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"content": "\u003cp>Thousands of California adults are signing up for dental insurance \u003ca href=\"http://www.coveredca.com/individuals-and-families/getting-covered/dental-coverage\" target=\"_blank\">offered for the first time\u003c/a> by Covered California, the state's Obamacare marketplace, officials said Wednesday.\u003c/p>\n\u003caside class=\"pullquote alignright\">'This is really going to help a lot of people improve their health.'\u003cbr>\n\u003ccite> Dr. Ariane Terlet, Berkeley dentist and trustee, California Dental Association\u003c/cite>\u003c/aside>\n\u003cp>About 33,000 adults have signed up for the dental plans, including about 6,000 who also are signing up for health insurance on the marketplace for the first time, said Peter Lee, Covered California’s executive director.\u003c/p>\n\u003cp>While dental coverage for children under age 19 is considered an essential benefit under the Affordable Care Act and is included in their health insurance plans, that’s not the case for adults. Most of the nation’s state-run health exchanges now offer separate dental plans serving adults and the federally run exchange, healthcare.gov, also offers adult dental coverage.\u003c/p>\n\u003cp>Covered California is the second to last among the state-run exchanges to offer dental coverage for adults, said Jeff Album, a Delta Dental executive. Now only Washington state does not offer it.\u003c/p>\n\u003cp>In California, adults must purchase a health plan on Covered California to be able to purchase an “add-on” dental policy, and they’ll pay monthly premiums ranging from $11 to $65, Lee said. These premiums are not subsidized like Covered California’s health premiums for lower-income people, but the dental plans can’t turn anyone away because of pre-existing conditions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The dental plans are optional, and there’s no tax penalty for not enrolling in them.\u003c/p>\n\u003cp>Open enrollment for Covered California health and dental plans started Nov. 1 and ends Jan. 31, and people who sign up by Dec. 15 can have their benefits start on Jan. 1. Lee said Wednesday that 34,000 new consumers had selected a health insurance plan through the exchange since open enrollment began.\u003c/p>\n\u003cp>About 1.3 million Californians, including about 66,000 ages 18 or younger, already \u003ca href=\"http://hbex.coveredca.com/data-research/\" target=\"_blank\">had health insurance\u003c/a> through the exchange before open enrollment started.\u003c/p>\n\u003cp>Five insurers are offering dental plans on Covered California:\u003c/p>\n\u003cul>\n\u003cli>Access Dental Plan\u003c/li>\n\u003cli>Anthem Blue Cross of California\u003c/li>\n\u003cli>Delta Dental of California\u003c/li>\n\u003cli>Dental Health Services\u003c/li>\n\u003cli>Premier Access\u003c/li>\n\u003c/ul>\n\u003cp>The majority of people signed up so far -- 23,000 of 33,000 overall -- have chosen Delta Dental, Album said.\u003c/p>\n\u003cp>All of the plans will offer free preventive and diagnostic dental services for both adults and children. Consumers can choose from dental health maintenance organizations, which typically cost less but have more restricted networks of dentists, or dental preferred provider organizations, which offer more choice but higher out-of-pocket costs.\u003c/p>\n\u003caside class=\"pullquote alignright\">Covered California's open enrollment runs through Jan. 31\u003c/aside>\n\u003cp>A note to parents: You do not have to enroll your children in a family dental plan, because children's dental coverage is already included in their health plan. Still, some parents choose to do so to gain extra coverage.\u003c/p>\n\u003cp>Dr. Ariane Terlet, a Berkeley dentist who serves as chief dental officer for Oakland-based La Clinica de la Raza and as a trustee for the California Dental Association, said that people without dental insurance are four times more likely not to get preventive care. Many Californians have found it difficult to buy dental coverage on the individual market, she added, and the new availability of Covered California’s dental plans expands access to care.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“There isn’t a week that goes by where people don’t ask me what dental coverage is available for individuals,” Terlet said. “Having insurance is a critical step to improving dental care. This is really going to help a lot of people improve their health.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Thousands of California adults are signing up for dental insurance \u003ca href=\"http://www.coveredca.com/individuals-and-families/getting-covered/dental-coverage\" target=\"_blank\">offered for the first time\u003c/a> by Covered California, the state's Obamacare marketplace, officials said Wednesday.\u003c/p>\n\u003caside class=\"pullquote alignright\">'This is really going to help a lot of people improve their health.'\u003cbr>\n\u003ccite> Dr. Ariane Terlet, Berkeley dentist and trustee, California Dental Association\u003c/cite>\u003c/aside>\n\u003cp>About 33,000 adults have signed up for the dental plans, including about 6,000 who also are signing up for health insurance on the marketplace for the first time, said Peter Lee, Covered California’s executive director.\u003c/p>\n\u003cp>While dental coverage for children under age 19 is considered an essential benefit under the Affordable Care Act and is included in their health insurance plans, that’s not the case for adults. Most of the nation’s state-run health exchanges now offer separate dental plans serving adults and the federally run exchange, healthcare.gov, also offers adult dental coverage.