House votes to let Americans keep health plans; 39 Dems defy Obama

By Tom Howell Jr.

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The Washington Times

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Nearly 40 House Democrats defied President Obama and helped the Republican majority pass a bill Friday that lets Americans keep, for one year, health plans that do not comply with Obamacare.
The defections from 39 members of Mr. Obama’s party highlighted the pressure on Congress to help people who lost coverage because of the president’s signature law, as balky websites keep a veil over alternative plans and pressure mounts on the Democrat-led Senate to forge a remedy.

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“Let’s face it, millions of people right now have a cancelled policy,” Rep. Ron Barber, Arizona Democrat, said before voting for the Keep Your Health Plan Act.
The House passed the bill, 261 to 157, despite a veto threat from Mr. Obama and objections from Democrats who said the legislation was an insidious attempt to rot the Affordable Care Act from the inside out.
Four Republicans voted against the bill, perhaps because it could be viewed as an attempt to smooth over Mr. Obama’s controversial reforms.
Rep. Fred Upton, Michigan Republican, offered the bill at the height of furor over Mr. Obama’s oft-repeated promise that people who liked their health plans could keep them. Millions of Americans received cancellation notices because their plans did not meet the health care law’s coverage requirements, forcing the president to apologize as vulnerable Democrats scrambled to find a legislative solution.
Rampant glitches on the HealthCare.gov website — a federal portal that connects 36 states with plans under Obamcare — have intensified the problem, because people losing their policies cannot explore their options.
Mr. Barber said some Arizonans are “beside themselves.”
“Because by December 31 they don’t have health coverage, and they can’t get on the exchange to find out what’s available,” he told reporters.
Mr. Obama announced an administrative remedy on Thursday that permits insurers to offer a one-year renewal to people who hold noncompliant plans, and Senate Democrats are pushing legislation that would let existing enrollees hold onto their plans indefinitely.
The Republican-led bill goes further, allowing new enrollees to gain current health plans that do not comply with Obamacare.

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House passes Republican health bill with 39 Democratic votes

By Mark Felsenthal and Susan Cornwell

WASHINGTON Sat Nov 16, 2013 2:15am EST

1 of 5. U.S. President Barack Obama meets with health insurance chief executives at the White House in Washington November 15, 2013.

Credit: Reuters/Kevin Lamarque

(Reuters) - In the most significant legislative rebuke to President Barack Obama's healthcare overhaul, 39 members of his Democratic Party voted for a Republican bill in the House of Representatives on Friday aimed at undermining his signature domestic policy.
The measure, which would allow insurance companies to renew and sell inexpensive, limited-coverage policies that have been canceled because they don't meet the standards of the new healthcare law that took effect on October 1, passed 261-157.
The 39 Democrats who supported the bill - nearly one-fifth of the party's caucus - reflected the alarm that spread within Obama's party this week over the political damage from the botched rollout of the Affordable Care Act, also known as Obamacare.
Republicans have vowed to make Democratic support for the troubled law the top issue in the 2014 elections. Twenty-nine of the 39 Democrats who voted for the Republican bill are running for re-election in competitive races, according to rankings by the nonpartisan Cook Political Report.
Obama's approval ratings have plunged during the past six weeks, as the rollout of the healthcare program that is his top domestic achievement has been beset by technical glitches with the federal online insurance website designed to allow consumers to shop for policies.
In recent days, HealthCare.gov's problems have been overshadowed by reports that insurance companies were canceling the policies of millions of Americans whose policies did not meet the new law's requirements that policies cover emergency treatment, hospital stays and prescription drugs, among other things.
For years, Obama had promised that Americans would be able to keep their policies if they liked them.
But the wave of cancellations has fueled the biggest political crisis of Obama's presidency and led to an extraordinary scene at the White House on Thursday, as a contrite Obama took the blame for the healthcare program's dismal start.
He said he believed that he had to win back the confidence of the American people, and offered an administrative "fix" that would allow some people to retain their non-conforming insurance policies for at least a year.
Obama's plan dismayed some of his supporters who say that the cheap, limited-coverage plans that the new law aims to phase out often give consumers a false sense of having meaningful health coverage.
It also created concern in the insurance industry - which for years had planned the health insurance exchanges created by Obamacare - and among state insurance commissioners.
Industry advocates warned that Obama effectively was tinkering with the delicate and complex funding behind the healthcare law, and that premiums could begin soaring in 2015 if millions of consumers who were projected to be in Obamacare's health exchanges continued to hold limited-coverage policies instead.

