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"content": "\u003cp>When Gov. Jerry Brown unveils his 2017-18 budget Tuesday, there will be one huge question mark hanging over the proposal: What will it cost California when congressional Republicans follow through on their promise to dismantle Obamacare?\u003c/p>\n\u003cp>GOP lawmakers, along with President-elect Donald Trump, have \u003ca href=\"https://ww2.kqed.org/news/2017/01/03/republicans-take-the-first-step-to-repeal-obamacare/\">vowed to repeal the landmark health care law\u003c/a> and replace it with something. But what that something will be is still unknown -- and since California wholeheartedly embraced the Affordable Care Act and insured millions of poor residents through its Medicaid program, Medi-Cal, any rollback is likely to punch a huge hole in the state budget.\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/301686124\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>Since 2014, Medi-Cal rolls have swelled from about 8 million Californians to about 14 million. One reason: the Affordable Care Act greatly expanded Medicaid eligibility for childless, low-income adults -- more than 3 million new Medi-Cal enrollees have qualified because of that change since 2014. Along with the expanded eligibility came expanded federal funding for Medi-Cal, to the tune of more than $15 billion this fiscal year alone.\u003c/p>\n\u003cp>Now, there are huge questions for both state leaders, who have depended on that federal funding, and the millions of Californians who have benefitted from the expansion of Medi-Cal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"(I'm) really worried,\" said UC Berkeley graduate student Rebecca Fritton, who enrolled in Medi-Cal last summer when she turned 26 and could no longer get coverage from her mother's insurance plan.\u003c/p>\n\u003caside class=\"pullquote alignright\">'If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water.'\u003ccite>State Sen. Ed Hernandez\u003c/cite>\u003c/aside>\n\u003cp>Fritton wouldn't have been eligible to join Medi-Cal before Obamacare. But after the health care law? Fritton said enrolling was a breeze -- she was even able to keep her primary care doctor at UCSF when she made the switch.\u003c/p>\n\u003cp>\"This has proven to be such a helpful resource for me ... so it’s just a little scary that it could be taken away.\"\u003c/p>\n\u003cp>But Fritton considers herself lucky -- she has another option.\u003c/p>\n\u003cp>\"We get offered health insurance through Berkeley, but it’s pretty expensive and I already have lots of student loans out,\" she said.\u003c/p>\n\u003cp>That's not the case for many other Medi-Cal recipients, said state Sen. Ed Hernandez, who is an optometrist and chairs the Senate's Health Committee. He said there's no way California could keep those millions of new people insured if federal funding disappeared.\u003c/p>\n\u003cp>\"If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water. That is my biggest concern,\" he said. \"I mean, we don't have the additional dollars, so if that money is not available, patients won't get access to health care. That's the bottom line.\"\u003c/p>\n\u003cp>[contextly_sidebar id=\"UgPaWX92hhGiw9hvTFk5GdsgL7J6tRrH\"]\u003c/p>\n\u003cp>The governor is well aware that funding could disappear, said H.D. Palmer, a spokesman for the Department of Finance. But since the Republican plan is still unclear, California can only budget based on current law, he said.\u003c/p>\n\u003cp>\"We don't know yet what changes are in the works specifically for the Affordable Care Act -- but we know there is a very high likelihood that they will happen, so we recognize it as a broad fiscal pressure on state government,\" Palmer said. \"Until and unless there is a change, however, the ACA constitutes the rules of the road -- those are the governing statutes that we budget by and abide by.\"\u003c/p>\n\u003cp>He said the governor's annual budget revision in May will offer the state an opportunity to tweak Brown's proposal if Republicans have made any concrete decisions by then. In general, he said, Brown's administration is trying to keep costs down because of a number of unknown factors, including potential Obamacare changes and whether California's economy will remain strong.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"One of the things that we are doing is make sure the state doesn't overcommit itself to ongoing levels of spending that may not be sustainable,\" he said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Gov. Jerry Brown unveils his 2017-18 budget Tuesday, there will be one huge question mark hanging over the proposal: What will it cost California when congressional Republicans follow through on their promise to dismantle Obamacare?\u003c/p>\n\u003cp>GOP lawmakers, along with President-elect Donald Trump, have \u003ca href=\"https://ww2.kqed.org/news/2017/01/03/republicans-take-the-first-step-to-repeal-obamacare/\">vowed to repeal the landmark health care law\u003c/a> and replace it with something. But what that something will be is still unknown -- and since California wholeheartedly embraced the Affordable Care Act and insured millions of poor residents through its Medicaid program, Medi-Cal, any rollback is likely to punch a huge hole in the state budget.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/301686124&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/301686124'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Since 2014, Medi-Cal rolls have swelled from about 8 million Californians to about 14 million. One reason: the Affordable Care Act greatly expanded Medicaid eligibility for childless, low-income adults -- more than 3 million new Medi-Cal enrollees have qualified because of that change since 2014. Along with the expanded eligibility came expanded federal funding for Medi-Cal, to the tune of more than $15 billion this fiscal year alone.\u003c/p>\n\u003cp>Now, there are huge questions for both state leaders, who have depended on that federal funding, and the millions of Californians who have benefitted from the expansion of Medi-Cal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"(I'm) really worried,\" said UC Berkeley graduate student Rebecca Fritton, who enrolled in Medi-Cal last summer when she turned 26 and could no longer get coverage from her mother's insurance plan.\u003c/p>\n\u003caside class=\"pullquote alignright\">'If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water.'\u003ccite>State Sen. Ed Hernandez\u003c/cite>\u003c/aside>\n\u003cp>Fritton wouldn't have been eligible to join Medi-Cal before Obamacare. But after the health care law? Fritton said enrolling was a breeze -- she was even able to keep her primary care doctor at UCSF when she made the switch.\u003c/p>\n\u003cp>\"This has proven to be such a helpful resource for me ... so it’s just a little scary that it could be taken away.\"\u003c/p>\n\u003cp>But Fritton considers herself lucky -- she has another option.\u003c/p>\n\u003cp>\"We get offered health insurance through Berkeley, but it’s pretty expensive and I already have lots of student loans out,\" she said.\u003c/p>\n\u003cp>That's not the case for many other Medi-Cal recipients, said state Sen. Ed Hernandez, who is an optometrist and chairs the Senate's Health Committee. He said there's no way California could keep those millions of new people insured if federal funding disappeared.\u003c/p>\n\u003cp>\"If they got rid of that funding, you would have 3 million people on the streets without health insurance, and we would be dead in the water. That is my biggest concern,\" he said. \"I mean, we don't have the additional dollars, so if that money is not available, patients won't get access to health care. That's the bottom line.\"\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The governor is well aware that funding could disappear, said H.D. Palmer, a spokesman for the Department of Finance. But since the Republican plan is still unclear, California can only budget based on current law, he said.\u003c/p>\n\u003cp>\"We don't know yet what changes are in the works specifically for the Affordable Care Act -- but we know there is a very high likelihood that they will happen, so we recognize it as a broad fiscal pressure on state government,\" Palmer said. \"Until and unless there is a change, however, the ACA constitutes the rules of the road -- those are the governing statutes that we budget by and abide by.\"\u003c/p>\n\u003cp>He said the governor's annual budget revision in May will offer the state an opportunity to tweak Brown's proposal if Republicans have made any concrete decisions by then. In general, he said, Brown's administration is trying to keep costs down because of a number of unknown factors, including potential Obamacare changes and whether California's economy will remain strong.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"One of the things that we are doing is make sure the state doesn't overcommit itself to ongoing levels of spending that may not be sustainable,\" he said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>President Obama meets with Democrats on Capitol Hill today, looking for ways to preserve his signature health care law in the face of stiff Republican opposition.\u003c/p>\n\u003cp>Senate Republicans have \u003ca href=\"https://ww2.kqed.org/news/2017/01/03/republicans-take-the-first-step-to-repeal-obamacare/\" target=\"_blank\">already taken the first step\u003c/a> toward repealing Obamacare. On Tuesday, they introduced a \u003ca href=\"http://www.budget.senate.gov/imo/media/doc/HEN17065.pdf?utm_source=Speaker.gov+Master+List&utm_campaign=0dbc446e13-EMAIL_CAMPAIGN_2017_01_03&utm_medium=email&utm_term=0_3e173f5a25-0dbc446e13-157379453\" target=\"_blank\">budget resolution\u003c/a> that would ultimately allow Republicans to unravel large parts of the Affordable Care Act with a simple majority vote.\u003c/p>\n\u003cp>Democrats still hope to defend the law, which has extended health insurance to some 20 million Americans. Repealing the law would very likely strip protection from many of those people. So far, Republicans have not reached agreement on how to replace Obamacare. And the outgoing administration mocks the idea of repeal now and replace later.\u003c/p>\n\u003cp>\"That ultimately is nothing more than just bait and switch,\" said White House spokesman Josh Earnest.\u003c/p>\n\u003cp>[contextly_sidebar id=\"TF9yvieKY5cFyOOTb96PuygQW49WUoGE\"]\u003c/p>\n\u003cp>The American Medical Association issued a similar note of caution in an \u003ca href=\"https://www.ama-assn.org/ama-letter-congressional-leaders-reform-health-care-system\" target=\"_blank\">open letter\u003c/a> to lawmakers. The association, which supported the Affordable Care Act when it passed seven years ago, acknowledged that the law is imperfect, but said any effort to cut costs or increase choice should at least preserve the existing level of coverage.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Before any action is taken through reconciliation or other means that would potentially alter coverage, policymakers should lay out for the American people, in reasonable detail, what will replace current policies,\" wrote the association's CEO, James L. Madara. \"Patients and other stakeholders should be able to clearly compare current policy to new proposals so they can make informed decisions about whether it represents a step forward in the ongoing process of health reform.\"\u003c/p>\n\u003cp>Reconciliation is a procedural tactic that would allow Senate Republicans to unwind large parts of the Affordable Care Act without the threat of a Democratic filibuster.\u003c/p>\n\u003cp>Some \u003ca href=\"https://morningconsult.com/2017/01/03/some-gop-senators-stress-need-for-aca-replacement-sooner-rather-than-later/\" target=\"_blank\">Republican senators\u003c/a> are wary of stripping health insurance from people without a plan to take its place. And conservative health care scholars Joseph Antos and James Capretta of the \u003ca href=\"http://healthaffairs.org/blog/2017/01/03/the-problems-with-repeal-and-delay/\" target=\"_blank\">American Enterprise Institute\u003c/a> warn that repeal without simultaneous replacement \"carries too much risk of unnecessary disruption to the existing insurance arrangements upon which many people are now relying to finance their health services.\"\u003c/p>\n\u003cp>Republican House Speaker Paul Ryan is undeterred, calling the budget resolution \"the first step towards relief for Americans struggling under Obamacare.\" In a statement, Ryan said his goal is \"to ensure that patients will be in control of their health care and have greater access to quality, affordable coverage.\"\u003c/p>\n\u003cp>President-elect Donald Trump weighed in via Twitter, writing, \"People must remember that ObamaCare just doesn't work, and it is not affordable.\"\u003c/p>\n\u003cp>https://twitter.com/realDonaldTrump/status/816264484629184513\u003c/p>\n\u003cp>He pointed to a 116 percent increase in premiums for people buying insurance on the government-run exchange in Arizona this year. Premium increases for exchange customers nationwide averaged 25 percent. Most customers shopping on the exchanges receive a government subsidy that helps to defray some or all of the increase.\u003c/p>\n\u003cp>Even with the higher prices and uncertainty surrounding Obamacare, the administration says customers have been signing up for coverage on the exchanges at a record pace.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>President Obama meets with Democrats on Capitol Hill today, looking for ways to preserve his signature health care law in the face of stiff Republican opposition.\u003c/p>\n\u003cp>Senate Republicans have \u003ca href=\"https://ww2.kqed.org/news/2017/01/03/republicans-take-the-first-step-to-repeal-obamacare/\" target=\"_blank\">already taken the first step\u003c/a> toward repealing Obamacare. On Tuesday, they introduced a \u003ca href=\"http://www.budget.senate.gov/imo/media/doc/HEN17065.pdf?utm_source=Speaker.gov+Master+List&utm_campaign=0dbc446e13-EMAIL_CAMPAIGN_2017_01_03&utm_medium=email&utm_term=0_3e173f5a25-0dbc446e13-157379453\" target=\"_blank\">budget resolution\u003c/a> that would ultimately allow Republicans to unravel large parts of the Affordable Care Act with a simple majority vote.