counties.
When Colorado’s insurance regulators unveiled proposed 2015 rates for health insurance last week, the numbers were all over the map. (Click here to read Consumers demand lower rates, universal care.)
Denver Health provides care to patients of all ages. Some who have signed up through Colorado’s Health exchange are sicker and Denver Health is therefore proposing a rate increase. (Photo courtesy of Denver Health.)
Denver Health provides care to patients of all ages. Some who have signed up through Colorado’s Health exchange are sicker and Denver Health is therefore proposing a rate increase. (Photo courtesy of Denver Health.)
Denver Health proposed the biggest increase among carriers in Colorado, while other insurance companies proposed modest increases. New Health Ventures, which markets plans called Access Health Colorado, proposed a 22 percent cut in rates while the Colorado HealthOP wants to cut rates by about 10 percent overall.”
“Some New Yorkers are in sticker shock after receiving notices from their insurance companies saying that they have asked for significant rate increases through the state’s health exchange next year.
The exchange, which has prided itself on being affordable, is now facing requests for increases as high as 28 percent for some customers of MetroPlus, a new entry to the individual insurance market and one of the least costly — and most popular — plans on the exchange this year.”
“Obamacare’s technological nightmare might not be over yet.
Due to problems with the backend of the website, the Department of Health and Human Services reported last month that there were nearly 3 million inconsistencies on applications for health insurance. At the time, officials assured the public they were aggressively working to solve the problem.
But now, a new inspector general report reveals that nearly nine out of 10 erroneous applications have yet to be resolved, and the government isn’t really sure how to fix the problem.
The IG said the primary issues with the applications revolve around verifying citizenship status and income. Under the law, legally residing immigrants can receive subsidies, while undocumented residents cannot. Problems verifying income have also affected subsidy eligibility and the amount those who qualified have received. If enrollees received too much in subsidies, they will be required to pay them back through tax returns next year.”
“The Supreme Court’s opinion Monday holding that some for-profit firms do not have to provide women the contraceptive coverage required under the Affordable Care Act if they have religious objections addressed only half of the ongoing legal battle over the birth control mandate.
But those on both sides of the issue think the court’s majority may have telegraphed which way it could rule when one of those other cases reaches the justices.
Depending on whose count you use, there are more than 50 other lawsuits still working their way toward the high court. They were filed by nonprofit groups, mostly religious educational and health organizations like universities and hospitals.”
“The Supreme Court struck a second blow against the health-care law Monday with its decision to narrow its contraception mandate, an aspect of the federal program that was not central to its existence but was deeply cherished among liberals and many women’s groups.
Two years ago, the court, while upholding the constitutionality of the Affordable Care Act, also gutted the law’s mandatory Medicaid expansion, severely limiting the law’s reach. By contrast, the effect of Monday’s decision is peripheral. The contraception provision was not part of the main law but was laid out in regulatory language issued by the Obama administration. Millions of women who receive birth control at no cost through their company health plans are likely to keep it.
Still, women who work for closely held, for-profit companies whose owners have religious objections to contraceptives may feel an impact. The ruling also is a symbolic setback for a law that has survived a series of legal and political challenges since its enactment four years ago but today stands not entirely whole.”
“It might seem odd that Joanna Coles, editor in chief of Cosmopolitan, was invited to the White House for lunch. After all, why would the most powerful person in the world bother meeting with the editor of a publication that specializes in hot summer sex tricks and the year’s most dangerous diet? Particularly on May 2, 2014, when just about every important political journalist was in town for the White House Correspondents Dinner, the annual gala where pols and press rub shoulders and bond over bottomless booze.
But Coles had a big favor coming to her. In 2013, she publicly pledged her magazine’s ad space and editorial content to help promote the Patient Protection and Affordable Care Act, better known as Obamacare. There are now more than 100 references to Obamacare on Cosmo’s website, almost all of them glowing.
It would have been one thing if the magazine had exercised any degree of creativity or editorial tie-in while touting the law, e.g. “7 Tricks to Get Your Boyfriend to Sign Up For Overpriced Health Insurance-in Bed!” But alas, Cosmo’s Obamacare headlines have all the joie de vivre one expects of diktats from the Ministry of Information: “5 Important Questions About the Affordable Care Act”; “Valerie Jarrett: ‘All Insurance Plans Are Required to Cover Contraception”; “What the Affordable Care Act Means for Women With Pre-Existing Conditions”; and the hilariously defensive “Fox News Wrongly Believes Obamacare is ‘Advertising’ in Cosmopolitan.””
“Much has been written about the possibility that Republicans could win control of the Senate in the 2014 elections. In fact, some prognosticators have given Republicans a better-than-even-money shot at taking the Senate back. If Republicans keep the House and garner the net six seats necessary to win a Senate majority, what does that mean for health policy and politics in the next Congress? In particular, what does it mean for the continued implementation and expansion of the Patient Protection and Affordable Care Act, otherwise known as Obamacare?
I hear these questions a lot, having served as the Republican health policy director for one of the key Senate health policy committees in 2006, the last time Republicans held a majority in both houses of Congress. The one thing I know for sure is that Republicans simply can’t pick up where they left off in 2006, but that answer is far from satisfying.
This much, we know: if Republicans regain both houses in January 2015, health policy in the 114th Congress will be dominated by a showdown between a Republican Congress and a Democratic White House over the future of Obamacare. The challenge for Republicans will be how to balance the desire of the party faithful for repealing Obamacare with the reality that President Obama would never permit it under his watch.”
“WASHINGTON — An independent audit of insurance exchanges established under the health care law has found that federal and state officials did not properly check the eligibility of people seeking coverage and applying for subsidies, the latest indication of unresolved problems at HealthCare.gov.
In a report to Congress on Tuesday, the inspector general for the Department of Health and Human Services, Daniel R. Levinson, said that the exchanges, which enrolled eight million people, did not have adequate safeguards “to prevent the use of inaccurate or fraudulent information when determining eligibility.”
Moreover, in a companion report, the inspector general said that the government had been unable to verify much of the information reported by people applying for insurance coverage and financial assistance to help pay premiums.”
“SEATTLE — Washington State’s health insurance exchange is looking to be an attractive marketplace for new health insurance carriers, according to an early analysis of insurer premium rate filings by McKinsey & Company.
Four new insurers have applied to sell individual policies in the state’s exchange next year, making Washington among the states with the highest number of new exchange entrants of the 12 states where preliminary 2015 rates have been filed, according to McKinsey. If insurance regulators approve the new carriers, Washington will have 12 insurers on the exchange in 2015, up from eight participating this year.
Washington’s not the only state attracting new health insurance business. Michigan also has four new exchange applicants, and five new carriers have applied in Indiana, the state so far with the highest number of new insurance carriers showing interest, according to the real-time tracking of state insurance department rate filings that McKinsey is doing.”