San Francisco Obama Supporters, Cancelled by Obamacare
Why Some Are Seeing Premiums Go Up As Affordable Care Act Goes Into Effect
Obamacare Downside: Reports of Premiums Going Up
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You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>","avatar":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twitter":"laliferis","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"futureofyou","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]},{"site":"science","roles":["subscriber"]},{"site":"food","roles":["contributor"]}],"headData":{"title":"Lisa Aliferis | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lisaaliferis"},"state-of-health":{"type":"authors","id":"8344","meta":{"index":"authors_1591205172","id":"8344","found":true},"name":"State of Health","firstName":"State of 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Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Charles Ornstein,\u003c/strong> \u003ca href=\"http://www.propublica.org/article/loyal-obama-supporters-canceled-by-obamacare?utm_campaign=bt_twitter&utm_source=twitter&utm_medium=social\" target=\"_blank\">ProPublica\u003c/a>\u003c/p>\n\u003cp>San Francisco architect Lee Hammack says he and his wife, JoEllen Brothers, are “cradle Democrats.” They have donated to the liberal group Organizing for America and worked the phone banks a year ago for President Obama’s re-election.\u003c/p>\n\u003cp>Since 1995, Hammack and Brothers have received their health coverage from Kaiser Permanente, where Brothers worked until 2009 as a dietician and diabetes educator. “We’ve both been in very good health all of our lives – exercise, don’t smoke, drink lightly, healthy weight, no health issues, and so on,” Hammack told me.\u003c/p>\n\u003c/div>\n\u003cdiv>\n\u003cp>The couple — Lee, 60, and JoEllen, 59 — have been paying $550 a month for their health coverage — a plan that offers solid coverage, not one of the skimpy plans Obama has criticized. But recently, Kaiser informed them the plan would be canceled at the end of the year because it did not meet the requirements of the Affordable Care Act. The couple would need to find another one. The cost would be around double what they pay now, but the benefits would be worse.\u003c/p>\n\u003cp>“From all of the sob stories I’ve heard and read, ours is the most extreme,” Lee told me in an email last week.\u003c!--more-->\u003c/p>\n\u003cp>I’ve been skeptical about media stories featuring those who claimed they would be worse off because their insurance policies were being canceled on account of the ACA. In many cases, \u003ca href=\"http://www.newrepublic.com/article/115457/obamacare-victim-florida-happy-she-can-get-real-coverage\">it turns out\u003c/a>, the consumers could have found cheaper coverage through the new health insurance marketplaces, or their plans weren’t very good to begin with. \u003ca href=\"http://www.latimes.com/business/hiltzik/la-fi-mh-debunked-20131030,0,6010994.story#axzz2jnQTZ53H\">Some didn’t know they could qualify\u003c/a> for subsidies that would lower their insurance premiums.\u003c/p>\n\u003cp>So I tried to find flaws in what Hammack told me. I couldn’t find any.\u003c/p>\n\u003cul>\n\u003cli>The couple’s \u003ca href=\"http://www.propublica.org/documents/item/815690-kaiser2013benefits\" target=\"_blank\">existing Kaiser plan was a good one\u003c/a>.\u003c/li>\n\u003cli>Their new options were indeed more expensive, and the \u003ca href=\"http://www.propublica.org/documents/item/815691-kaiser2014benefits\" target=\"_blank\">benefits didn’t seem any better\u003c/a>.\u003c/li>\n\u003cli>They do not qualify for premium subsidies because they make more than four times the federal poverty level, though Hammack says not by much.\u003c/li>\n\u003c/ul>\n\u003cp>Hammack recalled his reaction when he and his wife received a letters from Kaiser in September informing him their coverage was being canceled. “I work downstairs and my wife had a clear look of shock on her face,” he said. “Our first reaction was clearly there’s got to be some mistake. This was before the exchanges opened up. We quickly calmed down. We were confident that this would all be straightened out. But it wasn’t.”\u003c/p>\n\u003cp>I asked Hammack to send me \u003ca href=\"http://www.propublica.org/documents/item/815690-kaiser2013benefits\" target=\"_blank\">details of his current plan\u003c/a>. It carried a $4,000 deductible per person, a $40 copay for doctor visits, a $150 emergency room visit fee and 30 percent coinsurance for hospital stays after the deductible. The out-of-pocket maximum was $5,600.\u003c/p>\n\u003cp>This plan was ending, Kaiser’s letters told them, because it did not meet the requirements of the Affordable Care Act. “Everything is taken care of,” the letters said. “There’s nothing you need to do.”\u003c/p>\n\u003cp>The letters said the couple would be enrolled in new Kaiser plans that would cost nearly $1,300 for the two of them (more than $15,000 a year).\u003c/p>\n\u003cp>And for that higher amount, \u003ca href=\"http://www.propublica.org/documents/item/815692-kaiser2014lee\" target=\"_blank\">what would they get\u003c/a>? A higher deductible ($4,500), a higher out-of-pocket maximum ($6,350), higher hospital costs (40 percent of the cost) and possibly higher costs for doctor visits and drugs.\u003c/p>\n\u003cp>When they shopped around and looked for a different plan on California's new health insurance marketplace, \u003ca href=\"https://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>, the cheapest one was $975, with hefty deductibles and copays.\u003c/p>\n\u003cp style=\"text-align: center\">[\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">Why Some Are Seeing Premiums Go Up As ACA Goes Into Effect\u003c/a>]\u003c/p>\n\u003cp>\u003ca href=\"http://www.whitehouse.gov/the-press-office/2013/10/30/remarks-president-and-governor-deval-patrick-affordable-care-act\" target=\"_blank\">In a speech in Boston last week\u003c/a>, President Obama said those receiving cancellation letters didn’t have good insurance. “There are a number of Americans — fewer than 5 percent of Americans — who've got cut-rate plans that don’t offer real financial protection in the event of a serious illness or an accident,” he said.\u003c/p>\n\u003cp>“Remember, before the Affordable Care Act, these bad-apple insurers had free rein every single year to limit the care that you received, or use minor preexisting conditions to jack up your premiums or bill you into bankruptcy. So a lot of people thought they were buying coverage, and it turned out not to be so good.”\u003c/p>\n\u003cp>\u003cstrong>Seems like lose-lose situation\u003c/strong>\u003c/p>\n\u003cp>What is going on here? Kaiser isn’t a “bad apple” insurer and this plan wasn’t “cut rate.” It seems like this is a lose-lose for the Hammacks (and a friend featured in a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/04/obamacare-downside-reports-of-premiums-going-up/\">report last month\u003c/a> on this blog.)\u003c/p>\n\u003cp>I called Kaiser Permanente and spoke to spokesman Chris Stenrud, who used to work for the U.S. Department of Health and Human Services. He told me that this was indeed a good plan. Patients in the plan, known as 40/4000, were remarkably healthy, had low medical costs and had not seen their premiums increase in years. “Our actuaries still aren’t entirely sure why that was,” he said.\u003c/p>\n\u003cp>While many other insurance companies offered skimpier benefits, Stenrud said, “our plans historically have been comprehensive.”\u003c/p>\n\u003cp>Kaiser has canceled about 160,000 policies in California, and about one third of people were in plans like Hammack’s, Stenrud said. About 30,000 to 35,000 were in his specific plan.