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Showing posts with label health care marketplaces. Show all posts
Showing posts with label health care marketplaces. Show all posts

21 March 2014

John Boehner says more people are uninsured since Obamacare took effect 18MAR14

HOUSE majority leader +john boehner r OH (yes, he signed up for and is covered under +Obamacare, see AMAZING: Speaker Boehner just signed up for Obamacare & Whoops! Obamacare turns out to be great deal personally for Boehner 22NOV13 http://bucknacktssordidtawdryblog.blogspot.com/2013/11/amazing-speaker-boehner-just-signed-up.html  ) he has joined the propaganda campaign against +Obamacare to boost the chances of a gop/tea-bagger controlled congress. This from +PolitiFact dispelling his lies about the number if people who now have health insurance.....
The Truth-O-Meter Says:
Boehner

The United States has seen "a net loss of people with health insurance" because of Obamacare.

John Boehner on Thursday, March 13th, 2014 in a press conference

John Boehner says more people are uninsured since Obamacare took effect

For a law that will be judged, in part, by how many uninsured Americans gain coverage, it’s a pretty bold statement when the most powerful Republican in Washington claims the Affordable Care Act is leading to more people without coverage.
In a press conference on March 13, 2014, House Speaker John Boehner, R-Ohio, claimed "there are less people today with health insurance than there were before this law went into effect."
A reporter later asked him if he really meant that. Boehner doubled down.
"I believe that to be the case," Boehner said. "When you look at the 6 million Americans who've lost their policies, and (government officials) claim 4.2 million who've signed up — I don't know how many have actually paid for it — that would indicate to me a net loss of people with health insurance. And I actually do believe that to be the case."
There are a lot of holes in the administration’s data for new signups. Further clouding the stats are fluctuations in the existing insurance market caused when insurance companies canceled plans that didn’t meet Obamacare’s coverage standards.
But to say that has resulted in a net loss is a stretch.
The Washington Post Fact Checker beat us to the punch on this. He gave Boehner’s comment Four Pinocchios, his worst rating.
We have looked at similar claims before. We mostly heard it late last year, when several million Americans received notices from their insurance provider that their current policies would no longer be offered.
Since it came from Boehner, though, we decided it was worth looking into again.
Polls and projections
We took the issue first to Boehner spokesman Brendan Buck. He offered this explanation: "The speaker explained the statement at the presser: More people have had plans canceled than signed up, especially when considering how inflated the enrollment numbers appear to be."
But that's not what Boehner said. He twice claimed that the number of people with insurance overall is down since the health care law went into effect, a considerably more audacious statement.
While there isn't a final tally that looks at those numbers yet, Boehner's assertion goes against a recent Gallup poll, which said the number of uninsured Americans declined from 17.1 percent at the end of last year to 15.9 percent in the first quarter of 2014, the lowest level since 2008. Also, the Congressional Budget Office, the nonpartisan policy scorekeeper, estimates over time that the percentage of insured Americans will rise as a result of the health care law.
Boehner claimed the math, though, is simple. According to him, there were 6 million people told their policies were canceled because they didn't meet the health law's minimum benefits and coverage. And the administration announced that through February, 4.2 million had purchased insurance through the state and federal marketplaces. (A few days after Boehner spoke, the administration announced enrollment through the marketplace surpassed 5 million.)
By that logic, 1.8 million people must have lost insurance.
But Boehner misses a lot of important factors. We'll go through them one by one.
What happened to canceled plans
There were many Americans notified that their insurance plans were canceled because they did not meet Obamacare's standards of coverage, despite promises that wouldn't happen. Boehner puts this at 6 million. It's a hard figure to pin down exactly.
Through an extensive reporting project, the Associated Press found at least 4.7 million Americans received notices about canceled policies; it could be higher.
Some of those policies, about half, were restored when Obama administratively allowed canceled plans to continue for another year and later through 2016.
Many others were moved to new plans, either through their insurance company or by purchasing a new policy on the marketplaces set up for Obamacare. The administration estimated that of the people with canceled plans, just 500,000 were left without coverage, and catastrophic coverage was extended to those individuals.
That's not to say this wasn't a difficult ordeal for people who lost their plans, especially if they thought the law would allow them to keep their coverage. But most of them were able to find new plans, meaning Boehner's 6 million uninsured people basically vanishes.
