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  1. #1376
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    CC, here's another big win for ACA

    Signs of a Decline in Financial Distress Connected to Medical Bills


    http://mobile.nytimes.com/2015/01/15/upshot/financial-distress-connected-to-medical-bills-shows-a-decline-the-first-in-years.html

    but there are still 43 MILLION Americans behind in paying their medical bills, and still many, most?, of personal bankruptcies continue to be for medical catastrophes.

    Great ing humane country BigCorp has delivered, huh?




  2. #1377
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    A Repug IRS would never do this

    For Nonprofit Hospitals Who Sue Patients, New Rules

    Last month, ProPublica and NPR detailed how one nonprofit hospital in Missouri sued thousands of lower income workers who couldn't pay their bills, then seized their wages, all while enjoying a big break on its taxes.

    Since then, the IRS has released long-awaited rules designed to address such aggressive debt collection against the poor. Largely because these new rules fill a void — there were hardly any rules at all — patient advocates agree they are a major step forward.


    Even so, they have easily exploitable gaps. It remains up to each hospital, for example, to decide which patients the new rules should apply to. And because the rules only apply to hospitals that have been granted tax-exempt status by the IRS, they don't apply to for-profit hospitals or most public hospitals. ProPublica reported last month that public hospitals can be even more aggressive in collecting debt than nonprofits.

    Most hospitals in the U.S. are charitable organizations. They don't pay taxes because they are supposed to be a key part of the safety net for the nation's poor patients. In theory, patients who aren't covered by Medicaid and can't afford insurance — or who are underinsured and can't afford their out-of-pocket costs — can receive necessary care from a nonprofit hospital without facing financial ruin. Each hospital is required to offer services to lower-income patients at a reduced cost and to have a financial assistance policy that states who qualifies for aid, known as "charity care."


    But while hospitals are required to have this policy, there have been very few rules on how they publicize it or how they treat patients who qualify. That's where the new rules, which go into effect in 2016, will make the biggest difference. The rules were required as part of the 2010 Affordable Care Act.


    At Heartland Regional Medical Center in St. Joseph, the hospital featured in our story, many patients had been sued despite apparently qualifying for financial assistance. In interviews, patients either didn't know the hospital had charity care or wrongly believed they didn't qualify.


    Under the new rules, all nonprofit hospitals will be required to post their financial assistance policies on their websites and offer a written, "plain language summary" of them to patients when they're in the hospital. If patients don't apply for assistance or pay their bills, then the hospitals are required to send at least one more summary of the policy, along with mentioning it on billing statements.


    And if hospitals plan to sue patients over unpaid bills, they must attempt to verbally tell the patients about their policies, as well as send notices that they are planning to sue and that the patients may qualify for financial assistance.


    Hospitals that don't take these steps before suing patients could face the ultimate penalty of losing their tax-exempt status.


    That sounds clear enough. But the first catch is that the IRS does not have a history of aggressive enforcement.


    "That's always been the problem with the charitable hospital rules," said Corey Davis, an attorney with the National Health Law Program, a nonprofit patient advocacy organization. "The IRS doesn't enforce them and nobody else can enforce them."


    http://www.propublica.org/article/fo...ents-new-rules

    IRS enforcement? Repugs have cut many $100Ms from IRS budget.



  3. #1378
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    Repugs DEFUNDING ACA is having REAL EFFECTS on real people

    Why did CoOportunity fail?

    A spokesman for the Centers for Medicare and Medicaid Services, which administers the loans, told me and other reporters that “given the limited amount of funding available, CMS has to prioritize the externally reviewed requests. - See more at: http://www.cjr.org/united_states_pro....eNEMGT8e.dpuf

    But why the funding was “limited” is no mystery, though this angle has been mostly missing in the coverage.

    In early 2013, as part of the deal to resolve the “fiscal cliff,” Congress rescinded 90 percent of uncommitted loan funds that were available to support the co-ops.


    This was after an earlier cut had already sharply pared back the level of funding originally authorized in the ACA. CJRreported at the time how the 2013 law stopped the development of additional co-ops that were awaiting approval. It may have now contributed to CoOportunity’s failure too.


