6 Responses to “Healthcare.gov”

  1. Charlotte
    January 29, 2016 at 9:39 am #

    This is interesting (and only the beginning) https://www.adn.com/article/20160128/alaska-kicks-out-moda-health-individual-insurance-market-leaving-only-premera

    This is only one insurer. There must be fractures in the entire industry.

    To quote from the article: “Robert Gootee, chief executive officer of Moda, Inc., the parent company of Moda Health, said in a brief statement Thursday that “bringing tens of thousands of people into the ACA marketplace, many of them with acute healthcare needs, has been a difficult process to manage.”

    I have to wonder how many actual “acute” enrollees there are, and how much of this is yet another bubble in a poorly managed institution (that was required to be part of ACA).

    Also of note: “Alaskans on the individual market have already seen huge increases in their health insurance rates over the past two years. Premera’s rate increases averaged 37.2 percent in 2015 and 38.7 percent in 2016, while Moda’s increases were 27.4 percent and 39 percent, Hladick said in his letter to legislators.”

    Gutting federal risk corridor payments accelerated the demise of Moda. One has to ask, what other companies are on the brink? No one, on either side of the aisle understood the consequences of ACA and subsequent revisions. Once again the American consumer is footing the bill.

  2. EM Dermody
    June 28, 2017 at 12:33 pm #

    I enjoy your show, book(s), and content of your articles. Your information always seems well researched, smartly delivered and greatly appreciated as breath of fresh air.

  3. Martha Mitchell (I am the other Martha Mitchell)
    July 10, 2017 at 4:31 pm #

    How can I encourage you to cover a problem with Medicare coding that prevents NJ EMS from filing claims for emergency services. My husband had to be transported from cardiologist’s office to emergence room at a hospital.

    Apparently NJ ambulances do not have EMS services. EMS services are provided by a different company and since they cannot bill Medicare because technically the EMS service is not the primary claimant for emergency services.

    My husband and I are in our late 70’s and live on a limited fixed income. We had to tighten our belts to afford premiums for Medicare Parts A and Part B. We also pay additional premiums for Tricare For Life. My husband was covered for ambulance service in the past but apparently cannot be covered on NJ because EMS services are separate from the primary transport.

    I am sure we are not the only seniors (as well as probably non seniors) of NJ who have run into this.

    Can you or anyone at Fox help identify this glitch?

    Please feel free to call if you feel my problem warrants further inquiry: 201 375 1115

    Thank you.

  4. Blake
    July 20, 2017 at 9:12 am #

    http://www.bakersfield.com/columnists/lois-henry-glut-of-patients-in-ers-causing-trickle-down/article_d106afd9-7584-5a5b-83f4-cdfa84776e0f.html

    short version: Due to Obamacare, emergency rooms are overloaded. Along with overloaded emergency rooms, new regulations have impacted ambulance response times.

    This is a local story but the author alludes to the fact this is a problem that has national implications.

    • Susan Curtis
      July 31, 2017 at 11:22 am #

      It’s the other way around. Because of ACA there are less patients in the ER. There are more people covered by health insurance than before ACA. Hence, less people need to use the ER. It’s the people who are less fortunate that don’t have health insurance. The very poor, and young people who don’t want health insurance. Or some people who opted out because they didn’t like the ACA.

      • Joe Dunn
        August 2, 2017 at 1:07 am #

        There are also some folks that choose to spend the dollars that could pay for health insurance on other things (sporting events, food, beer, etc). They likely are in the group that earn too much to get a subsidy.

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