Twenty-seven Alaskans were approved for benefits under Medicaid expansion Tuesday, the first day of the broadened health care program, the state Department of Health and Social Services announced Wednesday.

According to state officials, about 40,000 people are potentially eligible for the expansion program, although as Xpostfactoid pointed out a month or so ago, the Kaiser Family Foundation has a much lower estimate (more like 11,000).

Either way, the actual number enrolled or in the process is quite a bit higher than just 27...

The Washington Examiner calls the time...Thursday, September 3rd, 2015 at 1:48pm:

A top official at the U.S. Chamber of Commerce said Thursday that the fight against Obamacare is largely over and that critics' energies were better spent fixing specific problems caused by the landmark healthcare legislation.

"There is a growing realization that repeal won't happen," Randy Johnson, the chamber's senior vice president of labor, immigration and employee benefits, told reporters during a Thursday press conference. "Some of the Republican proposals [relating to Obamacare] reflect this."

The nation's biggest business lobby was a staunch opponent of the legislation that created the Affordable Care Act in 2010. Johnson said the Chamber hadn't changed its opinion of the bill but did not see a viable path toward repeal. Instead, he said the most fruitful path involved legislation offering "targeted" changes to specific parts of the law.

"There is no unscrambling the omelette," Johnson said.

Native Americans can get an exemption from the requirement that everybody have health insurance. Under the health law, however, many Native Americans can get coverage under Medicaid, which serves low-income Americans, or buy subsidized plans through insurance exchanges. That allows them to receive treatment from private doctors and hospitals rather than rely solely on government and tribal facilities.

And the coverage allows Indian health facilities, which tribal leaders say are chronically underfunded, to bill insurers for care they already provide. And that additional revenue means doctors and hospitals can also offer new services.

Advocates also see the health law as a chance to reduce the health disparities that have long afflicted Native Americans, including rates of diabetes that are three times higher than the U.S. population and a life span that is four years shorter.

From Ye Olde Inbox...

FOR IMMEDIATE RELEASE
September 2, 2015

CMS awards $67 million in Affordable Care Act funding to help consumers sign-up for affordable Health Insurance Marketplace coverage in 2016

With Marketplace Open Enrollment set to begin on November 1, 2015, the Centers for Medicare & Medicaid Services (CMS) today announced grant awards totaling $67 million to support outreach efforts designed to connect people with local help as they seek to understand the coverage options and financial assistance available at HealthCare.gov. Awarded to 100 organizations located in 34 states that operate Federally Facilitated Marketplaces, State Partnership Marketplaces, and supported State-Based Marketplaces, the three year-long Marketplace Navigator grants will fuel efforts to help consumers enroll in a health plan that fits their budget and best meets their family’s needs.

This money is for the Navigator organizations, which effectively act as non-commissioned insurance brokers to help people enroll for healthcare policies via Healthcare.Gov.

FOR IMMEDIATE RELEASE
September 3, 2015
Contact: HHS Press Office
202-690-6343

HHS takes next step in advancing health equity through the Affordable Care Act

Proposed rule implements new protections against sex discrimination; enhances language assistance; protects individuals with disabilities; and extends to insurers participating in Health Insurance Marketplaces

Washington, DC-- Today, the Department of Health and Human Services (HHS) issued a proposed rule to advance health equity and reduce disparities in health care.  The proposed rule, Nondiscrimination in Health Programs and Activities, will assist some of the populations that have been most vulnerable to discrimination and will help provide those populations equal access to health care and health coverage.

Delaware's 2016 rate hike analysis is about as simple and straightforward as it gets: Two companies (Aetna and Highmark BCBS) for both the individual and small group market, both on- and off-exchange, period...and their website includes the actual affected enrollee tallies for each, giving weighted totals:

Ugh. Nearly 25% requested for the individual market, just under 10% for the small group market. Of course these are requests only, so they might be slashed somewhat by regulators yet.

Louisiana's Insurance Dept. website is refreshingly complete: It includes every company on the individual & small group market, lists both the requested and approved rate hikes, and includes direct links to the filings which list the actual total enrollment in a clear-cut, consistent fashion.

In fact, the only data missing is some of the approved rate hikes; they've only posted the approved numbers for 3 of the 5 small group listings and 1 of the 10 individual listings, making it impossible to plug in the approved weighted average. However, the requested average is complete: About 15.4% for the individual market and 9.4% for the small group market.

While the Republican nominee for governor says he would dismantle the state health-insurance exchange branded as Kynect, a GOP senator is talking about not only keeping it, but expanding it to other states to pay for the other big feature of federal health reform: expanded Medicaid.

Sen. Ralph Alvarado of Winchester made the suggestion at a legislative committee meeting where Kynect Director Carrie Banahan said it would be "disastrous" to move Kentuckians to the federal Obamacare exchange, as Republican gubernatorial nominee Matt Bevin has said he will do if elected.

Alvarado, a physician, said his concerns about Obamacare in Kentucky are mostly monetary because the state will have to start paying 5 percent of the Medicaid expansion costs in 2017, rising to the reform law's limit of 10 percent in 2020.

...Alvarado suggested that Kynect become a regional exchange and charge other states for its services, using the profit to pay for the expansion.

Last year, while most state-wide average premium rates increased somewhat (averaging around 5.5% overall nationally, give or take), there were a few states which actually saw rate decreases from the year before: Arkansas, Mississippi and New Mexico saw overall decreases on their individual markets, while the District of Columbia and Hawaii saw decreases on their Small Business markets.

As noted a few days ago, now that a judge has put the kibosh on a legal hold, Alaska Governor Bill Walker's executive order to expand Medicaid statewide via the ACA expansion provision officially starts today, bringing healthcare coverage to up to 40,000 low-income Alaskans:

Beginning today, low-income uninsured Alaskans can apply for health coverage because of Governor Bill Walker’s decision to expand Medicaid as part of health reform.  This makes Alaska the 29th state (plus the District of Columbia) to implement the expansion (see map).

Across the country, Medicaid expansion has produced state budget savings, and the historic gains in health coverage since health reform took effect have been greatest in expansion states.  Now Alaska is poised to reap immediate and positive benefits of expansion: the state projects expansion will make 40,000 people eligible for coverage and could save the state budget up to $6 million this fiscal year, with greater savings in future years.  

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