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Keyword: exchanges

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  • Kentucky Health Cooperative going out of business; 51,000 insurance customers affected

    10/10/2015 8:35:04 AM PDT · by Republican Wildcat · 12 replies
    Lexington Herald-Leader ^ | 10/9/2015 | JACK BRAMMER
    FRANKFORT — The largest private provider of health insurance policies on Kynect, Kentucky's health insurance exchange, is going out of business. The Louisville-based Kentucky Health Cooperative Inc. announced Friday that it will end current memberships on Dec. 31 and will not add new members because of financial problems. It will not offer health insurance plans on Kynect when open enrollment for 2016 coverage starts on Nov. 1. The cooperative has about 51,000 members in all 120 Kentucky counties. ... Jonathan Gold, press secretary for the U.S. Department of Health and Human Services, said in an email that the federal government...
  • Obamacare´s Blue State Money Laundry

    09/14/2015 9:25:18 AM PDT · by rootin tootin · 6 replies
    American Spectator ^ | 9/14/2015 | David Catron
    When Maryland’s Attorney General announced last summer that his office had negotiated a settlement whereby $45 million would be recouped from the IT contractor that botched the state’s Obamacare exchange, it was widely reported as good news for taxpayers. It appeared that their investment in the mismanaged project would not be a dead loss. But the AG’s statement included this curious passage: “The agreement… will lead to the recovery of funds for both Maryland and the federal Centers for Medicare and Medicaid Services [CMS].” What’s so odd about that? Well, the state didn’t contribute any money to the project. All...
  • Scalia leads scathing dissent on ObamaCare ruling, dubs law 'SCOTUScare'

    06/25/2015 8:45:29 AM PDT · by Servant of the Cross · 58 replies
    FoxNews ^ | 6/25/2015 | FoxNews
    “We should just start calling this law SCOTUScare,” Scalia wrote, referring to the several times the high court has ruled on controversial parts of ObamaCare. Scalia blasted that reading. “The court holds that when the Patient Protection and Affordable Care Act says ‘Exchange established by the State’ it means ‘Exchange established by the State or the Federal Government,’ Scalia wrote. “That is of course quite absurd, and the court’s 21 pages of explanation make it no less so.”
  • Obamacare’s Architect Agreed That Only State Exchanges Could Offer Subsidies [from 2014]

    06/25/2015 10:09:33 AM PDT · by markomalley · 5 replies
    National Review ^ | 7-25-14 | Veronique de Rugy
    Tonight, Reason’s Peter Suderman published an interesting revelation about the history of the decision reached this week by the D.C. Circuit Court of Appeals, that Obamacare subsidies couldn’t be distributed unless it happened through a state exchange. It turns out that one of the key minds behind Obamacare, MIT professor Jonathan Gruber, entirely agreed with Michael Cannon and Jonathan Adler, the scholars behind the legal theory that backed up the Halbig plaintiffs who triumphed this week.  He’s on the record explaining that Obamacare subsidies are limited to state exchanges.  Suderman writes: Jonathan Gruber, a Massachusetts Institute of Technology economist who helped design the Massachusetts health...
  • As SCOTUS Upholds Affordable Care Act, MN GOP Calls For MNsure’s Demise

    06/25/2015 4:52:25 PM PDT · by Extremely Extreme Extremist · 6 replies
    WCCO.COM ^ | 25 JUNE 2015 | WCCO.COM
    MINNEAPOLIS (WCCO) — Despite the U.S. Supreme Court ruling upholding the Affordable Care Act, Minnesota critics of the health care law are not ending their fight to repeal it. And state Republican leaders are calling for an immediate halt to any more spending on MNsure, the state’s health care exchange. “There’s no reason to continue throwing good money after bad at this point,” Minnesota State Rep. Tara Mack said.
  • BREAKING: Healthcare subsidies upheld by SCOTUS

    06/25/2015 7:09:40 AM PDT · by GIdget2004 · 614 replies
    SCOTUS Blog ^ | 06/25/2015 | SCOUTSBLOG
    Six are the Chief, Kennedy, Ginsburg, Breyer, Sotomayor, and Kagan.

