Advocacy Group Says State (Mostly) Doing A Good Job ...
Checks in the Mail: Millions to Receive $1.3 Billion in Health Insurance Rebates
Opposition to the Federal Health Law: Tea Party, Republicans and ... the Green Party
Just in Time for the Weekend! Background on Health Care in California
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Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. 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a pretty good job, according to survey.\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">State health agencies' call centers are doing a pretty good job, according to survey.\u003c/figcaption>\u003c/figure>\n\u003cp>That's a headline that gets your attention, right? It's somewhat unusual for an advocacy group to praise state agencies. But you see the ellipsis ... the complete story is more like this: The advocacy group \u003ca title=\"http://www.health-access.org/\" href=\"http://www.health-access.org/\" target=\"_blank\">Health Access\u003c/a> says four state health agencies are -- mostly -- doing a good job in customer service. It's still intriguing.\u003c/p>\n\u003cp>Health Access conducted a survey with an eye toward 2014 when the federal health care overhaul rolls out. Potentially millions of people will access health insurance for the first time and state health agencies are likely to be swamped with calls.\u003c/p>\n\u003cp>Health Access says they wanted to establish a baseline of where the state is now. It used a \"mystery calling\" approach. A dozen people posing as consumers made more than 200 calls to four state agencies and asked common consumer questions, such as: \"How do I sign up for Medi-Cal?\" or \"My doctor referred me to a specialist, but I have to wait a long time. Can you help me?\"\u003c!--more-->\u003c/p>\n\u003cp>The shoppers scored the calls according to how rapidly the calls were answered and how quickly they were transferred to a live person. And, as noted, \u003ca title=\"http://www.health-access.org/files/advocating/HAF.ConsumerAssistanceSurvey.pdf\" href=\"http://www.health-access.org/files/advocating/HAF.ConsumerAssistanceSurvey.pdf\" target=\"_blank\">the results\u003c/a> were pretty good.\u003c/p>\n\u003cp>\"When wondering how to sign up for coverage or frustrated when dealing with an insurer, Californians should know that they can and will get help they need form key state agencies,\" said Anthony Wright, Health Access California's Executive Director in a call with reporters. \"Surveyors mostly got the help they needed and in a timely and accurate manner.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Again, there's that \u003cem>\"\u003c/em>mostly.\" More on that in a moment.\u003c/p>\n\u003cp>Fifty calls were made to each of four agencies: the \u003ca title=\"http://www.dmhc.ca.gov/\" href=\"http://www.dmhc.ca.gov/\" target=\"_blank\">Department of Managed Health Care\u003c/a>; the\u003ca title=\"http://www.insurance.ca.gov/\" href=\"http://www.insurance.ca.gov/\" target=\"_blank\"> Department of Insurance\u003c/a>; the \u003ca title=\"http://www.dhcs.ca.gov/Pages/default.aspx\" href=\"http://www.dhcs.ca.gov/Pages/default.aspx\" target=\"_blank\">Department of Health Care Services \u003c/a>(which oversees Medi-Cal) and at the \u003ca title=\"http://www.mrmib.ca.gov/\" href=\"http://www.mrmib.ca.gov/\" target=\"_blank\">Managed Risk Medical Insurance Board\u003c/a> (which runs the Healthy Families program, among others).\u003c/p>\n\u003cp>Health Access says this survey was not a scientific sample, but gives a snapshot of successes and challenges. For starters, there are no established standards that these call centers must meet. So Health Access used Medicare and Social Security times for call response and transfer to a live person.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Highlights from the survey include:\u003c/p>\n\u003cul>\n\u003cli>The four agencies averaged 10 seconds to respond to a call\u003c/li>\n\u003cli>Average wait time to reach a live person was less than five minutes, although most agencies averaged 2:20 minutes\u003c/li>\n\u003cli>As for customer service (knowledge, promptness, accuracy) Health Access evaluators ranked the agencies an average of 3.7 on a scale of 1 to 5, with the best department scoring 4.3\u003c/li>\n\u003c/ul>\n\u003cdiv>\n\u003cp>The Department of Managed Health Care (DMHC) had a slightly longer response time -- 15 seconds versus the 10 desired -- but tied for first on overall customer service.\u003c/p>\n\u003cp>In a statement today, DMHC director Brent Barnhart said, \"The DMHC's top priority is to help Californians struggling with their health plan and is honored to be recognized for providing world class customer service. Health Access' report is timely given the fundamental reshaping of our health care delivery system currently underway and provides specific ways each agency can further improve its call centers operations.\"\u003c/p>\n\u003cp>The Department of Health Care Services (DHCS) which runs Medi-Cal had total wait times much longer than the other agencies reviewed. Forty-four percent of callers never reached a live person.\u003c/p>\n\u003cp>Len Finocchio, Associate Director of DHCS, didn't shy away from the challenges. \"We take this all very seriously,\" he said, \"as to where we can make improvements, taking in into context all the other work we’re doing in the implementation of the \u003ca title=\"http://www.healthcare.gov/law/full/\" href=\"http://www.healthcare.gov/law/full/\" target=\"_blank\">Affordable Care Act\u003c/a>.\"\u003c/p>\n\u003cp>To improve call center operations, Health Access recommends strategies that sound administrative but are nonetheless important: setting strong standards and tracking whether they are met -- something that doesn't exist now; regular evaluations; and dedication to \"world class\" customer service.\u003c/p>\n\u003cp>But then Health Access addresses some more basic challenges. First, even the designers of the survey -- sophisticated internet users who are also intimately familiar with the state health system had trouble just finding the right phone number to call. Health Access recommends prominent placement of the phone number on agency websites. \"The world's greatest call center will be of no use if you can't find the phone number,\" says Linda Leu, co-author of the study.\u003c/p>\n\u003cp>Health Access also recommends the agencies improve access for people with limited English skills. Communities of color will likely make up a significant percentage of those obtaining insurance via the federal overhaul. Agencies need a \"thoughtful and accessible\" approach to language access.\u003c/p>\n\u003cp>\"We think this is really important that in order for Californians to get the care and coverage they need, they need to know about their options, they need the help to get the health care they need,\" says Anthony Wright. \"We have a lot of good ingredients in our consumers assistance capacity right now. We think we need to bring it all together to be ready for the crush of calls leading up to 2014.\"\u003c/p>\n\u003cp>\u003cem>This post was updated to reflect that the Department of Health Care Services oversees Medi-Cal.