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affordable care act

Steve Carmody / Michigan Radio

A Michigan company’s legal fight against the Affordable Care Act’s contraception requirement will likely continue, despite the U.S. Supreme Court’s ruling in a similar case Monday.

The Supreme Court says corporations can hold religious objections that allow them to opt out of the new health law requirement that they cover contraceptives for women. 

Steve Carmody / Michigan Radio

The cost of Obamacare health insurance plans will likely rise next year in Michigan. 

272,000 Michiganders signed up for health insurance using the marketplace created by the Affordable Care Act.   They will be paying more for those plans if proposed rate increases released this week are approved by state and federal regulators.

Josh Fangmeier is a health policy analyst with the Center for Healthcare Research and Transformation at the University of Michigan.    

Steve Carmody / Michigan Radio

A bill that would give nurses with advanced degrees more autonomy is coming up for debate in the Michigan House.

Senate Bill 2 would give advanced practice registered nurses, also known as APRNs, the authority to write prescriptions and order tests without a doctor's approval.

The Affordable Care Act has led to more people seeking medical care. Also there is a physician shortage in rural parts of the state. This legislation aims to accommodate more of those additional people.

Steve Carmody / Michigan Radio

The next round of Obamacare health insurance policies and rates must be submitted to Michigan regulators by tomorrow.

272,000 Michiganders signed up for Affordable Care Act health care policies this year. 14 companies offered plans in Michigan.    

Caleb Buhs is a spokesman for the Michigan Department of Insurance and Financial Services.    He says state regulators don’t know what to expect from companies filing new health plans and rates for next year.

Lindsey Smith / Michigan Radio

The federal health care exchange for private insurance under the Affordable Care Act closed on March 31. 

The very next day, the attention turned to Healthy Michigan, the state's expanded Medicaid system for some 477,000 low-income Michiganders.

It looks like the state's Healthy Michigan plan is on track for enrollee sign-up.

Don Hazaert is the director of Michigan Consumers for health care, which helps people sign up for the coverage.

*Listen to the full interview above. 

A computer screen showing HealthCare.gov in action.
Steve Carmody / Michigan Radio

That's one of the lessons drawn from a report put out by the law firm Mehri & Skalet.

The author of the report, Jay Angoff, once led the U.S. Health and Human Services office in charge of implementing the Affordable Care Act.

Angoff looked at the amount it cost to set up health care exchanges in each state along with the number of enrollees in each state through March 31, 2014.

By doing that, he came up with a “cost-per-enrollee” for each state’s health care exchange.

Overall, the average cost-per-enrollee was $922. The average cost was higher for states with their own exchanges, and lower in states with the federally-run exchange.

Steve Carmody / Michigan Radio

The White House says more than 270,000 Michiganders signed up for health insurance under Obamacare.

The six month sign-up period ended a month ago, but this is the first state breakdown of the numbers.

Farm in rural Michigan
user acrylicartist / MorgueFile.com

One of the most important aspects of the Affordable Care Act is consumer choice. More choice leads to more competition among insurers, and that can mean lower costs to consumers.

But, as Michiganders shopped for health coverage on the federal marketplace, the amount of choice was not even.

If you lived in Wayne, Oakland or Macomb Counties, you got to choose from 55 insurance plans. If you lived in Delta County in the Upper Peninsula, you were only offered 5 plans, all of them from Blue Cross Blue Shield of Michigan.

Josh Fangmeier is a health policy analyst with the Center for Healthcare Research and Transformation. He joined us today.

Listen to the full interview above.

One of the most important aspects of the Affordable Care Act is consumer choice. More choice means more competition among insurers, and that can lead to lower costs for consumers.

But if you live in a rural area, you may not have a whole lot of choices when it comes choosing a health plans. On today's Stateside, we took a look at health care in Michigan's rural areas.

Then, Michigan’s new crowdfunding law opens the door to everyday people who want to invest in Michigan-based startups and small businesses. We heard about the benefits and risks that come with crowdfunding for equity.

And, we spoke with Garrison Keillor about the 40th anniversary of A Prairie Home Companion and his upcoming book.