\u003c/p>\n\u003cp>“In a few cases, we are able to find coverage for them that is less expensive, but in most cases, we’re not because, in sort of pure economic terms, they are people who benefited from the current system ... Now that the market rules are changing, there will be different people who benefit and different people who don’t.”\u003c/p>\n\u003cp>“There’s an aspect of market disruption here that I think was not clear to people,” Stenrud acknowledged. “In many respects it has been theory rather than practice for the first three years of the law; folks are seeing the breadth of change that we’re talking about here.”\u003c/p>\n\u003cp>That’s little comfort to Hammack. He’s written to California’s senators and his representative, House Minority Leader Nancy Pelosi, (D-CA), asking for help.\u003c/p>\n\u003cp>“We believe that the Act is good for health care, the economy, & the future of our nation. However, ACA options for middle income individuals ages 59 & 60 are unaffordable. We’re learning that many others are similarly affected. In that spirit we ask that you fix this, for all of our sakes,” he and Brothers wrote.\u003c/p>\n\u003cp>Consumer advocate Anthony Wright said it’s important to remember the way the insurance market worked before the act was passed, when insurers could deny coverage based on pre-existing conditions. “It’s impossible to know what the world would have looked like for these folks in the absence of the law,” said Wright, executive director of the group Health Access.\u003c/p>\n\u003cp>“We certainly had an individual market, especially in California which was the Wild Wild West, where there was huge price increases, cancellations, a range of other practices.\u003c/p>\n\u003cp>“That doesn't mean that there were certain people who lucked out in the old system, who wound up in a group with a relatively healthy risk mix and thus lower premiums,” he added. “The question is: Is health insurance something where people get a rate based on the luck of the draw or do we have something where we have some standards where people who live in the same community, of the same age, with the same benefit package are treated equally?”\u003c/p>\n\u003cp>Wright said discussions should focus on how to provide consumers like Hammack with assistance if they barely miss qualifying for subsidies.\u003c/p>\n\u003cp>So what is Hammack going to do? If his income were to fall below four times the federal poverty level, or about $62,000 for a family of two, he would qualify for subsidies that could lower his premium cost to as low as zero. If he makes even one dollar more, he gets nothing.\u003c/p>\n\u003cp>That’s what he’s leaning toward — lowering his salary or shifting more money toward a retirement account and applying for a subsidy.\u003c/p>\n\u003cp>“We’re not changing our views because of this situation, but it hurt to hear Obama saying, just the other day, that if our plan has been dropped it’s because it wasn’t any good, and our costs would go up only slightly,” he said. “We’re gratified that the press is on the case, but frustrated that the stewards of the ACA don’t seem to have heard.”\u003c/p>\n\u003cp>\u003cem>Editor's note: Ornstein posted this follow up story \u003ca href=\"http://www.propublica.org/article/answered-why-two-obama-loyalists-lost-their-health-policies\" target=\"_blank\">Answered: Why Two Obama Loyalists Lost Their Policies\u003c/a>, explaining much more about the couple's situation.\u003c/em>\u003c/p>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"San Francisco architect Lee Hammack says he and his wife, JoEllen Brothers, are “cradle Democrats.” They have donated to the liberal group Organizing for America and worked the phone banks a year ago for President Obama’s re-election.\r\n\r\nSince 1995, Hammack and Brothers have received their health coverage from Kaiser Permanente, where Brothers worked until 2009 as a dietician and diabetes educator. “We’ve both been in very good health all of our lives – exercise, don’t smoke, drink lightly, healthy weight, no health issues, and so on,” Hammack told me.","status":"publish","parent":0,"modified":1383949441,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1559},"headData":{"title":"San Francisco Obama Supporters, Cancelled by Obamacare | KQED","description":"San Francisco architect Lee Hammack says he and his wife, JoEllen Brothers, are “cradle Democrats.” They have donated to the liberal group Organizing for America and worked the phone banks a year ago for President Obama’s re-election.\r\n\r\nSince 1995, Hammack and Brothers have received their health coverage from Kaiser Permanente, where Brothers worked until 2009 as a dietician and diabetes educator. “We’ve both been in very good health all of our lives – exercise, don’t smoke, drink lightly, healthy weight, no health issues, and so on,” Hammack told me.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"San Francisco Obama Supporters, Cancelled by Obamacare","datePublished":"2013-11-06T17:20:40.000Z","dateModified":"2013-11-08T22:24:01.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"16124 http://blogs.kqed.org/stateofhealth/?p=16124","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/11/06/obama-supporters-canceled-by-obamacare/","disqusTitle":"San Francisco Obama Supporters, Cancelled by Obamacare","path":"/stateofhealth/16124/obama-supporters-canceled-by-obamacare","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cdiv>\n\u003cfigure id=\"attachment_16097\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/153494074CROP-e1383673996387.jpg\">\u003cimg class=\"size-large wp-image-16097\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/153494074CROP-640x433.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"433\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Charles Ornstein,\u003c/strong> \u003ca href=\"http://www.propublica.org/article/loyal-obama-supporters-canceled-by-obamacare?utm_campaign=bt_twitter&utm_source=twitter&utm_medium=social\" target=\"_blank\">ProPublica\u003c/a>\u003c/p>\n\u003cp>San Francisco architect Lee Hammack says he and his wife, JoEllen Brothers, are “cradle Democrats.” They have donated to the liberal group Organizing for America and worked the phone banks a year ago for President Obama’s re-election.\u003c/p>\n\u003cp>Since 1995, Hammack and Brothers have received their health coverage from Kaiser Permanente, where Brothers worked until 2009 as a dietician and diabetes educator. “We’ve both been in very good health all of our lives – exercise, don’t smoke, drink lightly, healthy weight, no health issues, and so on,” Hammack told me.\u003c/p>\n\u003c/div>\n\u003cdiv>\n\u003cp>The couple — Lee, 60, and JoEllen, 59 — have been paying $550 a month for their health coverage — a plan that offers solid coverage, not one of the skimpy plans Obama has criticized. But recently, Kaiser informed them the plan would be canceled at the end of the year because it did not meet the requirements of the Affordable Care Act. The couple would need to find another one. The cost would be around double what they pay now, but the benefits would be worse.\u003c/p>\n\u003cp>“From all of the sob stories I’ve heard and read, ours is the most extreme,” Lee told me in an email last week.\u003c!--more-->\u003c/p>\n\u003cp>I’ve been skeptical about media stories featuring those who claimed they would be worse off because their insurance policies were being canceled on account of the ACA. In many cases, \u003ca href=\"http://www.newrepublic.com/article/115457/obamacare-victim-florida-happy-she-can-get-real-coverage\">it turns out\u003c/a>, the consumers could have found cheaper coverage through the new health insurance marketplaces, or their plans weren’t very good to begin with. \u003ca href=\"http://www.latimes.com/business/hiltzik/la-fi-mh-debunked-20131030,0,6010994.story#axzz2jnQTZ53H\">Some didn’t know they could qualify\u003c/a> for subsidies that would lower their insurance premiums.