Morning Briefing
Summaries of health policy coverage from major news organizations
GAO Finds Health Marketplaces Still Have Problems Validating Eligibility, Subsidies
Federal investigators from the Government Accountability Office said Thursday that they had discovered many errors in eligibility decisions under the Affordable Care Act that had led the government to pay for duplicate coverage for some people and an excessive share of costs for others. The investigators said some people were receiving subsidies for private insurance at the same time they were enrolled in Medicaid. (Pear, 10/22)
The Obamacare health insurance exchanges are still easily tricked by fraudulent applications, with fake Social Security numbers and bogus immigration details, more than a year after the weakness was first pointed out, officials say. A Government Accountability Office sting also found that many people were double-covered by private insurance and Medicaid after signing up on the exchanges, and that others were allowed to mistakenly go without coverage. (Fox, 10/22)
A South Carolina health insurer has become the ninth insurance cooperative formed nationwide under the Affordable Care Act to fold. Consumers' Choice Health Insurance Co. said Thursday that it will not sell policies in 2016, a decision that will leave 67,000 individuals and business customers looking for new coverage. (Murphy and Smith, 10/22)
Premiums are expected to rise in many parts of the country as a new sign-up season under President Barack Obama's health care law starts Nov. 1. But consumers have options if they're willing to shop, and an upgraded government website will help them compare. Online health insurance markets are entering their third year, offering people who don't have access to job-based coverage a taxpayer-subsidized private alternative. That's helped cut the share of Americans who are uninsured to about 9 percent, a historical low. Still, the many moving parts of the Affordable Care Act don't always click smoothly, and Americans remain divided about "Obamacare." (Alonso-Zaldivar, 10/22)
Heading into a third enrollment season with less fanfare and a more modest budget, California health exchange officials said Thursday they will strategically target about 750,000 uninsured people who qualify for health insurance subsidies but haven't signed up for coverage. The agency will spend $29 million on an advertising campaign aimed at lower-income and middle-class residents who don't know there's help available to pay for health insurance, Covered California Executive Director Peter Lee said. That compares to a $43 million advertising budget last year and $55 million the first year. (Lin, 10/22)
Gearing up for a third year of health care sign-ups, Covered California officials announced Thursday they are doubling efforts to reach an estimated 2 million residents who are uninsured, primarily Latinos and African Americans. Those efforts include staffing 500 storefront locations, employing thousands of enrollment counselors, launching a $29 million advertising campaign and a statewide bus tour, starting Nov. 1 in East Los Angeles, all designed to encourage more Californians to come under the health care umbrella. (Buck, 10/22)
And on the subject of the health law's Medicaid expansion -
Gov. Gary Herbert used his monthly press conference on Thursday to express his frustration concerning Medicaid expansion. UtahAccess+, the end product of a summer鈥檚 worth of negotiations between the state鈥檚 legislative and executive leaders, failed to clear a Republican caucus meeting last week. (Hall, 10/22)