\u003c/em>\u003c/p>\n\u003c/div>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1336677413,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":871},"headData":{"title":"Advocacy Group Says State (Mostly) Doing A Good Job ... | KQED","description":"That's a headline that gets your attention, right? It's somewhat unusual for an advocacy group to praise state agencies. But you see the ellipsis ... the complete story is more like this: The advocacy group Health Access says four state health agencies are -- mostly -- doing a good job in customer service. It's still","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Advocacy Group Says State (Mostly) Doing A Good Job ...","datePublished":"2012-05-09T22:04:41.000Z","dateModified":"2012-05-10T19:16:53.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"5686 http://blogs.kqed.org/stateofhealth/?p=5686","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/05/09/advocacy-group-says-state-mostly-doing-a-good-job/","disqusTitle":"Advocacy Group Says State (Mostly) Doing A Good Job ...","path":"/stateofhealth/5686/advocacy-group-says-state-mostly-doing-a-good-job","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_5696\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Phone_LisaAliferis-e1336600927960.jpg\">\u003cimg class=\"size-medium wp-image-5696\" title=\"State health agencies' call centers are doing a pretty good job, according to survey. \" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Phone_LisaAliferis-e1336600927960-300x225.jpg\" alt=\"State health agencies' call centers are doing a pretty good job, according to survey.\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">State health agencies' call centers are doing a pretty good job, according to survey.\u003c/figcaption>\u003c/figure>\n\u003cp>That's a headline that gets your attention, right? It's somewhat unusual for an advocacy group to praise state agencies. But you see the ellipsis ... the complete story is more like this: The advocacy group \u003ca title=\"http://www.health-access.org/\" href=\"http://www.health-access.org/\" target=\"_blank\">Health Access\u003c/a> says four state health agencies are -- mostly -- doing a good job in customer service. It's still intriguing.\u003c/p>\n\u003cp>Health Access conducted a survey with an eye toward 2014 when the federal health care overhaul rolls out. Potentially millions of people will access health insurance for the first time and state health agencies are likely to be swamped with calls.\u003c/p>\n\u003cp>Health Access says they wanted to establish a baseline of where the state is now. It used a \"mystery calling\" approach. A dozen people posing as consumers made more than 200 calls to four state agencies and asked common consumer questions, such as: \"How do I sign up for Medi-Cal?\" or \"My doctor referred me to a specialist, but I have to wait a long time. Can you help me?\"\u003c!--more-->\u003c/p>\n\u003cp>The shoppers scored the calls according to how rapidly the calls were answered and how quickly they were transferred to a live person. And, as noted, \u003ca title=\"http://www.health-access.org/files/advocating/HAF.ConsumerAssistanceSurvey.pdf\" href=\"http://www.health-access.org/files/advocating/HAF.ConsumerAssistanceSurvey.pdf\" target=\"_blank\">the results\u003c/a> were pretty good.\u003c/p>\n\u003cp>\"When wondering how to sign up for coverage or frustrated when dealing with an insurer, Californians should know that they can and will get help they need form key state agencies,\" said Anthony Wright, Health Access California's Executive Director in a call with reporters. \"Surveyors mostly got the help they needed and in a timely and accurate manner.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Again, there's that \u003cem>\"\u003c/em>mostly.\" More on that in a moment.\u003c/p>\n\u003cp>Fifty calls were made to each of four agencies: the \u003ca title=\"http://www.dmhc.ca.gov/\" href=\"http://www.dmhc.ca.gov/\" target=\"_blank\">Department of Managed Health Care\u003c/a>; the\u003ca title=\"http://www.insurance.ca.gov/\" href=\"http://www.insurance.ca.gov/\" target=\"_blank\"> Department of Insurance\u003c/a>; the \u003ca title=\"http://www.dhcs.ca.gov/Pages/default.aspx\" href=\"http://www.dhcs.ca.gov/Pages/default.aspx\" target=\"_blank\">Department of Health Care Services \u003c/a>(which oversees Medi-Cal) and at the \u003ca title=\"http://www.mrmib.ca.gov/\" href=\"http://www.mrmib.ca.gov/\" target=\"_blank\">Managed Risk Medical Insurance Board\u003c/a> (which runs the Healthy Families program, among others).\u003c/p>\n\u003cp>Health Access says this survey was not a scientific sample, but gives a snapshot of successes and challenges. For starters, there are no established standards that these call centers must meet. So Health Access used Medicare and Social Security times for call response and transfer to a live person.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Highlights from the survey include:\u003c/p>\n\u003cul>\n\u003cli>The four agencies averaged 10 seconds to respond to a call\u003c/li>\n\u003cli>Average wait time to reach a live person was less than five minutes, although most agencies averaged 2:20 minutes\u003c/li>\n\u003cli>As for customer service (knowledge, promptness, accuracy) Health Access evaluators ranked the agencies an average of 3.7 on a scale of 1 to 5, with the best department scoring 4.3\u003c/li>\n\u003c/ul>\n\u003cdiv>\n\u003cp>The Department of Managed Health Care (DMHC) had a slightly longer response time -- 15 seconds versus the 10 desired -- but tied for first on overall customer service.\u003c/p>\n\u003cp>In a statement today, DMHC director Brent Barnhart said, \"The DMHC's top priority is to help Californians struggling with their health plan and is honored to be recognized for providing world class customer service. Health Access' report is timely given the fundamental reshaping of our health care delivery system currently underway and provides specific ways each agency can further improve its call centers operations.\"\u003c/p>\n\u003cp>The Department of Health Care Services (DHCS) which runs Medi-Cal had total wait times much longer than the other agencies reviewed. Forty-four percent of callers never reached a live person.\u003c/p>\n\u003cp>Len Finocchio, Associate Director of DHCS, didn't shy away from the challenges. \"We take this all very seriously,\" he said, \"as to where we can make improvements, taking in into context all the other work we’re doing in the implementation of the \u003ca title=\"http://www.healthcare.gov/law/full/\" href=\"http://www.healthcare.gov/law/full/\" target=\"_blank\">Affordable Care Act\u003c/a>.\"\u003c/p>\n\u003cp>To improve call center operations, Health Access recommends strategies that sound administrative but are nonetheless important: setting strong standards and tracking whether they are met -- something that doesn't exist now; regular evaluations; and dedication to \"world class\" customer service.\u003c/p>\n\u003cp>But then Health Access addresses some more basic challenges. First, even the designers of the survey -- sophisticated internet users who are also intimately familiar with the state health system had trouble just finding the right phone number to call. Health Access recommends prominent placement of the phone number on agency websites. \"The world's greatest call center will be of no use if you can't find the phone number,\" says Linda Leu, co-author of the study.