Tag Archive: coverage


Writing in the Washington Post today (12/14), Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius called the decision by approximately 20 states and other individuals to bring court challenges to Obamacare “troubling.”

How dare they!

Challenging federal government overreach in the courts is a fundamental privilege of U.S. citizenship and statehood. To call it “troubling” when states and citizens exercise this privilege is insulting and unconscionable.

Holder and Sebelius wrote their piece immediately following the ruling in a Virginia federal court that the individual mandate – requiring all Americans to purchase health insurance – is unconstitutional in violation of the interstate commerce clause of the U.S. View Full Article »

IOWA CITY, Iowa – Iowa’s Medicaid ranks could swell by 25 percent once health care reform changes are implemented.

Current rules require that low-income Iowans also have a qualifying factor, such as a disability or pregnancy, to be eligible for Medicaid.

Reform measures could add 80,000 to 100,000 Iowans – mostly single adults or childless couples – who earn below 133 percent of the federal poverty level and don’t have those qualifiers, said Jennifer Vermeer, Iowa Medicaid Enterprise director.

Vermeer and Julie McMahon of the Iowa Department of Public Health spoke to about 40 people Tuesday, Dec. 14, at the Iowa City Public Library as part of the health department’s efforts to gather comments on the state’s development of a health benefits exchange.

The state-based exchanges are intended to make purchasing health insurance easier by providing individuals and businesses with “one-stop-shopping” where health insurance coverage can be compared and purchased.

Under the Affordable Care Act, states must have an operational exchange by Jan. 1, 2014, or the federal government will operate an exchange for the state.

The exchange will use an Internet-based system to compare insurance plans.

Medicaid and the Affordable Care Act are intertwined because anyone applying for health insurance under the state’s exchange would also see if they qualify for Medicaid, Vermeer said.

Subsidies will be available for other Iowans who cannot afford to purchase health insurance.

Three components to the system have similar names, but different purposes.

An insurance information exchange is a health insurance information clearinghouse. View Full Article »

IOWA CITY, Iowa – Iowa’s Medicaid ranks could swell by 25 percent once health care reform changes are implemented.

Current rules require that low-income Iowans also have a qualifying factor, such as a disability or pregnancy, to be eligible for Medicaid.

Reform measures could add 80,000 to 100,000 Iowans – mostly single adults or childless couples – who earn below 133 percent of the federal poverty level and don’t have those qualifiers, said Jennifer Vermeer, Iowa Medicaid Enterprise director.

Vermeer and Julie McMahon of the Iowa Department of Public Health spoke to about 40 people Tuesday, Dec. 14, at the Iowa City Public Library as part of the health department’s efforts to gather comments on the state’s development of a health benefits exchange.

The state-based exchanges are intended to make purchasing health insurance easier by providing individuals and businesses with “one-stop-shopping” where health insurance coverage can be compared and purchased.

Under the Affordable Care Act, states must have an operational exchange by Jan. 1, 2014, or the federal government will operate an exchange for the state.

The exchange will use an Internet-based system to compare insurance plans.

Medicaid and the Affordable Care Act are intertwined because anyone applying for health insurance under the state’s exchange would also see if they qualify for Medicaid, Vermeer said.

Subsidies will be available for other Iowans who cannot afford to purchase health insurance.

Three components to the system have similar names, but different purposes.

An insurance information exchange is a health insurance information clearinghouse. View Full Article »

Without it, they say, the whole package collapses, dashing hopes for universal coverage and cost control. Ripping the mandate from the law would have “devastating consequences,” the White House said Tuesday.

But not everyone agrees. View Full Article »

Without it, they say, the whole package collapses, dashing hopes for universal coverage and cost control. Ripping the mandate from the law would have “devastating consequences,” the White House said Tuesday.

But not everyone agrees. View Full Article »

(CNN) — One day after a Virginia federal judge ruled a key part of President Barack Obama’s health care reform law was unconstitutional, two members of Obama’s administration spoke out publicly defending the law.

In an op-ed piece that appeared on The Washington Post’s website Tuesday, U.S. Attorney General Eric Holder and Health and Human Services Secretary Kathleen Sebelius say that insured Americans carry an unfair burden in paying for those who don’t have health insurance.

“The majority of Americans who have health insurance pay a higher price because of our broken system,” they wrote. “Every insured family pays an average of $1,000 more a year in premiums to cover the care of those who have no insurance.”

To stop imposing extra costs on people who carry insurance, Holder and Sebelius wrote, “everyone who can afford coverage needs to carry minimum health coverage starting in 2014.”

But on Monday, U.S. View Full Article »

California Insurance Commissioner Steve Poizner has ratcheted up the pressure in a long-running dispute with Cypress-based PacifiCare.

Poizner has ordered the health insurer not to pay $120 million in dividends to two subsidiaries of its parent company, saying the money may be needed to take care of penalties in an administrative case brought by the Department of Insurance.

The department has accused PacifiCare of violating state law nearly 1 million times from 2006 to 2008 by mismanaging medical records, losing patient documents and failing to pay doctors what they were owed.

The violations, each carrying a fine of up to $10,000, allegedly occurred after PacifiCare was purchased in 2005 by insurance giant UnitedHealth Group Inc., the nation’s largest insurer by revenue, state officials said.

PacifiCare has argued that the state’s case mostly involves administrative errors that did little harm to consumers. The company says that three-quarters of the allegations relate to PacifiCare’s alleged failure in 2007 to inform doctors and patients of their right to appeal coverage decisions. It can appeal Poizner’s order Dec. View Full Article »

A federal district court has held that the health care reform legislation’s mandate that individuals obtain health insurance is unconstitutional (Virginia v. Sebelius, docket no. 3:10-CV-188 (E.D. View Full Article »

A new report from the Commonwealth Fund shows the Affordable Health Care Act will benefit 18.3 million baby boomers, ages 50 to 64 who are uninsured, unemployed and financially strapped from cost of health care relative to income.

The analysis shows millions of Baby Boomers who are without health insurance and have the highest long-term rates of unemployment are the most likely to gain from health care overhaul.

In addition to helping uninsured baby boomers, the Affordable Health Care Act will help 9.7 million older adults who are underinsured relative to income from high out of pocket medical expenses.

Estimates show that 8.6 million people in the 50 to 64 baby boomer age group are uninsured. View Full Article »

U.S. District Court Judge Henry Hudson of the Eastern District of Virginia ruled against the Patient Protection and Affordable Care Act on Monday, rejecting the attempt by Congress to force people to buy a product, in this case, health insurance. The core paragraph in his ruling:

The unchecked expansion of congressional power to the limits suggested by the Minimum Essential Coverage Provision would invite unbridled exercise of federal police powers. View Full Article »

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