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Tuesday, Dec 6 2016

Full Issue

Caught In The Coverage Gap: Yawning Divide Between Medicaid And Subsidies Leaves Many Desperate

The New York Times offers a look at those who don't qualify for Medicaid but don't make enough to get help with coverage through federal subsidies.

鈥淚 tried to get Obamacare,鈥 [Janet] Foy recalls. 鈥淚 called the number, and when the woman told me what it would cost me, I just about dropped the phone. She told me I鈥檇 needed to make at least $12,000 a year for there to be any help to make it something I might be able to afford. Which still doesn鈥檛 make a lot of sense to me, even now, that having no money meant I got no help when I really needed it.鈥 She also learned that she could not expect any help from Medicaid, which in her home state remained available only if you fit the criteria sometimes known by the shorthand 鈥減oor and鈥 鈥 poor and pregnant, poor and disabled. As a single childless woman, she could forget about it. (Verzemnieks, 12/6)

In other news聽鈥

As consumers review their coverage and shop for 2017 insurance through the federal health law鈥檚 online marketplaces during the annual open enrollment period, many of the directories they are using are outdated and inaccurate. Some doctors in the directories are not accepting new patients and some are not participating in the network, say experts, brokers and consumers. Still other physicians in the directories, who are listed as 鈥渋n-plan,鈥 charge patients thousands of dollars extra per year in 鈥渃oncierge fees鈥 to join their practices. (Hancock, 12/5)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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