First on the show, Detroit Emergency Manager Kevyn Orr is in Lansing today and tomorrow, getting face-time with the lawmakers whose vote is crucial to the so-called grand bargain, the complicated deal to protect city retirees and the collection at the Detroit Institute of Arts.

Orr heads to Lansing with a new piece of the puzzle in hand: a tentative five-year deal reached Monday with AFSCME, Detroit's largest employee union.

Detroit News reporter Chad Livengood joined us today to give us an idea of what progress has been made and what lies ahead for the city.

Jonathan Oosting
Twitter

The Affordable Care Act shop door now has a "closed" sign on it, for the most part.

The open enrollment deadline passed at midnight.

Attention in Michigan now swings over to Healthy Michigan.

That's the official name for Michigan's expanded Medicaid program. It allows the state to bring more low-income residents into the Medicaid fold using funding available through the Affordable Care Act.

And Michigan's Medicaid expansion is something other states are watching because of a couple of important new twists to the program.

MLive Capitol reporter Jonathan Oosting joins us now.

Today is the day.

If you don’t sign up for health-care coverage by midnight tonight, you might not be able to get coverage until next year. And if you choose not to get covered, you might get dinged on your 2014 taxes –also known as the "individual shared responsibility payment."

If you can afford health coverage, but you decide to do without, here's how much you might have to pay:

  • In 2014, it's 1% of your yearly income or $95 per person, whichever is higher.
  • In 2015, it’s 2% of your yearly income or $325 per person, whichever is higher.
  • In 2016 and later years, it’s 2.5% of your yearly income or $695 per person, whichever is higher. 
  • After 2016, the fee is adjusted for inflation.

To avoid any potential fees, you need to sign up by tonight.

There are exceptions.

Screen shot from healthcare.gov

Thousands of Michiganders are expected to be among the final crush of Americans trying to sign up for health insurance by Monday Obamacare deadline.

After Monday, people without health insurance coverage may face a penalty on their federal taxes.

Andy Hetzel is a spokesman for Blue Cross/Blue Shield of Michigan.      He says the state’s largest insurer has been getting 25,000 calls a week from people looking for help getting health care coverage.

“We’re seeing significant volumes of people reaching out to us now,” says Hetzel, “The people who are reaching out to us are a fraction of the marketplace.”

Hetzel says walking people through the sign-up, including assessing their eligibility for a federal subsidy to help pay their insurance premium, can take a while.   

Hetzel notes that many Michiganders will have the option of signing up for expanded Medicaid coverage starting next month.

Steve Carmody / Michigan Radio

Monday’s Obamacare deadline is pushing many Michiganders to try to sign up for new health insurance plans. But that may overwhelm the groups trying to help get them signed up.

Computer glitches and telephone delays marred the opening of the enrollment period for the Affordable Care Act last fall. The surge of demand now, as Monday’s deadline looms, threatens to overwhelm the system again.

When you think "Michigan," you think tourism, right? Or, for some, maybe it's Tim Allen telling you about the state's open roads, fall colors, glistening lakes. Tourism means big business for the mitten. We look at how the changing climate might impact what more than 4.4 million out-of-state visitors will be able to do and enjoy when they come to the Great Lakes State. 

 Then, we spoke with Michigan author Laura Kasischke about her latest novel, Mind of Winter. And Daniel Howes joined us for our weekly check-in, to discuss Mary Barra and the ghost of GM's past. Also, women are underrepresented in the  STEM (science, technology, engineering and mathematics) fields, but there is one University of Michigan student group trying to change that. And, we are one week into spring but still getting snow. Meterologist Jim Maczko spoke with us about when we can expect warmer weather.  First on the show, we are closing in on the deadline to purchase health insurance or face a penalty under the Affordable Care Act. 

Erin Knott is the Michigan Director of Enroll America, a non-profit, non-partisan group trying to get people enrolled in health insurance.

Erin joined us today to discuss the upcoming deadline. 

The deadline for the Affordable Care Act's open enrollment period is January 31.
user striatic / Flickr

We are closing in on the deadline to purchase health insurance or face a penalty under the Affordable Care Act. Erin Knott is the Michigan Director of Enroll America, a non-profit, non-partisan group trying to get people enrolled in health insurance.

Erin joined us today to discuss the upcoming deadline. 

Listen to the full interview above.

March 31 looms ever closer.

