Affordable Care Act

The number of Medicaid enrollees in New Hampshire is up 4% since last October, according to new data from the federal government. More than 133,000 people were enrolled as of February, compared with roughly 127,000 recipients before the launch of the Affordable Care Act.

ACA's Deadline Day

Mar 31, 2014
Pan-African News Wire Photos / Flickr/CC

Under the Affordable Care act, Monday is the last chance for uninsured Americans to choose a plan or pay a penalty.  We’ll get the latest on New Hampshire enrollments, and other aspects of this law in the Granite State, including the newly signed Medicaid Expansion and new players coming to the state’s insurance market next year.

GUESTS:

State To Hear Complaint Against Anthem ACA Plans

Mar 30, 2014

New Hampshire's Insurance Department will hear a complaint about the exclusion of a hospital from the network of providers covered under the Affordable Care Act.   A patient at Frisbie Memorial Hospital in Rochester says Anthem Blue Cross and Blue Shield's network is inadequate because it does not include Frisbie. Sixteen hospitals are in the network; 10 are not. Anthem has said the "narrow'' network keeps costs down and the state insurance department determined the network meets adequacy standards.    The department previously denied a petition by Frisbie and patient Margaret McCarthy.

Todd Bookman / NHPR

Time is running out for individuals looking to buy health insurance through the Affordable Care Act. The cut-off to start the sign-up process is March 31st, and unlike previous deadlines, it looks like this one may actually hold.

That’s got John Carland taking the process more seriously.

“I put things off,” says Carland. “I’m a procrastinator. So, I just put it off until I had to do it, I guess.”

DaleKav via Flickr CC

According to the independent investigative journalism outlet ProPublica, Anthem Blue Cross Blue Shield canceled the health insurance policies of close to 100 New Hampshire smokers who purchased insurance policies on the state's health exchange.  That's because Anthem incorrectly charged them non-smoker rates. 

Massachusetts-based Minuteman Health says New Hampshire’s insurance marketplace is "ripe for disruption."

The plan to expand Medicaid endorsed by the state Senate has cleared its first hurdle in the New Hampshire House, gaining the approval of the Finance Committee on a 15-10 vote.

The Democratically-controlled House has already voted to expand Medicaid three times, and leaders there want to pass this version as soon as they can.

House Republicans, though, continue to put up a fight.

Daniel S. Hurd via Flickr CC

Health insurance products sold in New Hampshire’s exchange would face public hearings under a bill passed by the Senate.

Supporters say the hearings will provide transparency about what exactly the plans cover, and which doctors and hospitals are participating. The move comes in direct response to Anthem’s so-called narrow network exchange plans that leave out 10 of the state’s 26 hospitals.

Data: U.S. Health and Human Services

More than 21,000 New Hampshire residents have signed up for insurance through the Affordable Care Act, according to new data released by the federal government.

In February, 4,715 enrolled in coverage, bringing the total since October above the federal government’s estimate of 19,000 total sign-ups for the state.

Women account for 55% of enrollees, and nearly 3-in-4 residents qualified for some level of financial assistance.

Todd Bookman / NHPR

 New Hampshire lawmakers moved a step closer to expanding Medicaid under the Affordable Care Act.

The Senate Health, Education and Human Services Committee voted 4-1 on Wednesday to approve a plan that includes a “premium assistance program” which would require newly eligibly Medicaid recipients to select private health insurance starting in 2016.

Republican Senator Andy Sanborn of Bedford was the lone dissenting vote.

During a Senate committee meeting in Concord on Tuesday, the public had its first chance to weigh in on the Medicaid expansion plan backed by leaders in both parties. 

A wide range of voices spoke favorably of the bill that relies on private insurance for new recipients, including medical providers, hospital executives and business owners.

Justin VanEtten of Meredith runs a private ambulance company, and says despite his philosophical opposition to Obamacare, he backs bringing federal tax dollars into the state.

Sara Plourde

Full details of a Senate plan to expand Medicaid under the Affordable Care Act are out.

N.H. Holds Public Hearing On Provider Network Rules

Feb 10, 2014

Doctors, patients and hospital officials are urging the New Hampshire insurance commissioner to give all willing providers a chance to negotiate with the only company offering individual health insurance through the federal health care overhaul law.

Any insurance plan sold in the online exchange would first face a public hearing under a bill before State Senators. The measure comes in reaction to Anthem’s decision to cut out 10 of the state's 26 hospitals for plans sold on the new marketplace, a move many lawmakers and consumers say they were blindsided by.

The company defends the decision, saying it helped lower costs by 25%.

Jeremy Wilburn / Flickr Creative Commons

It is the rare 20-year old who sits around a dorm room comparing deductibles or provider networks.

“No, we don’t talk about health insurance,” says Colby-Sawyer College nursing student Maria Antonio.

Up until now, she didn’t much have to think about it. She was covered as a teenager through Medicaid.

