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Thursday, Oct 15 2015

Full Issue

Ky.'s Marketplace Failed To Ensure All Customers Were Eligible, Auditor Reports

Earlier reviews found similar problems in the federal exchange, healthcare.gov, and exchanges in California, Connecticut and New York. Also in news about the health law, California moves to eliminate a coverage gap, Illinois officials are preparing for some small business changes and Ohio and Utah weigh Medicaid expansion issues.

Kentucky sometimes failed to ensure that all consumers who signed up for insurance on the state鈥檚 health exchange were eligible for coverage, the latest federal audit found. The audit, released Thursday by the inspector general for the Department of Health and Human Services, found that some of the Kentucky exchange鈥檚 controls for confirming consumers鈥 eligibility weren鈥檛 effective. Earlier audits also identified deficiencies in the federal exchange, Healthcare.gov, as well as state-run exchanges in California, Connecticut and New York. (Armour, 10/15)

Covered California has fixed an enrollment gap for middle-income uninsured pregnant women, allowing them to receive affordable benefits through the exchange. (Vesely, 10/14)

Illinois wants insurance companies in the small group market to submit changes to their small business policies as quickly as possible following a bipartisan adjustment to the nation's health care law. President Barack Obama signed legislation last week that gives states flexibility about whether to change the definition of "small business" under the law. (10/14)

Related KHN coverage: (Andrews, 10/13)

More than 565,000 Ohioans -- 68 percent of the state's uninsured residents -- are eligible to receive subsidized insurance or Medicaid coverage but have not signed up, according to a new study. The data from the nonprofit Kaiser Family Foundation revealed that large numbers of eligible citizens are failing to obtain coverage because of a lack of awareness of financial assistance, concerns about affordability, or misperceptions about eligibility rules. (Ross, 10/14)

One day after House Republicans killed a Medicaid expansion plan, state leaders met to discuss an alternative. 鈥淚t was a good meeting,鈥 said Senate President Wayne Niederhauser, R-District 9. Niederhauser sat down with Gov. Gary Herbert and House Speaker Greg Hughes Wednesday afternoon. The meeting lasted approximately hour, during which the three agreed they would revisit the issue during the 2016 legislative session. (Connolly, 10/14)

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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