    06/25/2015 8:00:06 AM PDT · by Kazan · 109 replies
    Associated Press ^ | 6/25/2015 | Mark Sherman
    WASHINGTON (AP) -- The Supreme Court on Thursday upheld the nationwide tax subsidies under President Barack Obama's health care overhaul, in a ruling that preserves health insurance for millions of Americans. The justices said in a 6-3 ruling that the subsidies that 8.7 million people currently receive to make insurance affordable do not depend on where they live, under the 2010 health care law.< The outcome is the second major victory for Obama in politically charged Supreme Court tests of his most significant domestic achievement. It came the same day the court gave the administration an unexpected victory by preserving...
  • Supreme Court upholds nationwide health care law subsidies

    06/25/2015 7:59:51 AM PDT · by Dr. Thorne · 91 replies
    AP ^ | 6/25/2015 | Mark Sherman
    WASHINGTON (AP) -- The Supreme Court on Thursday upheld the nationwide tax subsidies under President Barack Obama's health care overhaul, in a ruling that preserves health insurance for millions of Americans. The justices said in a 6-3 ruling that the subsidies that 8.7 million people currently receive to make insurance affordable do not depend on where they live, under the 2010 health care law.
  • Obamacare Ruling May Have Just Killed State-Based Exchanges

    06/25/2015 8:28:26 AM PDT · by Theoria · 49 replies
    The New York Times ^ | 25 June 2015 | Margot Sanger-Katz
    Now that the Supreme Court has ruled that health insurance consumers can receive federal subsidies regardless of their state’s role in running their insurance market, fewer states may stay in the game.When the Affordable Care Act passed in 2010, most people expected that each state would want to run its own health insurance marketplace. That never really happened, as many states opted to let the federal system,, do the work for them. Many of those states that did try running their own marketplaces are starting to think twice.Now, with the Supreme Court ensuring that every state’s consumers will have...
  • Oregon dumps cold water on low Obamacare rates

    06/22/2015 4:15:14 PM PDT · by Oldeconomybuyer · 15 replies
    CNBC ^ | June 22, 2015 | by Dan Mangan
    They wanted their Obamacare prices to be low—but the state said "no." The state of Oregon reportedly has ordered a number of insurers to raise proposed Obamacare premiums for 2016 after some of those companies asked for rates that were only moderately higher, if not lower than this year. Now, many Obamacare customers there are looking at likely double-digit percentage rate increases after having experienced some of "the lowest premiums in the nation," the Oregonian noted. For example, Oregon's Health CO-OP asked for a 5.3-percent average rate increase for next year, but the state's preliminary decision calls for a 19.9...
  • After Multiple Enrollment Failures, Hawaii Dumps State Obamacare Exchange

    06/08/2015 4:58:23 AM PDT · by Servant of the Cross · 3 replies ^ | 6/8/2015 | Katie Pavlich
    Last week Americans For Tax Reform released new information showing that during Hawaii's special Obamacare enrollment period, zero people enrolled. The total state cost for the exchange sits at more than $200 million. While Hawaii enrolled zero individuals and is the worst performing state, it is not alone. Vermont signed up only 97 households, while Rhode Island enrolled just 25 households. Hawaii’s dismal performance should not be surprising. The website cost taxpayers $205 million but could only enroll 8,592 individuals in year one. Cost to taxpayers per enroll: $23,899. The state legislature recently rejected a $28 million bailout for the...
  • NYT: In Vermont, ObamaCare flopped so bad it even killed single payer

    06/04/2015 5:36:51 PM PDT · by SeekAndFind · 16 replies
    Hotair ^ | 06/04/2015 | Ed Morrissey
    When Barack Obama and Democrats on Capitol Hill first rolled out ObamaCare, conservatives warned that the program was so badly designed that it couldn’t possibly be on the level. Instead, people assumed that Democrats intended ObamaCare to fail — so that the only possible choice would be a single-payer system of socialized medicine. Even after Democrats reluctantly eliminated the “public option,” opponents insisted that the intended end game was failure so bad that it would destroy private insurance and leave nothing but the federal government to pick up the pieces.The problem with that strategy, if indeed that was the...
  • Blue Shield of California: Down But Not Out

    06/04/2015 10:42:00 AM PDT · by Rona Badger
    The American Medical Money Machine ^ | June 4, 2015 | James R. Goldberg
    Quietly, in August 2014, one of the largest health insurance companies lost their tax exempt status in the State of California: Blue Shield of California. Established in 1938, it’s been well known for years that this company and its real owner, California Physicians’ Service, Inc. (CPS), quietly scooped up billions in tax exempt revenue. They also managed to confound the government even further by calling themselves a Foundation! The California State Franchise Tax Board is known to be ruthless in hunting down fraud. Finally, after decades of deceit, Blue Shield’s tax evasion scam got the axe. But that isn’t stopping...
  • Alabama’s ObamaCare health insurance exchange prices set to skyrocket