\u003c/p>\n\u003cp>Health Access also recommends the agencies improve access for people with limited English skills. Communities of color will likely make up a significant percentage of those obtaining insurance via the federal overhaul. Agencies need a \"thoughtful and accessible\" approach to language access.\u003c/p>\n\u003cp>\"We think this is really important that in order for Californians to get the care and coverage they need, they need to know about their options, they need the help to get the health care they need,\" says Anthony Wright. \"We have a lot of good ingredients in our consumers assistance capacity right now. We think we need to bring it all together to be ready for the crush of calls leading up to 2014.\"\u003c/p>\n\u003cp>\u003cem>This post was updated to reflect that the Department of Health Care Services oversees Medi-Cal.\u003c/em>\u003c/p>\n\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/5686/advocacy-group-says-state-mostly-doing-a-good-job","authors":["240"],"categories":["stateofhealth_14"],"tags":["stateofhealth_233"],"featImg":"stateofhealth_5696","label":"stateofhealth"},"stateofhealth_5479":{"type":"posts","id":"stateofhealth_5479","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"5479","score":null,"sort":[1335542448000]},"guestAuthors":[],"slug":"checks-in-the-mail-millions-to-receive-1-3-billion-in-health-insurance-rebates","title":"Checks in the Mail: Millions to Receive $1.3 Billion in Health Insurance Rebates","publishDate":1335542448,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>By: \u003ca title=\"http://www.kaiserhealthnews.org/Reporters/ApplebyJ.aspx\" href=\"http://www.kaiserhealthnews.org/Reporters/ApplebyJ.aspx\" target=\"_blank\">Julie Appleby\u003c/a>, \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/April/26/insurance-rebates-mlr.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/April/26/insurance-rebates-mlr.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5488\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/MailinMailboxRobinDeGrassiJames_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5488\" title=\"(Robin DeGrassi James: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/MailinMailboxRobinDeGrassiJames_Flickr-300x273.jpg\" alt=\"(Robin DeGrassi James: Flickr)\" width=\"300\" height=\"273\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Robin DeGrassi James: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Millions of consumers and small businesses will receive an estimated $1.3 billion in rebates from their health plans this summer under a provision of the health care law that effectively limits what insurers can charge for administration and profits, \u003ca href=\"http://www.kff.org/healthreform/8305.cfm\" target=\"_blank\">a new study projects\u003c/a>.\u003c/p>\n\u003cp>Almost one third of people who bought their own insurance last year will get rebates averaging $127, according to an analysis of state data by the nonpartisan Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.)\u003c/p>\n\u003cp>\"This alone is not going to make health insurance affordable for large numbers of people, but it is getting excess administrative cost out of the system,\" says Larry Levitt, a study author.\u003c/p>\n\u003cp>The percentage of consumers and businesses in line for rebates varies widely by state. In Texas, for example, 92 percent of consumers who purchased individual policies are expected to get rebates because insurers spent too little of their premium dollars on medical care. But in Vermont, Rhode Island, Iowa and Hawaii, insurers are likely to owe less than 1 percent of consumers who bought policies on the individual market.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Under the federal law, insurers must spend at least 80 percent of premium revenues on medical costs or quality improvements; the remainder can go toward administrative costs, sales commissions and profits. If companies set premiums too high, \u003ca href=\"http://cciio.cms.gov/programs/marketreforms/mlr/index.html\" target=\"_blank\">rebates in the form of checks or discounts off future premiums\u003c/a> are due consumers and businesses by Aug. 1.\u003c/p>\n\u003cp>The requirement, aimed at holding insurers more accountable and slowing premium increases, went into effect last year and applies to all health plans, except those offered by self-insured employers. Insurers had criticized the rule as being too strict, while sales agents feared insurers would reduce their commissions.\u003c/p>\n\u003cp>The figures are based on the latest estimates insurers provided state regulators, so the actual rebate amounts may differ, according to the report's authors. The total dollar projection is similar to one released Wednesday by a Goldman Sachs analyst, but slightly lower than one made previously by the government, which had said rebates could be worth up to $1.4 billion.\u003c/p>\n\u003cp>Nationally, an estimated 3.4 million people who bought their own coverage are projected to receive rebates this year from 215 insurance plans, according to the study. The biggest dollar amounts are expected to go to consumers in Alaska, where per person rebates are expected to average $305, Maryland, $294, Pennsylvania, $243 and Idaho, $241. Insurers hit the spending targets for policies sold directly to consumers in several states, including Hawaii, Maine and the District of Columbia, so no rebates are expected for individual consumers there.\u003c/p>\n\u003cp>More than a dozen states sought to relax the standard for insurance sold directly to consumers, saying it would cause insurers to withdraw from their markets. The Obama administration \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/may/10/medical-loss-ratio-rebates.aspx\" target=\"_blank\">granted seven such requests\u003c/a>, choosing to phase in the requirement between now and 2014 in Georgia, Iowa, Kentucky, Maine, Nevada, New Hampshire and North Carolina.\u003c/p>\n\u003cp>Rebates averaging $76 per enrollee are projected to go to more than one quarter of small businesses nationally, covering an estimated 4.9 million people. When averaged by state, the biggest per-enrollee rebates will go to businesses in Alaska at $517 and Alabama, at $203 and Oregon, $172. No rebates will go to small businesses in eight states, where insurers met their spending targets, including Hawaii, Minnesota and North Dakota.\u003c/p>\n\u003cp>For the most part, insurers who offer coverage to large employers met the targets. Still, 19 percent of large employers, covering 7.5 million people, are likely to get rebates averaging $72 per member. Employers must use some or all of the rebate for the benefit of workers.\u003c/p>\n\u003cp>\u003ca title=\"http://www.ahip.org/\" href=\"http://www.ahip.org/\" target=\"_blank\">America’s Health Insurance Plans\u003c/a>, the industry trade group, said the spending rule could have unintended consequences, potentially causing some insurers to withdraw from certain markets and that it does not address the biggest reason for rising premiums – underlying health care costs.\u003c/p>\n\u003cp>“Moreover, the taxes, benefit mandates and other regulations in the health care reform law will cause premium increases that far exceed the value of any prospective rebates,” the group said in a written statement.