A project of the Galen Institute

Issue: "Uninsured"

BREAKING: Judge rules against Obamacare subsidies

Paul Demko, Modern Healthcare
Tue, 2014-09-30
"In a legal setback for the Obama administration, a federal judge in Oklahoma ruled Tuesday that people in states that rely on the federal insurance exchange are not eligible for Obamacare premium subsidies to help them pay for coverage. Judge Ronald White, a George W. Bush appointee, invalidated an Internal Revenue Service rule interpreting the Patient Protection and Affordable Care Act to allow the premium tax credits in states that have not established their own exchange. “The court holds that the IRS Rule is arbitrary, capricious, an abuse of discretion or otherwise not in accordance with law,” White wrote. In his ruling, White rejected the argument that striking down the subsidies would cripple the entire healthcare reform law. “Congress is free to amend the ACA to provide for tax credits in both state and federal exchanges, if that is the legislative will,” he wrote."

White House reassessing Obamacare enrollment goal for 2015

Noam Levey, LA Times
Thu, 2014-09-25
"The Obama administration, which is scrambling to prepare a new push to enroll Americans in health coverage under the federal health law, is reassessing how many more people will sign up, Health and Human Services Secretary Sylvia Mathews Burwell said Wednesday.. About 7.3 million people are enrolled in health plans being sold through marketplaces created this year by the Affordable Care Act, according to federal figures."

We Still Don't Know How Many People Obamacare Enrolled

Joseph Antos, AEI
Thu, 2014-09-25
"This week’s double-barreled release of government statistics on health insurance coverage leaves us with only one question: How many Americans are insured because of Obamacare? Remarkably, the two highly-regarded government surveys released this week do not even agree whether the number of uninsured increased or decreased. The survey that received a great deal of attention said there were 3.8 million fewer uninsured. The other, which was hardly noticed, found that there were 1.3 million more uninsured. The Centers for Disease Control (CDC) reported preliminary results on the expansion of health insurance coverage. Its National Health Interview Survey (NHIS) interviewed 27,000 people in the first three months of this year. The survey estimates that the number of uninsured dropped by 3.8 million since 2013. That represents a 1.3 percentage point decline in the uninsured rate, from 14.4 percent last year to 13.1 percent early this year."

Examining Private Exchanges in the Employer-Sponsored Insurance Market

Matthew Rae and Gary Claxton and Larry Levitt, Kaiser Family Foundation
Wed, 2014-09-24
"The launch of the Affordable Care Act has focused attention on the idea of a health insurance exchange, or marketplace. Separate from the ACA, private exchanges have also started to emerge as an option for employers providing coverage to their workers. This report identifies the different types of private exchanges as well as projects the potential size of the private exchange market, which has the potential to reshape the employer-sponsored health insurance landscape, in the coming years. Through interviews with representatives of more than fifteen private health insurance enrollment platforms as well as several employers and health plans moving in this direction, this report examines important implications in this quickly-growing landscape, including the potential for cost stability to employers and more choice among health plans for consumers."

Tavenner: Healthcare.Gov End-To-End Testing To Be Completed by Nov. 15

Inside Health Policy
Wed, 2014-09-24
"CMS Administrator Marilyn Tavenner on Thursday (Sept. 18) pledged the agency would conduct full "end-to-end" testing of healthcare.gov prior to the launch of open enrollment in November, likely either by the end of this month or early October. Tavenner also told members of Congress that the site will see continued improvement but will not be perfect in year two. The comments came during a sometimes fiery House oversight committee hearing that focused on the security of the exchange website, which took place shortly after the Government Accountability Office released a report finding that healthcare.gov continues to be vulnerable to breaches. On Wednesday, Chair Darrell Issa (R-CA) released a scathing report on the run-up to the launch of the site that highlighted staff concerns about security, attempts to cover-up the reasons behind the failed launch, and a disconnect between HHS and CMS staff."

Why some Obamacare insurance discounts could drop in 2015

Arielle Levin Becker
Mon, 2014-09-22
"Costs to buy coverage through Connecticut’s health insurance exchange won’t, on average, rise much next year. For some plans, the prices are dropping. But some customers who get financial aid to buy their insurance could see price increases beyond the rise in sticker price if they stick with their current plans, according to an analysis by consultants for the exchange, Access Health CT. As a result, some people might find lower prices by considering different plans, even if they bought the cheapest plan available this year, according to the analysis by Wakely Consulting Group."

How many people are poised to lose 2014 ObamaCare coverage?

Ed Morrissey
Hot Air
Tue, 2014-09-16
"The Obama administration bragged about its enrollment numbers in the compulsory ObamaCare system, but the lack of eligibility-confirmation systems in the exchanges may take a big bite out of those numbers shortly. Just how big a bite is anyone’s guess, however, with warnings to multiple groups that either their coverage or their subsidies may stop at any time. Last night, HHS warned that 115,000 people currently covered by ObamaCare might lose their insurance thanks to immigration issues:"

Obamacare Premiums Are Magical Mystery Tour

Megan McArdle
Bloomberg
Mon, 2014-09-15
"Last week, we finally learned the prices for the new benchmark plans for Obamacare. The good news: Prices are falling slightly. The bad news: Contrary to optimistic early reports, that doesn’t mean that everyone’s costs are falling; consumers will have to be attentive to make sure that their costs don’t go up. The worse news: We won’t actually know what effect the Affordable Care Act is having on insurance prices until 2017, when a bunch of temporary subsidies for insurers expire. The important thing to keep in mind is that when the “benchmark rate” goes down, that doesn’t mean that the cost of the old benchmark plan has fallen. It just means that whatever plan is now the second-cheapest "silver" plan on the exchanges is cheaper than whatever was the second-cheapest plan last year."

Hurdles for Obama health law in 2nd sign-up season

Ricardo Alonso-Zaldivar
Associated Press
Mon, 2014-09-15
"Potential complications await consumers as President Barack Obama's health care law approaches its second open enrollment season, just two months away. Don't expect a repeat of last year's website meltdown, but the new sign-up period could expose underlying problems with the law itself that are less easily fixed than a computer system. Getting those who signed up this year enrolled again for 2015 won't be as easy as it might seem. And the law's interaction between insurance and taxes looks like a sure-fire formula for confusion."

250K Virginians to Lose Health Care Due to Obamacare

The Weekly Standard
Thu, 2014-09-11
"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.""

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