Morning Briefing
Summaries of health policy coverage from major news organizations
Consumers Urged To Shop Carefully For 2016 Marketplace Plan To Save Money, Get Best Care
Shopping for health insurance can be a baffling maze of unfamiliar terms and puzzling acronyms — premiums, deductibles, PPOs, HMOs, POS. The Affordable Care Act, also known as Obamacare, added new elements that can heighten the confusion: Consumers have to navigate four different levels of plans, determine what subsidies they’re eligible for based on their income and calculate what plan would work best for them over the coming year. That’s why some Obamacare shoppers who signed up through healthcare.gov have chosen plans that cost too much. (Dent, 11/5)
Steven Conner, a 56-year-old self-employed contractor in Gresham, learned recently his health plan premium will jump by $145 a month. Conner is not alone. In June the state approved significant hikes for the more than 240,000 Oregonians who buy their own policies and are not on Medicare. (Budnick, 11/5)
When open enrollment began on the nation's healthcare exchanges on November 1, many people who bought insurance for 2015 found that the 2016 plans they had to choose from have narrower networks of hospitals. In addition, premiums might be significantly higher. Insurers have asked the federal government for permission to increase premiums by as much as 40 percent or more. (Safo, 11/5)
When Health and Human Services Secretary Sylvia Mathews Burwell hosts a round-table discussion Friday at a health clinic in Jersey City, N.J., she is expected to do the predictable: encourage people to enroll in health insurance offered through the Affordable Care Act. More surprising is a new federal enrollment effort targeted for northern New Jersey. The state typically fares better than many other states when percentages of the uninsured are compared. ... the northern part of the state has characteristics that make it ripe for an increase in health-insurance sign-ups, including a significant population of Hispanic residents, who are more likely to be uninsured than non-Hispanic whites. (Ramey, 11/5)
An estimated 9% of Americans were uninsured in the first half of 2015, a significantly lower rate than in years before the health law was in effect, according to new federal government figures published Thursday. (Radnofsky, 11/5)
The fee levied on those who go without inÂsurÂance but who can afÂford it sharply inÂcreases in 2016, a resÂult of a three-year phase-in of the penÂalty. The highÂer the fee, health exÂperts say, the likeÂliÂer it is that conÂsumers will choose to get or stay covered. But there’s a big caveat: It all deÂpends on whethÂer or not unÂinÂsured AmerÂicÂans, or those thinkÂing about leavÂing the exÂchanges, know about the inÂdiÂviduÂal manÂdate and its steep fee inÂcrease. ... The fee for not havÂing health inÂsurÂance next year won’t be felt unÂtil AmerÂicÂans file their fedÂerÂal taxes due April 2017. But it’s much more than in the past: $695 per adult and $347.50 per child, or 2.5 perÂcent of a houseÂhold’s inÂcome—whichever is highÂer. (Roubein, 11/5)
And in news about state health marketplaces -
Open enrollment for individual health insurance plans got underway over the weekend and so far MNsure reports that its computer systems and call center are operating that way they are supposed to. (Wurzer and Zdechlik, 11/5)
Maryland’s attorney general sent a letter to lawmakers last week complaining that an upcoming audit could undermine efforts to recover money spent on the state’s flawed health exchange by focusing on mistakes made by government officials rather than the vendors who built the portal. (Nirappil, 11/5)
Meanwhile, The Huffington Post examines what the Kentucky governor's election may mean for the health law -
Kentucky attracted the national spotlight over the past two years as the state slashed its uninsured rate and implemented Obamacare more smoothly than President Barack Obama himself. Progressive activists and health care advocates fear that's all in jeopardy after Tuesday's victory by conservative Republican Matt Bevin in the race to be the next governor. (Young and Cohn, 11/5)