\u003c/p>\n\u003cp>Democrats still hope to defend the law, which has extended health insurance to some 20 million Americans. Repealing the law would very likely strip protection from many of those people. So far, Republicans have not reached agreement on how to replace Obamacare. And the outgoing administration mocks the idea of repeal now and replace later.\u003c/p>\n\u003cp>\"That ultimately is nothing more than just bait and switch,\" said White House spokesman Josh Earnest.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The American Medical Association issued a similar note of caution in an \u003ca href=\"https://www.ama-assn.org/ama-letter-congressional-leaders-reform-health-care-system\" target=\"_blank\">open letter\u003c/a> to lawmakers. The association, which supported the Affordable Care Act when it passed seven years ago, acknowledged that the law is imperfect, but said any effort to cut costs or increase choice should at least preserve the existing level of coverage.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Before any action is taken through reconciliation or other means that would potentially alter coverage, policymakers should lay out for the American people, in reasonable detail, what will replace current policies,\" wrote the association's CEO, James L. Madara. \"Patients and other stakeholders should be able to clearly compare current policy to new proposals so they can make informed decisions about whether it represents a step forward in the ongoing process of health reform.\"\u003c/p>\n\u003cp>Reconciliation is a procedural tactic that would allow Senate Republicans to unwind large parts of the Affordable Care Act without the threat of a Democratic filibuster.\u003c/p>\n\u003cp>Some \u003ca href=\"https://morningconsult.com/2017/01/03/some-gop-senators-stress-need-for-aca-replacement-sooner-rather-than-later/\" target=\"_blank\">Republican senators\u003c/a> are wary of stripping health insurance from people without a plan to take its place. And conservative health care scholars Joseph Antos and James Capretta of the \u003ca href=\"http://healthaffairs.org/blog/2017/01/03/the-problems-with-repeal-and-delay/\" target=\"_blank\">American Enterprise Institute\u003c/a> warn that repeal without simultaneous replacement \"carries too much risk of unnecessary disruption to the existing insurance arrangements upon which many people are now relying to finance their health services.\"\u003c/p>\n\u003cp>Republican House Speaker Paul Ryan is undeterred, calling the budget resolution \"the first step towards relief for Americans struggling under Obamacare.\" In a statement, Ryan said his goal is \"to ensure that patients will be in control of their health care and have greater access to quality, affordable coverage.\"\u003c/p>\n\u003cp>President-elect Donald Trump weighed in via Twitter, writing, \"People must remember that ObamaCare just doesn't work, and it is not affordable.\"\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>He pointed to a 116 percent increase in premiums for people buying insurance on the government-run exchange in Arizona this year. Premium increases for exchange customers nationwide averaged 25 percent. Most customers shopping on the exchanges receive a government subsidy that helps to defray some or all of the increase.\u003c/p>\n\u003cp>Even with the higher prices and uncertainty surrounding Obamacare, the administration says customers have been signing up for coverage on the exchanges at a record pace.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Republicans Take the First Step to Repeal Obamacare",
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"content": "\u003cp>Lawmakers returned to Washington and wasted no time getting to work on the repeal of Obamacare.\u003c/p>\n\u003cp>Sen. Mike Enzi, R-Wyo., \u003ca href=\"http://www.enzi.senate.gov/public/index.cfm/news-releases?ContentRecord_id=0F1E3FBC-A679-4B7C-9789-F11B233EF456&ContentType_id=AE7A6475-A01F-4DA5-AA94-0A98973DE620&Group_id=91d2f483-0ad8-44ac-bcc4-fc2c82d75e07\">introduced a resolution\u003c/a> just hours after the new Congress convened Tuesday that will serve as the vehicle for repealing much of the president's signature health care law.\u003c/p>\n\u003cp>\"Today, we take the first steps to repair the nation's broken health care system, removing Washington from the equation and putting control back where it belongs: with patients, their families, and their doctors,\" Enzi, chairman of the Senate Budget Committee, said in a press release posted on his website Tuesday.\u003c/p>\n\u003cp>It's the first step in Republican lawmakers' plan to fulfill their most ardent campaign promise — to \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/02/506446779/obamacare-is-first-item-on-congress-chopping-block\">repeal the Affordable Care Act\u003c/a> and replace it with a Republican alternative.\u003c/p>\n\u003cp>Republicans have to use a special legislative maneuver, called a budget resolution, to undo the ACA because they don't have enough votes to overcome a Democratic filibuster in the Senate. Budget bills aren't subject to filibuster, so lawmakers will be able to repeal the parts of the law that have budget and tax implications.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That means they can essentially gut the law, removing all the subsidies that help low- and middle-income people buy health insurance and getting rid of the smorgasbord of taxes — on medical devices, insurance companies and wealthy individuals — that pay for those subsidies.\u003c/p>\n\u003cp>Enzi's resolution calls on the Senate to get a bill to the Senate Budget Committee by Jan. 27.\u003c/p>\n\u003cp>[contextly_sidebar id=\"IEHAZElYfsNcL0jjOV8i1WVIIpm777Em\"]\u003c/p>\n\u003cp>Republican lawmakers say they don't want the 20 million people who have newly gained insurance because of the ACA to lose their coverage. So they plan to phase out Obamacare over time while they devise a replacement plan that they say will make affordable health insurance available to everyone, without the much-hated mandate to buy insurance if you don't want it.\u003c/p>\n\u003cp>Many analysts are skeptical that this \"repeal and delay\" strategy will work.\u003c/p>\n\u003cp>\"The most likely end result of 'repeal and delay' would be less secure insurance for many Americans, procrastination by political leaders who will delay taking any proactive steps as long as possible, and ultimately no discernible movement toward a real marketplace for either insurance or medical services,\" said Joe Antos and James Capretta of the conservative \u003ca href=\"https://www.aei.org/\">American Enterprise Institute\u003c/a> in \u003ca href=\"http://healthaffairs.org/blog/2017/01/03/the-problems-with-repeal-and-delay/\">a blog\u003c/a> published Tuesday in \u003cem>Health Affairs\u003c/em>.\u003c/p>\n\u003cp>Antos and Capretta say a partial repeal with no replacement would lead insurance companies to pull out of the Obamacare market altogether, leaving those who get coverage there today with no insurance at all.\u003c/p>\n\u003cp>It's not clear exactly what will be included in the actual repeal bill. The best model we have now is a \u003ca href=\"https://www.congress.gov/bill/114th-congress/house-bill/3762\">bill passed \u003c/a>by the House and Senate and \u003ca href=\"http://www.politico.com/story/2016/01/obama-vetoes-obamacare-repeal-bill-217505\">vetoed by President Obama\u003c/a> last year.\u003c/p>\n\u003cp>That bill eliminated the mandate for individuals to have insurance coverage right away but delayed the other parts of the repeal for two years.\u003c/p>\n\u003cp>\"I can see how it would be hard for Republicans to maintain the individual mandate, which is possibly the most objectionable part of the ACA in their view,\" says \u003ca href=\"http://kff.org/person/larry-levitt/\">Larry Levitt\u003c/a>, a senior vice president at the Kaiser Family Foundation. \"On the other hand, getting rid of the individual mandate immediately risks a collapse of the individual insurance market.\"\u003c/p>\n\u003cp>The ACA includes the mandate to ensure that both sick and healthy people buy insurance to spread the costs across a broad population and keep premiums low. If Republicans follow the model of last year's bill and eliminate the mandate immediately, many healthy people would forgo insurance, and the price of coverage for sick people would spiral out of control, analysts say.\u003c/p>\n\u003cp>\"That is a prescription for health plan disaster during this transition and brings into question just how many plans would stay in the program for 2018,\" says \u003ca href=\"http://healthpolicyandmarket.blogspot.com/\">Robert Laszewski\u003c/a>, a health policy consultant.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n",
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"excerpt": "Senate Republicans introduced a budget resolution that starts the process to defund key chunks of the Affordable Care Act. President-elect Donald Trump says he'll sign a bill.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Lawmakers returned to Washington and wasted no time getting to work on the repeal of Obamacare.\u003c/p>\n\u003cp>Sen. Mike Enzi, R-Wyo., \u003ca href=\"http://www.enzi.senate.gov/public/index.cfm/news-releases?ContentRecord_id=0F1E3FBC-A679-4B7C-9789-F11B233EF456&ContentType_id=AE7A6475-A01F-4DA5-AA94-0A98973DE620&Group_id=91d2f483-0ad8-44ac-bcc4-fc2c82d75e07\">introduced a resolution\u003c/a> just hours after the new Congress convened Tuesday that will serve as the vehicle for repealing much of the president's signature health care law.\u003c/p>\n\u003cp>\"Today, we take the first steps to repair the nation's broken health care system, removing Washington from the equation and putting control back where it belongs: with patients, their families, and their doctors,\" Enzi, chairman of the Senate Budget Committee, said in a press release posted on his website Tuesday.\u003c/p>\n\u003cp>It's the first step in Republican lawmakers' plan to fulfill their most ardent campaign promise — to \u003ca href=\"http://www.npr.org/sections/health-shots/2017/01/02/506446779/obamacare-is-first-item-on-congress-chopping-block\">repeal the Affordable Care Act\u003c/a> and replace it with a Republican alternative.\u003c/p>\n\u003cp>Republicans have to use a special legislative maneuver, called a budget resolution, to undo the ACA because they don't have enough votes to overcome a Democratic filibuster in the Senate. Budget bills aren't subject to filibuster, so lawmakers will be able to repeal the parts of the law that have budget and tax implications.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That means they can essentially gut the law, removing all the subsidies that help low- and middle-income people buy health insurance and getting rid of the smorgasbord of taxes — on medical devices, insurance companies and wealthy individuals — that pay for those subsidies.\u003c/p>\n\u003cp>Enzi's resolution calls on the Senate to get a bill to the Senate Budget Committee by Jan. 27.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Republican lawmakers say they don't want the 20 million people who have newly gained insurance because of the ACA to lose their coverage. So they plan to phase out Obamacare over time while they devise a replacement plan that they say will make affordable health insurance available to everyone, without the much-hated mandate to buy insurance if you don't want it.\u003c/p>\n\u003cp>Many analysts are skeptical that this \"repeal and delay\" strategy will work.\u003c/p>\n\u003cp>\"The most likely end result of 'repeal and delay' would be less secure insurance for many Americans, procrastination by political leaders who will delay taking any proactive steps as long as possible, and ultimately no discernible movement toward a real marketplace for either insurance or medical services,\" said Joe Antos and James Capretta of the conservative \u003ca href=\"https://www.aei.org/\">American Enterprise Institute\u003c/a> in \u003ca href=\"http://healthaffairs.org/blog/2017/01/03/the-problems-with-repeal-and-delay/\">a blog\u003c/a> published Tuesday in \u003cem>Health Affairs\u003c/em>.\u003c/p>\n\u003cp>Antos and Capretta say a partial repeal with no replacement would lead insurance companies to pull out of the Obamacare market altogether, leaving those who get coverage there today with no insurance at all.\u003c/p>\n\u003cp>It's not clear exactly what will be included in the actual repeal bill. The best model we have now is a \u003ca href=\"https://www.congress.gov/bill/114th-congress/house-bill/3762\">bill passed \u003c/a>by the House and Senate and \u003ca href=\"http://www.politico.com/story/2016/01/obama-vetoes-obamacare-repeal-bill-217505\">vetoed by President Obama\u003c/a> last year.\u003c/p>\n\u003cp>That bill eliminated the mandate for individuals to have insurance coverage right away but delayed the other parts of the repeal for two years.\u003c/p>\n\u003cp>\"I can see how it would be hard for Republicans to maintain the individual mandate, which is possibly the most objectionable part of the ACA in their view,\" says \u003ca href=\"http://kff.org/person/larry-levitt/\">Larry Levitt\u003c/a>, a senior vice president at the Kaiser Family Foundation. \"On the other hand, getting rid of the individual mandate immediately risks a collapse of the individual insurance market.\"\u003c/p>\n\u003cp>The ACA includes the mandate to ensure that both sick and healthy people buy insurance to spread the costs across a broad population and keep premiums low. If Republicans follow the model of last year's bill and eliminate the mandate immediately, many healthy people would forgo insurance, and the price of coverage for sick people would spiral out of control, analysts say.\u003c/p>\n\u003cp>\"That is a prescription for health plan disaster during this transition and brings into question just how many plans would stay in the program for 2018,\" says \u003ca href=\"http://healthpolicyandmarket.blogspot.com/\">Robert Laszewski\u003c/a>, a health policy consultant.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2017 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Americans continue to be divided along partisan lines over Obamacare, with an overwhelming percentage of Democrats favoring it and an equal share of Republicans having unfavorable views, according to a newly released \u003ca href=\"http://kff.org/health-costs/poll-finding/kaiser-health-tracking-poll-november-2016/\">Kaiser Family Foundation poll\u003c/a>.