    06/02/2015 4:25:28 PM PDT · by Oldeconomybuyer · 12 replies
    Yellowhammer News ^ | June 2, 2015 | BY ELIZABETH BESHEARS
    BIRMINGHAM, Ala. — Alabama health insurance providers who offer plans on the ObamaCare exchange are seeking significant price increases this year, after healthcare costs took a sharp upward turn. Blue Cross Blue Shield of Alabama is reportedly requesting an average of a 28 percent increase for its individual plans, as well as a 73 percent increase for its platinum plan. Small group plans could also increase by nearly 14 percent. UnitedHealthcare is seeking a 24.5 percent increase for its 2016 rates.
  • Obamacare sticker shock: Big rate hikes proposed for 2016

    06/02/2015 4:18:37 PM PDT · by Oldeconomybuyer · 17 replies
    CNN ^ | June 2, 2015 | By Tami Luhby
    Hold onto your wallets ... many insurers want to substantially hike rates on Obamacare policies for 2016. Many are proposing double-digit premium increases for individual policies, with some companies looking to boost rates more than 60%, according to a list posted Monday by the federal Centers for Medicare & Medicaid Services. Insurers say they want to hike rates because enrollees are going to the doctor, getting lab work and filling prescriptions more than they had originally anticipated. "We've seen a great pent-up demand for services," said Aaron Billger, spokesman for Highmark, a Blue Cross Blue Shield licensee offering plans in...
  • Insurers request big rate hikes, citing coming Medicaid changes

    06/03/2015 11:41:43 AM PDT · by Oldeconomybuyer · 12 replies
    New Hampshire Union Leader ^ | June 2, 2015 | By MARK HAYWARD
    Two insurance carriers on the Obamacare exchange are attributing proposed double-digit premium increases to next year’s private-market alterations to the New Hampshire Medicaid program. Minuteman Health Inc. has requested rate increases ranging from 42 to 51 percent for next year, according to Maine Community Health Options asked for premium increases between 19 and 22 percent. Both companies attributed their proposed increases in part to the Premium Assistance Program, the name for the Medicaid expansion program that is scheduled to go into effect on Jan. 1. Maine Community estimated that claims from the Medicaid patients will be 61 percent higher...
  • Cash-strapped State ObamaCare Exchanges Considering Mergers

    05/31/2015 6:06:25 AM PDT · by VitacoreVision · 19 replies
    The New American ^ | 31 May 2015 | Michael Tennant
    State ObamaCare exchanges are fast running out of cash because of higher-than-expected costs and lower-than-expected enrollment. In an attempt to keep their heads above water, many exchanges are considering combining some of their operations with those of other states — a tactic that may prove as difficult as setting up the exchanges in the first place and that raises the specter of fully nationalized health insurance.The Obama administration, under the terms of the Affordable Care Act (ACA), disbursed about $5 billion in subsidies to states to get their exchanges up and running. After that, the exchanges were supposed to be...
  • GOP likely to feel the heat if court decision guts Obamacare [Who gave us this ACA mess?]

    05/26/2015 3:41:19 AM PDT · by Cincinatus' Wife · 59 replies
    Houston Chronicle ^ | May 26, 2015 | RICARDO ALONSO-ZALDIVAR
    WASHINGTON (AP) — A Supreme Court ruling due in a few weeks could wipe out health insurance for millions of people covered by President Barack Obama's health care law. But it's Republicans — not White House officials — who have been talking about damage control. [snip] BAD TIMING [snip] HOUSE OF CARDS [snip] STICKER SHOCK FOR SELF-PAY CUSTOMERS [snip] REPUBLICANS TO THE RESCUE? [snip]
  • No biggie: Your Obamacare premiums are going up. Way up in some cases.

