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Morning Briefing

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Monday, Oct 27 2014

Full Issue

Where We Are With Obamacare And Where We're Going

An analysis by a team of New York Times reporters finds that after almost a year, the Affordable Care Act has succeeded in delivering on its main promises but has also fallen short in some ways. Other reports look at how consumers could be in for some surprises when open enrollment begins next month, including the possibility of being billed for two different plans, and how the SHOP exchanges for small businesses have gone live in Illinois and Missouri.

After a year fully in place, the Affordable Care Act has largely succeeded in delivering on President Obama鈥檚 main promises, an analysis by a team of reporters and data researchers shows. But it has also fallen short in some ways and given rise to a powerful conservative backlash. (10/26)

With health insurance marketplaces about to open for 2015 enrollment, the Obama administration has told insurance companies that it will delay requirements for them to disclose data on the number of people enrolled, the number of claims denied and the costs to consumers for specific services. For months, insurers have been asking the administration if they had to comply with two sections of the Affordable Care Act that require 鈥渢ransparency in coverage.鈥 (Pear, 10/25)

If you bought health insurance on HealthCare.gov for this year, you could be in for a few surprises when open enrollment begins next month. It鈥檚 possible, for example, that you could end up being billed for two different plans. The reason, insurers say, is because the federal government hasn鈥檛 addressed a key communications issue with the website. And if you haven鈥檛 updated your financial information on the online insurance marketplace, you could face higher premiums and get less of a subsidy than you deserve. (Shapiro, 10/24)

The second sign-up period for insurance under the federal health law known as Obamacare begins next month. That means state residents who buy their own health plans will be able to shop for private insurance through Access Health CT, the insurance marketplace created by the health law. People can also buy coverage outside the exchange through insurance companies directly, or through brokers and agents. This year鈥檚 enrollment period brings some changes from last year, including a shorter shopping season, different plan options and a higher penalty for those who don't have insurance in 2015. (Levin Becker, 10/27)

The online health insurance marketplaces for small businesses in Missouri and Illinois went live Friday morning, although in a limited capacity. The two states were among five to get early access to the Small Business Health Options Program, or SHOP, website before open enrollment begins on Nov. 15. The early access period allows employers to create accounts, connect with brokers and upload an employee roster. Employers still won鈥檛 be able to purchase or see what plans will even be offered until November. And the site for workers to view their employer鈥檚 offerings is still not operational. (Shapiro, 10/24)

Gov. Mark Dayton defended his Commerce Department Friday, saying officials there accurately calculated that the average cost on health plans offered through MNsure would rise only 4.5 percent next year. (Scheck, 10/24)

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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