\u003c/p>\n\u003cp>But when it comes to an actual gutting of Obamacare, there doesn't appear to be a lot of support.\u003c/p>\n\u003cp>One-fourth, or 26 percent, of Americans favor a full repeal of the health care law, while 17 percent say scale it back, according to the Kaiser poll. On the other hand, 30 percent favor expanding the law and another 19 percent want lawmakers to move forward with the law as it is.\u003c/p>\n\u003cp>The poll was conducted one week after the 2016 presidential election. In its aftermath, President-elect Donald Trump and Republican lawmakers have signaled their intention to follow through on their \u003ca href=\"http://www.npr.org/sections/health-shots/2016/11/09/501203831/trump-can-kill-obamacare-with-or-without-help-from-congress\">campaign promise\u003c/a> to repeal President Obama's landmark health care legislation. Republican lawmakers have voted to repeal Obamacare \u003ca href=\"http://www.npr.org/2016/01/06/462114338/lawmakers-in-the-house-will-try-again-in-2016-to-repeal-obamacare\">dozens of times\u003c/a>.\u003c/p>\n\u003cp>[contextly_sidebar id=\"aJbSOtPA5fOU63vB3lkch7PWeEmJ4AfN\"]\u003c/p>\n\u003cp>But the Kaiser survey indicates that there's been a \u003ca href=\"http://khn.org/news/some-gop-voters-skittish-on-full-repeal-poll-finds/\">decline\u003c/a> in the percentage of Republicans who want to see the law repealed just since October. In that month, 69 percent of GOPers said they favored repealing the entire law. A month later, once it was clear that the GOP would be in control of the health care debate, just 52 percent of Republicans said the law should be repealed.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Similarly, in October, just 11 percent of Republicans said they wanted the law scaled back but not eliminated. In November, that percentage increased to 24 percent.\u003c/p>\n\u003cp>The poll also indicates that among those who want to see Obamacare repealed, only a third don't want a replacement. Two-thirds want to see it replaced by a Republican alternative. There are reports that the GOP may seek an immediate repeal of the law and wait \u003ca href=\"https://www.washingtonpost.com/business/gop-could-repeal-before-replacing-obamacare/2016/11/29/db6fd448-b667-11e6-939c-91749443c5e5_story.html\">years\u003c/a> before settling on a replacement.\u003c/p>\n\u003cp>Overall, the survey finds that some key provisions of Obamacare are very popular among Democrats and Republicans. For example, 85 percent favor keeping young adults on their parents' insurance plan until age 26. Sixty-nine percent like the prohibitions on insurance companies denying coverage based on pre-existing conditions.\u003c/p>\n\u003cp>The most unpopular feature of Obamacare? Only 35 percent favor the individual mandate requiring all people to sign up for health insurance or pay a fine.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n",
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"excerpt": "As Republicans debate how to keep their promise to dismantle Obamacare, a Kaiser poll suggests that the law has strong support for some key provisions.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Americans continue to be divided along partisan lines over Obamacare, with an overwhelming percentage of Democrats favoring it and an equal share of Republicans having unfavorable views, according to a newly released \u003ca href=\"http://kff.org/health-costs/poll-finding/kaiser-health-tracking-poll-november-2016/\">Kaiser Family Foundation poll\u003c/a>.\u003c/p>\n\u003cp>But when it comes to an actual gutting of Obamacare, there doesn't appear to be a lot of support.\u003c/p>\n\u003cp>One-fourth, or 26 percent, of Americans favor a full repeal of the health care law, while 17 percent say scale it back, according to the Kaiser poll. On the other hand, 30 percent favor expanding the law and another 19 percent want lawmakers to move forward with the law as it is.\u003c/p>\n\u003cp>The poll was conducted one week after the 2016 presidential election. In its aftermath, President-elect Donald Trump and Republican lawmakers have signaled their intention to follow through on their \u003ca href=\"http://www.npr.org/sections/health-shots/2016/11/09/501203831/trump-can-kill-obamacare-with-or-without-help-from-congress\">campaign promise\u003c/a> to repeal President Obama's landmark health care legislation. Republican lawmakers have voted to repeal Obamacare \u003ca href=\"http://www.npr.org/2016/01/06/462114338/lawmakers-in-the-house-will-try-again-in-2016-to-repeal-obamacare\">dozens of times\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>But the Kaiser survey indicates that there's been a \u003ca href=\"http://khn.org/news/some-gop-voters-skittish-on-full-repeal-poll-finds/\">decline\u003c/a> in the percentage of Republicans who want to see the law repealed just since October. In that month, 69 percent of GOPers said they favored repealing the entire law. A month later, once it was clear that the GOP would be in control of the health care debate, just 52 percent of Republicans said the law should be repealed.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Similarly, in October, just 11 percent of Republicans said they wanted the law scaled back but not eliminated. In November, that percentage increased to 24 percent.\u003c/p>\n\u003cp>The poll also indicates that among those who want to see Obamacare repealed, only a third don't want a replacement. Two-thirds want to see it replaced by a Republican alternative. There are reports that the GOP may seek an immediate repeal of the law and wait \u003ca href=\"https://www.washingtonpost.com/business/gop-could-repeal-before-replacing-obamacare/2016/11/29/db6fd448-b667-11e6-939c-91749443c5e5_story.html\">years\u003c/a> before settling on a replacement.\u003c/p>\n\u003cp>Overall, the survey finds that some key provisions of Obamacare are very popular among Democrats and Republicans. For example, 85 percent favor keeping young adults on their parents' insurance plan until age 26. Sixty-nine percent like the prohibitions on insurance companies denying coverage based on pre-existing conditions.\u003c/p>\n\u003cp>The most unpopular feature of Obamacare? Only 35 percent favor the individual mandate requiring all people to sign up for health insurance or pay a fine.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Copyright 2016 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\">NPR.org\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Several California congressional Republicans want the Obama administration to block the state's request to sell health insurance to undocumented immigrants on the state's exchange.\u003c/p>\n\u003cp>The move comes after Gov. Jerry Brown signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB10\" target=\"_blank\">a bill\u003c/a> earlier this month authorizing California to formally request a waiver from the Affordable Care Act provision that bars undocumented immigrants from any of the law's benefits. Under a waiver, undocumented immigrants would be able to purchase Covered California health insurance -- but they would not be eligible for subsidies. They would only be able to purchase insurance with their own money.\u003c/p>\n\u003cp>Nine of California's 14 Republican representatives have signed a letter to cabinet officials appealing to them to deny this waiver. The representatives called California's request \"a brazen attempt to circumvent the will of Congress.\"\u003c/p>\n\u003cp>The letter went on:\u003c/p>\n\u003cblockquote>\u003cp>The issue of extending coverage to illegal immigrants on the healthcare exchanges was the subject of vigorous debate during the drafting and passage of the ACA. Both the American people and lawmakers were repeatedly promised illegal immigrants would not be able to receive coverage under the law.\u003c/p>\u003c/blockquote>\n\u003cp>In a statement, State Sen. Ricardo Lara, D-Bell Gardens, author of the measure, called the law \"a zero-cost proposal\" and that the move by the representatives \"reveals the signers for what they really are: fringe, anti-immigrant obstructionists who ... are clearly out of touch with the reality in California where several immigrant integration measures -- including this waiver -- were approved in both legislative houses with bipartisan support.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Affordable Care Act allows federal agencies to grant waivers beginning next year.\u003c/p>\n\u003cp>The nine signatories to the letter are:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan class=\"s1\">Rep. Darrell Issa\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Tom McClintock\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Ken Calvert\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Dana Rohrabacher\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Duncan Hunter\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Doug LaMalfa\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Paul Cook\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Ed Royce\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Mimi Walters\u003c/span>\u003c/p>\n\n",
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"excerpt": "A bill signed earlier this month requests a federal waiver to allow undocumented immigrants access to Covered California insurance. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Several California congressional Republicans want the Obama administration to block the state's request to sell health insurance to undocumented immigrants on the state's exchange.\u003c/p>\n\u003cp>The move comes after Gov. Jerry Brown signed \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB10\" target=\"_blank\">a bill\u003c/a> earlier this month authorizing California to formally request a waiver from the Affordable Care Act provision that bars undocumented immigrants from any of the law's benefits. Under a waiver, undocumented immigrants would be able to purchase Covered California health insurance -- but they would not be eligible for subsidies. They would only be able to purchase insurance with their own money.\u003c/p>\n\u003cp>Nine of California's 14 Republican representatives have signed a letter to cabinet officials appealing to them to deny this waiver. The representatives called California's request \"a brazen attempt to circumvent the will of Congress.\"\u003c/p>\n\u003cp>The letter went on:\u003c/p>\n\u003cblockquote>\u003cp>The issue of extending coverage to illegal immigrants on the healthcare exchanges was the subject of vigorous debate during the drafting and passage of the ACA. Both the American people and lawmakers were repeatedly promised illegal immigrants would not be able to receive coverage under the law.\u003c/p>\u003c/blockquote>\n\u003cp>In a statement, State Sen. Ricardo Lara, D-Bell Gardens, author of the measure, called the law \"a zero-cost proposal\" and that the move by the representatives \"reveals the signers for what they really are: fringe, anti-immigrant obstructionists who ... are clearly out of touch with the reality in California where several immigrant integration measures -- including this waiver -- were approved in both legislative houses with bipartisan support.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Affordable Care Act allows federal agencies to grant waivers beginning next year.\u003c/p>\n\u003cp>The nine signatories to the letter are:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan class=\"s1\">Rep. Darrell Issa\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Tom McClintock\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Ken Calvert\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Dana Rohrabacher\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Duncan Hunter\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Doug LaMalfa\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Paul Cook\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Ed Royce\u003cbr>\n\u003c/span>\u003cspan class=\"s1\">Rep. Mimi Walters\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "On California Exchange, Only Kaiser's Rates Will Go Down in 2015",
"title": "On California Exchange, Only Kaiser's Rates Will Go Down in 2015",
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"content": "\u003cfigure id=\"attachment_20683\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\">\u003cimg class=\"size-full wp-image-20683\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\" alt=\"Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)\" width=\"640\" height=\"528\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z-400x330.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z-320x264.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As all the other health insurers on California's Obamacare exchange raise their rates for next year, Kaiser Permanente plans to lower them.\u003c/p>\n\u003cp>The \u003cem>Los Angeles Times\u003c/em> \u003ca href=\"http://www.latimes.com/business/healthcare/la-fi-obamacare-california-rates-20140810-story.html\">reports\u003c/a> that a new analysis by Citigroup shows Kaiser's premiums dropping by 1.4 percent in 2015.\u003c/p>\n\u003cp>At the same time, the average premium across all plans on the Covered California exchange will rise 4.2 percent.\u003c/p>\n\u003cp>Citigroup health care analyst Carl McDonald told the \u003cem>Times\u003c/em> he thinks Kaiser's move is meant to draw customers:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>Kaiser was among the most expensive health plans in 2014 and staggered to a fourth-place finish in exchange enrollment. Anthem Blue Cross was the leader statewide, followed by Blue Shield of California and Health Net Inc.\u003c/p>\n\u003cp>\"Kaiser doesn’t seem particularly happy with its exchange market share, as it is the only company reducing exchange premiums in 2015,\" McDonald said.\u003c/p>\u003c/blockquote>\n\u003cp>McDonald's report predicts premiums for the other Covered California plans will rise as follows:\u003c/p>\n\u003cul>\n\u003cul>Anthem Blue Cross: 4.6 percent\u003c/ul>\n\u003cul>Blue Shield: 6 percent\u003c/ul>\n\u003cp>Health Net: 4.9 percent\u003c/p>\u003c/ul>\n\u003cp>(Note that Kaiser's plans on the exchange are different from its employer-based plans and typically have deductibles.)\u003c/p>\n\u003caside class=\"pullquote alignleft\">These rate changes give us a glimpse of the market forces at work.\u003c/aside>\n\u003cp>Rates for Obamacare exchange plans are rising nationwide, too, but not to the level of the double-digit \"sticker shock\" forecast in Congressional debates last year, \u003ca href=\"http://thehill.com/policy/healthcare/214847-average-premium-under-obamacare-to-rise-75-percent\">reports\u003c/a> \u003cem>The Hill\u003c/em>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A new PricewaterhouseCoopers analysis shows the price of health plans on Obamacare exchanges will rise by an average of 7.5 percent next year.\u003c/p>\n\u003cp>It's significant to note that the exchanges were meant to create a new, more competitive market for health insurance. And these rate changes give us a glimpse of the market forces at work. \u003cem>The Hill\u003c/em> explains:\u003c/p>\n\u003cblockquote>\u003cp>The healthcare law's first enrollment period was a major test for the insurance industry, which set premium prices with little information about exactly who might sign up for coverage.\u003c/p>\n\u003cp>The 2015 rates shed light on how well their guesses panned out.\u003c/p>\n\u003cp>Companies are generally raising prices if their new customers are older, sicker or will use more medical care than projected.\u003c/p>\n\u003cp>Firms with a healthier pool, on the other hand, have an incentive to lower premiums.\u003c/p>\u003c/blockquote>\n\u003cp>State regulators still have to review and approve the California plan prices before enrollment opens on Nov. 15.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>California Healthline contributed to this report.\u003c/em>\u003c/p>\n\n",