\u003c/p>\n\u003cp>Covered California is the second to last among the state-run exchanges to offer dental coverage for adults, said Jeff Album, a Delta Dental executive. Now only Washington state does not offer it.\u003c/p>\n\u003cp>In California, adults must purchase a health plan on Covered California to be able to purchase an “add-on” dental policy, and they’ll pay monthly premiums ranging from $11 to $65, Lee said. These premiums are not subsidized like Covered California’s health premiums for lower-income people, but the dental plans can’t turn anyone away because of pre-existing conditions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The dental plans are optional, and there’s no tax penalty for not enrolling in them.\u003c/p>\n\u003cp>Open enrollment for Covered California health and dental plans started Nov. 1 and ends Jan. 31, and people who sign up by Dec. 15 can have their benefits start on Jan. 1. Lee said Wednesday that 34,000 new consumers had selected a health insurance plan through the exchange since open enrollment began.\u003c/p>\n\u003cp>About 1.3 million Californians, including about 66,000 ages 18 or younger, already \u003ca href=\"http://hbex.coveredca.com/data-research/\" target=\"_blank\">had health insurance\u003c/a> through the exchange before open enrollment started.\u003c/p>\n\u003cp>Five insurers are offering dental plans on Covered California:\u003c/p>\n\u003cul>\n\u003cli>Access Dental Plan\u003c/li>\n\u003cli>Anthem Blue Cross of California\u003c/li>\n\u003cli>Delta Dental of California\u003c/li>\n\u003cli>Dental Health Services\u003c/li>\n\u003cli>Premier Access\u003c/li>\n\u003c/ul>\n\u003cp>The majority of people signed up so far -- 23,000 of 33,000 overall -- have chosen Delta Dental, Album said.\u003c/p>\n\u003cp>All of the plans will offer free preventive and diagnostic dental services for both adults and children. Consumers can choose from dental health maintenance organizations, which typically cost less but have more restricted networks of dentists, or dental preferred provider organizations, which offer more choice but higher out-of-pocket costs.\u003c/p>\n\u003caside class=\"pullquote alignright\">Covered California's open enrollment runs through Jan. 31\u003c/aside>\n\u003cp>A note to parents: You do not have to enroll your children in a family dental plan, because children's dental coverage is already included in their health plan. Still, some parents choose to do so to gain extra coverage.\u003c/p>\n\u003cp>Dr. Ariane Terlet, a Berkeley dentist who serves as chief dental officer for Oakland-based La Clinica de la Raza and as a trustee for the California Dental Association, said that people without dental insurance are four times more likely not to get preventive care. Many Californians have found it difficult to buy dental coverage on the individual market, she added, and the new availability of Covered California’s dental plans expands access to care.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“There isn’t a week that goes by where people don’t ask me what dental coverage is available for individuals,” Terlet said. “Having insurance is a critical step to improving dental care. This is really going to help a lot of people improve their health.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_22350\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/5161_transform.jpg\">\u003cimg class=\"size-full wp-image-22350\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/5161_transform.jpg\" alt=\"The law would require health insurers to publicly disclose and justify their rates. (Getty Images)\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/11/5161_transform.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/11/5161_transform-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/11/5161_transform-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The law would require health insurers to publicly disclose and justify their rates. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update, 12:30 a.m.\u003c/strong>\u003cbr>\nAt first glance, Proposition 45 seemed like a no-brainer for consumers. The measure would have given the state’s insurance commissioner the authority to reject excessive rate hikes in health insurance sold on the individual and small-business markets.\u003c/p>\n\u003cp>Consumers who had seen their premiums go up by double digits year after year clung to Prop. 45 as the savior.\u003c/p>\n\u003cp>“I felt like a frog in hot water that got hotter and hotter until it was boiling,” says Josh Libresco, a market researcher who has bought health insurance for his family on the individual market for 20 years.\u003c/p>\n\u003cp>\u003c!--more-->But consumer voices like this were overwhelmed in the conversation around Prop. 45 by health insurance companies, including Kaiser and Blue Cross Blue Shield, which raised $43.6 million to defeat the measure. The proponents raised just $2.5 million.\u003c/p>\n\u003cp>“Health insurance companies have a tremendous economic stake in the outcome,” says Daniel G. Newman, president and co-founder of MapLight, a nonpartisan research organization that tracks the influence of money on politics. “There’s also billions of dollars at stake for health care consumers, but consumers don’t have millions collectively to put in favor of a ballot measure.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The No side was further bolstered by \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/02/fight-continues-over-ballot-measure-to-control-health-insurance-premiums/\" target=\"_blank\">concerns raised by Covered California\u003c/a>, the state agency tasked with implementing the Affordable Care Act in California. Board members and staff discussed various complications that could arise from Prop. 45 and complicate Covered California’s ability to carry out its mission, pitting the agency against the current commissioner, Dave Jones, in \u003ca href=\"http://ww2.kqed.org/stateofhealth/tag/proposition-45/\" target=\"_blank\">an unusual dispute between allies\u003c/a>.