The Affordable Care Act - Please use this thread to link to ACA information.
Last edited Sun Nov 10, 2013, 04:33 PM - Edit history (1)
Here's a start:
http://www.democraticunderground.com/?com=view_post&forum=1002&pid=4010508
Interesting post in that thread: http://www.democraticunderground.com/?com=view_post&forum=1002&pid=4011662
This is the real 'rate shock': My parents' amazing Obamacare story
http://www.democraticunderground.com/10024011172
NYC_SKP
(68,644 posts)KoKo
(84,711 posts)Maybe you can add the title and link in your OP?
How States Actively Prevent People From Learning About Healthcare Plans /Restricting the Navigators
http://www.democraticunderground.com/?com=forum&id=1002
KoKo
(84,711 posts)rhett o rick
(55,981 posts)KoKo
(84,711 posts)2014: The Obamacare Beta Test
By: Jon Walker Monday December 2, 2013 7:47 am
While improvements have been made to the Healthcare.gov website, next year we are not going to get the Affordable Care Act. The program currently being implemented for 2014 is really not the law that was signed three years ago. Instead in 2014 we are only getting the Obamacare beta test.
In a desperate attempt to get what the administration considers to be the most important elements just barely working in time, huge sections of the law have been delayed for at least a year. Almost all the focus has been put on getting the individual market exchanges working at the expensive of almost every other part of the law.
I would go so far as to say roughly half the law will not be in place next year like it was supposed to be. Two of the biggest elements of the Affordable Care Act, the employer mandate and the SHOP exchanges, will not be in place next year.
The employer mandate was one leg of a three legged stool. This huge delay will cost taxpayers around $12 billion and increase the number of uninsured by half a million.
The small business exchange was one of the Democrats biggest selling points for the law. It was meant to significantly change how small businesses and millions of their employees selected insurance to help them better compete with large companies. This now wont be ready in any form until 2015.
Several other less fundamental but still significant sections also wont be in place in time. The Federal Basic Health Plan Option, which would have given states another option for covering people making slightly too much to qualify for Medicaid, was crippled by a one year delay. The move couldve impact millions and probably increased the number that will be uninsured.
We will see big health care changes next year but it will not be the Affordable Care Act. 2014 is basically just a huge beta test with only half of the promised features. We will need to wait until at least 2015 before the law is really in place.
We will see big health care changes next year but it will not be the Affordable Care Act. 2014 is basically just a huge beta test with only half of the promised features. We will need to wait until at least 2015 before the law is really in place.
http://fdlaction.firedoglake.com/2013/12/02/the-obamacare-beta-test/
truedelphi
(32,324 posts)If your income is variable from year to year, as many small businesses' incomes are, knowing that that situation will probably result in some type of penalty (in addition to the already mandated penalties of not complying) -- it sure doesn't make anyone I know too happy.
My income would be a lot more predictable if the Democratic-majority Congress had not paved the way for Amazon, starting in Spring 2007, to have a discounted postal rate, so that the small business owners then pick up the slack.
So my business pays more in US Postal Service fees, and then we cannot afford to offer free shipping such as Amazon does, then customers buy our product from Amazon, then we have to ship to Amazon at the inflated postal rate, then we have to get a smaller overall share of profits, as Amazon takes an additional 20% out of the mix.
If this were not the case, I would have a lot more money and would not grumble about some of the in's and out's of the ACA and ITS unfairness to small businesses.
rhett o rick
(55,981 posts)Posted in the V&M Forum
http://www.democraticunderground.com/1017162490
rhett o rick
(55,981 posts)Posted by kpete in GD:
http://www.democraticunderground.com/10024125590
rhett o rick
(55,981 posts)Posted in GD by babylonsister:
http://www.democraticunderground.com/10024127521
rhett o rick
(55,981 posts)Posted by Scuba in GD:
http://www.democraticunderground.com/10024129866
rhett o rick
(55,981 posts)Posted in GD: http://www.democraticunderground.com/10024210596
truedelphi
(32,324 posts)rhett o rick
(55,981 posts)Posted in GD.
http://www.democraticunderground.com/10024753448
rhett o rick
(55,981 posts)Posted in GD by McCamy Taylor
http://www.democraticunderground.com/10024837474#post5
rhett o rick
(55,981 posts)Posted in GD http://www.democraticunderground.com/1017187942
antigop
(12,778 posts)But when she started to call surgeons covered by Blue Shield, she ran into a roadblock. Surgeons who were covered by her insurance operated out of hospitals no longer covered by her insurance -- or vice versa. Friedlander spent days on the phone, hours on hold, making dozens of calls across Southern California, trying to match a surgeon with a hospital that would both be covered. In total, she reached out to 20 surgeons and five hospitals.
"No one could help me. Some expressed sympathy," Friedlander, 40, told The Huffington Post in an email. "They told me, 'I'm so sorry -- it's all just so new. You're a victim of the changes. No one knows what they're doing.'"
Unable to match a hospital and a surgeon that were both covered, Friedlander started haggling between doctors for a cash price for the surgery. She chose a surgeon who wasn't covered by her insurance but who operated in a hospital that was covered. She expects her insurance to pay the hospital bill, but she had to pay for her surgeon's bill herself. In the end, she had to take out two credit cards so she could pay $16,000 out of pocket.
Limit the networks...force patients to go out-of-network. Max out of pocket can be unlimited if out of network.
truedelphi
(32,324 posts)I just heard from a former neighbor who signed up with one of the only three choices he had: Kaiser. (The local exchange only offered Kaiser, Anthem(Blue Shield/Blue Cross) and one other totally new entity no one had previously heard of. Anthem makes it hard to be re-imbursed, so he didn't go with them.)
So after getting the insurance, he goes in to Kaiser with a few complaints. "Well, you need to have a colonoscopy" he is told.
He suffers through that procedure. But when he is told that he has polyps in his colon, he feels the procedure was well worth it, as now he may get relief.
But wait - Kaiser physicians then tell him that since he is 65 years old, their suggested treatment for these polyps is simply to ride it out. As in "You are too old to have any surgery, and since it is likely you will die in the next two decades, jsut suffer with it!"
Apparently MediCare covered the cost of the colonoscopy but Kaiser itself would have had to foot the bill for the surgery to remove the polyps.
This steams him up. Also, it leaves me wondering, as my dad was in his situation when my dad was 82 years old, and his physician insisted he get the polyps removed surgically, both to stop the polyps from growing and becoming more uncomfortable, and also because he felt uncomfortable.
Kaiser is the crappiest place in the world - I have heard more stories about how poorly they treat their patients, and it was also the HMO that caused my spouse's mis-diagnosis and our eventual med bankruptcy.