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"excerpt": "A health care analyst believes Kaiser's move is meant to draw new customers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20683\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\">\u003cimg class=\"size-full wp-image-20683\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\" alt=\"Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)\" width=\"640\" height=\"528\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z-400x330.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z-320x264.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As all the other health insurers on California's Obamacare exchange raise their rates for next year, Kaiser Permanente plans to lower them.\u003c/p>\n\u003cp>The \u003cem>Los Angeles Times\u003c/em> \u003ca href=\"http://www.latimes.com/business/healthcare/la-fi-obamacare-california-rates-20140810-story.html\">reports\u003c/a> that a new analysis by Citigroup shows Kaiser's premiums dropping by 1.4 percent in 2015.\u003c/p>\n\u003cp>At the same time, the average premium across all plans on the Covered California exchange will rise 4.2 percent.\u003c/p>\n\u003cp>Citigroup health care analyst Carl McDonald told the \u003cem>Times\u003c/em> he thinks Kaiser's move is meant to draw customers:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>Kaiser was among the most expensive health plans in 2014 and staggered to a fourth-place finish in exchange enrollment. Anthem Blue Cross was the leader statewide, followed by Blue Shield of California and Health Net Inc.\u003c/p>\n\u003cp>\"Kaiser doesn’t seem particularly happy with its exchange market share, as it is the only company reducing exchange premiums in 2015,\" McDonald said.\u003c/p>\u003c/blockquote>\n\u003cp>McDonald's report predicts premiums for the other Covered California plans will rise as follows:\u003c/p>\n\u003cul>\n\u003cul>Anthem Blue Cross: 4.6 percent\u003c/ul>\n\u003cul>Blue Shield: 6 percent\u003c/ul>\n\u003cp>Health Net: 4.9 percent\u003c/p>\u003c/ul>\n\u003cp>(Note that Kaiser's plans on the exchange are different from its employer-based plans and typically have deductibles.)\u003c/p>\n\u003caside class=\"pullquote alignleft\">These rate changes give us a glimpse of the market forces at work.\u003c/aside>\n\u003cp>Rates for Obamacare exchange plans are rising nationwide, too, but not to the level of the double-digit \"sticker shock\" forecast in Congressional debates last year, \u003ca href=\"http://thehill.com/policy/healthcare/214847-average-premium-under-obamacare-to-rise-75-percent\">reports\u003c/a> \u003cem>The Hill\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A new PricewaterhouseCoopers analysis shows the price of health plans on Obamacare exchanges will rise by an average of 7.5 percent next year.\u003c/p>\n\u003cp>It's significant to note that the exchanges were meant to create a new, more competitive market for health insurance. And these rate changes give us a glimpse of the market forces at work. \u003cem>The Hill\u003c/em> explains:\u003c/p>\n\u003cblockquote>\u003cp>The healthcare law's first enrollment period was a major test for the insurance industry, which set premium prices with little information about exactly who might sign up for coverage.\u003c/p>\n\u003cp>The 2015 rates shed light on how well their guesses panned out.\u003c/p>\n\u003cp>Companies are generally raising prices if their new customers are older, sicker or will use more medical care than projected.\u003c/p>\n\u003cp>Firms with a healthier pool, on the other hand, have an incentive to lower premiums.\u003c/p>\u003c/blockquote>\n\u003cp>State regulators still have to review and approve the California plan prices before enrollment opens on Nov. 15.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>California Healthline contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Anthem Blue Cross Sued Over Covered California Doctor Networks",
"title": "Anthem Blue Cross Sued Over Covered California Doctor Networks",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17341\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/96525183-e1390846077644.jpg\">\u003cimg class=\"size-large wp-image-17341\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/96525183-640x426.jpg\" alt=\"The Anthem Blue Cross headquarters in Woodland Hills, California. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Anthem Blue Cross headquarters in Woodland Hills, California. (David McNew/Getty Images) \u003ccite>(David McNew/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Appleby,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/July/09/anthem-lawsuit-over-enrollment-practices.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>Statewide insurance giant Anthem Blue Cross misled “millions of enrollees” about whether their doctors and hospitals were participating in its new plans, and failed to disclose that many policies wouldn’t cover care outside its approved network, according to a \u003ca href=\"http://media.khn.webfactional.com/html/anthem-lawsuit/Felser.pdf\" target=\"_blank\">class action lawsuit\u003c/a> filed Tuesday.\u003c/p>\n\u003caside class=\"pullquote alignleft\">As a result, many consumers are on the hook for thousands in medical bills, advocacy group says.\u003c/aside>\n\u003cp>As a result, many consumers have been left on the hook for thousands of dollars in medical bills, and have been unable to see their longtime doctors, alleges the suit by Consumer Watchdog based in Santa Monica.\u003c/p>\n\u003cp>Anthem spokesman Darrel Ng declined to comment directly on the lawsuit. He said Anthem has agreed to pay the claims of those who received treatment from inaccurately listed doctors during the first three months of the year.\u003c/p>\n\u003cp>However, that policy would not be extended for enrollees who discovered after March 31 that their doctors had been incorrectly listed, he said.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The suit says that Anthem, the state’s largest individual health insurer, delayed providing full information to consumers until it was too late for them to change coverage. Anthem also failed to disclose it had stopped offering any plans with out-of-network coverage in four of the state's biggest counties -- Los Angeles, Orange, San Francisco and San Diego, the suit says.\u003c/p>\n\u003cp>Anthem “intentionally misrepresented and concealed the limitations of their plans because it wanted a big market share,” said Jerry Flanagan of the consumer advocacy group. Co-counsel on the case is the Claremont law firm Shernoff Bidart Echeverria Bentley, which specializes in suing health insurers.\u003c/p>\n\u003cp>The suit comes as Consumer Watchdog helped put a measure on the November ballot that would give the state's insurance commissioner greater authority to veto rate increases.\u003c/p>\n\u003cp>Brought on behalf of Anthem enrollees who purchased individual coverage between Oct. 1, 2013 and March 31, 2014, the lawsuit reflects growing consumer pushback against so-called “narrow network” health plans, which are increasingly common, especially in the new online state and federal marketplaces. Anthem was a major player on California’s insurance exchange and the suit includes those who bought coverage online, as well as directly from the insurer.\u003c/p>\n\u003cp>Insurers have defended plans with limited provider networks as \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/28/why-narrow-networks-may-not-be-such-a-bad-idea/\" target=\"_blank\">a way of holding down premiums\u003c/a>. Many expected younger and healthier customers might be willing to give up broad access to providers for these lower costs.\u003c/p>\n\u003cp>But consumers are retaliating with lawsuits and complaints to state regulators. As a result of the rising complaints, state managed care regulators are investigating whether Anthem and, separately, Blue Shield of California, provided accurate information about the doctors and hospitals in their plans.\u003c/p>\n\u003cp>\u003cstrong>Six Enrollees' Stories\u003c/strong>\u003c/p>\n\u003cp>The Consumer Watchdog lawsuit names six Californians who purchased Anthem plans. Among them is Betsy Felser of Pasadena, who had coverage with Anthem for 20 years. Like hundreds of thousands of Anthem customers, she received a letter late last year stating that her preferred provider organization (PPO), which allows for in- and out-of-network care, was being cancelled, according to the lawsuit. The letter suggested a replacement Anthem plan “with the benefits you have come to count on.”\u003c/p>\n\u003cp>Before agreeing to switch, Felser, a physician, said she checked with five Anthem telephone representatives, making it clear she wanted to be in a PPO.\u003c/p>\n\u003cp>“I would never have gotten anything that wasn’t a PPO plan,” said Felser, 47, whose insurance also covers her young son. “They said they would give me the same coverage.”\u003c/p>\n\u003cp>She also checked Anthem’s website and the doctors she sees, including her son’s pediatrician, to make sure they were participating in the plans she was considering and was assured that they were, she said.\u003c/p>\n\u003cp>During those calls, none of Anthem’s representatives told Felser that the insurer was no longer offering PPOs in Los Angeles County, the lawsuit alleges. Nor did they tell her that the Anthem plans offered in her area would not cover care provided by out-of-network doctors or hospitals, according to the lawsuit.\u003c/p>\n\u003cp>When she received her identification cards, they were stamped with a PPO symbol. But when she tried to use the coverage, she found out her doctors – and her son’s pediatrician – were not in the network and that the plan was an exclusive provider organization (EPO), an extremely limited type of plan which pays nothing for out-of-network care.\u003c/p>\n\u003cp>“It pays zero, so I essentially have no coverage,” said Felser.\u003c/p>\n\u003cp>Anthem, while declining to comment on the Consumer Watchdog suit, had answered questions last week about an earlier lawsuit that raised similar issues.\u003c/p>\n\u003cp>Spokesman Ng said then that consumers were informed about what kind of plan they purchased, along with details about out-of-network benefits, in packets they received soon after enrolling. “All those materials clearly spelled out type of plan they were receiving,” he said.\u003c/p>\n\u003cp>But consumers would have to dig deep in a brochure on the Anthem website to find a footnote to a page 9 chart indicating that EPO plans have no out-of-network benefits.\u003c/p>\n\u003cp>Ng noted that Anthem’s EPO and PPO networks have the same doctors and hospitals for people with individual policies, although only the PPOs have out-of-network benefits. In recent weeks, Anthem said it has added 3,800 doctors to its networks.\u003c/p>\n\u003cp>\u003cstrong>'A Giant Mess'\u003c/strong>\u003c/p>\n\u003cp>As for the PPO symbol on identification cards, Ng said last week that it had been intended to protect consumers who sought emergency care out-of-state, in keeping with Blue Cross Blue Shield Association rules. Ng said Anthem recently got association approval to reissue the cards without the symbol.\u003c/p>\n\u003cp>But consumers say the damage was done. Josh Worth of Los Angeles said he was unable to get accurate information after receiving notice that his Anthem plan would be cancelled at the end of 2013. He said he called Anthem, as well as all the doctors he used — including his child’s pediatrician and his wife’s obstetrician — to be sure they were participating in the network.\u003c/p>\n\u003cp>“They all said, ‘yes, we’re going to be continuing to accept all Blue Cross PPOs,’ and that’s what I was told I was going to be getting,” said Worth, a 43-year-old graphic artist. In January, he said he enrolled his family in an Anthem plan with an $800 a month premium.\u003c/p>\n\u003cp>Worth received an ID card in late February that called his plan a “Pathway Tiered PPO,” according to the lawsuit. His son was born on March 31. Not long after, he said he began receiving bills from his wife’s obstetrician, who was not in the network. Nor was the baby’s pediatrician, he said.\u003c/p>\n\u003cp>As a result, he said he owes about $1,100 out of pocket for both. And although an Anthem telephone representative told him afterward that the hospital where his son was born was not in network, it actually is – and his bills there are being covered, he said.\u003c/p>\n\u003cp>“It’s a giant mess,” said Worth, who can’t switch plans until open enrollment resumes in the fall. “I was sold something I thought was one product, but when I used it, I found out it wasn’t. I’m not going to be going through Anthem again.