    05/24/2015 6:24:57 AM PDT · by SeekAndFind · 14 replies
    Hotair ^ | 05/23/2015 | Jazz Shaw
    The “Affordable” Care Act may be looking for a new name in the near future. As Fox News and the Wall Street Journal are reporting, the next round of health care premium cost adjustments are coming down the pike, and you’ll never guess where things are heading. Okay… you probably guessed already. The Wall Street Journal is reporting today that Obamacare rates are about to shoot up, in some cases as much as 40%. The rate increases requested by insurance carriers vary state by state, but the overall picture is bad.“In New Mexico, market leader Health Care Service Corp....
  • Survey finds 3 out of 4 satisfied with their ObamaCare plans

    05/23/2015 10:07:52 AM PDT · by upchuck · 37 replies
    The Hill ^ | May 21, 2015 | Sarah Ferris
    The vast majority of people who bought health insurance through ObamaCare exchanges are satisfied with their plans, according to a new national survey.People overwhelmingly said they felt positively about their choices of doctors and hospitals and their copays for appointments and prescriptions, delivering good news for the Obama administration one year into the law's rollout.More surprisingly, that satisfaction also extended to people’s monthly premiums and annual deductibles, according to data from the Kaiser Family Foundation.Sixty percent of ObamaCare customers said they were satisfied or very satisfied with their monthly premium costs — more than people who bought coverage before the...
  • Obamacare May Force Some Insurers to Boost Their Premiums an Alarming Amount

    05/22/2015 10:48:33 PM PDT · by Cincinatus' Wife · 55 replies
    Slate ^ | May 22, 2015 | Mark Joseph Stern
    On the whole, the Affordable Care Act is working pretty well, getting more people insured and increasing the quality of insurance overall. But on Thursday, the Wall Street Journal reported an alarming development: Health insurers on many state exchanges are looking to boost their premiums a ridiculous amount in 2016. New Mexico's leading provider, for instance, is seeking a 51.6 percent hike, while Maryland's is seeking a 30.4 percent hike. (Insurers in other states, like Vermont and Indiana, are asking for minimal increases.) Libertarian and conservative outlets are, predictably, citing the rate hike as yet another Obamacare catastrophe. But it's...
  • Health Insurers Seek Hefty Rate Boosts

    05/22/2015 7:58:18 AM PDT · by george76 · 14 replies
    WSJ ^ | May 21, 2015 | Louise Radnofsky
    Proposals set the stage for debate over federal health law’s impact. Major insurers in some states are proposing hefty rate boosts for plans sold under the federal health law, setting the stage for an intense debate this summer over the law’s impact. In New Mexico, market leader Health Care Service Corp. is asking for an average jump of 51.6% in premiums for 2016. The biggest insurer in Tennessee, BlueCross BlueShield of Tennessee, has requested an average 36.3% increase. In Maryland, market leader CareFirst BlueCross BlueShield wants to raise rates 30.4% across its products. Moda Health, the largest insurer on the...
  • Exclusive: States quietly consider ObamaCare exchange mergers

    05/22/2015 4:47:45 AM PDT · by Cincinatus' Wife · 10 replies
    The Hill ^ | May 22, 2015 | Sarah Ferris
    A number of states are quietly considering merging their healthcare exchanges under ObamaCare amid big questions about their cost and viability. Many of the 13 state-run ObamaCare exchanges are worried about how they’ll survive once federal dollars supporting them run dry next year. Others are contemplating creating multi-state exchanges as a contingency plan for a looming Supreme Court ruling expected next month that could prevent people from getting subsidies to buy ObamaCare on the federal exchange. The idea is still only in the infancy stage. It’s unclear whether a California-Oregon or New York-Connecticut health exchange is on the horizon. But...
  • Obamacare exchanges on life support

    05/17/2015 3:45:37 PM PDT · by · 13 replies ^ | May 15, 2015 | Michelle Malkin
    At a recent White House science fair celebrating inventors, a Girl Scout who helped design a Lego-powered page-turning device asked President Obama what he had ever thought up or prototyped. Stumbling for an answer, he replied: “I came up with things like, you know, health care.” Ah, yes. “Health care.” Remember when the president’s signature Obamacare health insurance exchanges were going to be the greatest thing since sliced bread, the remote control, jogger strollers, Siri, the Keurig coffee maker, driverless cars and Legos all rolled into one? The miraculous, efficient, cost-saving, innovative 21st-century government-run “marketplaces” were supposed to put the...
  • Health exchange considers higher fees as federal grants end

    05/12/2015 3:45:46 PM PDT · by Oldeconomybuyer · 7 replies
    KRDO-TV ^ | May 12, 2015 | by Chris Loveless
    Denver -- The state's health exchange is looking at more than doubling the fee that insurers pass onto customers who buy policies. The Denver Post reports Connect for Health Colorado staff recommended the increase Monday as $177 million in federal startup grants come to a close and as insurance carriers prepare to submit their rate plans by May 29. If the health exchange board approves the 3.5 percent charge for premiums, the fee for a $4,000 yearly plan would go up by $84. Staff also recommended upping a monthly assessment charge for 1.2 million private insurance policies to bring in...
  • Obamacare Exchange: Michigan Dodged a Bullet

