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Morning Briefing

Summaries of health policy coverage from major news organizations

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Friday, Oct 14 2016

Full Issue

Those Who Benefit Most From Health Law Also Highlight Cracks In Its Foundations

One of the fundamental challenges of the health law is that those who needed coverage the most are getting it. But their care is expensive and younger, healthier people aren't joining to offset the cost. Meanwhile, more than 1 million customers will need to find new plans as insurers pull out of the marketplace.

Cara Suzannah Latil is living proof that the Affordable Care Act works — but also of why a central piece of the law is in turmoil. Ms. Latil, 49, who works at a homeless shelter in Santa Fe, N.M., is one of millions of Americans who once found it difficult or impossible to get health insurance because they already had serious illnesses. Hepatitis C was ravaging her liver when she learned in 2014 that she also had breast cancer. Through the health care law, she was able to buy subsidized insurance that paid for all but $800 of her cancer surgery and radiation, she said, as well as tens of thousands of dollars’ worth of medications that cured her hepatitis. (Goodnough and Abelson, 10/14)

A growing number of people in Obamacare are finding out their health insurance plans will disappear from the program next year, forcing them to find new coverage even as options shrink and prices rise. At least 1.4 million people in 32 states will lose the Obamacare plan they have now, according to state officials contacted by Bloomberg. That’s largely caused by Aetna Inc., UnitedHealth Group Inc. and some state or regional insurers quitting the law’s markets for individual coverage. (Tracer, Darie and Doherty, 10/14)

In other health law news —

Donald Trump had one response when asked about how he would replace ObamaCare at this week’s presidential debate: He’ll allow companies to sell insurance across state lines. The GOP’s decade-old talking point has gained momentum since the healthcare law passed six years ago. But Republicans rarely — if ever — acknowledge that the crux of what they want is already allowed under ObamaCare. For the last 10 months, states have been legally allowed to let insurers sell plans outside their borders. (Ferris, 10/13)

The incredible shrinking provider network is nothing new in marketplace plans. One way insurers have kept premiums in check on the individual market is by reducing the number of providers available in a plan’s network. Earlier this year, the federal government said that it would introduce a tool this fall to help consumers who are shopping on HealthCare.gov gauge how narrow a plan’s provider network is compared with others in the area. But most consumers who want that information will have to wait at least another year. (Andrews, 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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