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"BmR0WPZq6RSJcEntShDdrDz9FsVmJH8T\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17341\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/96525183-e1390846077644.jpg\">\u003cimg class=\"size-large wp-image-17341\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/96525183-640x426.jpg\" alt=\"The Anthem Blue Cross headquarters in Woodland Hills, California. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The Anthem Blue Cross headquarters in Woodland Hills, California. (David McNew/Getty Images) \u003ccite>(David McNew/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Appleby,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/July/09/anthem-lawsuit-over-enrollment-practices.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>Statewide insurance giant Anthem Blue Cross misled “millions of enrollees” about whether their doctors and hospitals were participating in its new plans, and failed to disclose that many policies wouldn’t cover care outside its approved network, according to a \u003ca href=\"http://media.khn.webfactional.com/html/anthem-lawsuit/Felser.pdf\" target=\"_blank\">class action lawsuit\u003c/a> filed Tuesday.\u003c/p>\n\u003caside class=\"pullquote alignleft\">As a result, many consumers are on the hook for thousands in medical bills, advocacy group says.\u003c/aside>\n\u003cp>As a result, many consumers have been left on the hook for thousands of dollars in medical bills, and have been unable to see their longtime doctors, alleges the suit by Consumer Watchdog based in Santa Monica.\u003c/p>\n\u003cp>Anthem spokesman Darrel Ng declined to comment directly on the lawsuit. He said Anthem has agreed to pay the claims of those who received treatment from inaccurately listed doctors during the first three months of the year.\u003c/p>\n\u003cp>However, that policy would not be extended for enrollees who discovered after March 31 that their doctors had been incorrectly listed, he said.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The suit says that Anthem, the state’s largest individual health insurer, delayed providing full information to consumers until it was too late for them to change coverage. Anthem also failed to disclose it had stopped offering any plans with out-of-network coverage in four of the state's biggest counties -- Los Angeles, Orange, San Francisco and San Diego, the suit says.\u003c/p>\n\u003cp>Anthem “intentionally misrepresented and concealed the limitations of their plans because it wanted a big market share,” said Jerry Flanagan of the consumer advocacy group. Co-counsel on the case is the Claremont law firm Shernoff Bidart Echeverria Bentley, which specializes in suing health insurers.\u003c/p>\n\u003cp>The suit comes as Consumer Watchdog helped put a measure on the November ballot that would give the state's insurance commissioner greater authority to veto rate increases.\u003c/p>\n\u003cp>Brought on behalf of Anthem enrollees who purchased individual coverage between Oct. 1, 2013 and March 31, 2014, the lawsuit reflects growing consumer pushback against so-called “narrow network” health plans, which are increasingly common, especially in the new online state and federal marketplaces. Anthem was a major player on California’s insurance exchange and the suit includes those who bought coverage online, as well as directly from the insurer.\u003c/p>\n\u003cp>Insurers have defended plans with limited provider networks as \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/28/why-narrow-networks-may-not-be-such-a-bad-idea/\" target=\"_blank\">a way of holding down premiums\u003c/a>. Many expected younger and healthier customers might be willing to give up broad access to providers for these lower costs.\u003c/p>\n\u003cp>But consumers are retaliating with lawsuits and complaints to state regulators. As a result of the rising complaints, state managed care regulators are investigating whether Anthem and, separately, Blue Shield of California, provided accurate information about the doctors and hospitals in their plans.\u003c/p>\n\u003cp>\u003cstrong>Six Enrollees' Stories\u003c/strong>\u003c/p>\n\u003cp>The Consumer Watchdog lawsuit names six Californians who purchased Anthem plans. Among them is Betsy Felser of Pasadena, who had coverage with Anthem for 20 years. Like hundreds of thousands of Anthem customers, she received a letter late last year stating that her preferred provider organization (PPO), which allows for in- and out-of-network care, was being cancelled, according to the lawsuit. The letter suggested a replacement Anthem plan “with the benefits you have come to count on.”\u003c/p>\n\u003cp>Before agreeing to switch, Felser, a physician, said she checked with five Anthem telephone representatives, making it clear she wanted to be in a PPO.\u003c/p>\n\u003cp>“I would never have gotten anything that wasn’t a PPO plan,” said Felser, 47, whose insurance also covers her young son. “They said they would give me the same coverage.”\u003c/p>\n\u003cp>She also checked Anthem’s website and the doctors she sees, including her son’s pediatrician, to make sure they were participating in the plans she was considering and was assured that they were, she said.\u003c/p>\n\u003cp>During those calls, none of Anthem’s representatives told Felser that the insurer was no longer offering PPOs in Los Angeles County, the lawsuit alleges. Nor did they tell her that the Anthem plans offered in her area would not cover care provided by out-of-network doctors or hospitals, according to the lawsuit.\u003c/p>\n\u003cp>When she received her identification cards, they were stamped with a PPO symbol. But when she tried to use the coverage, she found out her doctors – and her son’s pediatrician – were not in the network and that the plan was an exclusive provider organization (EPO), an extremely limited type of plan which pays nothing for out-of-network care.\u003c/p>\n\u003cp>“It pays zero, so I essentially have no coverage,” said Felser.\u003c/p>\n\u003cp>Anthem, while declining to comment on the Consumer Watchdog suit, had answered questions last week about an earlier lawsuit that raised similar issues.\u003c/p>\n\u003cp>Spokesman Ng said then that consumers were informed about what kind of plan they purchased, along with details about out-of-network benefits, in packets they received soon after enrolling. “All those materials clearly spelled out type of plan they were receiving,” he said.\u003c/p>\n\u003cp>But consumers would have to dig deep in a brochure on the Anthem website to find a footnote to a page 9 chart indicating that EPO plans have no out-of-network benefits.\u003c/p>\n\u003cp>Ng noted that Anthem’s EPO and PPO networks have the same doctors and hospitals for people with individual policies, although only the PPOs have out-of-network benefits. In recent weeks, Anthem said it has added 3,800 doctors to its networks.\u003c/p>\n\u003cp>\u003cstrong>'A Giant Mess'\u003c/strong>\u003c/p>\n\u003cp>As for the PPO symbol on identification cards, Ng said last week that it had been intended to protect consumers who sought emergency care out-of-state, in keeping with Blue Cross Blue Shield Association rules. Ng said Anthem recently got association approval to reissue the cards without the symbol.\u003c/p>\n\u003cp>But consumers say the damage was done. Josh Worth of Los Angeles said he was unable to get accurate information after receiving notice that his Anthem plan would be cancelled at the end of 2013. He said he called Anthem, as well as all the doctors he used — including his child’s pediatrician and his wife’s obstetrician — to be sure they were participating in the network.\u003c/p>\n\u003cp>“They all said, ‘yes, we’re going to be continuing to accept all Blue Cross PPOs,’ and that’s what I was told I was going to be getting,” said Worth, a 43-year-old graphic artist. In January, he said he enrolled his family in an Anthem plan with an $800 a month premium.\u003c/p>\n\u003cp>Worth received an ID card in late February that called his plan a “Pathway Tiered PPO,” according to the lawsuit. His son was born on March 31. Not long after, he said he began receiving bills from his wife’s obstetrician, who was not in the network. Nor was the baby’s pediatrician, he said.\u003c/p>\n\u003cp>As a result, he said he owes about $1,100 out of pocket for both. And although an Anthem telephone representative told him afterward that the hospital where his son was born was not in network, it actually is – and his bills there are being covered, he said.\u003c/p>\n\u003cp>“It’s a giant mess,” said Worth, who can’t switch plans until open enrollment resumes in the fall. “I was sold something I thought was one product, but when I used it, I found out it wasn’t. I’m not going to be going through Anthem again.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Covered California Disables Part of Site to Handle Traffic",
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"content": "\u003cfigure id=\"attachment_15322\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-e1380655682194.jpg\">\u003cimg class=\"size-large wp-image-15322\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-640x425.jpg\" alt=\"Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, 2013. (Angela Hart/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, 2013. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update 7pm: \u003c/strong>Covered California\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\"> extended the deadline\u003c/a> to sign up for a health insurance plan -- with some caveats.\u003c/p>\n\u003cp>\u003cstrong>Original Post:\u003c/strong>\u003c/p>\n\u003cp>Covered California is seeing \"truly unprecedented enrollment,\" says executive director Peter Lee. Sunday was the busiest day ever -- that includes the days before the last big deadline in December. Just over 500,000 people enrolled in a Covered California plan by Dec 31, 2013. Covered California had reached the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/13/20000-people-starting-covered-california-applications-daily/\" target=\"_blank\">1 million mark\u003c/a> earlier in March. More than 1.2 million people had signed up for a plan as of 2am Monday morning. Nearly 400,000 people started applications in the last week.\u003c/p>\n\u003cp>To help keep the website running in the face of the surging traffic, Covered California is taking parts of it that don't have to do specifically with enrollment offline. The \"preview plans\" function is being disabled, although people can still use \"shop and compare.\"\u003c/p>\n\u003cp>If traffic gets very high, individuals might find themselves logged out once they have started their application -- but before they have picked a health insurance plan. \"We know that's not ideal, but we want to make sure the people that want to enroll can get in the system,\" Lee says.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lee says an onscreen message will state that the customer still needs to pick a plan, but has two weeks to do so. \"We say very clearly that given the high demand, we cannot help you complete the application right now.\"\u003c/p>\n\u003cp>In addition to enrolling online, people can also sign up at an enrollment event -- a handful of counties have them in the afternoon and evening on Monday. (Note that depending on your browser, you might need to scroll down to find your county when you check \u003ca href=\"https://www.coveredca.com/events/\" target=\"_blank\">this site\u003c/a>.)\u003c/p>\n\u003cp>People can also sign up with a \u003ca href=\"https://www.coveredca.com/enrollment-assistance/\" target=\"_blank\">certified insurance agent\u003c/a> -- a licensed insurance broker. This is at no cost to consumers; health insurance plan's pay brokers' premiums.\u003c/p>\n\u003cp>Here's a quick rundown of numbers as of Monday, 2AM:\u003c/p>\n\u003cul>\n\u003cli>1.2 million enrolled on Covered California\u003c/li>\n\u003cli>1.5 million newly-enrolled in Medi-Cal\u003c/li>\n\u003cli>1.1 million \u003cspan>signed up through the Covered California website \"\u003c/span>\u003ca style=\"font-size: 14px\" href=\"http://news.coveredca.com/2014/03/covered-california-updates-enrollment.html\" target=\"_blank\">determined likely eligible\u003c/a>\u003cspan>\" for Medi-Cal\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>Lee said Covered California cannot say definitively how many of these nearly 4 million people were previously uninsured. \"It's something we should look at during a statewide survey so we can get a very clear picture,\" he said.\u003c/p>\n\u003cp>He said that 87 percent of people enrolled on Covered California qualify for a subsidy and it's likely many of them were previously uninsured. \"Of the many people who signed up with Medi-Cal, the expectation is the vast majority were previously uninsured,\" Lee said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"wfJlfpj4FA8pFh4wDHV3iY7xKIVpOB5E\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15322\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-e1380655682194.jpg\">\u003cimg class=\"size-large wp-image-15322\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/P_Lee-640x425.jpg\" alt=\"Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, 2013. (Angela Hart/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California executive director Peter Lee speaking to advocates and reporters in San Francisco on Oct. 1, 2013. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update 7pm: \u003c/strong>Covered California\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\"> extended the deadline\u003c/a> to sign up for a health insurance plan -- with some caveats.\u003c/p>\n\u003cp>\u003cstrong>Original Post:\u003c/strong>\u003c/p>\n\u003cp>Covered California is seeing \"truly unprecedented enrollment,\" says executive director Peter Lee. Sunday was the busiest day ever -- that includes the days before the last big deadline in December. Just over 500,000 people enrolled in a Covered California plan by Dec 31, 2013. Covered California had reached the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/13/20000-people-starting-covered-california-applications-daily/\" target=\"_blank\">1 million mark\u003c/a> earlier in March. More than 1.2 million people had signed up for a plan as of 2am Monday morning. Nearly 400,000 people started applications in the last week.