\u003c/p>\n\u003cp>So I tried to find flaws in what Hammack told me. I couldn’t find any.\u003c/p>\n\u003cul>\n\u003cli>The couple’s \u003ca href=\"http://www.propublica.org/documents/item/815690-kaiser2013benefits\" target=\"_blank\">existing Kaiser plan was a good one\u003c/a>.\u003c/li>\n\u003cli>Their new options were indeed more expensive, and the \u003ca href=\"http://www.propublica.org/documents/item/815691-kaiser2014benefits\" target=\"_blank\">benefits didn’t seem any better\u003c/a>.\u003c/li>\n\u003cli>They do not qualify for premium subsidies because they make more than four times the federal poverty level, though Hammack says not by much.\u003c/li>\n\u003c/ul>\n\u003cp>Hammack recalled his reaction when he and his wife received a letters from Kaiser in September informing him their coverage was being canceled. “I work downstairs and my wife had a clear look of shock on her face,” he said. “Our first reaction was clearly there’s got to be some mistake. This was before the exchanges opened up. We quickly calmed down. We were confident that this would all be straightened out. But it wasn’t.”\u003c/p>\n\u003cp>I asked Hammack to send me \u003ca href=\"http://www.propublica.org/documents/item/815690-kaiser2013benefits\" target=\"_blank\">details of his current plan\u003c/a>. It carried a $4,000 deductible per person, a $40 copay for doctor visits, a $150 emergency room visit fee and 30 percent coinsurance for hospital stays after the deductible. The out-of-pocket maximum was $5,600.\u003c/p>\n\u003cp>This plan was ending, Kaiser’s letters told them, because it did not meet the requirements of the Affordable Care Act. “Everything is taken care of,” the letters said. “There’s nothing you need to do.”\u003c/p>\n\u003cp>The letters said the couple would be enrolled in new Kaiser plans that would cost nearly $1,300 for the two of them (more than $15,000 a year).\u003c/p>\n\u003cp>And for that higher amount, \u003ca href=\"http://www.propublica.org/documents/item/815692-kaiser2014lee\" target=\"_blank\">what would they get\u003c/a>? A higher deductible ($4,500), a higher out-of-pocket maximum ($6,350), higher hospital costs (40 percent of the cost) and possibly higher costs for doctor visits and drugs.\u003c/p>\n\u003cp>When they shopped around and looked for a different plan on California's new health insurance marketplace, \u003ca href=\"https://www.coveredca.com/\" target=\"_blank\">Covered California\u003c/a>, the cheapest one was $975, with hefty deductibles and copays.\u003c/p>\n\u003cp style=\"text-align: center\">[\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">Why Some Are Seeing Premiums Go Up As ACA Goes Into Effect\u003c/a>]\u003c/p>\n\u003cp>\u003ca href=\"http://www.whitehouse.gov/the-press-office/2013/10/30/remarks-president-and-governor-deval-patrick-affordable-care-act\" target=\"_blank\">In a speech in Boston last week\u003c/a>, President Obama said those receiving cancellation letters didn’t have good insurance. “There are a number of Americans — fewer than 5 percent of Americans — who've got cut-rate plans that don’t offer real financial protection in the event of a serious illness or an accident,” he said.\u003c/p>\n\u003cp>“Remember, before the Affordable Care Act, these bad-apple insurers had free rein every single year to limit the care that you received, or use minor preexisting conditions to jack up your premiums or bill you into bankruptcy. So a lot of people thought they were buying coverage, and it turned out not to be so good.”\u003c/p>\n\u003cp>\u003cstrong>Seems like lose-lose situation\u003c/strong>\u003c/p>\n\u003cp>What is going on here? Kaiser isn’t a “bad apple” insurer and this plan wasn’t “cut rate.” It seems like this is a lose-lose for the Hammacks (and a friend featured in a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/04/obamacare-downside-reports-of-premiums-going-up/\">report last month\u003c/a> on this blog.)\u003c/p>\n\u003cp>I called Kaiser Permanente and spoke to spokesman Chris Stenrud, who used to work for the U.S. Department of Health and Human Services. He told me that this was indeed a good plan. Patients in the plan, known as 40/4000, were remarkably healthy, had low medical costs and had not seen their premiums increase in years. “Our actuaries still aren’t entirely sure why that was,” he said.\u003c/p>\n\u003cp>While many other insurance companies offered skimpier benefits, Stenrud said, “our plans historically have been comprehensive.”\u003c/p>\n\u003cp>Kaiser has canceled about 160,000 policies in California, and about one third of people were in plans like Hammack’s, Stenrud said. About 30,000 to 35,000 were in his specific plan.\u003c/p>\n\u003cp>“In a few cases, we are able to find coverage for them that is less expensive, but in most cases, we’re not because, in sort of pure economic terms, they are people who benefited from the current system ... Now that the market rules are changing, there will be different people who benefit and different people who don’t.”\u003c/p>\n\u003cp>“There’s an aspect of market disruption here that I think was not clear to people,” Stenrud acknowledged. “In many respects it has been theory rather than practice for the first three years of the law; folks are seeing the breadth of change that we’re talking about here.”\u003c/p>\n\u003cp>That’s little comfort to Hammack. He’s written to California’s senators and his representative, House Minority Leader Nancy Pelosi, (D-CA), asking for help.\u003c/p>\n\u003cp>“We believe that the Act is good for health care, the economy, & the future of our nation. However, ACA options for middle income individuals ages 59 & 60 are unaffordable. We’re learning that many others are similarly affected. In that spirit we ask that you fix this, for all of our sakes,” he and Brothers wrote.\u003c/p>\n\u003cp>Consumer advocate Anthony Wright said it’s important to remember the way the insurance market worked before the act was passed, when insurers could deny coverage based on pre-existing conditions. “It’s impossible to know what the world would have looked like for these folks in the absence of the law,” said Wright, executive director of the group Health Access.\u003c/p>\n\u003cp>“We certainly had an individual market, especially in California which was the Wild Wild West, where there was huge price increases, cancellations, a range of other practices.\u003c/p>\n\u003cp>“That doesn't mean that there were certain people who lucked out in the old system, who wound up in a group with a relatively healthy risk mix and thus lower premiums,” he added. “The question is: Is health insurance something where people get a rate based on the luck of the draw or do we have something where we have some standards where people who live in the same community, of the same age, with the same benefit package are treated equally?”\u003c/p>\n\u003cp>Wright said discussions should focus on how to provide consumers like Hammack with assistance if they barely miss qualifying for subsidies.\u003c/p>\n\u003cp>So what is Hammack going to do? If his income were to fall below four times the federal poverty level, or about $62,000 for a family of two, he would qualify for subsidies that could lower his premium cost to as low as zero. If he makes even one dollar more, he gets nothing.