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affordable care act

According to Jay Greene, the biggest turnaround for hospitals was in Southeast Michigan because the number of uninsured people dropped so significantly.
Phalinn Ooi / Flickr - http://bit.ly/1rFrzRK

It's been more than two years since the Healthy Michigan Plan opened the Medicaid rolls to over 600,000 low-income Michiganders. What has this meant for the financial health of Michigan's hospitals and health plans?

According to Jay Greene of Crain's Detroit Business, the numbers show that hospitals are thriving under the Affordable Care Act and the Healthy Michigan Plan.

When the Affordable Care Act became law, many thought hospitals would be overwhelmed by new patients. The data show otherwise.
Flickr user Lisa Larson-Walker/Flickr / HTTP://J.MP/1SPGCL0

The Healthy Michigan Plan launched in April 2014. It opened the Medicaid rolls to hundreds of thousands of low-income people for the first time. And no one was quite sure what to expect.

There were widely held fears that the flood of previously uninsured people would make it harder for everyone to get doctor's appointments, and that hospitals would be overloaded with seriously sick patients who, until then, didn't have insurance coverage.

Now, two years down the road, there's enough data for experts to study and analyze.

Insurance companies in Michigan are asking for, on average, 17.2% higher rates for individual plans next year.
flickr user 401(K) 2012 / http://j.mp/1SPGCl0

The insurance companies offering health plans on Michigan's public exchange have a collective eye fixed on January 1, 2017.

That's when they hope they'll be able to start charging, on average, 17.2% more for individual health insurance plans.

Marianne Udow-Phillips joined us today to talk about what's behind these hefty rate increase requests.

steve carmody / Michigan Radio

Rates could be going up next year for people who buy health insurance on Michigan's public exchange.

More than a dozen companies have submitted requests for rate changes to the Michigan Department of Insurance and Financial Services (you can see the requests here). The companies that sell to the largest share of the individual market are Blue Care Network with a 14.8% requested increase, Blue Cross Blue Shield at 18.7%, and Priority Health at 13.9%.

The average increase is 17.2%.

Most religions have some basic creed all members are supposed to profess. Many political parties do as well.

I’m not sure what that would be for Democrats these days.

But for today’s Republicans, one basic article of faith is bitter opposition to the Affordable Care Act, perhaps better known as Obamacare.

Virtually every Republican running for federal office has vowed to work to repeal Obamacare.

Actually, they usually say “repeal and replace,” though they are usually pretty vague about what, if anything, they’d replace it with.

Gov. Snyder's proposed budget would set aside over $100 million for the Healthy Michigan plan
Zoe Clark / Michigan Radio

Gov. Rick Snyder’s new budget contains over $100 million for Healthy Michigan.

That’s a reminder that it’s time for the state of Michigan to pony up some of the Medicaid expansion program’s operation cost. That Healthy Michigan program means health insurance for some 600,000 lower-income Michiganders.

Steve Carmody / Michigan Radio

Michiganders can expect to pay a little more for health insurance as the next round of Obamacare starts today.

Government officials say the cost of a benchmark plan in Michigan on HealthCare.gov will increase 1.2% for 2016 coverage. Consumers could start choosing plans Sunday through the online marketplace and have until Dec. 15 to buy coverage if they want it to start Jan. 1.

There must be Republican strategists who are secretly relieved and happy that the U.S. Supreme Court upheld the subsidies that help millions buy health insurance.

Had they ruled the other way, not only would millions of people have lost coverage, but it would have caused immense problems for a private health insurance market that has changed the way it does business to comply with the Affordable Care Act, usually known as Obamacare. Opponents were hoping the high court would invalidate the subsidies based largely on semantics.

The U.S. Supreme Court.
Supreme Court of the United States

The U.S. Supreme Court has ruled in favor of one of the central parts of the Affordable Care Act, keeping the law in place in states throughout the country.

Their decision comes three years after the high court upheld the constitutionality of the law.

The case before the court, King v. Burwell, centered on health care exchanges run by the federal government – as is the case in Michigan.

Steve Carmody / Michigan Radio

Michigan hospitals may pay a price if the U.S. Supreme Court strikes down a key provision of the Affordable Care Act.

King v. Burwell is one of the final seven cases before the high court this term.   

The case involves a challenge to a specific portion of the federal health care insurance law dealing with federal subsidies. 

FLICKR USER SOURTHERNTABITHA / FLICKR

Five years ago today, President Obama signed the Affordable Care Act into law. It’s the law widely known as “Obamacare.”

