Obamacare HIV problems

Hundreds of people with HIV/AIDS in Louisiana trying to obtain coverage under President Barack Obama’s healthcare reform are in danger of being thrown out of the insurance plan they selected in a dispute over federal subsidies and the interpretation of federal rules about preventing Obamacare fraud, Reuters reports

“Some healthcare advocates see discrimination in the move, but Blue Cross and Blue Shield of Louisiana says it is not trying to keep people with HIV/AIDS from enrolling in one of its policies under the Affordable Care Act, also known as Obamacare.

“The state’s largest carrier is rejecting checks from a federal program designed to help these patients pay for AIDS drugs and insurance premiums, and has begun notifying customers that their enrollment in its Obamacare plans will be discontinued.

“The carrier says it no longer will accept third-party payments, such as those under the 1990 Ryan White Act, which many people with HIV/AIDS use to pay their premiums.

“In no event will coverage be provided to any subscribers, as of March 1, 2014, unless the premiums are paid by the subscriber (or a relative) unless otherwise required by law,” Blue Cross Blue Shield of Louisiana spokesman John Maginnis told Reuters. The dispute goes back to a series of statements from Centers for Medicare and Medicaid Services (CMS), the lead Obamacare agency. In September, CMS informed insurers that Ryan White funds “may be used to cover the cost of private health insurance premiums, deductibles, and co-payments” for Obamacare plans. In November, however, it warned “hospitals, other healthcare providers, and other commercial entities” that it has “significant concerns” about their supporting premium payments and helping Obamacare consumers pay deductibles and other costs, citing the risk of fraud. The insurers told healthcare advocates that the November guidance requires them to reject payments from the Ryan White program in order to combat fraud, said Robert Greenwald, managing director of the Legal Services Center of Harvard Law School, a position Louisiana Blue still maintains. Continue reading “Obamacare HIV problems”

Millennial skepticism over Obamacare

The Harvard Institute of Politics survey released Wednesday has garnered a lot of attention for its findings about Millennials’ views of Obamacare, in addition to their opinions on President Obama himself, reports The Atlantic.

“Between 56 and 57 percent of the 18- to-29-year-old respondents didn’t approve of the Affordable Care Act or Obamacare (depending on how the question was asked); 40 to 44 percent thought their quality of care would get worse under the new law; and 50 to 51 percent said they expected costs to increase.

“This has led to a giant round of Oh my God, Obamacare is going to be a giant failure because young people hate it, won’t enroll, and the insurance plans will go into death spirals. Well, no. Ryan Cooper argues this morning that Millennials “will come around on Obamacare.” But do they even need to? More than half the Millennials in the IOP study said they’d at least consider to signing up for Obamacare exchange insurance if and when they are old enough to need it.

“According to the survey, 22 percent said they’d definitely or probably enroll in Obamacare, and another 29 percent said they were 50-50 on whether they’d enroll or not. Only 45 percent said they definitely would not enroll. The whole survey sample was asked those questions, according to topline data provided by the pollsters. Sounds dismal—until you see that only 22 percent of those surveyed individuals were uninsured! Another way of looking at the data: 22 percent of people in a sample that was 22 percent uninsured said they would definitely or probably sign up for Obamacare. And 29 percent of people in a sample that was 35 percent covered by their parents’ insurance said they were 50-50 on enrolling if and when eligible. That paints a very different picture than just focusing on the large percentage who think their costs will go up while their quality of care goes down. Obamacare’s long-term health depends on whether people who are already insured support the program, but their opinion matters much less in the short term. Continue reading “Millennial skepticism over Obamacare”

Obamacare & addiction

Obamacare’s treatment of alcoholism and other drug addiction as chronic diseases that must be covered by insurance plans could lead to as many as 40 million Americans entering rehabilitation programs, according to California Health Report, as discussed today in Think Progress.

“Government data shows that about 24 million Americans aged 12 and olderrequire treatment for a substance abuse issue — but only 11 percent of them received it at a specialty facility. These facilities charge an average of $4,000 for admission, and even outpatient facilities cost an average of $1,500 per course of treatment.

“Obamacare could help eliminate those cost barriers for people seeking treatment. “I don’t think there’s another illness that will be more affected by the Affordable Care Act,” said Dr. Thomas McLellan, former deputy director of the White House Office of National Drug Control Policy, in an interview with California Health Report.

“Substance abuse and drug addiction haven’t always been perceived as chronic illnesses. But since opiate abuse (which has steadily been on the rise in America), alcoholism, and other addictions cost about $120 billion per year in health care spending, the health law puts special emphasis on both treatment and prevention by forcing insurers to cover rehab and encouraging doctors to screen for potential addictions. Continue reading “Obamacare & addiction”

Obamacare means jobs

A new survey of chief financial officers finds that American companies expect to increasethe number of full-time employees by 1.8 percent over the next 12 months as key parts of the Affordable Care Act go into effect,

imgres

reports ThinkProgress today, “undermining conservative critics who’ve argued that the health care law would hamper business growth and expansion.

“The expected two percent growth in employment is solid, given the context of long-run shifts away from full-time employees largely because of concerns about health care reform and economic uncertainty,” John Graham, Duke Fuqua School of Business finance professor and director of the survey, said. The poll, conducted by Duke University/CFO Magazine, surveyed CFOs at 530 U.S. companies.

“The results echo broader indicators showing that companies are hiring more workers.

“Payroll figures released last month, for instance, found that job creation at small companies has almost doubled in the last six months, “reaching 82,000 jobs at firms with 49 or fewer employees in July, according to payroll processor ADP.” Small businesses are borrowing more, displaying greater confidence, and are seeing higher “sales of new franchises.”

“Though some businesses are claiming that they are hiring more part-time workers to avoid the Affordable Care Act’s employer responsibility requirements, which apply to companies with more than 50 full-time employees, that incentive is limited and research from Moody’s economist Marisa DiNatale indicates that most industries “are actually using fewer part-timers than last year.” The growth in part-time employment, which has been taking place long before the health care law, is rooted in “industries such as restaurants and hospitality that use as much as twice as many part-timers as other companies,” DiNatale concluded.

“Some employers in the Duke University survey did cite the health care law as a impediment to growth, though concerns about economic uncertainty, the belief that the stock market is overvalued and will “experience a downward correction,” and rising interest rates were also mentioned.

 

See: http://thinkprogress.org/health/2013/09/11/2607221/employers-obamacare-wont-stop-hiring/