\u003c/p>\n\u003cp>That’s what he’s leaning toward — lowering his salary or shifting more money toward a retirement account and applying for a subsidy.\u003c/p>\n\u003cp>“We’re not changing our views because of this situation, but it hurt to hear Obama saying, just the other day, that if our plan has been dropped it’s because it wasn’t any good, and our costs would go up only slightly,” he said. “We’re gratified that the press is on the case, but frustrated that the stewards of the ACA don’t seem to have heard.”\u003c/p>\n\u003cp>\u003cem>Editor's note: Ornstein posted this follow up story \u003ca href=\"http://www.propublica.org/article/answered-why-two-obama-loyalists-lost-their-health-policies\" target=\"_blank\">Answered: Why Two Obama Loyalists Lost Their Policies\u003c/a>, explaining much more about the couple's situation.\u003c/em>\u003c/p>\n\u003c/div>\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>\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/16124/obama-supporters-canceled-by-obamacare","authors":["8344"],"categories":["stateofhealth_15"],"tags":["stateofhealth_38","stateofhealth_645","stateofhealth_653"],"featImg":"stateofhealth_16097","label":"stateofhealth"},"stateofhealth_15735":{"type":"posts","id":"stateofhealth_15735","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"15735","score":null,"sort":[1382086948000]},"guestAuthors":[],"slug":"why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare","title":"Why Some Are Seeing Premiums Go Up As Affordable Care Act Goes Into Effect","publishDate":1382086948,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_13022\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\">\u003cimg class=\"size-full wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/05/96226495-e1382074913159.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/96226495-e1382074913159-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/96226495-e1382074913159-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>In late September, Peter Lee, the executive director of Covered California — the state's health insurance marketplace — was a guest on\u003ca href=\"http://www.kqed.org/a/forum/R201309270900\" target=\"_blank\"> KQED's Forum\u003c/a>. It was just days until the Oct. 1 opening of the exchange. Lee touted the benefits of the Affordable Care Act, saying that many people would pay less for health insurance, but he cautioned that for some people, \"rates may go up a little bit.\"\u003c/p>\n\u003cp>Pretty soon Mark Brown of San Jose called the show to say his premiums were going up -- and much more than a little bit. Brown, who buys health insurance for himself and his wife, said his premiums were going up a whopping 90 percent.\u003c/p>\n\u003cp>When I heard Brown on the air, I hurried to the control room to get his phone number and later got his full details:\u003c/p>\n\u003cul>\n\u003cli>In 2013, Brown's plan with Kaiser has a $5,000 deductible and a $6,000 out-of-pocket maximum. It costs him $272 a month.\u003c/li>\n\u003cli>In 2014, Kaiser offered him a plan with a $4,500 deductible and a $6,350 out-of-pocket max. But the premium is $519 a month.\u003c/li>\n\u003c/ul>\n\u003cp>It's very similar coverage for almost double the cost.\u003c!--more-->\u003c/p>\n\u003cp>Brown's story was so astonishing that Glenn Melnick, a health economist at the University of Southern California, simply didn't believe it when I called him to ask how this big of a rate increase could be happening. \"A 90 percent increase just doesn't make sense to me,\" he said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Melnick encouraged me to double-check the facts, saying that there must be something Brown was missing. But Brown provided his documents from Kaiser, I reviewed them and forwarded them to Melnick, who confirmed that Brown's analysis — a 90.9 percent increase for similar coverage — checked out.\u003c/p>\n\u003cp>\"You've got my attention,\" Melnick said.\u003c/p>\n\u003cp>In fairness to Kaiser, the other plans available on Covered California to Brown were roughly the same cost and since all plans on the marketplace must offer the same benefits, the coverage for any other plan would be equivalent. Brown says he does not qualify for a subsidy, so he and his wife will be paying for the entire premium themselves.\u003c/p>\n\u003cp>Brown, 56, said he supports the Affordable Care Act and assessed his situation somewhat philosophically. \"Everybody should have medical coverage,\" he said, \"and there are going to be winners and losers whenever they deploy something like this, and I'm in the loser category at this point.\"\u003c/p>\n\u003cp>The big question right now is how many people are in that category with him. At the end of the week after Covered California opened, I wrote about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/04/obamacare-downside-reports-of-premiums-going-up/\" target=\"_blank\">another person\u003c/a> whose premiums were going up, and that post is now filled with comments from other frustrated people who are experiencing premium increases.\u003c/p>\n\u003cp>In that post, Larry Levitt of the Kaiser Family Foundation attributed the increases to the cost of adding people with pre-existing conditions to the pool. But how and why that happens is an interesting look at California's individual market now and the one expected to take shape as we move into 2014.\u003c/p>\n\u003cp>Before we get there, a bit of background. Of California's 38 million people:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Roughly 80 percent\u003c/strong> have either employer-based insurance or are covered by a public program such as Medicare or Medi-Cal, the state's version of Medicaid. They are largely not affected by the rollout of the ACA.\u003c/li>\n\u003cli>\u003cstrong>Another 14 percent\u003c/strong> of Californians lack health insurance. That's more than \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/H/PDF%20HealthReformTranslationInfographic1.pdf\" target=\"_blank\">5.5 million people\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>And 6 percent\u003c/strong> of Californians — or about 2 million people — buy insurance for themselves, on the individual market.\u003c/li>\n\u003c/ul>\n\u003cp>Bear with me here for a few more numbers:\u003c/p>\n\u003cp>Of those 2 million people who currently buy their own insurance, somewhere between \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/resources/CalSIM_Statewide.pdf\" target=\"_blank\">37 percent\u003c/a> and \u003ca href=\"http://kff.org/health-reform/issue-brief/quantifying-tax-credits-for-people-now-buying-insurance-on-their-own/\" target=\"_blank\">51 percent\u003c/a> (depending on whose numbers you choose) will pay\u003cem> less\u003c/em> for their coverage in 2014 because of the subsidies available under the Affordable Care Act. (Subsidies are available to people with incomes up to 400 percent of poverty — capping out at $46,000 for an individual or $94,200 for a family of four.)\u003c/p>\n\u003cp>So that leaves roughly 1 million people whose premiums are potentially subject to change under Obamacare. The questions are: in what direction and by how much? It'll be awhile before we have global numbers. So for now we're left with anecdotes.\u003c/p>\n\u003cp>\u003cstrong>Premiums up for some, down for others\u003c/strong>\u003c/p>\n\u003cp>Kevin Knauss, an insurance broker in the Sacramento area, analyzed a small sample of his clientele and found that about a quarter of them were seeing their premiums go down. And, no, these people were not eligible for the ACA subsidies, he said. So, for at least some people the ACA is saving them money.\u003c/p>\n\u003cp>But what about Mark Brown and others who are seeing significant increases? What are the drivers?