    05/12/2015 1:35:34 PM PDT · by MichCapCon · 3 replies
    Michigan Capitol Confidential ^ | 5/10/2015 | Jack McHugh
    In a news story titled “Nearly half of Obamacare exchanges are struggling over their future,” The Washington Post reports the following: Nearly half of the 17 insurance marketplaces set up by the states and the District under President Obama’s health law are struggling financially, presenting state officials with an unexpected and serious challenge five years after the passage of the landmark Affordable Care Act. Many of the online exchanges are wrestling with surging costs, especially for balky technology and expensive customer-call centers — and tepid enrollment numbers. To ease the fiscal distress, officials are considering raising fees on insurers, sharing...
  • Obama’s Home State To Shut Down State-Based Obamacare Exchange Over Lack of Funds

    05/12/2015 11:42:22 AM PDT · by Nachum · 17 replies
    cns news ^ | 5/12/15 | Brittany M. Hughes
    ( -- President Barack Obama’s home state of Hawaii is shutting down its state-based health care exchange, the Hawaii Health Connector (HHC), due to incurring debts and the unwillingness of state legislators to put more taxpayer money into the struggling operation, the Honolulu Star-Advertiser reported Saturday.Established in 2011, the non-profit organization is Hawaii’s state-based health exchange for the President’s Affordable Care Act, or Obamacare. There are currently about 37,000 Hawaiians enrolled in health care plans through the exchange, far short of the roughly 70,000 needed to raise enough money to sustain it, the article reports.Officials with the exchange released a report to its...
  • Hawaii state insurance exchange to shut down

    05/12/2015 8:53:08 AM PDT · by Incorrigible · 23 replies
    Fierce Health Payer ^ | May 11, 2015 | Brian Eastwood
    Hawaii state insurance exchange to shut down Hawaii Health Connector never achieved financial sustainability May 11, 2015 | By Brian Eastwood The Hawaii Health Connector will shut down operations on Sept. 30, InsuranceNewsNet reported. The exchange site will cease new enrollment this week, discontinue its outreach programs at the end of May and transfer its technology assets to the state by Sept. 30, the article said. The exchange's 37,000 enrollees can re-enroll on the federal exchange for the 2016 plan year. Hawaii Health Connector has faced financial problems from its inception. A report issued earlier this year found that...
  • How Five Republicans Let Congress Keep Its Fraudulent Obamacare Subsidies

    05/07/2015 2:49:32 PM PDT · by Beave Meister · 10 replies
    National Review ^ | 5/7/2015 | BRENDAN BORDELON
    Health-care experts call it D.C. insiderism at its worst. The rumors began trickling in about a week before the scheduled vote on April 23: Republican leadership was quietly pushing senators to pull support for subpoenaing Congress’s fraudulent application to the District of Columbia’s health exchange — the document that facilitated Congress’s “exemption” from Obamacare by allowing lawmakers and staffers to keep their employer subsidies. The application said Congress employed just 45 people. Names were faked; one employee was listed as “First Last,” another simply as “Congress.” To Small Business Committee chairman David Vitter, who has fought for years against the...
  • IRS unable to make sure people comply with Obamacare penalty: Treasury IG

    05/08/2015 10:07:56 AM PDT · by T Ruth · 16 replies
    The Washington Times ^ | May 8, 2015 | Tom Howell Jr.
    The IRS cannot be sure that Americans who lacked health insurance last year have complied with Obamacare’s “individual mandate” penalty this tax season, according to an inspector general report Friday that pointed to a decision to delay proof-of-coverage forms from insurers and employers until 2016. Agency mangers told the Treasury’s Inspector General for Tax Administration that a “business decision was made to not develop processes and procedures” to ensure compliance after it decided in 2013 to delay the pair of forms. The documents are sent to both filers and the IRS, allowing the federal government to cross-check what filers say...
  • ObamaCare Exchanges Are A Model Of Failure

    05/06/2015 2:53:38 AM PDT · by IBD editorial writer · 11 replies
    Investor's Business Daily ^ | 05/05/2015 | Staff
    Waste: After spending billions on state-run ObamaCare exchanges, the federal government is only now writing clear rules on how that money can be spent, while half of the exchanges head toward bankruptcy.
  • If MinnesotaCare goes, here's what's at stake