“And I knew a little bit, but I didn’t pay attention to it, because I’m not a type of person that is always in the hospital. But now that I’m growing up, I know that I need to know this, just in case that something happened.”

via WUKY

As the only company participating in New Hampshire's insurance exchange, Anthem is facing additional scrutiny for its decision to exclude 10 of the state’s 26 hospitals from the plans it’s selling under so-called Obamacare. 

Customers who bought health insurance in the new exchange are getting more time to pay their first month’s bill. Anthem Blue Cross says New Hampshire consumers who signed up before the deadline for coverage starting January 1st now have until the end of the month to pay their first month’s premium. The deadline was originally today.

Last week the company’s president acknowledged that many new customers still hadn’t received their insurance ID cards and that a help line was overwhelmed with calls.

truthout.org / Flickr Creative Commons

Twenty-fourteen is when the rubber hits road for the ACA, with new deadlines and new requirements kicking in. These include the so-called individual mandate, which says everyone must carry health insurance or pay a penalty.  We’re talking about what to expect in the Granite State in 2014.

GUESTS:

  • Todd Bookman- NHPR’s health reporter
  • Jay Hancock – reporter for Kaiser Health News

New Hampshire consumers looking for information about the health law can now turn to a local website.

CoveringNewHampshire.org bills itself as the gateway for the health insurance marketplace. Browsers can learn about the law, use an online calculator to see if they qualify for tax credits, and window-shop the 11 different insurance plans Anthem is offering through the Affordable Care Act.

A midnight deadline to sign up for health coverage under the Affordable Care Act that starts Jan. 1 has been extended by a day in what the White House describes as an effort to accommodate people in different time zones.

The deadline that had been midnight on Dec. 23 has been pushed to Christmas Eve at midnight.

The Washington Post reports:

Via U.S. Digital Maps Archive

While the Affordable Care Act is a federal law, it’s playing out very differently across the states. In New Hampshire, strong opposition from Republican lawmakers and a lack of competition between insurance companies has marred the roll out advocates had hoped for.

In November, 1,300 New Hampshire residents were able to select insurance plans through HealthCare.gov. That brings the total to 1,569 since the start of enrollment on October 1st.

New data out from the federal government show more than 8,700 people in the state completed applications for health insurance in the new marketplace.

Maine has seen activity similar to New Hampshire.

NHPR Staff

Anthem Blue Cross says it’s extending the renewal date for canceled health insurance plans to December 16. 

Last month, the company sent cancelation notices to 22,000 New Hampshire customers because current plans didn’t satisfy stricter new protections in the Affordable Care Act. Customers looking to renew originally had until November 15 to start the process, though that deadline was pushed back to December 1. Today's announcement gives policyholders an additional two weeks.

New Hampshire has issued an order allowing nearly 3,000 residents with health insurance through the state's high risk pool to keep their coverage until alternatives are fully available under the federal health care overhaul law.    The high risk pool serves 2,750 residents who otherwise may have trouble obtaining insurance. It was scheduled to shut down Dec. 31 because after that, insurers must issue polices without regard to health status.

Sara Plourde / NHPR

Much has been made of the changes introduced, with the passing of the Affordable Care Act, to the health care markets, but many still struggle to understand how they will be personally affected.

While only making up 3.5% of New Hampshire's overall market, the individual market is seeing the greatest level of upheaval, with the addition of the newly insured, the merging of the high-risk pools, changes to the small group market, shifting premiums, changing benefits, and federal subsidies.

The graphic below aims to make sense of many of the changes happening in the individual market.
[Click to view full size]

The Sidebar: Obamacare: Tales From The Front Lines

Nov 19, 2013

If you’ve been following the rollout of the Affordable Care Act in New Hampshire, you might be struggling to keep up with the twists and turns - from legislation passed in 2012 that barred creation of a state-run marketplace, to the thousands of letters Anthem Blue Cross mailed to policyholders this month, telling them their health plans did not meet the law’s coverage standards.

The New Hampshire Insurance Department wants to keep open a program that provides health coverage for 2,750 residents with pre-existing conditions. The $45-million high risk pool operated by the New Hampshire Health Plan was set to close at year’s end.

Since health insurance companies can no longer deny people because of pre-existing conditions under the Affordable Care Act, state-run high risk pools around the country are winding down.

On the Political Front, NHPR's Josh Rogers talks with Morning Edition host Rick Ganley about how the Democratic members of New Hampshire's Congressional delegation - all facing re-election next fall - are now supporting changes to the Affordable Care Act.  

Anthem Blue Cross says it’s extending the renewal date for customers who buy individual policies. The state’s largest health insurance company informed brokers earlier this week that current policyholders who want to keep their plans will have until the end of the month to renew,  a two week extension from the original deadline of November 15.

House and Senate leaders continue to debate an expansion of the state’s Medicaid program to more low-income New Hampshire residents.

A key difference between the two sides is how quickly New Hampshire moves an estimated 35,000 individuals from Medicaid into the exchange to obtain private insurance.  

House leaders and the Governor say the GOP’s plan to shift people in 2015 won’t work. Republicans, including Senate Majority Leader Jeb Bradley, are defending their proposal.

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