We could probably stop there, but let's dissect the rest of the numbers, since this is a debate that won't subside any time soon.
Marketplace signups
Boehner also casts doubt that the administration's figures for new insurance purchases is inflated, which they put at 4.2 million (now 5 million).
He does have a point there.
First, many of the people who lost coverage due to Obamacare were shifted to the marketplace to buy coverage. Just as those individuals shouldn't be included in Boehner's figure of people without insurance, they also don't count as a net gain, since they previously had insurance.
It's ultimately difficult to tell how many people who bought insurance didn’t have coverage last year. A survey by McKinsey & Company found that 27 percent of the people who reported buying a new policy in February for 2014 were previously uninsured.
It's equally difficult to know how many of the people who bought plans actually paid their premiums. The New York Times reported that 20 percent of people buying insurance on the exchanges never made their first payment. The McKinsey & Company survey reported similar results for the previously uninsured.
So Boehner's skepticism toward that 4.2 million figure is not misguided. But even if it includes a lot of people who didn't pay their premiums or people who were previously insured, there were some previously uninsured people who found and paid for policies. That alone makes it a net gain.
It also doesn't include the people who are buying insurance directly from insurance companies or through other Obamacare approved third-party sites. In Washington state, for example, 184,000 of the 300,000 projected new enrollees bought coverage outside the marketplace.
Medicaid
Boehner also completely ignores individuals who gained coverage through the expansion of Medicaid, the federal-state health care program.
The administration says 4.4 million people were deemed eligible for Medicaid when signing up for coverage through the marketplace.
That doesn't count all of the people who signed up through local state offices, not through an exchange. But it also includes those who were assessed as eligible but didn’t complete the sign up. There could be duplication in the process as well.
But whatever the actual number is, it still points toward a net gain in insured Americans.
Kids up to 26
One of the earliest provisions of the law to take affect allowed children to stay on their parents' insurance until age 26.
The administration has estimated 3.1 million young adults took advantage of this change. The Washington Post Fact Checker noted the number hasn't been updated for a number of years and questioned whether it was that high.
Not all of those children were previously uninsured. And presumably some of those initial sign ups could have aged out of their parents insurance by now. It's possible many were included among the previously insured who transitioned to the marketplace.
But like the Medicaid number, for the purpose of this check the actual number isn't as significant as knowing there are a lot of young adults that gained insurance through this provision.
Our ruling
Boehner said the Affordable Care Act so far has caused "a net loss of people with health insurance." Boehner's logic is based on reports that about 5 million had their insurance policies canceled while 4.2 million signed up for policies on the state and federal marketplaces. It's bad math for two reasons.
First, most of the people who lost their insurance have seen those policies extended to them through an administrative fix, or they received new coverage through their previous insurer or they bought a new plan.
Second, he ignores the millions of people who bought coverage off the exchange, those who gained coverage through Medicaid and the under-26 crowd able to remain on their parents' insurance.
We don't yet know how many new Americans will ultimately gain coverage. But every indicator right now suggests it will be a net gain. We rate Boehner's statement False.
About this statement:
Published: Tuesday, March 18th, 2014 at 12:11 p.m.
Subjects: Health Care, Medicaid, Public Health
Sources:
House Speaker John Boehner weekly press conference, March 13, 2014
Email interview with Brendan Buck, spokesman for Boehner, March 14-17, 2014
Congressional Budget Office, "Insurance Coverage Provisions of the Affordable Care Act — CBO’s February 2014 Baseline," accessed March 17, 2014
Gallup, "U.S. uninsured rate continues to fall," March 10, 2014
Washington State Office of the Insurance Commissioner, "Individual health market projected to top 300,000 by March 31", Feb. 13, 2014
ABC News, "White House Allows Mandate Exemption Over Canceled Plans," Dec. 20, 2013
McKinsey & Company, "Individual market enrollment: Updated view," March 2014
Washington Post Fact Checker, "Boehner’s claim that Obamacare has resulted in a ‘net loss’ of people with health insurance," March 17, 2014
U.S. Department of Health and Human Services, "Marketplace Enrollment Hits 5 Million Milestone," March 17, 2014
U.S. Department of Health and Human Services, "New health care law helps more than 3 million young adults get and keep health coverage," June 19, 2012
The Associated Press, "Policy notifications and current status, by state," Dec. 26, 2013
The Associated Press, "2-year extension offered for current health plans," March 5, 2014
Healthcare.gov, "Can children stay on a parent’s plan until age 26?" accessed March 17, 2014

