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D'Ohbama!: If you like your health plan, you can keep your health plan...

Discussion in 'BBS Hangout: Debate & Discussion' started by basso, Oct 28, 2013.

  1. bigtexxx

    bigtexxx Member

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  2. mc mark

    mc mark Member

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  3. rocketsjudoka

    rocketsjudoka Member

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    Good news and bad news for the ACA from California. The good news is that 80K have enrolled for insurance through CA's exchange including the most important younger demographic. The bad news is that CA joins the states that are not going to follow Obama's proposal to allow people to keep their health insurance for another year. That plan was half-baked to begin with and is looking like the Admin. might've been better off not proposing it in the first place.

    Bolded parts for emphasis.
    http://www.nytimes.com/2013/11/22/business/california-encouraged-by-health-plan-enrollment.html?_r=0

    California Encouraged by Health Plan Enrollment

    Nearly 80,000 people have enrolled in health plans through California’s online marketplace, at a rate of several thousand a day in November — a sizable increase over a month ago, state officials said on Thursday.

    Especially encouraging, officials said, was the enrollment of young people, who are considered essential to the success of the Obama administration’s health care law.


    Shortly after the numbers were released, the board of Covered California, the state exchange, voted against going along with a proposal by President Obama to consider renewing previously canceled plans, saying the move would undermine the state marketplace’s growing success.

    California joins at least seven other states that have declined to go along with the proposal, which Mr. Obama made after a wave of cancellations across the country created a furor and led to complaints that he had reneged on his promise to let consumers keep plans they liked.

    “Delaying the transition is not going to solve a single problem, it just pushes the problem down the road,” Susan Kennedy, a member of the five-person board, said just before the vote. “I actually think it’s going to make a bad situation worse by complicating it further.”


    The state’s enrollment figures represent a rare bright spot in the unfolding story of the Affordable Care Act. Its rollout has been troubled by technical problems with the federal health care website, lower-than-expected enrollment and a public outcry over its role in the cancellation of millions of insurance plans.

    Officials said 18- to 34-year-olds made up 22.5 percent of the nearly 31,000 Californians who selected a private health plan in October. The same age group makes up 21 percent of the state’s population.

    The enrollment of young people is important to insurers because their relative good health offsets the costs for people with serious medical conditions.

    “Enrollment in key demographics like the so-called young invincibles is very encouraging,” Peter V. Lee, the executive director of Covered California, said in a statement.

    Young Invincibles, a health care advocacy group for young people, said in a statement that the news out of California shows “that young adults are engaged and excited about their new options even at this very early stage in the enrollment process.” It noted that California was a crucial state for recruiting young people because 31 percent of those living there lacked health insurance.

    Officials said that over 10,000 applications for coverage were now being completed each day, with more than 360,000 applications having been completed through Tuesday. Those numbers include people who are also eligible for Medi-Cal, California’s no-cost health insurance program for the poor.

    Like many of the 16 states and the District of Columbia that are operating their own marketplaces, California’s health insurance website has run far more smoothly than the federal website, which handles the online enrollment for 34 states that declined to set up their own exchanges. In November, roughly 2,700 people were enrolling each day, California officials said. That is up from 700 people a day when the site opened last month.

    The federal site has been plagued by technical problems since it opened on Oct. 1. In contrast to California, only about 27,000 people enrolled in private plans through the federal website in October, although enrollment reportedly picked up in the first half of November.

    People who did not qualify for a subsidy enrolled in significantly higher numbers than those who did. The state reported that 4,852 people who selected a private plan in October were eligible for tax credit subsidies, which are based on income, compared with 25,978 who did not qualify.

    Timothy S. Jost, a health care expert at Washington and Lee University, said the same pattern emerged in the federal marketplace statistics released for October. “I suspect this is reasonably well-off people who are losing coverage in the individual market and have found good coverage on the exchange,” he said.

    That may be one reason for the California board’s decision against allowing people to renew plans that had been canceled in the state. California had required all carriers that were participating in the exchange to cancel any existing plans that did not comply with the new law by Jan. 1.