That's the deadline for you to get health insurance under the Affordable Care Act. After then, you'll only be able to get insurance on the health care exchange when there's a big change in your life: a birth, divorce, death, losing your employer-sponsored insurance, or moving to another state.

The latest numbers show 144,586 people in Michigan have gotten health insurance under Obamacare.

And, with more people covered, doctors and hospitals are expecting an uptick in treating one of our state's biggest health challenges: obesity. 

We're joined by Heather Howard, program director of the State Health Reform Assistance Network. 

Listen to the full interview above.

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There is little question that the Affordable Care Act is a game-changer for Americans who had jobs where no insurance was available from their employer, or who had pre-existing conditions, or whose incomes did not qualify them for Medicaid, or who could not afford to buy health coverage.

But as the health care picture brightens for these Americans, there are others who are, frankly, sick of the ACA and the upheaval it has brought to their lives.

Detroit News business columnist Daniel Howes took a look at what the ACA has meant for a typical small Michigan business.

Howes joined us today and we asked him to tell us about American Gear & Engineering. It’s the company he profiled in today's column of the Detroit News.

Steve Carmody / Michigan Radio

Michiganders have less than four weeks to find a health insurance plan.

After March 31st, people who have not signed up for health insurance will have to pay a federal tax penalty.

Gia Carroll is a health navigator with the Hamilton Community Health Network in Genesee County.    She says money is a bigger issue than health care coverage for many people she works with.

Steve Carmody / Michigan Radio

In one month, more than 300,000 people are expected to begin signing up for expanded Medicaid coverage in Michigan. The Medicaid expansion is part of the federal Affordable Care Act.

"Healthy Michigan" would cover nearly everyone, under the age of 65, with an income up to 133% of the federal poverty limit. That translates to individuals making about $15,000 and families of four making less than $32,000.

Steve Carmody / Michigan Radio

Opponents of Obamacare turned out for a meeting in Jackson today.  

Congressman Tim Walberg is holding a series of town hall meetings this week on the Affordable Care Act.

The Republican congressman is showcasing small business owners and patients who say they are paying more for health insurance under Obamacare.

The latest figures from the government tell us that nearly 3.3 million Americans have signed up so far for health insurance through the Affordable Care Act exchanges. 

Officials are pointing to a surge in young people who are enrolling: The percentage of people age 18-34 who enrolled grew by three percentage points last month over the previous three months. 

Attracting these healthy young people to sign up is critical to the success of the Affordable Care Act, because they offset the costs of covering the older folks who are likely less healthy. 

So just what is the key to getting young Americans under the Obamacare tent?

Steve Carmody / Michigan Radio

The Obama Administration says Michiganders are signing up for health insurance under the Affordable Care Act at a faster pace than expected. But time is running out.

Michiganders have until the end of March to sign up for health insurance or face a federal tax penalty.

The Obama administration says through the end of January, about 112,000 Michiganders have picked insurance plans using the federal health care website.

Steve Carmody/Michigan Radio

LANSING, Mich. (AP) - The uninsured and others have time to sign up for private insurance under the federal health care law without facing a tax penalty.

But one Michigan insurance executive doubts much new enrollment will occur before the March 31 deadline and cautions that the net number of people buying their own insurance in Michigan could stay flat this year.

Courtesy of Children First

It's been a little over two weeks since the Affordable Care Act officially kicked in.

How many people have been able to enroll? How many are getting financial assistance to help pay for their plan? And what deadlines do we need to be aware of?

Joining us once more is Don Hazaert, director of Michigan Consumers for Healthcare, one of Michigan's four navigator agencies for the ACA.

Listen to full interview above. 

The deadline for the Affordable Care Act's open enrollment period is January 31.
user striatic / Flickr

As the Affordable Care Act rolled out, there's been plenty of focus on physical health, pre-existing conditions. But we haven't heard too much about what the ACA means for treating Mental Illness.

And that is something that is a growing concern as mentally ill people fill Michigan's jails and prisons. What could it mean to these people to be able to obtain treatment?

Joining us is Ben Robinson. He's the President and CEO of Rose Hill Center in Holly, in Oakland County. They offer residential treatment for adults with mental illness. He's also on the Executive Board of the Michigan Association of Community Mental Health Boards.