\u003c/p>\n\u003cp>Ana Gupte, a senior health industry analyst at Sanford Bernstein, says insurers in some markets lowered premiums to avoid paying rebates, but others risked having to pay a rebate because they didn’t want to underprice their policies. Some insurers may have miscalculated – and thus owe a refund – because of lower-than-expected utilization of health care kept their medical costs below projections, she says.\u003c/p>\n\u003cp>Looking ahead, Gupte expects to see fewer rebates in future years \"because utilization (of medical care) will go back up, so the spread between pricing and cost will get narrower.\"\u003c/p>\n\u003cp>Still, Alexandria-Va.-based health industry consultant Robert Laszewski says the projected rebates are so small as to count mainly as a \"rounding error\" that most consumers won't even notice.\u003c/p>\n\u003cp>\"If it saved you $200 on a $10,000 premium, does it feel like your insurance is more affordable?\" asked Laszewski, a former insurance industry executive. He said some sales agents who saw insurers reduce their commissions as a result of the law have also begun charging clients a fee for helping them choose a policy.\u003c/p>\n\u003cp>But consumer advocate Timothy Jost, a professor at Washington and Lee University School of Law, says the goal was never to deliver large refunds.\u003c/p>\n\u003cp>\"The purpose isn't to generate rebates, but to force insurers to align their premiums more closely with their (medical) claims costs,\" says Jost. \"Each year, premium costs have gone up more than medical costs, so what the rule does is force insurers to be more efficient and, if they charge too much, to give some back.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's Note: California data have not yet been reported, but should be available in the coming weeks.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Millions of consumers and small businesses will receive an estimated $1.3 billion in rebates from their health plans this summer under a provision of the health care law that effectively limits what insurers can charge for administration and profits, a new study projects.\r\n\r\nAlmost one third of people who bought their own insurance last year will get rebates averaging $127, according to an analysis of state data by the nonpartisan Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.)","status":"publish","parent":0,"modified":1335509824,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":996},"headData":{"title":"Checks in the Mail: Millions to Receive $1.3 Billion in Health Insurance Rebates | KQED","description":"Millions of consumers and small businesses will receive an estimated $1.3 billion in rebates from their health plans this summer under a provision of the health care law that effectively limits what insurers can charge for administration and profits, a new study projects.\r\n\r\nAlmost one third of people who bought their own insurance last year will get rebates averaging $127, according to an analysis of state data by the nonpartisan Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.)","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Checks in the Mail: Millions to Receive $1.3 Billion in Health Insurance Rebates","datePublished":"2012-04-27T16:00:48.000Z","dateModified":"2012-04-27T06:57:04.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"5479 http://blogs.kqed.org/stateofhealth/?p=5479","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/04/27/checks-in-the-mail-millions-to-receive-1-3-billion-in-health-insurance-rebates/","disqusTitle":"Checks in the Mail: Millions to Receive $1.3 Billion in Health Insurance Rebates","path":"/stateofhealth/5479/checks-in-the-mail-millions-to-receive-1-3-billion-in-health-insurance-rebates","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>By: \u003ca title=\"http://www.kaiserhealthnews.org/Reporters/ApplebyJ.aspx\" href=\"http://www.kaiserhealthnews.org/Reporters/ApplebyJ.aspx\" target=\"_blank\">Julie Appleby\u003c/a>, \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/April/26/insurance-rebates-mlr.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/April/26/insurance-rebates-mlr.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5488\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/MailinMailboxRobinDeGrassiJames_Flickr.jpg\">\u003cimg class=\"size-medium wp-image-5488\" title=\"(Robin DeGrassi James: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/MailinMailboxRobinDeGrassiJames_Flickr-300x273.jpg\" alt=\"(Robin DeGrassi James: Flickr)\" width=\"300\" height=\"273\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Robin DeGrassi James: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Millions of consumers and small businesses will receive an estimated $1.3 billion in rebates from their health plans this summer under a provision of the health care law that effectively limits what insurers can charge for administration and profits, \u003ca href=\"http://www.kff.org/healthreform/8305.cfm\" target=\"_blank\">a new study projects\u003c/a>.\u003c/p>\n\u003cp>Almost one third of people who bought their own insurance last year will get rebates averaging $127, according to an analysis of state data by the nonpartisan Kaiser Family Foundation. (KHN is an editorially independent program of the foundation.)\u003c/p>\n\u003cp>\"This alone is not going to make health insurance affordable for large numbers of people, but it is getting excess administrative cost out of the system,\" says Larry Levitt, a study author.\u003c/p>\n\u003cp>The percentage of consumers and businesses in line for rebates varies widely by state. In Texas, for example, 92 percent of consumers who purchased individual policies are expected to get rebates because insurers spent too little of their premium dollars on medical care. But in Vermont, Rhode Island, Iowa and Hawaii, insurers are likely to owe less than 1 percent of consumers who bought policies on the individual market.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Under the federal law, insurers must spend at least 80 percent of premium revenues on medical costs or quality improvements; the remainder can go toward administrative costs, sales commissions and profits. If companies set premiums too high, \u003ca href=\"http://cciio.cms.gov/programs/marketreforms/mlr/index.html\" target=\"_blank\">rebates in the form of checks or discounts off future premiums\u003c/a> are due consumers and businesses by Aug. 1.\u003c/p>\n\u003cp>The requirement, aimed at holding insurers more accountable and slowing premium increases, went into effect last year and applies to all health plans, except those offered by self-insured employers. Insurers had criticized the rule as being too strict, while sales agents feared insurers would reduce their commissions.\u003c/p>\n\u003cp>The figures are based on the latest estimates insurers provided state regulators, so the actual rebate amounts may differ, according to the report's authors. The total dollar projection is similar to one released Wednesday by a Goldman Sachs analyst, but slightly lower than one made previously by the government, which had said rebates could be worth up to $1.4 billion.