Written by: Steve Contorno
Researched by: Steve Contorno
Edited by: Angie Drobnic Holan

16 August 2013

Sen. Ted Cruz says Obama 'just granted all of Congress an exception' to Obamacare 14AUG13

sen ted cruz r TX is one of those repiglican tea-baggers that just can't handle the truth. He is a liar and a deceiver. Standing before the family leadership summit (a gathering of people of faith), spewing his lies, one has to wonder if at any point during his speech he, or anyone in the audience, had any qualms about using lies, deception and manipulation for political gain? Since when does the Kingdom of God, the the teachings of Jesus Christ, endorse these tactics? I'd like to know, and a lot of non believers would like to know too. From PolitiFact...
The Truth-O-Meter Says:
Cruz

Says "President Obama just granted all of Congress an exception" to Obamacare.

Ted Cruz on Saturday, August 10th, 2013 in a speech to the Family Leadership Summit in Ames, Iowa

Sen. Ted Cruz says Obama 'just granted all of Congress an exception' to Obamacare

Sen. Ted Cruz wants Congress to refuse to fund Obamacare. The law’s such a mess, says the Texas Republican, that the president let lawmakers themselves off the hook.
"Look, the wheels are coming off this," he told the audience at the conservative Family Leadership Summit in Ames, Iowa, on Aug. 10, 2013. "The Teamsters are abandoning it. President Obama just granted all of Congress an exception. And he did it because Harry Reid and the Senate Democrats who passed this thing came begging and said, ‘Please, please, please let us out of Obamacare.’ This thing ain't working."
The audience let out a long "Boooo" at the mention of President Barack Obama’s action on behalf of Congress.
But did he just grant lawmakers an exception to Obamacare?
‘Congress should get the same coverage’
For many years, Congress chose from a variety of insurance plans offered by the Federal Employee Health Benefits Program, which serves more than 8 million federal and retired workers and their dependents.
That stops in January, when lawmakers and some staff will be required instead to pick from plans on the health care law’s new exchanges — now known as marketplaces.
That’s because Congress faces a specific Obamacare provision forcing lawmakers from their current plans into new marketplaces — something that doesn’t apply to other Americans.
(Most people with health care through large employers won’t see significant changes under the law. They’re not required to use the marketplaces, which were designed to offer more options for small businesses and the uninsured.)
Back in 2009, Republican Sen. Chuck Grassley argued that "members of Congress should get the same coverage that we are coming up with for everyone else." He offered an amendmentthat required lawmakers to get their health care through the marketplaces created by the bill. It was accepted by the Senate Finance Committee without objection.
Members of Congress and their staff would have to use the hefty employer contribution they used for federal plans to buy marketplace plans, instead, his amendment said.
"My interest in having members of Congress participate in the exchange is consistent with my long-held view that Congress should live under the same laws it passes for the rest of the country," Grassley said. "The more that Congress experiences the laws it passes, the better."
A version of the amendment made it into the law passed by Democrats, but it lacked the clarity of Grassley’s language, raising a question: Would the government’s contribution to lawmakers’ health insurance premiums follow them?
(In fact, it lacked specifics on lots of issues, such as: When would the provision kick in? Which federal agency would implement it? Which lawmakers and staffers did it cover? Could lawmakers keep their existing coverage as "grandfathered plans"?)
Mass confusion ensued — along with fear that the law’s ambiguity meant lawmakers and their staffers would lose an employer contribution worth thousands toward their health care plans. They urged the administration for clarification.
On Aug. 7, 2013, the U.S. Office of Personnel Management did clear things up, proposing a rule that lawmakers’ purchase of health coverage from the exchanges — now called marketplaces — would indeed be eligible for an employer contribution. (It answered some of those other questions, too.)
