![]() While the front-end of the website has been vastly improved, the back-end glitches remain a serious concern, IT experts and industry officials say. The 834 forms that issuers receive from the system have been riddled with errors, including often duplicate or incomplete information. Technical problems surrounding the transfer of an applicant's personal information from the federal marketplace to the selected insurance company have plagued the system since its launch, making it difficult for insurers to finalize some enrollments. Obama administration officials acknowledged today that some of the roughly 126,000 Americans who completed the torturous online enrollment process in October and November might not be officially signed up with their selected issuer, even if the website has told them they are. "I feel like this: My application was taken … by a bureaucrat, it was put on a conveyor belt and it's still going around, and it's never going to leave the building," he said. After weeks of trying, the 61-year-old told ABC News he fully enrolled in a new health insurance plan through the federal marketplace over the weekend, and received a Humana policy ID number to prove it.īut two days later, his insurer has no record of the transaction, Shlora said, even though his account on the government website indicates that he has a plan. And even absent congressional action, Governor Bevin’s proposed Medicaid waiver would, if approved, lead 86,000 Kentuckians to lose coverage after five years, based on the state’s own estimates.Bob Shlora of Alpharetta, Ga., was supposed to be a belated Obamacare success story. ![]() The House Republican ACA repeal bill would effectively end the expansion across the country. Unfortunately, Kentucky’s Medicaid expansion is doubly at risk. ![]() In particular, improvements in self-reported health were small (and not statistically significant) when measured in 2014, the first year of expansion, but doubled in 2015. ![]() Improved health, including a 40 percent increase in the share of people reporting that they’re in excellent health and a 15 percent drop in the share who’ve screened positive for depression.Īnd gains have risen over time.Improved financial security, including a 33 percent drop in the share of people having trouble paying medical bills.Improved access to care, including a 21 percent increase in the share of people with a personal physician, a 30 percent drop in the share who had to skip medications due to cost, and a 64 percent drop in the share relying on the emergency room as a usual source of care.In a study in the Journal of the American Medical Association, researchers compared changes in access to care, financial security, and health outcomes for low-income adults in Kentucky and Arkansas, which expanded Medicaid, with changes over the same period for low-income adults in Texas, which didn’t. The research shows that the hundreds of thousands of Kentucky (and Arkansas) residents who’ve gained coverage are indeed finding doctors, getting health care, and becoming healthier. As Bevin argues, “If you have a Medicaid card, but you can’t find a doctor that will see you, how does that Medicaid card help you? … piece of plastic doesn’t make you healthier.”įortunately, Kentucky’s Medicaid expansion has been among the most carefully studied of any state. Some Republicans, including Kentucky Governor Matt Bevin, have suggested these coverage gains don’t count because a large share of them is due to the ACA’s Medicaid expansion. Kentucky’s an odd choice to make that claim: it’s seen the sharpest drop in the adult uninsured rate of any state under the ACA, from more than 20 percent in 2013 to less than 8 percent in 2016. When Vice President Pence travels to Kentucky this weekend to make the case for House Republicans’ Affordable Care Act (ACA) repeal bill, he’ll presumably echo President Trump’s claim that the ACA is failing in that state.
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