    The state’s insurance commissioner, Dave Jones, lambasted the Covered California board’s decision as a “disservice to California’s consumers.”

    Mr. Jones took issue with the board’s reasoning, saying, “Allowing them to renew as the president has called for will not harm the exchange or the implementation of the Affordable Care Act in California, nor will it harm the individual market risk pool.”

    Several of the other states that most enthusiastically supported the new health care law, including Massachusetts and New York, have also resisted the president’s proposal, also contending that the move could jeopardize their fledgling state insurance marketplaces.
     
  4. bigtexxx

    bigtexxx Member

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    ...and now for a little perspective.

    Number of plans CANCELLED in California: > 1,000,000
    Number of enrollees: 80,000

    you're trying to put lipstick on a pig

    http://sacramento.cbslocal.com/2013...-having-insurance-cancelled-due-to-obamacare/
     
  5. asianballa23

    asianballa23 Member

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    that doesnt apply to employer provided insurance right?
     
  6. robbie380

    robbie380 ლ(▀̿Ĺ̯▀̿ ̿ლ)
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    This may be a stupid question but does that mean they no longer have insurance? Or does it mean their old plans were canceled and they signed up with a new plan that complied with the ACA?
     
  7. basso

    basso Member
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    why would they pull the anonymous shopper feature if it worked?

    --
    Washington (CNN) -- When the troubled federal health care website came online, the key "Anonymous Shopper" function was nowhere to be found -- even though it passed a key test almost two weeks before HealthCare.gov launched.

    That successful test, noted in documents obtained by CNN and confirmed by a source close to the project, contradicts testimony from an Obama administration official overseeing HealthCare.gov, who told lawmakers earlier this month the function was scrapped because it "failed miserably" before the October 1 launch.

    Like much of the HealthCare.gov rollout, the subject has become political fodder for Republicans, who claim the decision to nix the anonymous shopper was made by administration officials worried it would produce rate estimates so high they would deter potential enrollees.

    GOP playbook on Obamacare sabotage Obamacare success story turned failure Ted Cruz spars with Cuomo on Obamacare
    What is 'Anonymous Shopper?'

    The window shopping feature allows website visitors to compare health insurance plans without opening an account, verifying their identity or determining whether they qualify for a federal subsidy. The tool was turned off before HealthCare.gov launched and is still unavailable to users.

    Using anonymous shopping, visitors would have been able to enter their age, ZIP code, county, number of people in their household and whether they use tobacco, to obtain an array of almost instant quotes and detailed comparisons for various health insurance plans available to them.

    It's the website feature that best resembles President Barack Obama's frequently stated vision for the website -- that it operates as the most popular e-retail sites millions of Americans use every day.

    "Just visit HealthCare.gov, and there you can compare insurance plans, side by side, the same way you'd shop for a plane ticket on Kayak or a TV on Amazon," Obama said on October 1, the day the website went live. "You enter some basic information, you'll be presented with a list of quality, affordable plans that are available in your area, with clear descriptions of what each plan covers, and what it will cost."

    Yet on that day, and even now, that's not really possible.
    The absence of the online shopping tool is "a major design failure," said Sam Karp, vice president of programs at the California HealthCare Foundation, an Oakland-based nonprofit that supports and promotes the president's signature health care program in the Golden State.

    Blocked out at HealthCare.gov? Bypass on way soon, feds say
    Online window shopping "is how people have become accustomed to shopping online," Karp told CNN. "Whether it's for airplane flights or shoes, people have become accustomed to anonymously shopping without entering credit card or personal information."

    The feature had the added benefit of taking some of the traffic demands off the enrollment portion of the website, Karp said.

    Lawmakers: Tell us why was the plan was scrapped
    So why was online window shopping shelved for HealthCare.gov? That was the question lawmakers posed to Henry Chao, the top technology officer for the Centers for Medicare & Medicaid Services, a subsidiary of HHS that helped build the HealthCare.gov website.

    Chao said he made the decision in conjunction with colleagues and testified before Congress last week that it was because the feature "failed so miserably that we could not conscionably let people use it."