\u003c/p>\n\u003cp>An\u003ca href=\"http://www.healthexchange.ca.gov/Documents/Factors%20Affecting%20Individual%20Premiums%20FINAL%203-28-2013.pdf\" target=\"_blank\"> extensive report \u003c/a>back in March from Milliman, a global actuarial firm, has some answers. It got widespread \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/28/health-care-overhaul-to-dramatically-reduce-premiums-for-many-individuals-study-finds/\" target=\"_blank\">media attention\u003c/a> at the time. Remember that this report came out well before Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/23/californias-health-insurance-exchange-sets-plans-premiums-no-apparent-rate-shock/\" target=\"_blank\">announced\u003c/a> its 2014 plans and premiums, at a time when there was concern of significant rate shock, that premiums would skyrocket for everyone due to Obamacare. The report found that many people would pay significantly less, largely due to subsidies. But the report included estimates that premiums would go up, on average, 20 percent for people who earn too much to qualify for subsidies. In other words, some people will pay less, some people will pay the same and some people -- like Brown -- will pay much more.\u003c/p>\n\u003cp style=\"text-align: center\">[\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/06/obama-supporters-canceled-by-obamacare/#more-16124\" target=\"_blank\">San Francisco Obama Supporters, Cancelled by Obamacare\u003c/a>]\u003c/p>\n\u003cp>Part of that increase — about 9 percent — would have happened anyway, the report said. That's because health care costs keep rising. But much of the rest of the increase, the report shows, is because those 2 million people in the individual insurance pool have tended to be healthier (and therefore less expensive to insure) than the average population.\u003cstrong> \u003c/strong>The makeup of those in the individual pool is likely to change under the Affordable Care Act, as the uninsured gain insurance. Covered California hopes to enroll 1 million people by the end of 2014, increasing the individual insurance pool by 50 percent.\u003c/p>\n\u003cp>\u003cstrong>Individual insurance pool in California a healthier group\u003c/strong>\u003c/p>\n\u003cp>Why is the current pool healthier? Because in California, like many other states, insurers offered products based on your health history, or medical underwriting, in the industry parlance. People in good health generally pay less than those with worse health. Most people have heard the stories of individuals being denied coverage -- at any cost -- because of pre-existing health conditions. So that means people who needed health care the most weren't in the individual insurance pool. Now they will be.\u003c/p>\n\u003cp>\"I know that people are going to feel like they are getting the short end of the stick because they are having to pay more for their health insurance. Unfortunately there are winners and losers under the ACA,\" said Gerald Kominski at the UCLA Center for Health Policy Research, echoing Mark Brown. \"When we weigh everything, the reforms benefit many more people than they harm, but these are the most disadvantaged in the marketplace.\"\u003c/p>\n\u003cp>One of those people disadvantaged in the pre-ACA marketplace is \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/04/enrolling-in-covered-california-experience-from-one-san-franciscan-san-francisco-obamacare/\" target=\"_blank\">Paul Cello\u003c/a> of San Francisco. He has an essentially benign heart condition, but it left him uninsurable 10 years ago, after he left his job and his COBRA ran out. He did get into the state's high-risk pool where his premiums are a little over $500 a month, he said, but benefits are capped at $75,000 annually. While Cello's health costs have never approached $75,000, he was worried they could. “It always felt like if anything big happened, I was going to be in trouble,” he told me.\u003c/p>\n\u003cp>On the second day the Covered California was open, he enrolled in a Blue Shield plan with no lifetime maximum (as required by the ACA) and with more comprehensive benefits than his current plan. His premium has gone down slightly to $483 -- plus Cello qualified for a subsidy, bringing his costs down further.\u003c/p>\n\u003cp>I could list more anecdotes, but it will be awhile before Milliman or other analysts can issue a new report. In the meantime, Kominski views the situation societally.\u003c/p>\n\u003cp>\"It's unfortunate that some people are going to have to pay more. Some people who currently have lower cost insurance will have to,\" Kominski said. \"On balance a lot more people will be better off, but there's a small portion who would have been better off just keeping things as they are.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more: \u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong>For you wonks out there, the California Health Care Foundation has a \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/H/PDF%20HealthReformTranslationActuarialValue.pdf\" target=\"_blank\">great explainer on actuarial value,\u003c/a> which represents the share of health care expenses a plan covers for a typical group of enrollees. Most plans now have an actuarial value of 55 percent. Bronze level plans under the Affordable Care Act are at 60 percent. This is another driver of premium increase.\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1384287615,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1534},"headData":{"title":"Why Some Are Seeing Premiums Go Up As Affordable Care Act Goes Into Effect | KQED","description":"In late September, Peter Lee, the executive director of Covered California — the state's health insurance marketplace — was a guest on KQED's Forum. It was just days until the Oct. 1 opening of the exchange. Lee touted the benefits of the Affordable Care Act, saying that many people would pay less for health insurance,","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Why Some Are Seeing Premiums Go Up As Affordable Care Act Goes Into Effect","datePublished":"2013-10-18T09:02:28.000Z","dateModified":"2013-11-12T20:20:15.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"15735 http://blogs.kqed.org/stateofhealth/?p=15735","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/","disqusTitle":"Why Some Are Seeing Premiums Go Up As Affordable Care Act Goes Into Effect","path":"/stateofhealth/15735/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_13022\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\">\u003cimg class=\"size-full wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/05/96226495-e1382074913159.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/96226495-e1382074913159-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/96226495-e1382074913159-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>In late September, Peter Lee, the executive director of Covered California — the state's health insurance marketplace — was a guest on\u003ca href=\"http://www.kqed.org/a/forum/R201309270900\" target=\"_blank\"> KQED's Forum\u003c/a>. It was just days until the Oct. 1 opening of the exchange. Lee touted the benefits of the Affordable Care Act, saying that many people would pay less for health insurance, but he cautioned that for some people, \"rates may go up a little bit.\"\u003c/p>\n\u003cp>Pretty soon Mark Brown of San Jose called the show to say his premiums were going up -- and much more than a little bit. Brown, who buys health insurance for himself and his wife, said his premiums were going up a whopping 90 percent.