    There was still another source of federal funding—money CMS had for program administration. Some of it could have been transferred to CoOportunity, according to Martin Hickey, president of National Alliance of State Health Co-Ops, a trade association. But a more recent act of Congress—

    the “cromnibus” spending bill passed in December—cut those funds.

    And, said Hickey, “they explicitly prohibited CMS from using any of that money for any activity under the Affordable Care Act.” The double blow, with no expectation of sufficient federal funds to arrive anytime soon, prompted Iowa regulators to take over the company.


    http://www.cjr.org/united_states_pro...unity_fail.php

    Repug politicians, and you Repug voters. All y'all are ing up country.





  4. #1379
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    The people most at risk of losing insurance in the Supreme Court case? The Republican base.


    Republicans might end up ruing the day they decided to pile onto the King case before the U.S. Supreme Court challenging the federal subsidies people in all of the states that are using the federal health insurance exchange. Turns out, the people who will be most hurt by losing their subsidies are in the Republican base.

    attribution: Urban Ins ute
    The people who could lose their health insurance as a result of a Supreme Court decision this year are predominantly white, Southern, employed and middle-aged, according to an Urban Ins ute analysis. […]The new Urban study finds that the biggest regional loser from the court case would be the South. More than 60 percent of people who would lose their individual health insurance live there. Among different income groups, the largest reductions would come for those earning between 200 and 400 percent of the federal poverty level—or between about $40,000 and $80,000 for a family of three. Forty-seven percent of the people who would lose insurance have full-time jobs, and 34 percent have part-time jobs. Sixty-one percent are white. Forty-seven percent have attended at least some college. Ninety-two percent would probably describe their health as better than fair.

    This is a deeper look into the group that would lose insurance if the court strikes down subsidies. RAND Corp. estimates it will be 9.6 million losing subsidies, and Urban estimatesit's 9.3 million, based on their varied projections for 2015 enrollments. Of those 9.3 million, Urban estimate two-thirds will go uninsured—that's this predominantly white, middle class, Southern group. On top of that, there's about 4.9 million who don't receive the subsidies because of their higher incomes, and Urban estimates that about a quarter of them would become uninsured because they wouldn't be able to afford the 35 percent hike their premiums would take when all those subsidy-receiving people drop out of the market and insurers have to make up for their loss.
    It's one thing to withhold or take Medicaid away from millions of poor, disenfranchised people. Republicans aren't going to blink an eye at that. But now they've put themselves in quite a pickle, pushing very hard to strip health insurance away from their most reliable voting base.

    http://www.dailykos.com/story/2015/0...28Daily+Kos%29





  5. #1380
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    GOP's Stealth Blow To Obamacare Helps Claim Its First Victim

    The quiet blow that Republicans dealt to Obamacare in the so-called CRomnibus spending bill passed last month has now helped contribute to the shuttering of one of the law's co-op health plans, as experts told TPM it might.

    Iowa Insurance Commissioner Nick Gerhart announced Monday that his office would request that CoOpportunity Health, a non-profit health plan created under the health care reform law, be liquidated. Gerhart's office had taken over control of the plan in December amid financial struggles, per the Wall Street Journal.

    Part of the reason that the insurance commissioner took over the struggling insurer, and therefore part of the reason it is now being shut down after state officials determined it couldn't be saved, is a provision that House Republicans inserted into the spending bill approved in December.

    As TPM reported at the time, House GOP staff requested a change to Obamacare's so-called risk-corridor program as part of the CRomnibus. The program, a favorite punching bag of Republicans, who have pushed for its repeal, is designed to help insurers in the law's first few years. Companies estimate what their insurance pools will look like. If they turn out better than expected, then the companies pay money into the program. If they turn out worse, then companies are paid money by the program.

    That helps lessen the risk for insurers as they take on a new population of Obamacare enrollees. But what the Republicans inserted into the CRomnibus was a requirement that the risk-corridor program effectively be revenue neutral. So if the program didn't bring in enough money from overperforming companies, it wouldn't be able to make payments to underperforming ones.

    Experts told TPM at the time that bigger companies would likely be able to absorb any short-term losses that might come with the change, but that smaller insurers -- like CoOpportunity Health, which covers about 68,000 people in Iowa and Nebraska -- would be more vulnerable.

