Originally published on Wed July 23, 2014 10:55 pm
On Tuesday, two federal appeals courts issued conflicting decisions that could have major ramifications for the future of the Affordable Care Act.
The controversy hinges on whether people in the 36 states that opted NOT to set up their own health insurance exchanges can qualify for subsidies (really, tax credits) on their health insurance premiums. Missouri and Illinois are among those 36 that don't have state-run exchanges.
Aaron Swaney helps Jeannie Wyble with her application for insurance through the online health marketplace at Family Health Center on Dec. 5, 2013. Wyble's application was stuck in "in progress" limbo for weeks.
Consumers who want to sign up for health insurance under the Affordable Care Act have until Monday to enroll in a plan that would start on Jan. 1. But HealthCare.gov still has kinks that frustrate many consumers and navigators. KBIA’s Harum Helmy followed one Columbia resident’s journey with the website.
Listen to KBIA's Harum Helmy talk to Kate King, a navigator who's been helping with efforts of spreading awareness about HealthCare.Gov.
As an Affordable Care Act navigator, Kate King has been traveling to counties throughout central Missouri spreading awareness of and getting Missourians enrolled in HealthCare.gov.
King works with the Central Missouri Area Agency on Aging, which serves a 19-county area, 17 of them rural. The agency is part of a nonprofit alliance that received $750,000 in federal grants in August to help with Healthcare.gov outreach.
If you're a 38-year-old Missourian living in Pemiscot County in the Bootheel, an Affordable Care Act "gold" insurance plan will cost you at least $418 per month, before subsidies. If you're a 38-year-old living in Kansas City, a similar plan will cost you about $263 per month.
Health insurers serving the individual and small group markets in Missouri can continue selling plans that would have been canceled by Dec. 31 for not meeting the requirements outlined in the Affordable Care Act, according to the state's Department of Insurance.
Starting in 2014, all health insurance plans must include some services from all of the law's "10 essential health benefit" categories. The broadly defined categories include, among others: maternity care, behavioral health treatments, prescription drugs, laboratory services and preventive services.
Out of nearly 28,000 Missourians who have completed the applications for insurance through HealthCare.gov, only 751 so far have chosen insurance plans. The online marketplace, a key part of the Affordable Care Act, opened for enrollment on Oct. 1. Technological glitches made signing up nearly impossible in its first couple of weeks.
As the Affordable Care Act's provisions continue to roll out, the law will continue to affect our lives.
In Missouri, where the legislature still hasn't expanded Medicaid, 193,000 adults will fall in what’s called the “coverage gap.” These adults aren’t eligible for Missouri’s current Medicaid program (which doesn’t cover any able-bodied adult without children, no matter how low his or her income), and they make too little money to qualify for any subsidies that can help them pay for insurance premiums through the online health marketplace.
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The Affordable Care Act’s online insurance marketplace has its problems, but the service also has potential to help improve rural health. Jon M. Bailey, the director of rural research and analysis at the Center for Rural Affairs, went as far as putting it this way:
“The new health insurance marketplaces were practically created for rural people.”
Starting Oct. 1, anyone looking to purchase health insurance plans can enroll in the new online marketplace. A key component of the Affordable Care Act, the marketplace has been touted as a totally new way to buy insurance. You, the consumer, can go to the marketplace website and do a side-by-side comparison of the benefits, premiums and coverage of different insurance plans.
U.S. Secretary of Health and Human Services Kathleen Sebelius speaks to reporters at St. Louis City Hall, while St. Louis County Executive Charlie Dooley, St. Louis Mayor Francis Slay, St. Louis City Health Director Pam Walker, and St. Louis County Health Director Delores Gunn look on (left to right).
Primaris Healthcare Business Solutions and the Missouri Alliance of Area Agencies on Aging have been granted federal money to hire people who will help Missouri consumers navigate the new insurance marketplace, set to open for enrollment on Oct. 1.
The Department of Health and Human Services’ Centers for Medicaid and Medicare Services quietly announced the grantees Thursday.
A Missouri Senate interim committee looking into the state's Medicaid system heard from several doctors and other health care providers Wednesday at a hearing in Jefferson City.
Among those testifying was Thomas Hale, M.D., a St. Louis-based physician working with Sisters of Mercy. He told the panel that Medicaid needs to be expanded to make up for the pending loss of federal reimbursements to hospitals, known as DSH payments ("dish").
Rain is drizzling on the roughly 40 people standing in line outside the Good Samaritan Care Clinic in rural Mountain View, Missouri. Some have been standing for hours. At 5:30 pm, the clinic doors swing open, and the patients flood into a clean, bare bones waiting room.
Listen here for an interview with Stan Hudson, a health literacy expert and associate director of the Center for Health Policy at MU about the Marketplace Navigators program.
Many Missourians will likely need help navigating the Affordable Care Act's new health insurance marketplace that's set to go online by Oct. 1, but one analyst says there might not be enough time or federal funding to train those who can help.
The Republican-led U.S. House of Representatives voted today to repeal the federal health care law. The House has voted more than 30 times to repeal or defund the Affordable Care Act. Every Republican in Congress voted for the repeal, including mid-Missouri's two representatives.