\u003c/p>\n\u003cp>Nationally, an estimated 3.4 million people who bought their own coverage are projected to receive rebates this year from 215 insurance plans, according to the study. The biggest dollar amounts are expected to go to consumers in Alaska, where per person rebates are expected to average $305, Maryland, $294, Pennsylvania, $243 and Idaho, $241. Insurers hit the spending targets for policies sold directly to consumers in several states, including Hawaii, Maine and the District of Columbia, so no rebates are expected for individual consumers there.\u003c/p>\n\u003cp>More than a dozen states sought to relax the standard for insurance sold directly to consumers, saying it would cause insurers to withdraw from their markets. The Obama administration \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/may/10/medical-loss-ratio-rebates.aspx\" target=\"_blank\">granted seven such requests\u003c/a>, choosing to phase in the requirement between now and 2014 in Georgia, Iowa, Kentucky, Maine, Nevada, New Hampshire and North Carolina.\u003c/p>\n\u003cp>Rebates averaging $76 per enrollee are projected to go to more than one quarter of small businesses nationally, covering an estimated 4.9 million people. When averaged by state, the biggest per-enrollee rebates will go to businesses in Alaska at $517 and Alabama, at $203 and Oregon, $172. No rebates will go to small businesses in eight states, where insurers met their spending targets, including Hawaii, Minnesota and North Dakota.\u003c/p>\n\u003cp>For the most part, insurers who offer coverage to large employers met the targets. Still, 19 percent of large employers, covering 7.5 million people, are likely to get rebates averaging $72 per member. Employers must use some or all of the rebate for the benefit of workers.\u003c/p>\n\u003cp>\u003ca title=\"http://www.ahip.org/\" href=\"http://www.ahip.org/\" target=\"_blank\">America’s Health Insurance Plans\u003c/a>, the industry trade group, said the spending rule could have unintended consequences, potentially causing some insurers to withdraw from certain markets and that it does not address the biggest reason for rising premiums – underlying health care costs.\u003c/p>\n\u003cp>“Moreover, the taxes, benefit mandates and other regulations in the health care reform law will cause premium increases that far exceed the value of any prospective rebates,” the group said in a written statement.\u003c/p>\n\u003cp>Ana Gupte, a senior health industry analyst at Sanford Bernstein, says insurers in some markets lowered premiums to avoid paying rebates, but others risked having to pay a rebate because they didn’t want to underprice their policies. Some insurers may have miscalculated – and thus owe a refund – because of lower-than-expected utilization of health care kept their medical costs below projections, she says.\u003c/p>\n\u003cp>Looking ahead, Gupte expects to see fewer rebates in future years \"because utilization (of medical care) will go back up, so the spread between pricing and cost will get narrower.\"\u003c/p>\n\u003cp>Still, Alexandria-Va.-based health industry consultant Robert Laszewski says the projected rebates are so small as to count mainly as a \"rounding error\" that most consumers won't even notice.\u003c/p>\n\u003cp>\"If it saved you $200 on a $10,000 premium, does it feel like your insurance is more affordable?\" asked Laszewski, a former insurance industry executive. He said some sales agents who saw insurers reduce their commissions as a result of the law have also begun charging clients a fee for helping them choose a policy.\u003c/p>\n\u003cp>But consumer advocate Timothy Jost, a professor at Washington and Lee University School of Law, says the goal was never to deliver large refunds.\u003c/p>\n\u003cp>\"The purpose isn't to generate rebates, but to force insurers to align their premiums more closely with their (medical) claims costs,\" says Jost. \"Each year, premium costs have gone up more than medical costs, so what the rule does is force insurers to be more efficient and, if they charge too much, to give some back.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Editor's Note: California data have not yet been reported, but should be available in the coming weeks.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/5479/checks-in-the-mail-millions-to-receive-1-3-billion-in-health-insurance-rebates","authors":["240"],"categories":["stateofhealth_13"],"tags":["stateofhealth_233"],"featImg":"stateofhealth_5488","label":"stateofhealth"},"stateofhealth_4708":{"type":"posts","id":"stateofhealth_4708","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"4708","score":null,"sort":[1333560342000]},"guestAuthors":[],"slug":"opposition-to-the-federal-health-law-republicans-tea-party-and-the-green-party","title":"Opposition to the Federal Health Law: Tea Party, Republicans and ... the Green Party","publishDate":1333560342,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>\u003cstrong>Green Party Backs A Single-Payer System\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4714\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012.jpg\">\u003cimg class=\"size-medium wp-image-4714 \" title=\"The Green Party opposes the federal health law, but for different reasons than you might think. (Mark Wilson: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012-300x212.jpg\" alt=\"The Green Party opposes the federal health law, but for different reasons than you might think. (Mark Wilson: Getty Images)\" width=\"300\" height=\"212\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Green Party opposes the federal health law, because it doesn't go far enough. (Mark Wilson: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The platform of California’s third largest political party -- the Green Party -- includes legalizing marijuana, ending the death penalty and offering free, community bicycles. Now, add this to the Party’s list of solemn commitments:\u003c/p>\n\u003cp>\"We’re hoping the individual mandate will be struck down,\" says Barry Hermanson, the Green Party's candidate for California's 12th Congressional District. \"It is extraordinary that now Congress is saying individuals must purchase a product from a private company. There’s no precedent for this.\"\u003c/p>\n\u003cp>For Hermanson, and other Greens, being compelled to buy a product from an industry they find repugnant is a bit like a school requiring kids to hand over their lunch money to the playground bullies.\u003c/p>\n\u003cp>\"I have no trust they have my best interest and the general populace interest in mind,\" he said.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For most opponents, the federal health law presents a test of federal power versus individual liberty. But for the Greens, who have 34 local elected officials in California -- that’s more than any other state -- the law doesn’t go far enough.\u003c/p>\n\u003caside class=\"pullquote alignright\">It would take a seismic shift in the nation’s political make-up to advance the idea.\u003c/aside>\n\u003cp>The Green Party wants Congress to pass a Medicare-For-All health plan, a tax-funded, federally-administered program like Medicare and Social Security.\u003c/p>\n\u003cp>\"That is in the direction of where we need to go with health care. Medicare-For-All is something that would solve our issue,\" says Laura Wells. She ran for governor as the Green Party candidate in California in 2010. She’s still bitter that Congressional leaders, when crafting the federal health law, refused to allow debate on a Medicare-for-All program.