    When Iowa insurance commissioner Gerhart pe ioned to take over the company in December, he cited the uncertainty of the risk-corridor money as one reason for CoOpportunity Health's struggles, stating that the CRomnibus provision had "placed in jeopardy" up to $60 million of the company's projected assets.

    Becky Blum, a senior official at the Iowa agency, confirmed to TPM in an email that the CRomnibus provision had been one of the factors in the company's financial instability, though not the only one. The bottom line was that the insurer was paying out too much in claims and not bringing in enough revenue.

    http://talkingpointsmemo.com/dc/obamacare-iowa-coopportunity-health-liquidation-cromnibus?utm_source=feedburner&utm_medium=feed&ut m_campaign=Feed%3A+tpm-news+%28TPMNews%29

    Without doubt, Repugs will screw ACA in many different ways, "proving" their ideology that govt sucks (but not nearly as much as Repugs suck).



    Last edited by boutons_deux; 01-27-2015 at 12:28 PM.

  6. #1381
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    Repug NutHouse votes 56th time to repeal ACA

    Repugs proving they can govern!

    Thanks, Repug voters!

  7. #1382
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    Republicans Unveil Bill That Would Take Health Care Away From 22.5 Million Americans

    A group of Senate and House Republicans have revealed the Republican Party’s replacement plan for the ACA that contains no healthcare and would take away coverage from 22.5 million Americans.

    Sens. Orrin Hatch (R-UT), Richard Burr (R-NC), and Rep. Fred Upton (R-MI) introduced their answer to the ACA, which they have named the Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act.According to Republicans the “CARE Act” would:

    Establish sustainable, patient-focused reforms:

    Adopt common-sense consumer protections;

    Create a new protection to help Americans with pre-existing conditions;

    Empower small businesses and individuals with purchasing power;

    Empower states with more tools to help provide coverage while reducing costs; and

    Strengthen consumer directed health care and allow Americans to buy coverage across state lines.

    Modernize Medicaid to provide better coverage and care to patients:


    Transition to capped allotment to provide states with predictable funding and flexibility.

    Reduce defensive medicine and rein in frivolous lawsuits:


    Medical Malpractice reforms.

    Increase health care price transparency to empower consumers and patients:


    Require basic health care transparency to inform and empower patients.

    Reduce distortions in the tax code that drive up health care costs:

    Cap the exclusion of an employee’s employer-provided health coverage.

    Empower Small Businesses and Individuals with Purchasing Power:


    Targeted tax credit to help buy health care

    What the CARE Act doesn’t contain is health care. At the very bottom of the list of what the bill does, you will see that the legislation will provide tax credits for people to buy health care.

    The problem for tens of millions of Americans will be that they will first have to buy the policy in order to qualify for the tax credit. If a person or family can’t afford the policy, they won’t have insurance.
    The CARE Act also does not contain any mechanism for transferring people who are currently enrolled in health care exchanges to new subsidized coverage.

    Instead of expanding Medicaid, the Republican plan caps funding. This means that all of the people who have gotten health care through the Medicaid will be thrown off of their insurance.

    The Republicans have introduced a health care plan that doesn’t contain any health care. These are the same old ideas that Republicans have been trying to dress up as health care reform for decades.

    The Republican plan will drive up health care costs, and throw millions of people off of their current coverage.

    It will allow insurance companies to discriminate and price gouge.

    It will drive up the cost of prescription drugs for seniors.

    The Republican plan would also toss 3 million children off of their parents’ health insurance.

    Republicans have unveiled a plan that would take away health care from at least 22.5 million Americans.

    (19.5 million Americans have gotten coverage under the ACA through the exchanges and Medicaid expansion, another 3 million are on their parents’ health insurance.)

    The Republican plan replaces the ACA with nothing.

    http://www.politicususa.com/2015/02/...iticus+USA+%29

    Repugs Governance! Yes We Can!



  8. #1383
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    America's Largest Health Care Company Tells Supreme Court That Anti-Obamacare Argument Is "Absurd"


    HCA argues that the legal theory advanced by the plaintiffs is "absurd," but, more importantly, it presents detailed data drawn from its own operations that demonstrate that the health care law is helping patients and the company itself.

