The not-for-profit group responsible for educating Americans about the healthcare reform law's coverage options provided a status check of its efforts on Monday, but remained vague about how much it is spending on the massive endeavor.
Throughout 2014, Enroll America will spend “tens of millions” of dollars on the “Get Covered” campaign that it launched in late June, Anne Filipic, the group's president, told reporters in a phone call.
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The Obama administration's recent decision to delay the 2010 healthcare reform law's employer mandate by a year is estimated to increase the law's net cost to the federal government by $12 billion over 10 years, the nonpartisan Congressional Budget Office and Joint Committee on Taxation announced Tuesday. A relatively modest cost increase was predicted when the mandate delay was announced.
House Budget Committee Chairman Paul Ryan (R-Wis.) had requested that the CBO and JCT assess the effects of the July decision to postpone for one year the law's provision that employers provide insurance to their workers or else pay a penalty. In a six-page report, the CBO noted that its May 2013 baseline projections had estimated the Patient Protection and Affordable Care Act's insurance provisions would cost the federal government about $1.36 billion between 2014 and 2023. After the Treasury department's recent announcement, the CBO recalculated those projections and now estimates the insurance coverage measures in the law will cost the federal government about $1.375 billion over that same 10-year period.
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Veteran investigative journalist Kurt Eichenwald has an important and scathing commentary in the new issue of Vanity Fair on the issue of how new state restrictions in Texas and other states on centers providing abortion and other women's health services are likely to affect diagnosis and treatment of breast cancer patients.
What prompted Eichenwald to write the piece was that his wife, Theresa, a physician, recently was diagnosed with the disease, just a few weeks after discovering a breast lump. Eichenwald contrasts his wife's speedy diagnosis and treatment with the long delays faced by low-income and uninsured women associated with greater likelihood of death. He names and blames anti-abortion lawmakers in his home state of Texas for passing legislation that will shut down a number of centers where low-income and uninsured women receive screening and referrals for breast cancer.
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There's been much media discussion about how the Obamacare tax penalty may be too small to prod so-called young invincibles to buy health insurance come Jan. 1, 2014. Many news reports and commentaries have scoffed at the idea that Obamacare's tax penalty will be stiff enough to convince healthy 30-somethings to pay what could be a relatively hefty premium for coverage and also face high deductibles, copayments and coinsurance. Quite a few media reports, including those in the Washington Post, have described the penalty simply as $95 for the first year, 2014. Pundits have predicted many uninsured Americans will choose to pay that paltry penalty rather than pony up what could be a lot more to buy insurance they don't think they need.
But many Americans—and many journalists—may not be aware of what the Patient Protect and Affordable Care Act and the implementing IRS rule actually establish as the penalty in 2014 and beyond for failing to buy coverage.
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A University of Texas academic has concluded after pouring over Kaiser Permanente's proposed rates for its exchange offerings in California that the high rate on its lowest-cost health insurance plan is not due to the plan's generosity.
Comparing Kaiser's proposed “bronze” offering to its existing plans for healthy young adults, the researcher wrote on The Incidental Economist blog that the new premium, at $205 a month, will be more than double the old premium. Yet the benefits and available provider network (they both used Kaiser) will be essentially the same.
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It goes without saying that people on Medicaid don't earn much money. While state programs' health benefits differ from state to state, all must have very low co-pays and deductibles to earn the federal match. The same will be true for those states that expand their Medicaid programs to cover people earning up to 138% of the poverty level.
The CMS is considering an Arkansas proposal to use its Medicaid expansion money to subsidize purchase of individual insurance coverage on the state's exchange. A CBO report concluded that buying private plans would cost the federal government a lot more than simply expanding Medicaid.
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