\u003c/p>\n\u003cp>In 2009, nearly a dozen advocates for a so-called single-payer system were arrested for disrupting committee hearings. They haven’t gotten much attention since then.\u003c/p>\n\u003cp>But Green Party officials say if the Supreme Court strikes down the federal health law -- and the ranks of the uninsured swell beyond 50 million, as most health policy experts predict -- their views might finally come into favor.\u003c/p>\n\u003cp>Chris Lehane is a California democratic political consultant. He says while there is potential if the Court throws out the individual mandate or the federal health law s a whole that health care overhaul could be revisited in a different way, but sees a tough road. \"It’s a hard battle and it will be a very uphill fight,\" he says \"but you can certainly see the potential if the President’s plan is thrown out, for people to revisit how they approach this.\"\u003c/p>\n\u003cp>Lehane says there are some Democrats who also support a single payer system, but it would take a seismic shift in the nation’s political make-up to advance the idea. \"The question really becomes,\" he points out, \"Can you really begin to convince independent voters that this is really the way to go?\"\u003c/p>\n\u003cp>In the meantime, the best bet for the Green Party and other single payer advocates may rest with the states. Vermont has started to put a single payer system in place.\u003c/p>\n\u003cp>In California, Democratic lawmakers twice passed bills establishing a single payer system which were later vetoed by former Governor Arnold Schwarzenegger. Earlier this year, a single payer bill stalled in the California Senate, but its sponsors have vowed, as they do every year, to bring it back again.\u003c/p>\n\u003cp>As for the Supreme Court, a decision from the justices is expected by the end of June.\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201204040850c.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201204040850c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n","blocks":[],"excerpt":"The platform of California’s third largest political party -- the Green Party -- includes legalizing marijuana, ending the death penalty and offering free, community bicycles. Now, add this to the Party’s list of solemn commitments:\r\n\r\n\"We’re hoping the individual mandate will be struck down,\" says Barry Hermanson, the Green Party's candidate for California's 12th Congressional District. \"It is extraordinary that now Congress is saying individuals must purchase a product from a private company. There’s no precedent for this.\"\r\n","status":"publish","parent":0,"modified":1333569593,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":629},"headData":{"title":"Opposition to the Federal Health Law: Tea Party, Republicans and ... the Green Party | KQED","description":"The platform of California’s third largest political party -- the Green Party -- includes legalizing marijuana, ending the death penalty and offering free, community bicycles. Now, add this to the Party’s list of solemn commitments:\r\n\r\n"We’re hoping the individual mandate will be struck down," says Barry Hermanson, the Green Party's candidate for California's 12th Congressional District. "It is extraordinary that now Congress is saying individuals must purchase a product from a private company. There’s no precedent for this."\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Opposition to the Federal Health Law: Tea Party, Republicans and ... the Green Party","datePublished":"2012-04-04T17:25:42.000Z","dateModified":"2012-04-04T19:59:53.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"4708 http://blogs.kqed.org/stateofhealth/?p=4708","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/04/04/opposition-to-the-federal-health-law-republicans-tea-party-and-the-green-party/","disqusTitle":"Opposition to the Federal Health Law: Tea Party, Republicans and ... the Green Party","path":"/stateofhealth/4708/opposition-to-the-federal-health-law-republicans-tea-party-and-the-green-party","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>Green Party Backs A Single-Payer System\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_4714\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012.jpg\">\u003cimg class=\"size-medium wp-image-4714 \" title=\"The Green Party opposes the federal health law, but for different reasons than you might think. (Mark Wilson: Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/04/SupremeCourt_NoObamacare_Getty_MarkWilson_03272012-300x212.jpg\" alt=\"The Green Party opposes the federal health law, but for different reasons than you might think. (Mark Wilson: Getty Images)\" width=\"300\" height=\"212\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Green Party opposes the federal health law, because it doesn't go far enough. (Mark Wilson: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The platform of California’s third largest political party -- the Green Party -- includes legalizing marijuana, ending the death penalty and offering free, community bicycles. Now, add this to the Party’s list of solemn commitments:\u003c/p>\n\u003cp>\"We’re hoping the individual mandate will be struck down,\" says Barry Hermanson, the Green Party's candidate for California's 12th Congressional District. \"It is extraordinary that now Congress is saying individuals must purchase a product from a private company. There’s no precedent for this.\"\u003c/p>\n\u003cp>For Hermanson, and other Greens, being compelled to buy a product from an industry they find repugnant is a bit like a school requiring kids to hand over their lunch money to the playground bullies.\u003c/p>\n\u003cp>\"I have no trust they have my best interest and the general populace interest in mind,\" he said.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For most opponents, the federal health law presents a test of federal power versus individual liberty. But for the Greens, who have 34 local elected officials in California -- that’s more than any other state -- the law doesn’t go far enough.\u003c/p>\n\u003caside class=\"pullquote alignright\">It would take a seismic shift in the nation’s political make-up to advance the idea.\u003c/aside>\n\u003cp>The Green Party wants Congress to pass a Medicare-For-All health plan, a tax-funded, federally-administered program like Medicare and Social Security.\u003c/p>\n\u003cp>\"That is in the direction of where we need to go with health care. Medicare-For-All is something that would solve our issue,\" says Laura Wells. She ran for governor as the Green Party candidate in California in 2010. She’s still bitter that Congressional leaders, when crafting the federal health law, refused to allow debate on a Medicare-for-All program.\u003c/p>\n\u003cp>In 2009, nearly a dozen advocates for a so-called single-payer system were arrested for disrupting committee hearings. They haven’t gotten much attention since then.\u003c/p>\n\u003cp>But Green Party officials say if the Supreme Court strikes down the federal health law -- and the ranks of the uninsured swell beyond 50 million, as most health policy experts predict -- their views might finally come into favor.