    In its brief, HCA says that Obamacare has already cost it more than $600 million in revenues between 2010 and 2014—and that's just in the 15 states that haven't created their own exchanges and where HCA has at least one facility. The decreases were part of the deal forged by the drafters of the ACA. The plan was for hospitals to agree to cuts in federal reimbursement for treating the uninsured, but in exchange they would benefit from an influx of newly insured patients.

    HCA says that it has only recently begun to see new revenue come in. (Of the roughly 134,000 patients with federal exchange-based insurance who visited an HCA facility last year, 62 percent had never been there before. This suggests that the new insurance program was definitely driving business to HCA's hospitals and clinics.) If the Supreme Court kills off the Obamacare subsidies, HCA says it will have to absorb about $350 million in initial losses and far more in the future.

    In effect, HCA is telling the court that Obamacare is good for both corporate America and individual Americans getting insured through it.


    http://www.motherjones.com/politics/...e-amicus-brief



  9. #1384
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    The Republican Obamacare problem grows: Enrollments are surging in southern states

    Southern states are seeing a surge of Obamacare sign-ups in this last week of open enrollment.

    Texas, Louisiana, South Carolina and Mississippi have each seen 80 percent more signups compared to last year, Deputy Administrator Andy Slavitt said.
    The same states are also reporting the fastest rate of growth in the final two weeks of the current enrollment period, which ends Feb. 15. Each of the states has reported 5 percent more signups over the last two weeks compared to last year.

    That's more than 1 million in Texas, around 180,000 in South Carolina, 150,000 in Louisiana and 90,000 in Mississippi. Florida
    tops them with 1.3 million signups.

    http://www.dailykos.com/story/2015/0...28Daily+Kos%29

    Repug LIES and FUD about ACA are losing their effect even in Repug- ed-up red states.



  10. #1385
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    HHS Dept. Confirms: GOP hoping to force $3,200 tax hike on 6.5 million working class Americans.

    According to today’s report, on average, premium tax credits reduced consumers’ monthly premiums by 72 percent. The average monthly premium for 2015 coverage dropped from $374 before tax credits to $105 after tax credits, among 6.5 million consumers in the 37 state using the HealthCare.gov platform who selected a plan with tax credits. Today’s report also includes state-by-state figures. This analysis includes plan selections from Nov. 15 through Jan. 30: depending on the characteristics of people who sign up prior to Feb. 15, the statistics in this report could change.

    Of course, assuming the held-together-with-chewing-gum-and-duct-tape King v. Burwell court case, which is rapidly falling apart just weeks before it's set to go before the Supreme Court, does somehow end up resulting in those tax credits being torn away, that means that between 6.5 million and 7.3 million people will instantly see their taxes go up by an average of $268 per month.That's right, the Republican Party is gleefully rooting for a massive tax hike on up to 7 million middle class Americans. You know...the voting kind.

    Of course, that $268/month is just an average, as is the 87% rate of credit recipients. When youbreak it out by state, it varies widely...from as low as 70% of enrollees in New Hampshire to as high as 94% of in Mississippi, and from as "little" as $158/month ($1,900/year) in Arizona to as much as a whopping $534/month in Alaska.


    Now, I realize that Alaska is a red state, but I'm guessing those 15,400 people up North aren't going to take too kindly to being hit with a $6,400/year tax hike.


    http://www.dailykos.com/story/2015/02/09/1363486/-HHS-Dept-Confirms-GOP-hoping-to-force-3-200-tax-hike-on-6-5-million-working-class-Americans




  11. #1386
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    Public strongly supports federal subsidies for health insurance


    The poll, released Feb. 9, shows 63 percent of respondents favoring a plan to secure subsidized health insurance, should the court rule against subsides in King v. Burwell.

    The suit, filed last year, challenges the federal government’s ability to distribute subsidies to low-income Americans purchasing health insurance through Healthcare.gov, the federal exchange established by the Affordable Care Act.

    Sixty-eight percent of respondents think Americans should have access to healthcare subsides, regardless of whether they come from a state or federal exchange.

    The poll also separated respondents by those who live in a state with their own exchange, versus a state using a federal exchange.

    Those living with state-based exchanges were more supportive of subsidies than those living in states with federal exchanges only by six percentage points.



    http://www.dailykos.com/story/2015/0...28Daily+Kos%29

    As always, the Repugs and their minority base ALWAYS on the wrong side of history, the law, science, and "serious" Americans, etc.