\u003c/p>\n\u003cp>To help keep the website running in the face of the surging traffic, Covered California is taking parts of it that don't have to do specifically with enrollment offline. The \"preview plans\" function is being disabled, although people can still use \"shop and compare.\"\u003c/p>\n\u003cp>If traffic gets very high, individuals might find themselves logged out once they have started their application -- but before they have picked a health insurance plan. \"We know that's not ideal, but we want to make sure the people that want to enroll can get in the system,\" Lee says.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lee says an onscreen message will state that the customer still needs to pick a plan, but has two weeks to do so. \"We say very clearly that given the high demand, we cannot help you complete the application right now.\"\u003c/p>\n\u003cp>In addition to enrolling online, people can also sign up at an enrollment event -- a handful of counties have them in the afternoon and evening on Monday. (Note that depending on your browser, you might need to scroll down to find your county when you check \u003ca href=\"https://www.coveredca.com/events/\" target=\"_blank\">this site\u003c/a>.)\u003c/p>\n\u003cp>People can also sign up with a \u003ca href=\"https://www.coveredca.com/enrollment-assistance/\" target=\"_blank\">certified insurance agent\u003c/a> -- a licensed insurance broker. This is at no cost to consumers; health insurance plan's pay brokers' premiums.\u003c/p>\n\u003cp>Here's a quick rundown of numbers as of Monday, 2AM:\u003c/p>\n\u003cul>\n\u003cli>1.2 million enrolled on Covered California\u003c/li>\n\u003cli>1.5 million newly-enrolled in Medi-Cal\u003c/li>\n\u003cli>1.1 million \u003cspan>signed up through the Covered California website \"\u003c/span>\u003ca style=\"font-size: 14px\" href=\"http://news.coveredca.com/2014/03/covered-california-updates-enrollment.html\" target=\"_blank\">determined likely eligible\u003c/a>\u003cspan>\" for Medi-Cal\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>Lee said Covered California cannot say definitively how many of these nearly 4 million people were previously uninsured. \"It's something we should look at during a statewide survey so we can get a very clear picture,\" he said.\u003c/p>\n\u003cp>He said that 87 percent of people enrolled on Covered California qualify for a subsidy and it's likely many of them were previously uninsured. \"Of the many people who signed up with Medi-Cal, the expectation is the vast majority were previously uninsured,\" Lee said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"wfJlfpj4FA8pFh4wDHV3iY7xKIVpOB5E\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>http://www.kqed.org/.stream/anon/radio/tcrmag/2014/03/20140328btcrmag.mp3\u003c/p>\n\u003cp>Procrastinators take note: Monday is the last day to get health insurance without facing a possible penalty under the Affordable Care Act, or Obamacare.\u003c/p>\n\u003cp>Covered California, the state’s online health insurance marketplace, says more than a million Californians have already bought insurance. But some people are waiting until the very last minute.\u003c/p>\n\u003cp>At a clinic in San Francisco’s Chinatown this week, a crush of people came in for help with their new coverage. “We have actually been very busy since the pre-enrollment started back in October. And our appointments are pretty much booked weeks in advance in terms of enrollment,” says Christina Ng.\u003c/p>\n\u003cp>She oversees Obamacare sign-ups for a group of nonprofit clinics serving the San Francisco Bay Area’s Asian community. Ng says most of the clients here don’t speak English — and most come from working families. “We actually have many, many patients who are eager to apply, who are eager to enroll, because before they didn’t have – they weren’t able to afford insurance. They didn’t have the opportunity,” she says. \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Ng tells me all that has changed with the Affordable Care Act. Now, people who qualify for subsidies get help paying for private insurance — and more low-income Californians are eligible for Medi-Cal.\u003c/p>\n\u003cp>“They do try to, if they’re able to get coverage, just get the coverage and have coverage, and even (though) they may be paying $80 a month or $100 a month, it’s still better than having no coverage and paying the whole thing themselves,” she says.\u003c/p>\n\u003cp>So far, California has fallen far short of getting uninsured Latinos to sign up for insurance on the health care exchange. But Asian-Americans are a different story. They represent nearly 23 percent of new enrollees, far more than their portion of the eligible pool.\u003c/p>\n\u003cp>In a room off the main waiting room, clinic worker Judy Leung is helping Ivy Hong, a mother of three children, sign up for private insurance. “This is her family’s concern. In the United States, everyone has to have insurance. Otherwise, in case you don’t have insurance, when you’re sick then you have no access to care and this is very important to have medical insurance,” Hong explains.\u003c/p>\n\u003cp>Another big motivator, says Leung: Avoiding that tax penalty. People who don’t sign up for insurance by March 31 could have to pay a fine of up to 1 percent of their household income. \u003c/p>\n\u003cp>There is a little wiggle room, however. The state now says that as long as people begin the application process by midnight Monday, they’ll help them finish in time to avoid that penalty. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong> \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Explained: A Guide for Californians\u003c/a>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Procrastinators take note: Monday is the last day to get health insurance without facing a possible penalty under the Affordable Care Act, or Obamacare.\u003c/p>\n\u003cp>Covered California, the state’s online health insurance marketplace, says more than a million Californians have already bought insurance. But some people are waiting until the very last minute.\u003c/p>\n\u003cp>At a clinic in San Francisco’s Chinatown this week, a crush of people came in for help with their new coverage. “We have actually been very busy since the pre-enrollment started back in October. And our appointments are pretty much booked weeks in advance in terms of enrollment,” says Christina Ng.\u003c/p>\n\u003cp>She oversees Obamacare sign-ups for a group of nonprofit clinics serving the San Francisco Bay Area’s Asian community. Ng says most of the clients here don’t speak English — and most come from working families. “We actually have many, many patients who are eager to apply, who are eager to enroll, because before they didn’t have – they weren’t able to afford insurance. They didn’t have the opportunity,” she says. \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Ng tells me all that has changed with the Affordable Care Act. Now, people who qualify for subsidies get help paying for private insurance — and more low-income Californians are eligible for Medi-Cal.\u003c/p>\n\u003cp>“They do try to, if they’re able to get coverage, just get the coverage and have coverage, and even (though) they may be paying $80 a month or $100 a month, it’s still better than having no coverage and paying the whole thing themselves,” she says.\u003c/p>\n\u003cp>So far, California has fallen far short of getting uninsured Latinos to sign up for insurance on the health care exchange. But Asian-Americans are a different story. They represent nearly 23 percent of new enrollees, far more than their portion of the eligible pool.\u003c/p>\n\u003cp>In a room off the main waiting room, clinic worker Judy Leung is helping Ivy Hong, a mother of three children, sign up for private insurance. “This is her family’s concern. In the United States, everyone has to have insurance. Otherwise, in case you don’t have insurance, when you’re sick then you have no access to care and this is very important to have medical insurance,” Hong explains.\u003c/p>\n\u003cp>Another big motivator, says Leung: Avoiding that tax penalty. People who don’t sign up for insurance by March 31 could have to pay a fine of up to 1 percent of their household income. \u003c/p>\n\u003cp>There is a little wiggle room, however. The state now says that as long as people begin the application process by midnight Monday, they’ll help them finish in time to avoid that penalty. \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>More:\u003c/strong> \u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Explained: A Guide for Californians\u003c/a>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Insurance Agents Drive High Asian Enrollment on Covered California",
"title": "Insurance Agents Drive High Asian Enrollment on Covered California",
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"content": "\u003cfigure id=\"attachment_18279\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-e1395532478928.png\">\u003cimg class=\"size-large wp-image-18279\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-640x329.png\" alt=\"Covered California application in Chinese.\" width=\"640\" height=\"329\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California application in Chinese.\u003c/figcaption>\u003c/figure>\n\u003cp>While Latino enrollment has lagged in Covered California enrollments, Asians have signed up on the state's marketplace in numbers far outstripping their representation in the insurance pool.\u003c/p>\n\u003cp>Our analysis of Covered California data shows a main driver: insurance brokers.\u003c/p>\n\u003cp>According to new Covered California data, the overwhelming majority of Chinese, Korean and Vietnamese enrollments are coming through certified insurance agents as opposed to community groups or the Covered California website.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Since January, Asians have been enrolling in strong numbers. People of Asian descent make up about 14 percent of the \u003ca href=\"http://healthpolicy.ucla.edu/programs/health-economics/projects/CalSIM/Documents/CalSIM_Statewide.pdf\" target=\"_blank\">Covered California pool\u003c/a>, according to estimates compiled by the UCLA Center for Health Policy Research and the UC Berkeley Labor Center.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Starting with the first release of demographic data in January, Asians were already on target, reaching \u003ca href=\"http://news.coveredca.com/2014/01/milestone-enrollment-numbers-released.html\" target=\"_blank\">13.5 percent \u003c/a>of all enrollees. In the most recent data from Covered California, (for Oct. 1 to Feb. 28 enrollment), Asians advanced to \u003ca href=\"http://news.coveredca.com/2014/03/covered-california-begins-countdown-to.html\" target=\"_blank\">22.9 percent \u003c/a>of all enrollees.\u003c/p>\n\u003cp>Licensed insurance brokers can sell customers plans on the Covered California marketplace, but they must first be specially certified to do so. Covered California says 40 percent of its total Covered California enrollments are coming via these certified insurance agents. But within certain Asian sub-populations, the percentage is much higher. Here's Covered California's breakdown:\u003c/p>\n\u003cul>\n\u003cli>57 percent of Chinese enrollments are through certified insurance agents (CIAs)\u003c/li>\n\u003cli>65 percent of Vietnamese enrollments are through CIAs\u003c/li>\n\u003cli>70 percent of Korean enrollments are through CIAs\u003c/li>\n\u003c/ul>\n\u003cp>These numbers \"suggest that the Asian agents are a driving force in helping Covered CA exceed our enrollment goal in Asian communities,\" Wendy McAnelly, a public information officer for Covered California, said in an email.\u003c/p>\n\u003cp>This information was not a big surprise to Simon Chew. He runs \u003ca href=\"http://www.simon888.com/obamacare/free-quote-apply-obamacare-coveredca/\" target=\"_blank\">Ehealth-Plans\u003c/a>, an insurance business with four offices in San Francisco. All his agents are trilingual -- in English, Mandarin and Cantonese.\u003c/p>\n\u003cp>Chew estimates he's signed up 2,000 people since the Covered California marketplace opened last October, and half of them had been uninsured. He sees a difference between how Caucasians shop and how his Chinese clients shop. While what he calls the \"mainstream market\" is comfortable shopping online, the Chinese want to do business face-to-face, with someone of a similar background.\u003c/p>\n\u003cp>\"That's how, culturally, Asians do business,\" Chew said. \"They like to stick to their own kind because of communication convenience.\" Chew also complained that too much Covered California advertising is focused on the website, as opposed to letting people know that their local insurance agents could also help them.\u003c/p>\n\u003cp>Covered California did not have enrollment information breakdown by type for Latinos. They make up nearly half of the marketplace's pool, but only 22 percent of all enrollments. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">Covered California has been faulted\u003c/a> for its missteps in signing up Latinos.\u003c/p>\n\u003cp>Unlike Asians, Latinos are generally not familiar with health insurance as a product, so this can make sign-ups more difficult.\u003c/p>\n\u003cp>That lack of familiarity with health insurance may stretch to the broker community, too. Covered California has slightly more certified brokers who speak an Asian language than speak Spanish -- 15.31 percent vs. 15.06 percent -- yet Spanish speakers dwarf those who speak an Asian language in California:\u003c/p>\n\u003cul>\n\u003cli>15.06 percent Spanish-speaking CIAs\u003c/li>\n\u003cli> 4.01 percent Mandarin-speaking CIAs\u003c/li>\n\u003cli> 2.96 percent Cantonese-speaking CIAs\u003c/li>\n\u003cli> 4.76 percent Korean-speaking CIAs\u003c/li>\n\u003cli> 3.58 percent Vietnamese-speaking CIAs\u003c/li>\n\u003c/ul>\n\u003cp>There is no charge to consumers who work with agents, whose commissions are paid by insurance companies.\u003c/p>\n\u003cp>\u003cstrong>Overall Successful Enrollment May Hide Gaps\u003c/strong>\u003c/p>\n\u003cp>But Asians are not a monolithic group, advocates caution. Doreena Wong is with Advancing Justice in Los Angeles. Her group oversees the single statewide collaborative of community groups that handles outreach to Asians to encourage enrollment on Covered California. She was surprised by the success that brokers have had over community groups in sign-ups. \"I am surprised that is as high as it is,\" Wong said. \"I don't know if that means that most of the enrollees in these communities are English-speaking.