    Yet a CMS document made public by the same committee last week tells a different story. The agency and one of its subsidiaries, the Center for Consumer Information and Insurance Oversight, was working with government contractors on the website. It determined the Anonymous Shopper feature "tested successfully," revealed "no high severity defects open" and that "remaining lower severity defects will not degrade consumer experience."

    CMS raised questions about the "tested successfully" denotation for the feature in a statement.

    In it, a spokeswoman writes: "‪CMS believes that the 'yes' that is written on the document in question is likely an error, because the same document also lists a number of ongoing defects and problems with the tool. Additional defects were communicated and discussed in other settings."

    ‪The source close to the project, however, said the anonymous shopper function did pass testing conducted in the weeks ahead of the HealthCare.gov launch.
    "This document reflects one point in time that was part of a series of ongoing updates and monitoring," Joanne Peters, a spokeswoman for HHS, said in a written statement.

    The successful test occurred on September 17, according to a source familiar with the project. The next day, in an internal e-mail obtained by CNN, Chao wrote the shopper function "isn't needed and thus should be removed."
    During an interview with the House Oversight and Government Reform Committee on November 1, Chao said there were 20 outstanding defects with the anonymous shopper that prevented it from making it online when the health care website launched.

    But according to a list that CNN obtained, only 12 defects remained when the decision to shelve HealthCare.gov was made.

    "The application should not have displayed the tobacco question since the person seeking coverage is a kid," read one of the listed defects.

    A source close to the project said "the problems with the tool were actually rather minor" and could have been fixed by launch day. Instead, government officials shelved the Anonymous Shopper tool to shift focus on the parts of the website necessary to enroll users in insurance plans.

    On September 12 and 18, federal health officials instructed CGI, the contractor hired to create the Anonymous Shopper feature, to concentrate on a part of the website called "Plan Compare," rather than the window shopping feature, according to a document that CNN obtained.

    "Plan Compare" allows users to look at health insurance plans only after they have created an account at HealthCare.gov, verified their identification and provided qualification details for a subsidy.

    "As we have said, we always envisioned 'anonymous shopping' as a tool that would be a part of HealthCare.gov at some point, however we chose to prioritize other functionality in order to be ready for an October 1 launch," Peters, the HHS spokeswoman, told CNN.

    A week before the federal exchange launched, CMS instructed contractors to disable Anonymous Shopper for launch day, the document shows, preventing HealthCare.gov users from accessing the window shopping function.

    Prototype was a year in the making
    The California HealthCare Foundation, along with seven other nonprofits, helped finance and direct the creation of an Anonymous Shopper prototype in conjunction with 11 states and the agencies of the federal government.

    One of the world's leading design firms, IDEO, created the prototype, Enroll UX 2014, as a model of world class health insurance shopping experience.

    IDEO's team for the $3 million project included the designer who created shoe and apparel giant Zappos.com and currently directs design at the popular online restaurant reservation site, OpenTable.com.

    After a year of work, they presented their Anonymous Shopper template to state and federal officials in June 2012. CMS endorsed the prototype and encouraged states to adopt it, according to a letter the agency wrote to states, which CNN obtained. Many of those states, including California, Colorado and New York, are using the feature designed by IDEO effectively.

    "After we presented [the prototype] to [federal health officials], we never heard what they were doing with the design," Karp said. "The entire operation went dark, so to speak, and it wasn't until it launched in October that we saw it wasn't one of the components of how you apply" on the federal site.

    Political firestorm rages
    If it's puzzling for health care experts such as Karp who consider the tool "a prerequisite to having a good consumer experience," it's red meat for Republicans opposed to the health care program.

    U.S. Rep. Darrell Issa is the Republican chairman of the House Oversight and Government Reform Committee.

    U.S. Rep. Darrell Issa is the Republican chairman of the House Oversight and Government Reform Committee.

    They accuse the Obama administration of sidelining the feature to hide the sticker shock of insurance plans and force Americans to jump through hoops before they can shop.