\u003c/p>\n\u003cp>When I heard Brown on the air, I hurried to the control room to get his phone number and later got his full details:\u003c/p>\n\u003cul>\n\u003cli>In 2013, Brown's plan with Kaiser has a $5,000 deductible and a $6,000 out-of-pocket maximum. It costs him $272 a month.\u003c/li>\n\u003cli>In 2014, Kaiser offered him a plan with a $4,500 deductible and a $6,350 out-of-pocket max. But the premium is $519 a month.\u003c/li>\n\u003c/ul>\n\u003cp>It's very similar coverage for almost double the cost.\u003c!--more-->\u003c/p>\n\u003cp>Brown's story was so astonishing that Glenn Melnick, a health economist at the University of Southern California, simply didn't believe it when I called him to ask how this big of a rate increase could be happening. \"A 90 percent increase just doesn't make sense to me,\" he said.\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>Melnick encouraged me to double-check the facts, saying that there must be something Brown was missing. But Brown provided his documents from Kaiser, I reviewed them and forwarded them to Melnick, who confirmed that Brown's analysis — a 90.9 percent increase for similar coverage — checked out.\u003c/p>\n\u003cp>\"You've got my attention,\" Melnick said.\u003c/p>\n\u003cp>In fairness to Kaiser, the other plans available on Covered California to Brown were roughly the same cost and since all plans on the marketplace must offer the same benefits, the coverage for any other plan would be equivalent. Brown says he does not qualify for a subsidy, so he and his wife will be paying for the entire premium themselves.\u003c/p>\n\u003cp>Brown, 56, said he supports the Affordable Care Act and assessed his situation somewhat philosophically. \"Everybody should have medical coverage,\" he said, \"and there are going to be winners and losers whenever they deploy something like this, and I'm in the loser category at this point.\"\u003c/p>\n\u003cp>The big question right now is how many people are in that category with him. At the end of the week after Covered California opened, I wrote about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/04/obamacare-downside-reports-of-premiums-going-up/\" target=\"_blank\">another person\u003c/a> whose premiums were going up, and that post is now filled with comments from other frustrated people who are experiencing premium increases.\u003c/p>\n\u003cp>In that post, Larry Levitt of the Kaiser Family Foundation attributed the increases to the cost of adding people with pre-existing conditions to the pool. But how and why that happens is an interesting look at California's individual market now and the one expected to take shape as we move into 2014.\u003c/p>\n\u003cp>Before we get there, a bit of background. Of California's 38 million people:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Roughly 80 percent\u003c/strong> have either employer-based insurance or are covered by a public program such as Medicare or Medi-Cal, the state's version of Medicaid. They are largely not affected by the rollout of the ACA.\u003c/li>\n\u003cli>\u003cstrong>Another 14 percent\u003c/strong> of Californians lack health insurance. That's more than \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/H/PDF%20HealthReformTranslationInfographic1.pdf\" target=\"_blank\">5.5 million people\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>And 6 percent\u003c/strong> of Californians — or about 2 million people — buy insurance for themselves, on the individual market.\u003c/li>\n\u003c/ul>\n\u003cp>Bear with me here for a few more numbers:\u003c/p>\n\u003cp>Of those 2 million people who currently buy their own insurance, somewhere between \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/resources/CalSIM_Statewide.pdf\" target=\"_blank\">37 percent\u003c/a> and \u003ca href=\"http://kff.org/health-reform/issue-brief/quantifying-tax-credits-for-people-now-buying-insurance-on-their-own/\" target=\"_blank\">51 percent\u003c/a> (depending on whose numbers you choose) will pay\u003cem> less\u003c/em> for their coverage in 2014 because of the subsidies available under the Affordable Care Act. (Subsidies are available to people with incomes up to 400 percent of poverty — capping out at $46,000 for an individual or $94,200 for a family of four.)\u003c/p>\n\u003cp>So that leaves roughly 1 million people whose premiums are potentially subject to change under Obamacare. The questions are: in what direction and by how much? It'll be awhile before we have global numbers. So for now we're left with anecdotes.\u003c/p>\n\u003cp>\u003cstrong>Premiums up for some, down for others\u003c/strong>\u003c/p>\n\u003cp>Kevin Knauss, an insurance broker in the Sacramento area, analyzed a small sample of his clientele and found that about a quarter of them were seeing their premiums go down. And, no, these people were not eligible for the ACA subsidies, he said. So, for at least some people the ACA is saving them money.\u003c/p>\n\u003cp>But what about Mark Brown and others who are seeing significant increases? What are the drivers?\u003c/p>\n\u003cp>An\u003ca href=\"http://www.healthexchange.ca.gov/Documents/Factors%20Affecting%20Individual%20Premiums%20FINAL%203-28-2013.pdf\" target=\"_blank\"> extensive report \u003c/a>back in March from Milliman, a global actuarial firm, has some answers. It got widespread \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/28/health-care-overhaul-to-dramatically-reduce-premiums-for-many-individuals-study-finds/\" target=\"_blank\">media attention\u003c/a> at the time. Remember that this report came out well before Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/23/californias-health-insurance-exchange-sets-plans-premiums-no-apparent-rate-shock/\" target=\"_blank\">announced\u003c/a> its 2014 plans and premiums, at a time when there was concern of significant rate shock, that premiums would skyrocket for everyone due to Obamacare. The report found that many people would pay significantly less, largely due to subsidies. But the report included estimates that premiums would go up, on average, 20 percent for people who earn too much to qualify for subsidies. In other words, some people will pay less, some people will pay the same and some people -- like Brown -- will pay much more.\u003c/p>\n\u003cp style=\"text-align: center\">[\u003cstrong>Related:\u003c/strong> \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/06/obama-supporters-canceled-by-obamacare/#more-16124\" target=\"_blank\">San Francisco Obama Supporters, Cancelled by Obamacare\u003c/a>]\u003c/p>\n\u003cp>Part of that increase — about 9 percent — would have happened anyway, the report said. That's because health care costs keep rising. But much of the rest of the increase, the report shows, is because those 2 million people in the individual insurance pool have tended to be healthier (and therefore less expensive to insure) than the average population.\u003cstrong> \u003c/strong>The makeup of those in the individual pool is likely to change under the Affordable Care Act, as the uninsured gain insurance. Covered California hopes to enroll 1 million people by the end of 2014, increasing the individual insurance pool by 50 percent.\u003c/p>\n\u003cp>\u003cstrong>Individual insurance pool in California a healthier group\u003c/strong>\u003c/p>\n\u003cp>Why is the current pool healthier? Because in California, like many other states, insurers offered products based on your health history, or medical underwriting, in the industry parlance. People in good health generally pay less than those with worse health. Most people have heard the stories of individuals being denied coverage -- at any cost -- because of pre-existing health conditions. So that means people who needed health care the most weren't in the individual insurance pool. Now they will be.