\u003c/p>\n\u003cp>Chris Lehane is a California democratic political consultant. He says while there is potential if the Court throws out the individual mandate or the federal health law s a whole that health care overhaul could be revisited in a different way, but sees a tough road. \"It’s a hard battle and it will be a very uphill fight,\" he says \"but you can certainly see the potential if the President’s plan is thrown out, for people to revisit how they approach this.\"\u003c/p>\n\u003cp>Lehane says there are some Democrats who also support a single payer system, but it would take a seismic shift in the nation’s political make-up to advance the idea. \"The question really becomes,\" he points out, \"Can you really begin to convince independent voters that this is really the way to go?\"\u003c/p>\n\u003cp>In the meantime, the best bet for the Green Party and other single payer advocates may rest with the states. Vermont has started to put a single payer system in place.\u003c/p>\n\u003cp>In California, Democratic lawmakers twice passed bills establishing a single payer system which were later vetoed by former Governor Arnold Schwarzenegger. Earlier this year, a single payer bill stalled in the California Senate, but its sponsors have vowed, as they do every year, to bring it back again.\u003c/p>\n\u003cp>As for the Supreme Court, a decision from the justices is expected by the end of June.\u003c/p>\n\u003cp>\u003cstrong>Listen to the story:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\">\u003cparam name=\"movie\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201204040850c.xml\">\u003cembed src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" type=\"application/x-shockwave-flash\" width=\"335\" height=\"85\" flashvars=\"file=http://www.kqed.org/radio/archives/R201204040850c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/4708/opposition-to-the-federal-health-law-republicans-tea-party-and-the-green-party","authors":["8310"],"categories":["stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_233"],"featImg":"stateofhealth_4714","label":"stateofhealth"},"stateofhealth_4593":{"type":"posts","id":"stateofhealth_4593","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"4593","score":null,"sort":[1333138689000]},"guestAuthors":[],"slug":"just-in-time-for-the-weekend-background-on-health-care-in-california","title":"Just in Time for the Weekend! Background on Health Care in California","publishDate":1333138689,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_4625\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/California-Coast.jpg\">\u003cimg class=\"size-medium wp-image-4625\" title=\"(alycat: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/California-Coast-300x222.jpg\" alt=\"(alycat: Flickr)\" width=\"300\" height=\"222\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(alycat: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Admit it. The Supreme Court's \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/29/audiotranscripts-all-the-supreme-courts-oral-arguments-on-the-health-law/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/29/audiotranscripts-all-the-supreme-courts-oral-arguments-on-the-health-law/\" target=\"_blank\">scrutiny\u003c/a> of the health care overhaul has piqued your interest. You've read or heard stories about the oral arguments. But you feel guilty. You haven't been able to keep up on how the federal health care law is playing out in the Golden State. \u003cem>State of Health \u003c/em>is here to help.\u003c/p>\n\u003cp>We've rounded up four stories -- filed by KQED Health Reporter \u003ca title=\"http://www.kqed.org/radio/about/staff/sarah-varney.jsp\" href=\"http://www.kqed.org/radio/about/staff/sarah-varney.jsp\" target=\"_blank\">Sarah Varney\u003c/a> over the last 10 months -- to help give you an overview. These stories all have to do with how California is moving forward in implementing the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. Yes, the Supreme Court might overturn the ACA, but then again, it might not. Presuming the law goes forward, California is in a better position than most states to meet the 2014 full implementation.\u003c/p>\n\u003cp>In just under 22 minutes, you can get up to speed on where California stands. So put on your headphones and listen to the following stories:\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>California's Public Plan for Health Insurance\u003c/strong>: Keeping your health coverage during a recession is tough. No job means no insurance. But part of implementing the Affordable Care Act calls for the creation of state exchanges for health insurance plans that are portable and not tied to work. In California, that exchange will look a lot like the public insurance plan that died in Congress last year.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>Health Reform Rolls out in Conservative Kern County\u003c/strong>: Since the passage of the Affordable Care Act, the ideological lines have been clearly drawn: Republicans don't like it -- Democrats do. But, in a cash-strapped rural area like Kern County, the calculus of paying for health care is considerably more complicated. [This story is part of a collaboration with NPR and Kaiser Health News.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal is Moving to a Managed Care Model\u003c/strong>: As of last June 1, hundreds of thousands of disabled Medi-Cal recipients started to move into managed care health plans. Instead of paying for every doctor or hospital visit as it does now, the state pays insurers a set fee to meet the patient's medical needs. State health officials see managed care as a cheaper and more efficient way to run the program, and some for-profit insurance companies see good business.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201105310850a.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201105310850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cstrong>Venture Capital Flows to Cost-Effective Health Care Companies\u003c/strong>: Hospitals and doctors are facing a lot of heat these days to clean up their act. Medicare and some health plans are beginning to withhold payments for medical mishaps, preventable infections and re-admissions. The federal health law also forces them to pay more attention to how much they're spending -- and all of this has a direct effect on the kinds of investments Silicon Valley venture capitalists are betting on.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>And, if you still want more analysis of the Supreme Court hearings this week, here's a 30 minute video from \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/March/29/webcast-supreme-court-health-law.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/March/29/webcast-supreme-court-health-law.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>. The panel includes KHN Senior Correspondent Mary Agnes Carey; \u003ca title=\"http://www.stuarttaylorjr.com/\" href=\"http://www.stuarttaylorjr.com/\" target=\"_blank\">Stuart Taylor\u003c/a>, attorney, author and KHN legal analyst; \u003ca title=\"http://www.scotusblog.com/author/tom-goldstein\" href=\"http://www.scotusblog.com/author/tom-goldstein\" target=\"_blank\">Tom Goldstein\u003c/a>, publisher of SCOTUSblog and \u003ca title=\"http://www.npr.org/people/2101102/julie-rovner\" href=\"http://www.npr.org/people/2101102/julie-rovner\" target=\"_blank\">Julie Rovner\u003c/a>, NPR's health policy correspondent.