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Matthew J. Belvedere, CNBC
Mon, 2014-08-11
"The Affordable Care Act—also known as Obamacare—is "not an affordable product" for many people and it does not fix the underlying problems causing high health-care costs, Aetna Chairman and CEO Mark Bertolini told CNBC on Wednesday. "If we're going to fix health care, we've got to get at the delivery of care and the cost of care," Bertolini said in a "Squawk Box" interview. "The ACA does none of that. The only person who's really going to drive that is the consumer and the decisions they make." "Getting everybody insured should probably be our goal, but you have to have a more affordable system," he added. "We have a 1950[-style] health care system in the Unites States." Aetna said Tuesday that its medical spending rose more than estimates in the second quarter, due in part to the higher costs of covering patients who bought insurance under Obamacare for the first time. But the third-largest U.S.
Andrew Zajac, Bloomberg News
Mon, 2014-08-11
"Fresh Unlimited Inc. won’t have to provide contraceptive coverage for its employees under the Obama administration’s health-care reform law, in what may be the first exemption granted since a June U.S. Supreme Court ruling. The parent of Freshway Foods today won an appeals court ruling that qualifies it for the same treatment the high court approved in its June 30 Hobby Lobby decision allowing family-run businesses to claim a religious exemption from the requirement to include contraceptives in their health insurance plans. The suit by Francis and Philip Gilardi, who own Sidney, Ohio-based Freshway, is one of about 50 filed by for-profit businesses over religious objections to the Patient Protection and Affordable Care Act of 2010’s birth-control coverage mandate. The Gilardis are Roman Catholic and said that complying with the U.S. Department of Health and Human Services mandate would require them to violate deeply held religious beliefs. U.S.
Jonathan J. Cooper and Gosia Wozniaka, The Associated Press
Mon, 2014-08-11
"SALEM, Ore. — Oracle Corp. has sued the state of Oregon in a fight over the state's health insurance exchange, saying government officials are using the technology company's software despite $23 million in disputed bills. Oracle's breach-of-contract lawsuit against Cover Oregon was filed Friday in federal court in Portland. It alleges that state officials repeatedly promised to pay the company but have not done so. The lawsuit seeks payment of the disputed $23 million plus interest, along with other unspecified damages. Oregon's health-insurance enrollment website was never launched to the general public. State officials have blamed Oracle, but the company says the state's bad management is responsible. Gov.
The Associated Press
Mon, 2014-08-11
"BOSTON -- Massachusetts officials overseeing the state's hobbled health care exchange decided Friday to stick with new software designed to upgrade the website rather than switching over to the federal government's health insurance market. For the past several months the state has adopted a "dual-track" approach that called for buying software that has powered insurance marketplaces in other states while also laying the groundwork for a switchover to the federal marketplace if necessary. On Friday, Massachusetts Health Connector officials announced that Massachusetts will remain a state-based marketplace. In a letter to head of the Centers for Medicare and Medicaid Services, Gov.
Allie Robinson Gibson, Bristol , Va. Herald-Courier
Mon, 2014-08-11
"Medicaid expansion continues to be a hot-button issue in the 38th District Virginia Senate race, as candidates try to define their positions on a subject that has divided the district — and the state — since the seat was vacated unexpectedly earlier this year. The June resignation of former Sen. Phillip Puckett, D-Russell County, threw the balanced Senate into Republican control and affected the Senate vote on whether to expand Medicaid. When he resigned, Puckett said it was because of family reasons — his daughter sought to be a judge and the Senate makes the appointments — but others said it was to accept a job with the Virginia Tobacco Commission, which did not happen. The resignation came just days before the General Assembly voted to pass the budget without Medicaid expansion.
Paige Winfield Cunningham and Mackenzie Weigner, Politico
Mon, 2014-08-11
"If consumers thought logging on to HealthCare.gov was a headache, sorting through complex forms ahead of tax deadline day 2015 is their next big Obamacare challenge. The health care law’s benefits are rolling out, but its major math problems start next year as the IRS tries to ensure that millions of Americans are correctly calculating their benefits and that those who don’t have coverage are penalized unless they qualify for an exemption. That means much new paper-shuffling between now and April 15, which could be especially confusing for low- and middle-income Americans unaccustomed to lots of reporting to the IRS. The insurance exchanges and employers must send consumers details about their health plan and benefits or exemptions in time for them to file a tax return.
Jennifer Robison, Las Vegas Review-Journal
Fri, 2014-08-08
"Mixups on a health plan bought through the state’s insurance exchange have left a Las Vegas family facing more than $1 million in medical bills. For Kynell and Amber Smith and their five children, the Nevada Health Link has been a six-month nightmare with no end in sight. “I have spent countless hours on the phone trying to get this resolved,” said Kynell Smith, an aircraft parts salesman. “I have contacted and pleaded with elected officials to help and was told I may have to sue to get this resolved. What kind of answer is that?” The family’s troubles began in February, when Amber Smith delivered daughter Kinsley five weeks prematurely. Kinsley spent 10 days in Summerlin Hospital’s neonatal intensive care unit, and Amber’s 40-day hospital stay included two surgeries. The Smiths bought insurance from Anthem Blue Cross through Nevada Health Link in October and made two premium payments in January.
Shefali Luthra, Kaiser Health News
Fri, 2014-08-08
"With the Nov. 15 kick-off for this year’s health law enrollment season fast approaching, the need for more training for the people who help consumers navigate the health insurance marketplace is growing increasingly clear. For example, 92 percent of health insurance marketplace assister programs say they want more preparation than they received last year, according to survey findings released last month by the Kaiser Family Foundation. This figure, highlighted during an Aug. 5 briefing, came out of a larger survey conducted after the first open enrollment period concluded last spring. The survey polled people who supervised assistance efforts by navigators, in-person assisters, certified application counselors, federally qualified health centers and federal enrollment assistance programs which were promoting federal and state-based health care exchanges."
Daniell McCorry, The Daily Signal
Fri, 2014-08-08
"“Direct primary care” is a rapidly growing alternative to the traditional “fee-for-service” model of paying for medical care. Instead of the patient or his insurance plan paying the doctor separately for each visit or service, the patient pays the physician a set monthly fee. In exchange, the physician is available to consult with and treat the patient as necessary. For patients, the benefits of direct primary care are greater access to their doctors and more convenient and personalized care.
Philip Wegmann, The Daily Signal
Fri, 2014-08-08
"James Lansberry didn’t blink an eye when the Supreme Court handed down its Hobby Lobby decision last month. The vice president of Samaritan Ministries, which provides health coverage for more than 37,000 families nationwide, said even though his organization applauds the decision, “it doesn’t have any effect on us.” Samaritan Ministries, and other health sharing groups like it, cater to a small-but-growing group of Americans who have chosen to opt out of the Affordable Care Act. Not only do these organizations ignore the contraception mandate, they also bypass nearly all the hallmark provisions of Obamacare. Dr. Andrea Miller, medical director and vice president of Christian Care Ministries, said “the biggest thing to understand” is these groups do not provide insurance.

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