\"\u003c/p>\n\u003cp>Community groups have long worried that those with limited-English skills would be left out of Covered California. Wong is concerned that certain immigrant groups who have less experience with insurance or universal health care in their home countries would be harder to reach. \"The united Cambodian community, Indian, Pakistani,\" she said, \"we don't know what the numbers are for those particular sub-groups.\"\u003c/p>\n\u003cp>Yeri Shon, of the Korean Community Center of the East Bay in Oakland, said her group has had great success in signing up the monolingual clients she serves. There's universal health care in Korea, she says, so people are already comfortable with the concept of the government helping out.\u003c/p>\n\u003cp>But she said in regular conference calls with other community groups held to share best practices, she's heard from other advocates who say they are having a harder time. \"The Tongan community leader says teaching the idea of insurance is very difficult,\" Shon said. \"In Tonga, people apparently only go to the hospital when they are really sick.\"\u003c/p>\n\u003cp>\u003cstrong>Mixed-Status Families a Barrier to Enrollment\u003c/strong>\u003c/p>\n\u003cp>While President Obama has insisted that undocumented relatives of people who sign up for insurance \u003ca href=\"http://thehill.com/blogs/healthwatch/health-reform-implementation/201076-obama-makes-o-care-pitch-to-hispanics-the\" target=\"_blank\">will not be deported\u003c/a>, many advocates think this is still a barrier, especially for Latinos. Yet there are almost certainly undocumented Asian immigrants as well, and there does not seem to be the same level of fear. Wong believes that there may be a higher percentage of mixed-status Latino families than Asian families. \"That fear may not be as pervasive (with undocumented Asian immigrants) because the face of immigration is Latino, even though there are high numbers of Asian immigrants.\"\u003c/p>\n\u003cp>\u003cstrong>New Asian Enrollment Likely to Get Tougher\u003c/strong>\u003c/p>\n\u003cp>According to the modeling from UCLA and UC Berkeley, there are an estimated 370,000 Asians in the Covered California pool of potential enrollees. While their enrollment is strong, as of Feb. 28, slightly more than 160,000 had enrolled. Some advocates wonder if the better-educated people have enrolled, if covered California has reached, as Doreena Wong puts it, the \"low-lying fruit.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"As we continue on, it might be more and more challenging and take more effort to reach those who have been discouraged from enrolling or who have had bad experiences,\" Wong said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18279\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-e1395532478928.png\">\u003cimg class=\"size-large wp-image-18279\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-22-at-4.52.51-PM-640x329.png\" alt=\"Covered California application in Chinese.\" width=\"640\" height=\"329\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California application in Chinese.\u003c/figcaption>\u003c/figure>\n\u003cp>While Latino enrollment has lagged in Covered California enrollments, Asians have signed up on the state's marketplace in numbers far outstripping their representation in the insurance pool.\u003c/p>\n\u003cp>Our analysis of Covered California data shows a main driver: insurance brokers.\u003c/p>\n\u003cp>According to new Covered California data, the overwhelming majority of Chinese, Korean and Vietnamese enrollments are coming through certified insurance agents as opposed to community groups or the Covered California website.\u003c/p>\n\u003cp>\u003c!--more-->\u003c/p>\n\u003cp>Since January, Asians have been enrolling in strong numbers. People of Asian descent make up about 14 percent of the \u003ca href=\"http://healthpolicy.ucla.edu/programs/health-economics/projects/CalSIM/Documents/CalSIM_Statewide.pdf\" target=\"_blank\">Covered California pool\u003c/a>, according to estimates compiled by the UCLA Center for Health Policy Research and the UC Berkeley Labor Center.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Starting with the first release of demographic data in January, Asians were already on target, reaching \u003ca href=\"http://news.coveredca.com/2014/01/milestone-enrollment-numbers-released.html\" target=\"_blank\">13.5 percent \u003c/a>of all enrollees. In the most recent data from Covered California, (for Oct. 1 to Feb. 28 enrollment), Asians advanced to \u003ca href=\"http://news.coveredca.com/2014/03/covered-california-begins-countdown-to.html\" target=\"_blank\">22.9 percent \u003c/a>of all enrollees.\u003c/p>\n\u003cp>Licensed insurance brokers can sell customers plans on the Covered California marketplace, but they must first be specially certified to do so. Covered California says 40 percent of its total Covered California enrollments are coming via these certified insurance agents. But within certain Asian sub-populations, the percentage is much higher. Here's Covered California's breakdown:\u003c/p>\n\u003cul>\n\u003cli>57 percent of Chinese enrollments are through certified insurance agents (CIAs)\u003c/li>\n\u003cli>65 percent of Vietnamese enrollments are through CIAs\u003c/li>\n\u003cli>70 percent of Korean enrollments are through CIAs\u003c/li>\n\u003c/ul>\n\u003cp>These numbers \"suggest that the Asian agents are a driving force in helping Covered CA exceed our enrollment goal in Asian communities,\" Wendy McAnelly, a public information officer for Covered California, said in an email.\u003c/p>\n\u003cp>This information was not a big surprise to Simon Chew. He runs \u003ca href=\"http://www.simon888.com/obamacare/free-quote-apply-obamacare-coveredca/\" target=\"_blank\">Ehealth-Plans\u003c/a>, an insurance business with four offices in San Francisco. All his agents are trilingual -- in English, Mandarin and Cantonese.\u003c/p>\n\u003cp>Chew estimates he's signed up 2,000 people since the Covered California marketplace opened last October, and half of them had been uninsured. He sees a difference between how Caucasians shop and how his Chinese clients shop. While what he calls the \"mainstream market\" is comfortable shopping online, the Chinese want to do business face-to-face, with someone of a similar background.\u003c/p>\n\u003cp>\"That's how, culturally, Asians do business,\" Chew said. \"They like to stick to their own kind because of communication convenience.\" Chew also complained that too much Covered California advertising is focused on the website, as opposed to letting people know that their local insurance agents could also help them.\u003c/p>\n\u003cp>Covered California did not have enrollment information breakdown by type for Latinos. They make up nearly half of the marketplace's pool, but only 22 percent of all enrollments. \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">Covered California has been faulted\u003c/a> for its missteps in signing up Latinos.\u003c/p>\n\u003cp>Unlike Asians, Latinos are generally not familiar with health insurance as a product, so this can make sign-ups more difficult.\u003c/p>\n\u003cp>That lack of familiarity with health insurance may stretch to the broker community, too. Covered California has slightly more certified brokers who speak an Asian language than speak Spanish -- 15.31 percent vs. 15.06 percent -- yet Spanish speakers dwarf those who speak an Asian language in California:\u003c/p>\n\u003cul>\n\u003cli>15.06 percent Spanish-speaking CIAs\u003c/li>\n\u003cli> 4.01 percent Mandarin-speaking CIAs\u003c/li>\n\u003cli> 2.96 percent Cantonese-speaking CIAs\u003c/li>\n\u003cli> 4.76 percent Korean-speaking CIAs\u003c/li>\n\u003cli> 3.58 percent Vietnamese-speaking CIAs\u003c/li>\n\u003c/ul>\n\u003cp>There is no charge to consumers who work with agents, whose commissions are paid by insurance companies.\u003c/p>\n\u003cp>\u003cstrong>Overall Successful Enrollment May Hide Gaps\u003c/strong>\u003c/p>\n\u003cp>But Asians are not a monolithic group, advocates caution. Doreena Wong is with Advancing Justice in Los Angeles. Her group oversees the single statewide collaborative of community groups that handles outreach to Asians to encourage enrollment on Covered California. She was surprised by the success that brokers have had over community groups in sign-ups. \"I am surprised that is as high as it is,\" Wong said. \"I don't know if that means that most of the enrollees in these communities are English-speaking.\"\u003c/p>\n\u003cp>Community groups have long worried that those with limited-English skills would be left out of Covered California. Wong is concerned that certain immigrant groups who have less experience with insurance or universal health care in their home countries would be harder to reach. \"The united Cambodian community, Indian, Pakistani,\" she said, \"we don't know what the numbers are for those particular sub-groups.\"\u003c/p>\n\u003cp>Yeri Shon, of the Korean Community Center of the East Bay in Oakland, said her group has had great success in signing up the monolingual clients she serves. There's universal health care in Korea, she says, so people are already comfortable with the concept of the government helping out.\u003c/p>\n\u003cp>But she said in regular conference calls with other community groups held to share best practices, she's heard from other advocates who say they are having a harder time. \"The Tongan community leader says teaching the idea of insurance is very difficult,\" Shon said. \"In Tonga, people apparently only go to the hospital when they are really sick.\"\u003c/p>\n\u003cp>\u003cstrong>Mixed-Status Families a Barrier to Enrollment\u003c/strong>\u003c/p>\n\u003cp>While President Obama has insisted that undocumented relatives of people who sign up for insurance \u003ca href=\"http://thehill.com/blogs/healthwatch/health-reform-implementation/201076-obama-makes-o-care-pitch-to-hispanics-the\" target=\"_blank\">will not be deported\u003c/a>, many advocates think this is still a barrier, especially for Latinos. Yet there are almost certainly undocumented Asian immigrants as well, and there does not seem to be the same level of fear. Wong believes that there may be a higher percentage of mixed-status Latino families than Asian families. \"That fear may not be as pervasive (with undocumented Asian immigrants) because the face of immigration is Latino, even though there are high numbers of Asian immigrants.\"\u003c/p>\n\u003cp>\u003cstrong>New Asian Enrollment Likely to Get Tougher\u003c/strong>\u003c/p>\n\u003cp>According to the modeling from UCLA and UC Berkeley, there are an estimated 370,000 Asians in the Covered California pool of potential enrollees. While their enrollment is strong, as of Feb. 28, slightly more than 160,000 had enrolled. Some advocates wonder if the better-educated people have enrolled, if covered California has reached, as Doreena Wong puts it, the \"low-lying fruit.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"As we continue on, it might be more and more challenging and take more effort to reach those who have been discouraged from enrolling or who have had bad experiences,\" Wong said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Bay Area Obamacare Enrollment Fairs Offer Signup Help as Deadline Approaches",
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"content": "\u003cfigure id=\"attachment_129803\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-129803\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/ObamacareSignup.jpg\" alt=\"ACA enrollment fair signup\" width=\"640\" height=\"360\">\u003cfigcaption class=\"wp-caption-text\">A health care reform specialist helps people select insurance plans at an Affordable Care Act (ACA) enrollment fair. (David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Bay City News Service\u003c/strong>\u003c/p>\n\u003cp>With the deadline to sign up for health insurance through Medi-Cal or Covered California approaching rapidly, Bay Area residents are being offered some face-to-face assistance in getting enrolled.\u003c/p>\n\u003cp>The Service Employees International Union-United Healthcare Workers West, a health care workers union with 150,000 members, is offering five free health care enrollment fairs in the Bay Area this week, starting with events in San Francisco and Hayward this afternoon.\u003cbr>\nThe fairs offer information and face-to-face help in signing up for free or low-cost health insurance, according to union spokesman Sean Wherley. Those who currently lack insurance are required to either sign up for Medi-Cal, for those who are eligible, or purchase insurance through the state’s health care exchange, Covered California.\u003c/p>\n\u003cp>Wherley said the union has been holding the fairs since October, but attendance is expected to go up as the March 31 deadline for enrollment approaches.\u003c/p>\n\u003cp>“We’re seeing numbers go up with each passing week, and we think there will be quite a spike before the deadline,” Wherley said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Those who fail to enroll by the deadline and who do not already have health insurance will be charged a fine of $95 or 1 percent of their income, whichever is higher, Wherley said. Only those who make too little to pay income taxes will escape the fine.\u003c/p>\n\u003cp>In addition, those who miss the deadline will not be able to enroll until the next open enrollment period starts on Nov. 15.\u003c/p>\n\u003cp>Covered California officials announced on Monday that more than 1 million people statewide had signed up for health care coverage through the state exchange.\u003c/p>\n\u003cp>“It speaks to the immense need for the Affordable Care Act and the millions of people who have been waiting for affordable coverage,” said Covered California Executive Director Peter Lee in a statement issued Monday.\u003c/p>\n\u003cp>Covered California officials urged consumers to sign up quickly, saying that a rush of last-minute applications could make the online enrollment process slow.\u003c/p>\n\u003cp>Those looking for more information and access to online enrollment can go to www.CoveredCA.com.\u003c/p>\n\u003cp>Today’s SEIU health care enrollment fairs will take place from 3 to 7 p.m. at 1338 Mission St. in San Francisco, and from 4 to 8 p.m. at 27689 Tyrrell Ave. in Hayward.