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Even the Cleveland Clinic, one of the top-ranked health systems in the U.S., can’t escape the blow of cuts in reimbursements to hospitals, under obamacare..

Cleveland Clinic the latest hospital to announce budget cuts in the thick of healthcare reform

September 18, 2013 6:23 pm by Deanna Pogorelc

Even the Cleveland Clinic, one of the top-ranked health systems in the U.S., can’t escape the blow of cuts in reimbursements to hospitals.
A statement from the clinic today said the health system would cut $330 million from its 2014 budget as it works toward “driving efficiencies, lowering costs, reducing duplication in services and enhancing quality to make healthcare affordable to patients.”
How will it do that? Here’s what the clinic says:
Layoffs wouldn’t be surprising, considering that 60 percent of the clinic’s budget is devoted to personnel. Spokeswoman Eileen Shiel pointed out to NewsNet 5 that such cuts aren’t exclusive to Cleveland Clinic; they’re happening to hospitals across the nation.
Indeed, earlier this summer Western Connecticut Health Network announced job cuts, as did NorthShore University HealthSystem in the greater Chicago area.

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Obamacare to end health plan used by 100,000 New Jerseyans

President Barack Obama pictured signing the Affordable Care Act into law in 2010. As a result of the law, insurers next year can no longer sell or renew New Jersey's "basic and essential" health care plans. (SAUL LOEB/AFP/Getty Images)

By Ed Beeson/The Star-Ledger
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on August 18, 2013 at 11:20 AM

The bare-bones health insurance policy that’s been the plan of choice for New Jerseyans who can’t afford something better is set to go away next year, thanks to the Affordable Care Act.
And what those policy holders will be left with may be a choice among pricey, pricier and priciest.
About 106,000 people in the Garden State are insured under what are known as "basic and essential," or B&E, health care plans, according to state data. Since 2003, all health insurers that operate in New Jersey’s individual health market have been required to sell these plans which, as their name implies, offer only a thin layer of coverage for things such as doctor’s office visits and procedures that don’t involve a hospital stay.
But while B&E plans were meant to help young families get coverage and stanch the drop of enrollment in the individual health market, their relatively low price — as little as a couple hundred dollars a month for some people — made them the most popular option for those who don’t get insurance through an employer or a government program such as Medicare or Medicaid. About 71 percent of those covered by the individual health market have a B&E plan.
Soon no longer.
In addition to requiring most everyone to carry health insurance, the Affordable Care Act — better known as Obamacare — starting next year will force health care plans to cover certain essential services while capping the out-of-pocket fees people pay in addition to their premiums.
As a result, after Dec. 31, insurers won’t be able to sell or renew plans that don’t meet this litmus test. That includes B&E plans.
And these changes won’t come without a cost.
"In general, richer products translate into higher premiums," said Larry Altman, vice president of the Office of Healthcare Reform at Horizon Blue Cross Blue Shield, New Jersey’s largest health insurer.
Uncertain Costs
How much higher than the amounts people pay for B&E?
That can’t be said just yet, for a number of reasons.
First, federal authorities are still in the process of approving the rates for policies that insurers have proposed selling next year. These will be grouped into four broad categories whose names imply the level of coverage they provide: bronze, silver, gold and platinum. There also will be a no-frills "catastrophic" plan for those 30 and under.
Second, the federal health care law has changed the way in which New Jersey insurers set rates. As a result, people may see higher or lower rates for the same type of coverage they have now, depending on their age, gender and even the number of dependent children they have, according to Altman.
"It could go down for one person and go up for their neighbor," he said.
Third, many people who live on low to moderate incomes will be eligible for subsidies in the form of federal tax credits. These are meant to help them buy health insurance through the federal insurance exchange set to go live in New Jersey come Oct. 1. More than 610,000 New Jerseyans should be eligible for a subsidy, according to a recent study by advocacy group Families USA, although the size of the credit will vary based on household income.
Subsidies will be available for those whose income is at or below four-times the federal poverty level, or around $46,000 for an individual or about $94,000 for a family of four.
But absent a subsidy?
"A lot of folks on the individual market will see price increases if they’re not eligible," said Ward Sanders, president of the New Jersey Association of Health Plans, a group that represents health insurers.

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