  12. #1387
    Believe. Blizzardwizard's Avatar
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    Repugs are fighting a losing battle. The American people aren't that stupid, they see other western countries sustaining universal healthcare, and realise that at the very least the US should have an affordable single pay rate for healthcare. Obamacare doesn't cut it though.

  13. #1388
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    Another Obama Success The Media Won’t Talk About: Obamacare To Blow Past 2015 Goals

    The media hasn’t talked about Obamacare since the website was fixed, but very quietly the president’s health care law has morphed into a raging success as enrollment is projected to be 2 million over the administration’s 2015 goal.Enrollment as of February 13 was estimated to be at 11.3 million.

    Expectations are the ACA will blow past the administration’s goal of 9 million for 2015.
    As Politico reported, the quiet push to get people enrolled was an intentional White House strategy:

    Obamacare enrollment draws to a close Sunday night, and all signs point to the White House easily meeting its target of getting 9 million Americans covered in 2015 — a drama-free ending to a season that proved a 180-degree turnaround from last year’s many problems.

    The quiet conclusion isn’t just because HealthCare.gov hasn’t been on the verge of collapse. The White House intentionally adopted a lower key, more targeted pitch this year. There were a lot fewer star-studded tweets promoting the website and coverage.
    Red states whose political leaders oppose the ACA the most have seen a huge surge in enrollment,

    “Republicans who thought that they were stopping the law by refusing to set up their own state exchanges have created a trap for themselves.

    Florida, Maine, Georgia, Michigan and North Carolina have all covered at least 40% of their eligible residents under the federal exchange.

    Arkansas also depends on subsidies to fund their “private option” plan.

    All of these states will face an immediate backlash if the Supreme Court rules that only states that have set up exchanges are eligible for subsidies.”


    The fact that the ACA deadline can come and go and civilization will not collapse is proof that Republicans have been and remain completely wrong on healthcare. Tens of millions of people have access to affordable healthcare because of the law.


    http://www.politicususa.com/2015/02/...iticus+USA+%29

    red state Repugs still killing and deepening the diseases of their poor residents by refusing to expand Medicaid.

    And Repugs intend to defund, cut disability payments to the old, the sick, the disabled, and young poor by 19%

    Repugs, tea baggers, conservatives, libertarians together are the BIGGEST THREAT to America.

    Last edited by boutons_deux; 02-15-2015 at 10:22 PM.

  14. #1389
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    And Repugs intend to defund, cut disability payments to the old, the sick, the disabled, and young poor by 19%
    pretense of paying for the tax cuts they're about to pass. they're trying to convince their donors they're unsentimental and fiscally disciplined. it may work.

  15. #1390
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    Obamacare enrollment ends: Is an extension preferable to penalties?


    WASHINGTON — The official sign-up season for President Barack Obama's health care law may be over, but leading congressional Democrats say millions of Americans facing new tax penalties deserve a second chance.

    Three senior House members told The Associated Press that they plan to strongly urge the administration to grant a special sign-up opportunity for uninsured taxpayers who will be facing fines under the law for the first time this year.

    The three are Michigan's Sander Levin, the ranking Democrat on the Ways and Means Committee, and Democratic Reps. Jim McDermott of Washington, and Lloyd Doggett of Texas. All worked to help steer Obama's law through rancorous congressional debates from 2009-2010.


    Based on congressional analysis, tax preparation giant H&R Block says roughly 4 million uninsured people will pay penalties.

    The IRS has warned that health-care related issues will make its job harder this filing season and taxpayers should be prepared for long call-center hold times, particularly since theGOP-led Congress has been loath to approve more money for the agency.

    http://www.csmonitor.com/USA/Latest-...e-to-penalties

    The real IRS scandal is that Repugs have cut many $100Ms from IRS budget since 2010, a scandal MSM won't touch.

    Following their bad-faith, VRWC/ALEC destroy/hate-evil-govt strategy, the Repugs want Americans to hate govt and do everything they can to make Americans dealing with govt as painful, negative as possible.