When Obamacare’s health care marketplaces launch in January 2014, members of Congress will use them right alongside the uninsured.
‘An exception’
Did the administration's decision constitute an "exception" to Obamacare?
Here's what the law said: 
"Notwithstanding any other provision of law … the only health plans that the Federal Government may make available to Members of Congress and congressional staff with respect to their service as a Member of Congress or congressional staff shall be health plans that are — (I) created under this Act (or an amendment made by this Act); or (II) offered through an Exchange established under this Act (or an amendment made by this Act)."
All it did was require lawmakers to use new marketplaces. They're doing that. 
Beyond that, the wording of the law left lots of questions. Or, as the nonpartisan Congressional Research Service described it, several "legal and practical issues." To implement it, administrators had to make choices about what it meant.
As a New York Times report noted last year, "In writing the legislation, members of Congress apparently assumed that the federal contribution to their premiums would continue, but the law is silent on the question."
Grassley himself insisted last year that the provision made "no changes to the employer contribution to federal employee health care coverage."
A Congressional Research Service analysis found some room in the law for employer contributions. Timothy Jost, an expert in health care law who supports the Affordable Care Act, told PolitiFact the government clearly acted within its regulatory authority. A report from the conservative Heritage Foundation, which Cruz’s office pointed to, argues the opposite.
Heritage, whose lobbying arm Heritage Action has launched a "Defund Obamacare Town Hall Tour," says that the administration disregarded the law to give a "special Obamacare deal to Congress."
The special deal: letting lawmakers keep the employer contribution toward health plans on new Obamacare marketplaces that Grassley assumed they would keep.
Our ruling
Cruz, reeling off signs Obamacare’s "wheels are coming off," said the president "just granted all of Congress an exception."
That sounds like lawmakers get to opt out of health care under the law. Quite the opposite — they'll use new marketplaces alongside the uninsured and small businesses, just as it required. And it's not even accurate to say they were excepted from some provision of the law: the law itself wasn't clear.
Instead, they got a clarification about the law’s effect on contributions toward their health insurance — which they will purchase on Obamacare’s marketplaces. We rate Cruz’s claim False.
About this statement:
Published: Wednesday, August 14th, 2013 at 5:59 p.m.
Sources:
Caffeinated Thoughts, "Ted Cruz - The Family Leadership Summit," Aug. 10, 2013, via YouTube (Claim around 19:30)
U.S. Office of Personnel Management, Federal Benefits Fast Facts, accessed Aug. 14, 2013
U.S. Office of Personnel Management, FEHB Carrier Conference remarks, March 21, 2013
Wall Street Journal, "Review & Outlook: Congress’s ObamaCare Exemption," Aug. 5, 2013
Reason.com, "Hill Staffers Get an Obamacare Fix," Aug. 2, 2013
Politico, "Hill gets Obamacare fix," Aug. 2, 2013
New York Times, "Wrinkle in Health Law Vexes Lawmakers’ Aides," July 29, 2013
Washington Post’s Wonkblog, "No, Congress isn’t trying to exempt itself from Obamacare," April 25, 2013
New York Times, "Democrats Use Health Law to Assail Republicans," Oct. 18, 2012
New York Times, "Baffled by Health Plan? So Are Some Lawmakers," April 12, 2010
Heritage Foundation's The Foundry, "Administration Disregards the Law and Gives Special Obamacare Deal to Congress," Aug. 7, 2013
Heritage Foundation, "Congress in the Obamacare Trap: No Easy Escape," Aug. 2, 2013
PolitiFact Texas, "IRS chief’s words didn’t reject 'Obamacare,'" Aug. 9, 2013
Email interview with Catherine Frazier, press secretary for Sen. Ted Cruz, Aug. 13, 2013
Interview with Timothy Jost, professor, Washington and Lee University School of Law, Aug. 12, 2013
Written by: Becky Bowers
Researched by: Becky Bowers
Edited by: Angie Drobnic Holan