Wednesday, March 26, 2014

Afordable Heath Care Act Changes

Recently the Obama administration extended the March 31 enrollment deadline for those that began, but could not complete, an application for health insurance on the Healthcare.gov website.  To get additional time, applicants need only check a box on the Healthcare.gov website to indicate they tried to enroll prior to the deadline.  So when will the 2014 enrollment period actually end?  Your guess is as good as mine... Never?

With all the changes, the 90 day payment grace period, etc... It's likely the American public will not know the actual numbers of who signed up, who paid, ages, premiums, newly covered, previously covered, cost, etc... until the end of July, if ever.  If you run into someone who supports the ACA I suggest that you ask them - "That's awesome, did YOU get coverage through the website?"  With the number of actual sign ups, it's highly likely you are talking to a theoretical supported and not someone with actual experience of this cluster frack.

I tried over and over and eventually signed up, never got an email confirmations, got three (later four) enrollment packets and ID cards and a call from the new provider.  I couldn't keep my doctor and couldn't even find a dentist in my city who would accept the ACA HMO coverage.  When I canceled my plan it refused to cancel and took months of calling, emailing, chatting and more calling to work this out and just today, I think, just maybe... I hope... I've finally gotten everything back to how it was before I ventured onto the "marketplace of death."

The ACA concept is one that I support.  The ACA implementation has been horrible and I'm sorry to say, based on my experience of government as a Naval Office and Software Test Engineer I wasn't in the least surprised by any of this.  Not sure if more time will help, but I do know that changing deadlines isn't how you fix things.  Fingers cross because I will be back shopping on the government website in the fall.

Significant changes to the ACA:

March 25: Final enrollment deadline extended. The March 31 deadline - the end of enrollment for 2014 - will be loosened for people with special sign-up circumstances.  (Anyone with a user name and password)

March 14: High-risk pools extended. The special, temporary coverage for people with serious pre-existing conditions — which was supposed to last only until the health insurance exchanges were in place — was extended a third time for another month.

Feb. 10: Employer mandate delayed. This time, businesses with between 50 and 100 workers were given until 2016 to offer coverage, and the mandate will be phased in for employers with more than 100 workers.

Jan. 14: High-risk pools extended. The high-risk insurance pools, which originally had been slated to close Jan. 1, had already been extended once.

Dec. 24: Enrollment deadline extended. In a message on HealthCare.gov, customers were told they could get help finishing their Jan. 1 applications if they were already in line on Dec. 24.

Dec. 12: Enrollment deadline extended. Customers on the federal enrollment website were given nearly two more weeks to sign up for coverage effective Jan. 1.

Nov. 27: Small Business Health Options Program (known as SHOP) delayed. Online enrollment for the federal health insurance exchanges for small businesses was delayed.

Nov. 21: Open enrollment delayed for 2015. The administration pushed back next year’s enrollment season by a month.

July 2: Employer mandate delayed. The administration declared that it wouldn’t enforce the fines in 2014 for businesses with more than 50 full-time workers who don’t offer health coverage. The fines were pushed back to 2015.

Nov. 15, 2012: Exchange deadline delayed. The Department of Health and Human Services gave states an extra month to decide whether they would set up their own health insurance exchanges — a decision it announced just one day before the original deadline.

March 25: Final enrollment deadline extended. The March 31 deadline — the end of enrollment for 2014 — will be loosened for people with special sign-up circumstances.

March 14: High-risk pools extended. The special, temporary coverage for people with serious pre-existing conditions — which was supposed to last only until the health insurance exchanges were in place — was extended a third time for another month.

Feb. 10: Employer mandate delayed. This time, businesses with between 50 and 100 workers were given until 2016 to offer coverage, and the mandate will be phased in for employers with more than 100 workers.

Jan. 14: High-risk pools extended. The high-risk insurance pools, which originally had been slated to close Jan. 1, had already been extended once.

Dec. 24: Enrollment deadline extended. In a message on HealthCare.gov, customers were told they could get help finishing their Jan. 1 applications if they were already in line on Dec. 24.

Dec. 12: Enrollment deadline extended. Customers on the federal enrollment website were given nearly two more weeks to sign up for coverage effective Jan. 1.

Nov. 27: Small Business Health Options Program (known as SHOP) delayed. Online enrollment for the federal health insurance exchanges for small businesses was delayed.

Nov. 21: Open enrollment delayed for 2015. The administration pushed back next year’s enrollment season by a month.

July 2: Employer mandate delayed. The administration declared that it wouldn’t enforce the fines in 2014 for businesses with more than 50 full-time workers who don’t offer health coverage. The fines were pushed back to 2015.

Nov. 15, 2012: Exchange deadline delayed. The Department of Health and Human Services gave states an extra month to decide whether they would set up their own health insurance exchanges — a decision it announced just one day before the original deadline.

Quoted from:  www.politico.com

PS  I just got an email from the White House touting the ACA and the reduced costs of insurance from a long term Republican and PhD.  As I said before, I'm a supporter of the principle behind the ACA.  I think society is better served when those of us, who for a meriod of reasons can't get or afford health care have health care.  Be it a child of a poor family or young lady who develops cancer in college, health care isn't a right but access to qaulity health care benfits all.  Which leads me to the question no one seems to be asking:

AT WHAT COST?

The American Recovery and Reinvestment Act of 2009 cost $831,000,000,000 and in the second quarter of 2012, the CBO estimated, somewhere between 200,000 to 1.2 million people have jobs they otherwise would not have were it not for the stimulus.

In the best case we are looking at a cost to the taxpayer of $692,500 per job.  REALLY?

My prediction is the ACA will prove to be as inefficient as the American Recovery and Reinvestment Act.  Government is rarely the solution and more often government is the problem.  We must elect those who understand this and are willing to do the work needed so that government of the people, by the people, for the people, shall not perish from the earth.