    "Although, CGI officials (the contractor for the shopping tool) were not able to identify who within the administration made the decision to disable the anonymous shopping feature, evidence is mounting that political considerations motivated the decision," Rep. Darrell Issa, the Republican chairman of the House Oversight and Government Reform Committee, wrote in a leader to federal tech executives in October.

    So far, no document or testimony has revealed White House involvement in the anonymous shopper decision, and privately, some Republicans admit the accusations the decision was made inside the West Wing is motivated by politics more than evidence.

    Almost two months since HealthCare.gov's enrollment function went live, the anonymous shopper function is still absent from the site's features, though HHS and CMS point to other online browsing features on the troubled online portal.
    "Even without (Anonymous Shopper) in place, CMS included a list of plans and pretax credit examples of premiums on the homepage of HealthCare.gov the day the site launched, and later rolled out our plan preview tool that allows consumers to see this information by entering some basic information about themselves and the coverage they are looking for," Peters said.

    The "Plan Preview" tool was added to the site October 10, amid criticism there was no window shopping feature. But it only includes two age categories for estimates -- "49 or under" and "50 or older" -- and has been criticized for providing wildly varied cost estimates.

    "It's not as good as Anonymous Shopper," Karp told CNN. "It doesn't provide the full experience of anonymous shopping that was recommended" in the prototype CMS encouraged state exchanges to adopt, adding that the online window shopping tool "still remains a key component, particularly to filter plans in states where there are so many plans."

    Seven weeks after HealthCare.gov's launch, the Anonymous Shopper tool is still shelved.

    At the federal government's order, the contractor responsible for it, CGI, is not even working to ready it, a source close to the project tells CNN.

    HHS would not provide an estimate of when the window shopping feature will be available.
     
  8. ArtV

    ArtV Member

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    Just cancelled. They either have to sign up for a plan under ACA or another plan that meets the requirements.
     
  9. robbie380

    robbie380 ლ(▀̿Ĺ̯▀̿ ̿ლ)
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    The ACA was poorly planned and very poorly executed, but I would like to see it succeed. However, there is very little good I see from these numbers. California is a massive state with 38 million people. These enrollment numbers are just bad.

    Cost controls should have been the primary goal of healthcare reform, not force feeding insurance coverage. The main problem with American healthcare is that is ridiculously overpriced relative to the rest of the modern world. The ACA did little to reform that from what I have seen. If costs were lower then insurance would be lower and more people would be able to get insurance and more people would be able to get healthcare.
     
  10. robbie380

    robbie380 ლ(▀̿Ĺ̯▀̿ ̿ლ)
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    Are there any reliable numbers on what percent of people signed up for new ACA compliant plans and what the average cost of those new plans was versus the old plans?

    It seems hard to find any good numbers. I guess just wait a couple months and see what gets compiled.
     
  11. ArtV

    ArtV Member

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    Not that I know of. You would have to have a total of CA policies sold and subtract the policies cancelled across all companies. Then you need to take out normal expected sales/loss. That would give you a close estimate of the change ACA has had.
     
  12. otis thorpe

    otis thorpe Member

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    I.don't think its bad that California won't allow the substandard policies for an extended period. The state is ready to move forward.
     
  13. Space Ghost

    Space Ghost Member

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    you seem to be an expert on this subject. Please inform us how the 1 million plans were substandard. Please use facts and data.
     
  14. otis thorpe

    otis thorpe Member

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    They don't meet new standards. I didn't make the standards but trying to do this compromise only complicates the process. California isn't the only state that has rejected the proposal.
     
  15. Space Ghost

    Space Ghost Member

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    So you accept that not all of these plans were substandard and many of them fit the needs of the policy holder?
     
  16. otis thorpe

    otis thorpe Member

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    Until that person got sick and it did not. I'm not going to go back and debate new standards. Things like no caps on coverage are good IMHO.
     
  17. ArtV

    ArtV Member

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    Or that man became pregnant...then you'd see that was a substandard policy.

    Does your car insurance have a limit?
     
  18. XIrocket

    XIrocket Member

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  19. otis thorpe

    otis thorpe Member

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    or that a woman get prostrate cancer. Policies have never been gender specific why are you complaining now.
     

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