The University of Michigan’s Center for Healthcare Research & Transformation decided to see what Obamacare has meant for Michigan and the results of their survey are out today.

If Marianne Udow-Phillips, director of the Center for Healthcare Research and Transformation, had to grade the ACA, it would earn “certainly no lower than a B.”

Steve Carmody / Michigan Radio

New federal numbers show 70,000 more Michiganders signed up for health insurance through Obamacare this year compared to last year. 

Roughly 88% of the 341,000 are getting a federal subsidy. But the U.S. Supreme Court will decide soon if those subsidies are legal.  

Gov. Rick Snyder formed a workgroup that made 69 recommendations on how the state of Michigan should manage and improve its mental health care system. The question is, how many of those recommendations will be turned into actual policies?
gophouse.com

Gov. Rick Snyder says there’s no backup plan to boost road funding if voters reject a sales tax increase in May.

Snyder urged listeners to vote “yes” on the measure during an appearance on Michigan Public Radio’s statewide call-in program “Michigan Calling.”

Gov. Rick Snyder formed a workgroup that made 69 recommendations on how the state of Michigan should manage and improve its mental health care system. The question is, how many of those recommendations will be turned into actual policies?
gophouse.com

Governor Rick Snyder was at the Michigan Radio studios earlier today for a special call-in program, taking your questions. The show was hosted by Rick Pluta, Lansing Bureau Chief for the Michigan Public Radio Network. He is also the co-host along with Zoe Clark of It's Just Politics.

401(k) 2013 / Flickr

If you tried to sign up for health coverage before the Feb. 15 deadline, but couldn't because of computer glitches and hotline issues, now you’ve got an extra week.

The feds are giving Michiganders a grace period until Feb. 22 because there were so many problems with the Obamacare sign-up.

Steve Carmody / Michigan Radio

Time is running out for Michiganders who still need to sign up for health insurance coverage through the Affordable Care Act. 

February 15th is the deadline to sign up or face a penalty.

The initial roll out of Obamacare was marked by numerous problems.  Computer glitches frustrated tens of thousands of Michiganders who tried to log on to the online marketplace. 

“If you want to make some kind of comparison, the glitches this year are almost non-existent,” says Dizzy Warren, with Enroll Michigan.

She says the second year of Obamacare has gone much smoother than the first.

DETROIT - Federal health officials say about 300,000 Michigan residents have signed up for health care through the federal exchange, most with financial help.

U.S. Health and Human Services Secretary Sylvia Burwell told reporters Tuesday that the 299,750 sign-ups as of Jan. 16 represent those who have selected a health plan or re-enrolled, not paid. Of those, 33% enrolled for the first time.

Marianne Udow-Phillips is Director of the University of Michigan's Center for Healthcare Research.
user mudowp / Twitter

Marianne Udow-Phillips, Director of the UM Center for Healthcare Research, is not making any more predictions. 

At least, not about health insurance coverage rates in Michigan.

Alex Proimos / flickr

Most Michigan patients should be able to access primary care doctors - even though the Affordable Care Act means more people are likely looking for appointments.

Nine out of ten Michigan primary care doctors say they have capacity for new patients. And almost two-thirds say they are accepting new Medicaid patients.  That's according to a 2014 survey conducted by the Center for Healthcare Research & Transformation.

Satori World Medical / Flickr

Open enrollment for the Affordable Care Act is in its second year. Many of the benchmark plans that were available for 2014 are changing for 2015.

How has enrollment been going and what do we need to know as we enroll? Marianne Udow-Phillips is the Director of the Center for Healthcare Research and Transformation at the University of Michigan.

*Listen to Udow-Phillips above.

Steve Carmody / Michigan Radio

  DETROIT - Detroit Mayor Mike Duggan has helped push enrollment for health coverage through the national Affordable Care Act before Monday's deadline.

  He attended a press conference Saturday to kick off a free enrollment assistance event running from noon to 5 p.m. at the Detroit Public Library on Woodward Avenue. U.S. Health and Human Services Region V Director Kathleen Falk also participated.

Lord Mariser / Flickr

The U.S. Supreme Court has agreed to hear yet another challenge to the constitutionality of the Affordable Care Act.

The case, King v. Burwell, argues that because of the wording in a clause of the ACA, people who get insurance through a federal exchange and not a state-run exchange should not be entitled to tax credit subsidies.

As the Obamacare battle continues, Dr. Howard Markel, physician and medical historian from the University of Michigan, thinks it might be helpful to look back -- 69 years back, to this exact day, November 19, in 1945. That’s when President Harry Truman spelled out a ground-breaking idea: a “universal” national health care program. 