\u003c/p>\n\u003cp>Additional events are planned on Wednesday in Napa and on Saturday in San Francisco and Concord.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For more information on the health care fairs, go to www.seiu-uhw.org/fairs.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_129803\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-129803\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/03/ObamacareSignup.jpg\" alt=\"ACA enrollment fair signup\" width=\"640\" height=\"360\">\u003cfigcaption class=\"wp-caption-text\">A health care reform specialist helps people select insurance plans at an Affordable Care Act (ACA) enrollment fair. (David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Bay City News Service\u003c/strong>\u003c/p>\n\u003cp>With the deadline to sign up for health insurance through Medi-Cal or Covered California approaching rapidly, Bay Area residents are being offered some face-to-face assistance in getting enrolled.\u003c/p>\n\u003cp>The Service Employees International Union-United Healthcare Workers West, a health care workers union with 150,000 members, is offering five free health care enrollment fairs in the Bay Area this week, starting with events in San Francisco and Hayward this afternoon.\u003cbr>\nThe fairs offer information and face-to-face help in signing up for free or low-cost health insurance, according to union spokesman Sean Wherley. Those who currently lack insurance are required to either sign up for Medi-Cal, for those who are eligible, or purchase insurance through the state’s health care exchange, Covered California.\u003c/p>\n\u003cp>Wherley said the union has been holding the fairs since October, but attendance is expected to go up as the March 31 deadline for enrollment approaches.\u003c/p>\n\u003cp>“We’re seeing numbers go up with each passing week, and we think there will be quite a spike before the deadline,” Wherley said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Those who fail to enroll by the deadline and who do not already have health insurance will be charged a fine of $95 or 1 percent of their income, whichever is higher, Wherley said. Only those who make too little to pay income taxes will escape the fine.\u003c/p>\n\u003cp>In addition, those who miss the deadline will not be able to enroll until the next open enrollment period starts on Nov. 15.\u003c/p>\n\u003cp>Covered California officials announced on Monday that more than 1 million people statewide had signed up for health care coverage through the state exchange.\u003c/p>\n\u003cp>“It speaks to the immense need for the Affordable Care Act and the millions of people who have been waiting for affordable coverage,” said Covered California Executive Director Peter Lee in a statement issued Monday.\u003c/p>\n\u003cp>Covered California officials urged consumers to sign up quickly, saying that a rush of last-minute applications could make the online enrollment process slow.\u003c/p>\n\u003cp>Those looking for more information and access to online enrollment can go to www.CoveredCA.com.\u003c/p>\n\u003cp>Today’s SEIU health care enrollment fairs will take place from 3 to 7 p.m. at 1338 Mission St. in San Francisco, and from 4 to 8 p.m. at 27689 Tyrrell Ave. in Hayward.\u003c/p>\n\u003cp>Additional events are planned on Wednesday in Napa and on Saturday in San Francisco and Concord.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For more information on the health care fairs, go to www.seiu-uhw.org/fairs.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Analysis: Obamacare Leads to More Competition in Insurance Market",
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"content": "\u003cp>It's still early days. The first open enrollment of the Obamacare marketplaces is ongoing. But the Covered California marketplace is more competitive than the 2012 individual market, according to a \u003ca href=\"http://kff.org/health-reform/issue-brief/sizing-up-exchange-market-competition/\" target=\"_blank\">new analysis\u003c/a> from the Kaiser Family Foundation. Entirely by coincidence, the study, released Monday, coincided with the news that Covered California \u003ca href=\"http://news.coveredca.com/2014/03/covered-california-reaches-1-million.html\" target=\"_blank\">had passed the million mark\u003c/a> in enrollment.\u003c/p>\n\u003cp>Analysts looked at exchange data from seven states, including California. Enrollment for people buying outside exchanges, on the individual market, will not be available until later this year or early 2015, Cynthia Cox, one of the foundation's analysts noted.\u003c/p>\n\u003cp>\"California had a highly concentrated market before the ACA,\" Cox said. But the Covered California marketplace has both more companies with greater than 5 percent market share and the percentage marketshare of the largest company has declined, as shown in this graph from the study:\u003c/p>\n\u003cfigure id=\"attachment_18161\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-17-at-12.24.49-PM-e1395084542155.png\">\u003cimg class=\"size-large wp-image-18161\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-17-at-12.24.49-PM-640x517.png\" alt=\"(Kaiser Family Foundation)\" width=\"640\" height=\"517\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kaiser Family Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->Anthem Blue Cross had nearly half (47 percent) of the individual market in 2012, but 30 percent of the Covered California market, as of Jan. 31. Health Net, conversely, has seen its marketshare increase substantially.\u003c/p>\n\u003cp>\"Very much so,\" Cox said. \"It was only a tiny fraction before [3 percent] and now it controls over a fifth, and it's largely because they priced relatively low in Southern California.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Health Net now \u003ca href=\"https://www.coveredca.com/news/PDFs/JanRegionalEnrollmentTables.pdf\" target=\"_blank\">leads enrollment\u003c/a> in San Diego and part of Los Angeles county. In other parts of southern California, Health Net is second in enrollment. Cox said that Covered California is the only state exchange, so far, to release regional data. It is at the local level where \"competition among insurers truly takes place,\" the analysts noted in their report. The information from Covered California \"helps us to understand the details of pricing dynamics in California,\" Cox said.\u003c/p>\n\u003cp>Darrel Ng, a spokesman for Anthem Blue Cross, did not seem overly worried. In an email, he pointed out that the analysis was done with two months still to go in open enrollment and did not look at either the non-exchange market or enrollment in grandfathered plans. \"It's premature to draw any conclusions,\" he wrote. \"Market share has changed substantially as more have enrolled via Covered California, and it's reasonable to expect that this will continue as open enrollment concludes.\"\u003c/p>\n\u003cp>Cox said that even with the additional data about the non-exchange market by early next year, it still won't tell us the whole story. \"It will probably be at least two to three years before we're really able to know how much the ACA is changing insurance market competition,\" she said.\u003c/p>\n\u003cp>Time will also show whether those insurers that offered plans at lower premiums can maintain those prices -- or if they will have to raise prices once they start paying claims, Cox said.\u003c/p>\n\u003cp>Jenn Moore, a vice president at Health Net who oversees exchange business, is confident the company will stay the course. “The intention was that we would bid a sustainable price over the long term,” she said and cited Health Net's partnership with \"a very strong provider network\" as well as educational efforts to help consumers efficiently use the system in its efforts to keep premiums low going forward.\u003c/p>\n\u003cp>While this early analysis shows California -- and New York -- are seeing a more competitive environment, other states are not faring as well. In Connecticut, Wellpoint, the parent company of Anthem Blue Cross, has increased its market share from 45 percent to 60 percent.\u003c/p>\n\u003cp>\u003cstrong>Th\u003c/strong>\u003cstrong>is post has been updated to include comments from Health Net.\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Cq1qPApycsTF7WYdQyTgGQjR6d3BDpsA\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>It's still early days. The first open enrollment of the Obamacare marketplaces is ongoing. But the Covered California marketplace is more competitive than the 2012 individual market, according to a \u003ca href=\"http://kff.org/health-reform/issue-brief/sizing-up-exchange-market-competition/\" target=\"_blank\">new analysis\u003c/a> from the Kaiser Family Foundation. Entirely by coincidence, the study, released Monday, coincided with the news that Covered California \u003ca href=\"http://news.coveredca.com/2014/03/covered-california-reaches-1-million.html\" target=\"_blank\">had passed the million mark\u003c/a> in enrollment.\u003c/p>\n\u003cp>Analysts looked at exchange data from seven states, including California. Enrollment for people buying outside exchanges, on the individual market, will not be available until later this year or early 2015, Cynthia Cox, one of the foundation's analysts noted.\u003c/p>\n\u003cp>\"California had a highly concentrated market before the ACA,\" Cox said. But the Covered California marketplace has both more companies with greater than 5 percent market share and the percentage marketshare of the largest company has declined, as shown in this graph from the study:\u003c/p>\n\u003cfigure id=\"attachment_18161\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-17-at-12.24.49-PM-e1395084542155.png\">\u003cimg class=\"size-large wp-image-18161\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/03/Screen-Shot-2014-03-17-at-12.24.49-PM-640x517.png\" alt=\"(Kaiser Family Foundation)\" width=\"640\" height=\"517\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kaiser Family Foundation)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003c!--more-->Anthem Blue Cross had nearly half (47 percent) of the individual market in 2012, but 30 percent of the Covered California market, as of Jan. 31. Health Net, conversely, has seen its marketshare increase substantially.\u003c/p>\n\u003cp>\"Very much so,\" Cox said. \"It was only a tiny fraction before [3 percent] and now it controls over a fifth, and it's largely because they priced relatively low in Southern California.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Health Net now \u003ca href=\"https://www.coveredca.com/news/PDFs/JanRegionalEnrollmentTables.pdf\" target=\"_blank\">leads enrollment\u003c/a> in San Diego and part of Los Angeles county. In other parts of southern California, Health Net is second in enrollment. Cox said that Covered California is the only state exchange, so far, to release regional data. It is at the local level where \"competition among insurers truly takes place,\" the analysts noted in their report. The information from Covered California \"helps us to understand the details of pricing dynamics in California,\" Cox said.\u003c/p>\n\u003cp>Darrel Ng, a spokesman for Anthem Blue Cross, did not seem overly worried. In an email, he pointed out that the analysis was done with two months still to go in open enrollment and did not look at either the non-exchange market or enrollment in grandfathered plans. \"It's premature to draw any conclusions,\" he wrote. \"Market share has changed substantially as more have enrolled via Covered California, and it's reasonable to expect that this will continue as open enrollment concludes.\"\u003c/p>\n\u003cp>Cox said that even with the additional data about the non-exchange market by early next year, it still won't tell us the whole story. \"It will probably be at least two to three years before we're really able to know how much the ACA is changing insurance market competition,\" she said.\u003c/p>\n\u003cp>Time will also show whether those insurers that offered plans at lower premiums can maintain those prices -- or if they will have to raise prices once they start paying claims, Cox said.\u003c/p>\n\u003cp>Jenn Moore, a vice president at Health Net who oversees exchange business, is confident the company will stay the course. “The intention was that we would bid a sustainable price over the long term,” she said and cited Health Net's partnership with \"a very strong provider network\" as well as educational efforts to help consumers efficiently use the system in its efforts to keep premiums low going forward.\u003c/p>\n\u003cp>While this early analysis shows California -- and New York -- are seeing a more competitive environment, other states are not faring as well. In Connecticut, Wellpoint, the parent company of Anthem Blue Cross, has increased its market share from 45 percent to 60 percent.\u003c/p>\n\u003cp>\u003cstrong>Th\u003c/strong>\u003cstrong>is post has been updated to include comments from Health Net.\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Cq1qPApycsTF7WYdQyTgGQjR6d3BDpsA\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"marketplace": {
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"possible": {
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"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.",
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"radiolab": {
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"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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"info": "",
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"tech-nation": {
"id": "tech-nation",
"title": "Tech Nation Radio Podcast",
"info": "Tech Nation is a weekly public radio program, hosted by Dr. Moira Gunn. Founded in 1993, it has grown from a simple interview show to a multi-faceted production, featuring conversations with noted technology and science leaders, and a weekly science and technology-related commentary.",
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"ted-radio-hour": {
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"title": "TED Radio Hour",
"info": "The TED Radio Hour is a journey through fascinating ideas, astonishing inventions, fresh approaches to old problems, and new ways to think and create.",
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