    04/18/2015 11:33:06 AM PDT · by TurboZamboni · 8 replies
    Pioneer Press | 4-16-15 | David Montgomery
    In 49 states, there are basically two options for public health insurance programs: Medicaid for the very poor, and subsidized private health insurance on the Affordable Care Act's exchanges for everyone else. Minnesota is the exception. Unlike every other state, it has a third option in the middle: MinnesotaCare. Created in the 1990s, MinnesotaCare covers people who earn too much money for Medical Assistance (Minnesota's Medicaid program) but not enough to qualify for MNsure, the state's health insurance exchange.
  • Nearly 200,000 Colorado Health Plans to be Canceled Despite Obamacare Extension

    03/14/2015 4:54:33 AM PDT · by Mount Athos · 15 replies
    PJ tattler ^ | March 13, 2015 | Bridget Johnson
    Colorado Sen. Cory Gardner (R) said he’s “utterly appalled” by the Colorado Division of Insurance decision to cancel 190,000 health plans that don’t comply with Obamacare regulations — even though they have the authority to continue the old plans for another year under grandfathering rules announced last year. “Coloradans were promised by supporters of this healthcare law that if they liked their plans, they could keep their plans,” he said. “DOI should follow through on that promise, and prove that last year’s extension wasn’t simply an empty election year ploy to fool people into believing they were going to be...
  • Washington state's ObamaCare exchange faces funding shortfall

    03/11/2015 10:38:03 PM PDT · by Jim Robinson · 21 replies
    FOX News ^ | March 12, 2015 | By Dan Springer
    The Washington Health Benefit Exchange call center in Spokane is so busy that staffing has been quadrupled, with the center receiving up to 10,000 calls a day. The problem is not enough of those callers are actually signing up for insurance. The state has enrolled 160,000 paying customers in ObamaCare exchange health plans but that's more than 50,000 short of goal, which has led to an extension of the enrollment deadline and a request that the Washington State Legislature fork over $125 million to fund the exchange. Republicans are angry because they were told the exchange would be self-sufficient by...
  • ObamaCare exchange not allowing addition of newborns to policies

    02/22/2015 11:14:06 AM PST · by GreyFriar · 14 replies ^ | Feb 21, 2015 | Ed Morrissey
    With all of the new bad news coming out this week from ObamaCare, here’s another horror story about the exchange from Utah that exemplifies the incompetence of government bureaucracy. One basic and nearly ubiquitous feature of health care — and indeed of family life — is the birth of children. Health insurance plans have made it simple to add children to family plans for decades, allowing new moms and dads to have the costs of childbirth covered ex post facto, as long as the covered individual notified the insurer within a set period of time, usually 30 days. Now,...
  • GOOD NEWS: Obama’s Exchanges are in Trouble

    02/12/2015 7:55:38 AM PST · by grumpygresh · 25 replies
    CCHF Health Freedom eNews ^ | February 11, 2015 | Twila Brase, RN, PHN
    Employer mandates and penalties exist only in states with ACA subsidies, which are only available through state-based exchanges. Most individuals will also be exempt from the mandate and penalties because there's no "affordable" (subsidized) coverage.
  • Obamacare Ruling May End Civilization As We Know It

    02/09/2015 4:33:17 AM PST · by rootin tootin · 6 replies
    American Spectator ^ | 2/9/2015 | David Catron
    The Supreme Court will hear oral arguments in King v. Burwell three weeks from now, and the possibility that the justices might uphold the health care “reform” law as written has driven our liberal friends to the edge of lunacy. This is never a long journey for anyone on the left, of course, but they have arrived at the precipice with unusual alacrity this time. Their predictions about the outcome should the Court rule that “established by the state” actually means “established by the state” have gone from the merely portentous to the downright apocalyptic in only a few months....
  • Judge Orders California To Make Timely Decisions On Medicaid Coverage

    01/23/2015 3:42:31 PM PST · by Oldeconomybuyer · 13 replies
    Kaiser Health News ^ | January 23, 2015 | By Anna Gorman
    Medi-Cal applicants who have been waiting for more than 45 days can receive temporary health benefits while officials determine eligibility for the public insurance program, a state Superior Court judge ruled this week. The suit, which was filed in Alameda County Superior Court by a coalition of health advocates and legal services groups, cited delays in enrolling pregnant women, children and adults with life-threatening conditions. Advocates said many either had to postpone treatment or pay cash to see doctors. Medi-Cal is California’s version of Medicaid, the publicly funded insurance program for poor and disabled residents. Prompted by the Affordable Care...
  • Health-exchange problems easing, but nagging, board told

