The Affordable Care Act (ACA), or Obamacare, was signed into law in 2010. It was one year ago today that the state and federal health insurance exchanges began enrollment. Washington state is one of 15 states that established its own exchange. The other 35 states elected to use the federal exchange.
Yesterday, the Obama Administration released data that shows hospitals are projected to save $5.7 billion in uncompensated care costs because of the Affordable Care Act (ACA) or Obamacare. The majority of the savings comes from the Medicaid expansion and is anticipated to occur in those state that chose to expand the program for low-income individuals.
The Washington State Hospital Association released financials for the first half of 2014 as reported in The Seattle Times today. The big news was a decrease of $154 million in charity care for hospitals in the state. Hospitals believe this 30% decrease in charity care is a result of more people being insured through Obamacare. Specifically, the Affordable Care Act expands Medicaid for more people in the low-income demographic.
The Seattle Times published an excellent article today outlining the crisis in rural health care delivery. All areas of the nation, but especially the smaller communities, face a real shortage in primary care providers.
It was recently reported that the Centralia School District submitted false financial claims to the Medicaid program at least 200 times. What does a school district have to do with Medicaid, a health insurance entitlement for children of poor families?
On July 22nd, the U.S. Appeals Court for the D.C. Circuit ruled in a 2 to 1 decision that the residents of any state that used the federal health insurance exchange could not legally receive taxpayer subsidies to help them purchase health insurance. (Here) The language in the Affordable Care Act (ACA), or Obamacare, is very specific.
In a potentially huge blow to the Affordable Care Act (ACA), or Obamacare, the U.S. Appeals Court for the D. C. Circuit today ruled in a 2-1 decision that the I.R.S. lacked the authority to allow subsidies to be provided in health insurance exchanges not run by individual states (Halbig vs Burwell). (Here)
One issue that is often overlooked in the discussion of patient-driven health care is access to therapeutic drugs. Specifically, should patients, as consumers, have greater choices in over-the-counter (OTC) drugs?
As recently as thirty years ago patients only had access to very basic OTC drugs such as aspirin, Tylenol and anti-acids. Now people can freely obtain a wide variety of drugs to treat ulcers, colds, the flu, as well as a much broader choice of pain medication.
The Commonwealth Fund recently reported that as of May 1, 2014, 20 million people now have health insurance thanks to the Affordable Care Act (ACA) or Obamacare. A follow-up paper by the Heritage Foundation puts that number in perspective, however.
Part of the funding for Obamacare comes from a $2.3 billion per year tax on drug manufacturers. The tax is assessed based on the share of all drug sales for each company that specific year. The money to pay this tax will either come from higher drug prices passed on to consumers or will come from research and development budgets.
For years, proponents of a single-payer health care system in the U.S. have pointed to the V.A. Hospital System as the example of how government-run health care can work in this country. It is now being revealed that the V.A. system has some terrible flaws. (Here, Here, Here)
Almost half the people in the U.S. have employer-sponsored health insurance. The Affordable Care Act, or Obamacare, taxes or fines employers with more than 49 employees if they don't provide health insurance to their employees. The financial penalty is set at either $2,000 or $3,000 per employee per year, depending on whether the employer offers health benefits. Both numbers are significantly less than the cost of the average employee health insurance plan.
Washington State Insurance Commissioner Mike Kreidler is in the process of creating a new rule for health insurance companies selling policies in the state exchange. (Here) In an interesting turn of events, hospitals and insurance companies are lining up together to oppose the ruling, but for very different reasons.