  16. #1391
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    Repugs were LYIN to all y'all bubbas

    8 ways Obamacare has proved its critics wrong


    1) Nobody wants to buy Obamacare


    2) Obamacare will "never" meet its enrollment goal



    3) Obamacare will wreak havoc on the economy






    4) The website will never work


    5) Only people who already had coverage are signing up





    6) Obamacare would cause a net-loss of insurance




    7) Premiums will skyrocket




    8) Obamacare just can't work




    http://www.vox.com/2015/2/19/8069117...-critics-wrong

    As always, Repugs GOT NOTHING but slander and LIES. And still y'all rednecks vote 'em.



  17. #1392
    Savvy Veteran spurraider21's Avatar
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    saw this on fb

    "A majority of ObamaCare customers, 52 percent, are being forced to pay back some of their subsidies during this year’s tax season, according to new data from H&R Block.
    Customers are paying back an average of $530, which has caused a 17 percent drop in the average return so far this spring, according to the analysis by the tax services giant."


    http://thehill.com/policy/healthcare/233691-hr-block-half-of-obamacare-customers-owe-money-back#.VO0AX6uTr4w.twitter

  18. #1393
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    saw this on fb

    "A majority of ObamaCare customers, 52 percent, are being forced to pay back some of their subsidies during this year’s tax season, according to new data from H&R Block.
    Customers are paying back an average of $530, which has caused a 17 percent drop in the average return so far this spring, according to the analysis by the tax services giant."


    http://thehill.com/policy/healthcare/233691-hr-block-half-of-obamacare-customers-owe-money-back#.VO0AX6uTr4w.twitter
    yep, the incredibly OVER complicated for-profit "health care" $3T/year racket makes any system like ACA equally OVER complicated trying to interface with it. That's not ACA's fault.

    We'll see after the tax season dust settles where we are.

    America is so ED in so many ways, and Repugs, VRWC, BigCorp will block ANY and EVERY attempt to un .

  19. #1394
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    Undermining Children’s Insurance

    Senior Republicans in Congress are seeking major changes to the Children’s Health Insurance Program when the program’s money runs out in September.

    could deprive more than a million children of insurance or force their families to pay higher out-of-pocket costs for their coverage. It also would shift costs to states, which would be left holding the bag to pay for the children’s insurance or for the care of the children as uninsured patients.

    The Republican proposal would eliminate the Affordable Care Act’s requirement that states keep the family-income eligibility levels stable until 2019, and it could make it harder for families to prove their eligibility. Faced with a loss of federal funds for CHIP, as suggested in the Republican proposal, many states would probably shrink their CHIP programs and reduce their own financial contributions.

    A result would be fewer children enrolled in the program.

    The proposal would also eliminate a requirement that states enroll children who are just above the poverty line in Medicaid.

    This would enable states to move them from Medicaid back to CHIP, where enrollments are often limited by budget caps.

    And the proposal would allow states to impose a 12-month waiting period (up from the current 90 days) before children who lose coverage from a parent’s insurance plan can be enrolled in CHIP.

    http://mobile.nytimes.com/2015/02/28/opinion/undermining-childrens-insurance.html

    Repugs ALWAYS up whatever they touch. Of course, that's why they won't touch tax breaks, subsidies, etc for BigCorp and 1%.




    Last edited by boutons_deux; 02-28-2015 at 04:07 PM.

  20. #1395
    License to Lillard tlongII's Avatar
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    You lie.

  21. #1396
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    You Wish, in your evidence-free right-wing fantasy world. You People have done nothing positive for USA, or for the 99% in decades.

  22. #1397
    License to Lillard tlongII's Avatar
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    You lie.

  23. #1398
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    so list all the wonderful stuff Repugs have done for their states and The American People, say from 1980 when the VRWC got its ball rolling.

  24. #1399
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    Karma is a . Mack railed against Obamacare for years but didn't have the sense to get any health insurance of his own. And now because of being so shortsighted he's reduced to being a "taker" from strangers to pay for costly medical bills. The comments from people giving him money are amusing.

    http://www.gofundme.com/helpsheriffmack

  25. #1400
    I am that guy RandomGuy's Avatar
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    Karma is a . Mack railed against Obamacare for years but didn't have the sense to get any health insurance of his own. And now because of being so shortsighted he's reduced to being a "taker" from strangers to pay for costly medical bills. The comments from people giving him money are amusing.

    http://www.gofundme.com/helpsheriffmack
    Wow.... that is some rank hypocrisy.

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