    01/22/2015 10:15:32 PM PST · by steve86 · 9 replies
    The Seattle Times ^ | Jan 22, 2015 | Patrick Marshall
    Staff of the Washington Health Benefits Exchange, which manages the state’s Wahealthplanfinder health-insurance exchange, told its board today that it had significantly improved the processing of account invoices and payments to insurance carriers. Richard Onizuka, CEO of the exchange told board members that of the accounts processed in December, those with carrier-payment problems were down to 1.7 percent, and those with invoicing problems were 1.5 percent. “We are seeing some improvement,” Onizuka said. “It still means that too many people are being affected.” “It seems enormously high to me,” new board member Mark Stensager said. “And it’s a trend that...
  • Health Insurance Startup Collapses In Iowa (Obamacare death spiral)

    01/14/2015 8:00:13 AM PST · by Oldeconomybuyer · 44 replies
    Kaiser Health News ^ | January 14, 2015 | By Clay Masters, Iowa Public Radio
    ... CoOportunity Health has failed. The Affordable Care Act set aside funding for health care co-ops, to enable the organizations to compete in places where there aren’t many insurers. CoOportunity Health was the second largest co-op in the country in terms of membership, and one of the largest in terms of the federal funding it received. But then CoOportunity hit a kind of perfect storm, says Peter Damiano, director of the University of Iowa’s public policy center. First, the co-op had to pay a lot more medical bills than those in charge expected. “CoOportunity Health’s pool of people was larger...
  • MILLION DOLLAR HEIST: Audit Of C4HCO Shows Major Mismanagement Of Funds ( Colorado ObamaCare)

    01/12/2015 1:59:16 PM PST · by george76 · 17 replies
    ColoradoPeakPolitics ^ | December 8, 2014
    Rep. Dan Nordberg, the author of last year’s audit bill, had this to say in a statement: “With only a limited performance audit, the state auditor found Connect for Health Colorado committed numerous federal law violations, and nearly 40 percent of sampled contracts had problems totaling more than $32 million dollars. “Sadly, I am not surprised. I have had ongoing concerns about how Connect for Health Colorado was managing tax payers’ funds, which is why I pushed so hard last year to expand the auditor’s oversight of this organization. I hope Democrats will see the light and support my efforts...
  • Mark Levin and Jonathan Gruber once agreed: No Obamacare subsidies on federal exchange

    01/08/2015 7:23:49 AM PST · by T Ruth · 1 replies
    Legal Insurrection ^ | 1/3/2015 | William A. Jacobson
    Landmark Legal Foundation files Amicus Curiae Brief supporting challenge to subsidies on federal exchange. [snip] King v. Burwell is the case the Supreme Court agreed to hear involving Obamacare subsidies on federal exchange. You will recall that the legal issue is whether the IRS violated the express provisions of Obamacare by issuing rules allowing taxpayers to claims federal subsidies when purchasing on the federal exchange, even though the language of the statute appears not to allow that. In King, the Fourth Circuit ruled that there was possible ambiguity and another potential reading of the law, such that apparently clear language...
  • MNsure gets another $34 million in federal money

    01/07/2015 5:00:03 PM PST · by mdittmar · 11 replies
    Star Tribune ^ | January 7, 2015 | CHRISTOPHER SNOWBECK
    MNsure says it will use the money to upgrade its website and address other ongoing issues. MNsure will receive an additional $34 million in federal funds to continue work on the state’s health insurance enrollment system.With the new money, total federal grant funding in support of Minnesota’s health insurance exchange is now about $189.3 million, according to an announcement Wednesday by MNsure.The money will fund improvements to the MNsure website, said Scott Leitz, the MNsure chief executive, during a board meeting Wednesday in St. Paul. It also will let MNsure address ongoing issues, Leitz said, such as invoices for people...
  • ObamaCare Slaps States With $15 Billion In New Costs

    01/05/2015 2:05:24 PM PST · by Jim Robinson · 20 replies
    Forbes ^ | January 5, 2015 | By Grace-Marie Turner
    Thirty-six states that rely on private managed care programs to provide medical services to all or some of their Medicaid recipients are facing an added ObamaCare tax. According to a report by Milliman consulting actuaries, states that contract with Medicaid managed care plans face up to $15 billion in added costs over 10 years for their share of the law’s tax on private health insurance. States will pay even if they strongly oppose ObamaCare and are refusing to establish health insurance exchanges or expand Medicaid. The health law imposes an annual tax on private health insurance plans – a tax...
  • Obama's Christmas Gift to My Daughter