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject id=\"flashObj\" width=\"486\" height=\"412\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashVars\" value=\"videoId=1536865177001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"base\" value=\"http://admin.brightcove.com\">\u003cparam name=\"seamlesstabbing\" value=\"false\">\u003cparam name=\"allowFullScreen\" value=\"true\">\u003cparam name=\"swLiveConnect\" value=\"true\">\u003cparam name=\"allowScriptAccess\" value=\"always\">\u003cparam name=\"src\" value=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\">\u003cparam name=\"flashvars\" value=\"videoId=1536865177001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\">\u003cparam name=\"allowfullscreen\" value=\"true\">\u003cparam name=\"swliveconnect\" value=\"true\">\u003cparam name=\"allowscriptaccess\" value=\"always\">\u003cparam name=\"pluginspage\" value=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003cembed width=\"486\" height=\"412\" type=\"application/x-shockwave-flash\" src=\"http://c.brightcove.com/services/viewer/federated_f9?isVid=1\" flashvars=\"videoId=1536865177001&playerID=1875349721&playerKey=AQ~~,AAAAAG_HivY~,sgDjaI7wvsueyxYvBTnH9ElGyGMdLEbW&domain=embed&dynamicStreaming=true\" base=\"http://admin.brightcove.com\" seamlesstabbing=\"false\" allowfullscreen=\"true\" swliveconnect=\"true\" allowscriptaccess=\"always\" pluginspage=\"http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash\">\u003c/embed>\u003c/object>\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1334081411,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":517},"headData":{"title":"Just in Time for the Weekend! Background on Health Care in California | KQED","description":"Admit it. The Supreme Court's scrutiny of the health care overhaul has piqued your interest. You've read or heard stories about the oral arguments. But you feel guilty. You haven't been able to keep up on how the federal health care law is playing out in the Golden State. State of Health is here to","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Just in Time for the Weekend! Background on Health Care in California","datePublished":"2012-03-30T20:18:09.000Z","dateModified":"2012-04-10T18:10:11.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"4593 http://blogs.kqed.org/stateofhealth/?p=4593","disqusUrl":"https://ww2.kqed.org/stateofhealth/2012/03/30/just-in-time-for-the-weekend-background-on-health-care-in-california/","disqusTitle":"Just in Time for the Weekend! Background on Health Care in California","path":"/stateofhealth/4593/just-in-time-for-the-weekend-background-on-health-care-in-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_4625\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/California-Coast.jpg\">\u003cimg class=\"size-medium wp-image-4625\" title=\"(alycat: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/California-Coast-300x222.jpg\" alt=\"(alycat: Flickr)\" width=\"300\" height=\"222\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(alycat: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Admit it. The Supreme Court's \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/03/29/audiotranscripts-all-the-supreme-courts-oral-arguments-on-the-health-law/\" href=\"http://ww2.kqed.org/stateofhealth/2012/03/29/audiotranscripts-all-the-supreme-courts-oral-arguments-on-the-health-law/\" target=\"_blank\">scrutiny\u003c/a> of the health care overhaul has piqued your interest. You've read or heard stories about the oral arguments. But you feel guilty. You haven't been able to keep up on how the federal health care law is playing out in the Golden State. \u003cem>State of Health \u003c/em>is here to help.\u003c/p>\n\u003cp>We've rounded up four stories -- filed by KQED Health Reporter \u003ca title=\"http://www.kqed.org/radio/about/staff/sarah-varney.jsp\" href=\"http://www.kqed.org/radio/about/staff/sarah-varney.jsp\" target=\"_blank\">Sarah Varney\u003c/a> over the last 10 months -- to help give you an overview. These stories all have to do with how California is moving forward in implementing the \u003ca title=\"http://www.healthcare.gov/law/index.html\" href=\"http://www.healthcare.gov/law/index.html\" target=\"_blank\">Affordable Care Act\u003c/a>. Yes, the Supreme Court might overturn the ACA, but then again, it might not. Presuming the law goes forward, California is in a better position than most states to meet the 2014 full implementation.\u003c/p>\n\u003cp>In just under 22 minutes, you can get up to speed on where California stands. So put on your headphones and listen to the following stories:\u003c!--more-->\u003c/p>\n\u003cp>\u003cstrong>California's Public Plan for Health Insurance\u003c/strong>: Keeping your health coverage during a recession is tough. No job means no insurance. But part of implementing the Affordable Care Act calls for the creation of state exchanges for health insurance plans that are portable and not tied to work. In California, that exchange will look a lot like the public insurance plan that died in Congress last year.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111181630c.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Health Reform Rolls out in Conservative Kern County\u003c/strong>: Since the passage of the Affordable Care Act, the ideological lines have been clearly drawn: Republicans don't like it -- Democrats do. But, in a cash-strapped rural area like Kern County, the calculus of paying for health care is considerably more complicated. [This story is part of a collaboration with NPR and Kaiser Health News.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cstrong>Medi-Cal is Moving to a Managed Care Model\u003c/strong>: As of last June 1, hundreds of thousands of disabled Medi-Cal recipients started to move into managed care health plans. Instead of paying for every doctor or hospital visit as it does now, the state pays insurers a set fee to meet the patient's medical needs. State health officials see managed care as a cheaper and more efficient way to run the program, and some for-profit insurance companies see good business.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201105310850a.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201105310850a.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>\u003cstrong>Venture Capital Flows to Cost-Effective Health Care Companies\u003c/strong>: Hospitals and doctors are facing a lot of heat these days to clean up their act. Medicare and some health plans are beginning to withhold payments for medical mishaps, preventable infections and re-admissions. The federal health law also forces them to pay more attention to how much they're spending -- and all of this has a direct effect on the kinds of investments Silicon Valley venture capitalists are betting on.\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201111111630b.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\u003cp>And, if you still want more analysis of the Supreme Court hearings this week, here's a 30 minute video from \u003ca title=\"http://www.kaiserhealthnews.org/Stories/2012/March/29/webcast-supreme-court-health-law.aspx\" href=\"http://www.kaiserhealthnews.org/Stories/2012/March/29/webcast-supreme-court-health-law.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>. 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