\u003c/p>\n\u003cp>\"I know that people are going to feel like they are getting the short end of the stick because they are having to pay more for their health insurance. Unfortunately there are winners and losers under the ACA,\" said Gerald Kominski at the UCLA Center for Health Policy Research, echoing Mark Brown. \"When we weigh everything, the reforms benefit many more people than they harm, but these are the most disadvantaged in the marketplace.\"\u003c/p>\n\u003cp>One of those people disadvantaged in the pre-ACA marketplace is \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/04/enrolling-in-covered-california-experience-from-one-san-franciscan-san-francisco-obamacare/\" target=\"_blank\">Paul Cello\u003c/a> of San Francisco. He has an essentially benign heart condition, but it left him uninsurable 10 years ago, after he left his job and his COBRA ran out. He did get into the state's high-risk pool where his premiums are a little over $500 a month, he said, but benefits are capped at $75,000 annually. While Cello's health costs have never approached $75,000, he was worried they could. “It always felt like if anything big happened, I was going to be in trouble,” he told me.\u003c/p>\n\u003cp>On the second day the Covered California was open, he enrolled in a Blue Shield plan with no lifetime maximum (as required by the ACA) and with more comprehensive benefits than his current plan. His premium has gone down slightly to $483 -- plus Cello qualified for a subsidy, bringing his costs down further.\u003c/p>\n\u003cp>I could list more anecdotes, but it will be awhile before Milliman or other analysts can issue a new report. In the meantime, Kominski views the situation societally.\u003c/p>\n\u003cp>\"It's unfortunate that some people are going to have to pay more. Some people who currently have lower cost insurance will have to,\" Kominski said. \"On balance a lot more people will be better off, but there's a small portion who would have been better off just keeping things as they are.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more: \u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003c/strong>For you wonks out there, the California Health Care Foundation has a \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/H/PDF%20HealthReformTranslationActuarialValue.pdf\" target=\"_blank\">great explainer on actuarial value,\u003c/a> which represents the share of health care expenses a plan covers for a typical group of enrollees. Most plans now have an actuarial value of 55 percent. Bronze level plans under the Affordable Care Act are at 60 percent. This is another driver of premium increase.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/15735/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_38","stateofhealth_653","stateofhealth_461"],"featImg":"stateofhealth_13022","label":"stateofhealth"},"stateofhealth_15489":{"type":"posts","id":"stateofhealth_15489","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"15489","score":null,"sort":[1380924967000]},"guestAuthors":[],"slug":"obamacare-downside-reports-of-premiums-going-up","title":"Obamacare Downside: Reports of Premiums Going Up","publishDate":1380924967,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_15499\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/luke-SOH-sized1.jpg\">\u003cimg class=\"size-full wp-image-15499\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/luke-SOH-sized1.jpg\" alt=\"luke-SOH-sized\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Luke Donavan reviews information from Kaiser, detailing how his health insurance coverage will change on Jan. 1. His family's premiums are going up. (Lisa Aliferis/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The notice from Kaiser came in the mail about ten days ago.\u003c/p>\n\u003cp>Luke Donavan's health insurance premiums were going up. A lot.\u003c/p>\n\u003cp>Donavan, 41 of San Francisco, is self-employed and buys his own health insurance. Currently he pays $841 per month for insurance for himself, his wife and three young children. But, Kaiser is canceling that policy and offering him a new one that fully complies with the Affordable Care Act. Effective Jan. 1, his family's premium is going up to $1,000, with a higher deductible.\u003c/p>\n\u003cp>Donavan says he voted for Obama in both elections and calls himself a \"big proponent\" of the health law. He has a pretty calm demeanor and says he was \"surprised\" by this news from Kaiser.\u003c/p>\n\u003cp>\"I just keep coming back to the name 'Affordable Care Act,'\" he said. \"I thought I'd pay the same or less for better coverage.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Subsidies are available for people to buy insurance, but they are dependent on income. Donavan says he earns too much to qualify.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Indeed, nationally, \u003ca href=\"http://kff.org/health-reform/issue-brief/quantifying-tax-credits-for-people-now-buying-insurance-on-their-own/\" target=\"_blank\">a recent study\u003c/a> from the non-partisan Kaiser Family Foundation (not affiliated with Kaiser Permanente) found that just over half of people currently buying insurance on the individual market will see their premiums go down.\u003c/p>\n\u003cp>Larry Levitt, senior vice president with the foundation, says that Donavan's situation \"encapsulates the diversity of experiences\" that people are likely to have with Obamacare.\u003c/p>\n\u003cp>Some people may pay higher premiums, he said, \"and the reason those premiums are going up is because people with pre-existing conditions will now be able to get insurance, and those people often have very high medical bills. That money has to come from somewhere.\"\u003c/p>\n\u003cp>Meanwhile, Kaiser Permanente said in a statement that any individual's premiums depends on the coverage they currently have:\u003c/p>\n\u003cblockquote>\u003cp>Some provisions of the Affordable Care Act may contribute to premium increases, while others may contribute to reductions in premiums for the coverage that will be available starting in 2014. ...\u003c/p>\n\u003cp>The law mandates more comprehensive coverage starting in 2014. This means more services will be covered by insurance. ... As a result of these improvements, the cost of coverage – in the form of the monthly premium – will increase for some members, simply to pay for the expanded coverage.\u003c/p>\n\u003cp>It’s important to note that individuals with some of the more expensive coverage plans – high-benefit plans, and others such as COBRA continuation plans – may see lower premiums next year.\u003c/p>\u003c/blockquote>\n\u003cp>But all this background is little comfort for Donavan. He acknowledges that his out-of-pocket maximum is less, and his new policy \"definitely protects from catastrophic bankruptcy situations, but most people, the first thing you think about is what's my monthly and what's my deductible.\" Those are both more expensive under his new policy.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to clarify that Donavan buys his own insurance and that he received notice his policy was canceled. \u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The notice from Kaiser came in the mail about ten days ago.\r\n\r\nLuke Donavan's health insurance premiums were going up. A lot.\r\n\r\nDonavan, 41, of San Francisco, currently pays $841 per month for health insurance for himself, his wife and three young children. Effective Jan. 1, that's going up to $1,000, with a higher deductible.","status":"publish","parent":0,"modified":1383843042,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":522},"headData":{"title":"Obamacare Downside: Reports of Premiums Going Up | KQED","description":"The notice from Kaiser came in the mail about ten days ago.