    12/22/2014 5:58:48 AM PST · by rootin tootin · 17 replies
    American Spectator ^ | 12/22/2014 | David Catron
    My youngest daughter just joined the ever-increasing number of Americans who have lost their health coverage due to Obamacare. She received a letter from her insurance carrier indicating that the individual policy with which she was eminently satisfied, and that she could more or less afford, would no longer be available after the end of the year. In its place, the insurer offered a plan whose premiums will be nearly double what she has been paying for the cancelled policy. Her monthly premium was $127. The premium for the replacement policy, if she can find no alternative, will be $243.
  • Obamacare 'Glitch' Puts Subsidies Out Of Reach For Many Families

    12/02/2014 9:00:54 PM PST · by grundle · 68 replies
    NPR ^ | December 2, 2014 | John Ydstie
    Don Benfield of Taylorsville, N.C., makes $11 an hour working for a mobile-home parts business, selling things like replacement doors and windows. Benfield, 51, doesn't have health insurance. "I haven't had health care insurance in years, simply because I haven't been able to afford it, especially with food prices, how they went up," he explains. Benfield's employer does offer health insurance coverage, even though, with fewer than 50 employees, the business is not required to. "The insurance here through work is $43 a week, which with my rent and other payments and everything, we haven't been able to afford," he...
  • Obamacare Q&A: It’s not easy to check out of Hotel Covered California

    12/02/2014 4:55:27 PM PST · by Oldeconomybuyer · 11 replies
    Fresno Bee ^ | December 2, 2014 | BY EMILY BAZAR
    In my previous column, I explained that you become ineligible for Covered California’s tax credits when you turn 65 and enroll in Medicare. You will owe money to the government if you keep getting the credits after your Medicare begins. So I tried to offer a simple solution: Cancel your Covered California plan. Unfortunately, in the past two weeks, I have heard from Californians and insurance agents across the state who have tried mightily — and failed — to cancel their plans. Instead, the premium bills just keep coming. A Covered California phone rep told him that the cancellation challenges...
  • State Stiffs Agents Who Helped Sign-Ups for Covered California

    12/02/2014 3:30:46 PM PST · by Oldeconomybuyer · 9 replies ^ | December 2, 2014 | by Ken Broder
    he state uses an army of certified agents to guide around 40% of the people who enroll in Covered California, the state’s subsidized health-care system. And like any army, this one would like to get paid. That hasn’t been happening. The Los Angeles Times reported last week that many of the 12,600 insurance agents haven’t been paid for months. Around 2,200 agents are owed around $2 million for shepherding Med-Cal patients through the system and the state doesn’t intend to pay them before January. These are probably the wrong people to piss off at the beginning of Covered California’s second...
  • Latest Obamacare ‘Tweak’ a Doozy

    11/22/2014 4:49:43 PM PST · by PROCON · 34 replies
    pjmedia ^ | Nov. 22, 2014 | Rick Moran
    Americans are inveterate tinkerers — a trait commented on by observers from de Tocqueville to Winston Churchill. That’s why it’s not surprising that the bureaucrats at the Centers for Medicare and Medicaid Services would want to keep tweaking Obamacare. Mind you, it’s not so much because they think they can perfect the law. Rather, they keep tweaking the law in order to keep the American people from brandishing pitchforks and coming to Washington to tar and feather them and ride them out of town on a rail. Self-preservation can be a marvelous motivating factor. The geniuses who brought us the...
  • Controversial economist Jonathan Gruber had role in setting up MNsure

    11/19/2014 4:11:53 AM PST · by TurboZamboni · 4 replies
    Pioneer Press ^ | 11-18-14 | Doug Belden
    Minnesota was one of the states where Jonathan Gruber, an economist from the Massachusetts Institute of Technology who was involved in the creation of the federal Affordable Care Act, helped to set up a local health insurance exchange. Gruber has come under fire for comments he made a year ago about how the federal law was passed. Video that surfaced this month showed him saying that a "lack of transparency" and "the stupidity of the American voter" were key to getting the federal law passed. He was paid $330,000 for his work in Minnesota. What did he produce? Gruber, who...