Steve Carmody / Michigan Radio

The next round of Obamacare sign-ups start next month.

Insurance companies have until November 5th to decide which of the plans they submitted, and were approved by state and federal regulators, to offer beginning November 15th.

Andrea Miller is with the Michigan Department of Insurance and Financial Services. She says the department’s Health Insurance Consumer Assistance Program website can help consumers start planning for picking or renewing their insurance policy.

healthcare.gov

 

Health insurers and Healthcare.gov are now gearing up for year two of the Affordable Care Act.

Open enrollment begins two months from today – November 15. And this year, there's a new twist: renewals and plan changes.

Marianne Udow-Phillips is the director of the Center for Healthcare Research and Transformation at the University of Michigan. She says consumers have to do their homework to compare different health plans this year.

"Some [rates] are up, and some are down ... Even those who have coverage now, it would be very important for consumers to actually look at the choices again and see what is the best match with the premiums and the networks that are offered," says Udow-Phillips.

* Listen to our conversation with Marianne Udow-Phillips above.

Genesee Health System in Flint, MI. One of the MI health service centers to receive Affordable Care Act funding.
Genesee Health System / Facebook

Three-dozen health care centers in Michigan are being given more than $8.5 million in Affordable Care Act funding. 

The announcement was made Friday by U.S. Health and Human Services Secretary Sylvia Burwell. In all, $295 million was awarded to 1,195 centers across the country. 

According to a press release from the U.S. Department of Health and Human Services, the funding will enable targeted health centers to:

Steve Carmody / Michigan Radio

The Michigan Chamber of Commerce is launching a private health insurance marketplace September 1st.

Jason Russell is the senior director of the chamber’s Department of Insurance Services.

He says the intent of the new marketplace is to help small businesses and insurance agents deal with an increasingly complex health insurance landscape under the Affordable Care Act.

Outside the Community Health and Social Services Center in Detroit.
CHASS / Facebook

Part of the Affordable Care Act calls for big investments in community health care centers to increase access to primary health care services. The health care law calls for a total investment of $11 billion over a five-year period “for the operation, expansion, and construction of health centers” throughout the country.

Today, Health and Human Services Secretary Sylvia Burwell announced that $35.7 million in Affordable Care Act funding will go to 147 health centers in 44 states.

The funding will support 21 new construction projects and 126 renovation projects.

Seven of those health centers are in Michigan. These seven centers will split close to $1.7 million to support construction and facility improvements.

Here’s the list of health centers receiving funding:

ACA ruling and its impact on Michigan

Jul 24, 2014
Michigan State Capitol
Jimmy Emerson / Flickr

This week two separate federal appeals court rulings came down on opposite sides of a key provision in the Affordable Care Act. This leaves thousands of low and middle income Michiganders who signed up for healthcare through Michigan’s exchange in a bit of limbo. 

Jennifer White, host of All Things Considered, is joined by Marianne Udow Phillips, Director, Center for Healthcare Research and Transformation and Ken Sikkema, former Senate Majority Leader and Senior Policy Fellow at Public Sector Consultants. 

Phillips states that although these rulings were issued nothing is going to change immediately and that it is important to understand that the legal rulings will take time to play out. 

“It would have a huge impact and it would really push the whole system into chaos,” explains Phillips. “There are 240,000 in Michigan who have already gotten health insurance coverage through the health insurance exchange with a subsidy, and so were they to lose that subsidy, almost all of them would not be able to afford healthcare coverage.” 

Sikkema states that it is a very polarizing topic and coupled with an election year, politicians and candidates have honed in on the issue. “It already is a big political issue; it’s the primary political issue for Republicans who are running for office” says Sikkema, “but it’s really hard to look in your crystal ball and see what the future of the Affordable Care Act is going to be.”

Steve Carmody / Michigan Radio

A federal court ruling today could affect tens of thousands of Michiganders who got health insurance through Obamacare.

More than 237,000 of the 272,000 Michiganders who signed up for Obamacare selected a plan through the marketplace with federal financial assistance.  The tax credits helped subsidize health insurance payments for low- and moderate-income people.

user Laura4Smith / Flickr

In less than four months, Michigan has already hit its 2014 enrollment goal for the state’s expanded Medicaid program.

More than 322,000 low-income Michiganders now have government sponsored healthcare through the Healthy Michigan program.

Officials with the Michigan Department of Community Health (MDCH) say the dramatic jump in enrollment will help boost the state’s economy.

“We’ve heard stories about people who are now addressing some really serious health problems that prevented them from working,” said Angela Minicuci, a spokesperson for MDCH.

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