Florida leads states in Obamacare enrollment

Jon Howard
Декабря 22, 2016

"At this time, enrollment appears to be slightly behind the pace needed to reach the administration's goal of signing up 13.8 million people", she said.

"We reject the idea of widespread abuse [of special enrollment periods], and that the evidence of costs is evidence of abuse", she said.

Burwell pointed out Wednesday that plans purchased for 2017 will remain valid for the whole year, even if the law is scrapped after President-elect Donald Trump takes office. "However, if more people who are now in the market renew their coverage, then that goal could still be achieved". "So when you decide you want to change one piece and not the interrelated pieces, it creates unintended consequences". "Millions are taking that to heart". That's 400,000 more than had selected policies a year ago. At the same time, about one-third of USA counties will have only one marketplace insurer next year because some major commercial carriers have left the market, and many nonprofit insurance co-ops created by the law have collapsed. By the end of open enrollment in 2016, 12.8 million people had signed up for plans. That includes ads aimed at those who have never enrolled and outreach through the Internal Revenue Service to those who went without insurance past year "encouraging them to get coverage instead of paying the penalty", she said.

"It doesn't stop their medical problems from going on", she said.

She noted that the new record tally for HealthCare.gov - which serves residents of 39 states - comes despite the fact that the monthly premiums for many individual health plans are rising more sharply for this fourth Obamacare enrollment season than they did in prior years. With guaranteed insurance for people with pre-existing conditions but no subsidies or individual mandate, premiums could skyrocket. Congressional Republicans may hold off repealing some of the taxes associated with the measure to provide funding for whatever replacement legislation is developed, sources told the Hill Wednesday.

But the numbers released Wednesday prove that Americans still want coverage, said Health and Human Services Secretary Sylvia Mathews Burwell in a call with reporters Wednesday.

Louisiana Department of Insurance Commissioner Jim Donelon expects several ACA policies-such as guaranteed issue, allowing children to stay on their parents' policies until age 26, and not having lifetime limits on policy benefits-will survive. These include the penalties to persuade individuals buy insurance and encourage employers to sponsor adequate plans for workers; they also include subsidies to help low- and middle-income Americans afford insurance on government exchanges.

Hospitals, insurers and actuaries -bean-counters who make long-range economic estimates - have weighed in, and more interest groups are expected to make their views known soon.

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"But it could also reflect an increased desire for certainty and assurance that their coverage is in place", says Hempstead.

"There are a lot of really vulnerable people in our state that are suffering because of the lack of access to health care", he said.

"If the Affordable Care Act is just repealed, I don't know what we'll do, especially for my daughter", Wolfgram said.

"It's hard to afford health care", Bailey said.

The states using the HealthCare.gov platform are Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, and Wyoming. The state receives almost $14 billion under Medicaid.

Fitzgerald said Trump and the GOP should leave the ACA alone. Such organizations seek to reward providers for keeping patients healthy, instead of merely compensating them based on the number of services they perform.

"There will be millions more [customers] than the number we're talking about today", Burwell said.

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