\r\n\r\nLuke Donavan's health insurance premiums were going up. A lot.\r\n\r\nDonavan, 41, of San Francisco, currently pays $841 per month for health insurance for himself, his wife and three young children. Effective Jan. 1, that's going up to $1,000, with a higher deductible.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Obamacare Downside: Reports of Premiums Going Up","datePublished":"2013-10-04T22:16:07.000Z","dateModified":"2013-11-07T16:50:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"15489 http://blogs.kqed.org/stateofhealth/?p=15489","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/10/04/obamacare-downside-reports-of-premiums-going-up/","disqusTitle":"Obamacare Downside: Reports of Premiums Going Up","path":"/stateofhealth/15489/obamacare-downside-reports-of-premiums-going-up","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15499\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/luke-SOH-sized1.jpg\">\u003cimg class=\"size-full wp-image-15499\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/luke-SOH-sized1.jpg\" alt=\"luke-SOH-sized\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/luke-SOH-sized1-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Luke Donavan reviews information from Kaiser, detailing how his health insurance coverage will change on Jan. 1. His family's premiums are going up. (Lisa Aliferis/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The notice from Kaiser came in the mail about ten days ago.\u003c/p>\n\u003cp>Luke Donavan's health insurance premiums were going up. A lot.\u003c/p>\n\u003cp>Donavan, 41 of San Francisco, is self-employed and buys his own health insurance. Currently he pays $841 per month for insurance for himself, his wife and three young children. But, Kaiser is canceling that policy and offering him a new one that fully complies with the Affordable Care Act. Effective Jan. 1, his family's premium is going up to $1,000, with a higher deductible.\u003c/p>\n\u003cp>Donavan says he voted for Obama in both elections and calls himself a \"big proponent\" of the health law. He has a pretty calm demeanor and says he was \"surprised\" by this news from Kaiser.\u003c/p>\n\u003cp>\"I just keep coming back to the name 'Affordable Care Act,'\" he said. \"I thought I'd pay the same or less for better coverage.\"\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>Subsidies are available for people to buy insurance, but they are dependent on income. Donavan says he earns too much to qualify.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Indeed, nationally, \u003ca href=\"http://kff.org/health-reform/issue-brief/quantifying-tax-credits-for-people-now-buying-insurance-on-their-own/\" target=\"_blank\">a recent study\u003c/a> from the non-partisan Kaiser Family Foundation (not affiliated with Kaiser Permanente) found that just over half of people currently buying insurance on the individual market will see their premiums go down.\u003c/p>\n\u003cp>Larry Levitt, senior vice president with the foundation, says that Donavan's situation \"encapsulates the diversity of experiences\" that people are likely to have with Obamacare.\u003c/p>\n\u003cp>Some people may pay higher premiums, he said, \"and the reason those premiums are going up is because people with pre-existing conditions will now be able to get insurance, and those people often have very high medical bills. That money has to come from somewhere.\"\u003c/p>\n\u003cp>Meanwhile, Kaiser Permanente said in a statement that any individual's premiums depends on the coverage they currently have:\u003c/p>\n\u003cblockquote>\u003cp>Some provisions of the Affordable Care Act may contribute to premium increases, while others may contribute to reductions in premiums for the coverage that will be available starting in 2014. ...\u003c/p>\n\u003cp>The law mandates more comprehensive coverage starting in 2014. This means more services will be covered by insurance. ... As a result of these improvements, the cost of coverage – in the form of the monthly premium – will increase for some members, simply to pay for the expanded coverage.\u003c/p>\n\u003cp>It’s important to note that individuals with some of the more expensive coverage plans – high-benefit plans, and others such as COBRA continuation plans – may see lower premiums next year.\u003c/p>\u003c/blockquote>\n\u003cp>But all this background is little comfort for Donavan. He acknowledges that his out-of-pocket maximum is less, and his new policy \"definitely protects from catastrophic bankruptcy situations, but most people, the first thing you think about is what's my monthly and what's my deductible.\" Those are both more expensive under his new policy.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This post has been updated to clarify that Donavan buys his own insurance and that he received notice his policy was canceled. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/15489/obamacare-downside-reports-of-premiums-going-up","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_28","stateofhealth_653","stateofhealth_461"],"featImg":"stateofhealth_15499","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png","officialWebsiteLink":"http://freakonomics.com/","airtime":"SUN 1am-2am, SAT 3pm-4pm","meta":{"site":"radio","source":"WNYC"},"link":"/radio/program/freakonomics-radio","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519","tuneIn":"https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/","rss":"https://feeds.feedburner.com/freakonomicsradio"}},"fresh-air":{"id":"fresh-air","title":"Fresh Air","info":"Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Fresh-Air-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Here-And-Now-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png","officialWebsiteLink":"https://www.npr.org/podcasts/510313/how-i-built-this","airtime":"SUN 7:30pm-8pm","meta":{"site":"news","source":"npr"},"link":"/radio/program/how-i-built-this","subscribe":{"npr":"https://rpb3r.app.goo.gl/3zxy","apple":"https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2","tuneIn":"https://tunein.com/podcasts/Arts--Culture-Podcasts/How-I-Built-This-p910896/","rss":"https://feeds.npr.org/510313/podcast.xml"}},"inside-europe":{"id":"inside-europe","title":"Inside Europe","info":"Inside Europe, a one-hour weekly news magazine hosted by Helen Seeney and Keith Walker, explores the topical issues shaping the continent. No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Inside-Europe-Podcast-Tile-300x300-1.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. 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Updated Monday through Friday at about 3:30 p.m. PT.","airtime":"MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.marketplace.org/","meta":{"site":"news","source":"American Public Media"},"link":"/radio/program/marketplace","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/APM-Marketplace-p88/","rss":"https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"}},"mindshift":{"id":"mindshift","title":"MindShift","tagline":"A podcast about the future of learning and how we raise our kids","info":"The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.","airtime":"MON-FRI 3am-9am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/morning-edition/","meta":{"site":"news","source":"npr"},"link":"/radio/program/morning-edition"},"onourwatch":{"id":"onourwatch","title":"On Our Watch","tagline":"Police secrets, unsealed","info":"For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. 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