Slow enrollment for Obamacare in rural counties

Jan 6, 2014

People in rural areas trying to enroll for health insurance as part of the new Affordable Care Act can face special challenges. Registration must happen online, and many people in Michigan’s rural counties do not have a home computer or access to the Internet. 

cswe.org

Social workers in Michigan are starting to wear many hats as health-care reform is implemented.

The expansion of Medicaid and the establishment of the state Health Insurance Exchange is expanding health-care coverage to hundreds of thousands of Michiganders.

Robert Sheehan is the executive director of the Community Mental Health Authority of Clinton, Eaton, and Ingham Counties.

He says all the changes healthcare are broadening the scope of social workers.

A computer screen showing HealthCare.gov in action.
Steve Carmody / Michigan Radio

It was October 1 when the Healthcare.gov website opened for business.The rocky launch of the public portal to the Affordable Care Act has consumed much of the nation's attention and news space.

The December 23 enrollment deadline is at hand. That's when you have to have signed up if you want a policy by January 1.

We wanted to see if the consumer experience with Healthcare.gov has improved - see what problems remain - and find out how many of us have been able to complete applications and actually select a marketplace plan.

Don Hazaert joined us today. He's the director of Michigan Consumers for Healthcare. It's one of four navigator agencies in our state for the Affordable Care Act.

You can find the agencies here.

Hazaert said, no question, there have been significant frustrations with the enrollment process, but that has changed since December 1. The Healthcare.gov website is working much better. Hazaert says those people who have signed up since December 1 have had a much smoother experience, especially those signing up with a new account.

Navigators are still trying to work with those individuals who started the process prior to December 1. We asked so of our listeners about their experiences with signing up for health care coverage.

Tom is 57 and lives in Ann Arbor and has been out of work for a year and a half. He's been paying for health insurance out of pocket for himself and his wife. It's been very expensive. His insurance company helped him sign up on Healthcare.gov. He received a subsidy to help him cover his costs. His online experience was good. 

"The price of the new policy is about half the price of the old policy and the deductible is about half as well, so I'm in a win-win situation as far as that's concerned," said Tom.

Diane Kay is 33-year-old attorney from Brighton, MI. She had a job change and hasn't been insured since 2007. She has a pre-existing condition so insurance companies wouldn't cover her, or it was prohibitively expensive. She's still paying back a lot of debt she incurred from a stay in the hospital. She got insurance through Healthcare.gov in November and said the process was not difficult.

Sasha Acker is 22-year-old social worker from Kalamazoo. She works part-time and doesn't get insurance from the company she works for. She had an extremely frustrating experience with Healthcare.gov, but was eventually able to sign up for coverage. She's excited to have insurance but has not been able to log back in to make her first payment. 

"I called in about six times, and they told me basically that since they made a bunch of upgrades to the website some of the accounts got corrupted and people can't access them anymore. Nobody has a solution for me," said Acker.

Don Hazaert with Michigan Consumers for Healthcare says Acker will need to make a payment before the start of the New Year to get her insurance.

He says her frustration is most likely with the 800 number she's calling and that he suggests she get in touch with a health care navigator in Michigan.

Hazaert says in 2014, they look forward to moving the conversation away from a troubled website to the benefits of the Affordable Care Act.

*This story was informed by the Public Insight Network.

A computer screen showing HealthCare.gov in action.
Steve Carmody / Michigan Radio

More Michiganders are signing up for health insurance through the federal Affordable Care Act.

Problems with the federal website made it difficult for people to sign up initially.

In Michigan, fewer than 1400 people signed up in October. But after a website overhaul, more than five thousand Michiganders completed the process in November.

Screen shot from healthcare.gov

President Obama said that glitches in the healthcare.gov website would be fixed by November 30. Now that that deadline has passed, we wanted to check back in to see how the website was running.

I tried to apply for coverage on October 1, the day the marketplace opened, which didn't work

Though I checked back several times in the last two months, there were still a lot of glitches. I tried accessing my old application yesterday, and still there were problems. The website hung when I was trying to choose the amount of tax credit I apply toward my coverage.

Let's start over, shall we?

NPR reported that a lot of people who weren't able to shop for coverage are now able to because of a "reset button."

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