\u003c/p>\n\u003cp>The agency negotiates rates with insurers directly, and feared that a challenge to those rates under Prop. 45 could undo that work, delay final rates beyond federal deadlines or even cause insurers to withdraw plans from the state marketplace.\u003c/p>\n\u003cp>Insurance companies made Covered California an unlikely bedfellow, weaving its concerns into the industry’s ad campaign and urging people to vote no on Prop. 45 to \"protect the Affordable Care Act.\"\u003c/p>\n\u003cp>The influence of that campaign appears to have worked with voters. A poll from the middle of the summer showed 69 percent of likely voters favored Prop. 45 and giving the commissioner more power to control health insurance rates.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>By election night, that support slipped to just about 40 percent.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22350\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/5161_transform.jpg\">\u003cimg class=\"size-full wp-image-22350\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/5161_transform.jpg\" alt=\"The law would require health insurers to publicly disclose and justify their rates. (Getty Images)\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/11/5161_transform.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/11/5161_transform-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/11/5161_transform-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The law would require health insurers to publicly disclose and justify their rates. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update, 12:30 a.m.\u003c/strong>\u003cbr>\nAt first glance, Proposition 45 seemed like a no-brainer for consumers. The measure would have given the state’s insurance commissioner the authority to reject excessive rate hikes in health insurance sold on the individual and small-business markets.\u003c/p>\n\u003cp>Consumers who had seen their premiums go up by double digits year after year clung to Prop. 45 as the savior.\u003c/p>\n\u003cp>“I felt like a frog in hot water that got hotter and hotter until it was boiling,” says Josh Libresco, a market researcher who has bought health insurance for his family on the individual market for 20 years.\u003c/p>\n\u003cp>\u003c!--more-->But consumer voices like this were overwhelmed in the conversation around Prop. 45 by health insurance companies, including Kaiser and Blue Cross Blue Shield, which raised $43.6 million to defeat the measure. The proponents raised just $2.5 million.\u003c/p>\n\u003cp>“Health insurance companies have a tremendous economic stake in the outcome,” says Daniel G. Newman, president and co-founder of MapLight, a nonpartisan research organization that tracks the influence of money on politics. “There’s also billions of dollars at stake for health care consumers, but consumers don’t have millions collectively to put in favor of a ballot measure.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The No side was further bolstered by \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/02/fight-continues-over-ballot-measure-to-control-health-insurance-premiums/\" target=\"_blank\">concerns raised by Covered California\u003c/a>, the state agency tasked with implementing the Affordable Care Act in California. Board members and staff discussed various complications that could arise from Prop. 45 and complicate Covered California’s ability to carry out its mission, pitting the agency against the current commissioner, Dave Jones, in \u003ca href=\"http://ww2.kqed.org/stateofhealth/tag/proposition-45/\" target=\"_blank\">an unusual dispute between allies\u003c/a>.\u003c/p>\n\u003cp>The agency negotiates rates with insurers directly, and feared that a challenge to those rates under Prop. 45 could undo that work, delay final rates beyond federal deadlines or even cause insurers to withdraw plans from the state marketplace.\u003c/p>\n\u003cp>Insurance companies made Covered California an unlikely bedfellow, weaving its concerns into the industry’s ad campaign and urging people to vote no on Prop. 45 to \"protect the Affordable Care Act.\"\u003c/p>\n\u003cp>The influence of that campaign appears to have worked with voters. A poll from the middle of the summer showed 69 percent of likely voters favored Prop. 45 and giving the commissioner more power to control health insurance rates.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>By election night, that support slipped to just about 40 percent.\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",
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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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"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": "Survey: 3 Million Californians Newly Insured Under Obamacare",
"title": "Survey: 3 Million Californians Newly Insured Under Obamacare",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_20198\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/Sandra-Lopez-2.jpg\">\u003cimg class=\"size-large wp-image-20198\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/Sandra-Lopez-2-640x427.jpg\" alt=\"Under the Affordable Care Act Sandra Lopez, 41, owner of Las Fajitas in Newport Beach, obtained health insurance for the first time since arriving in the U.S. in 1990. (Heidi de Marco/Kaiser Health News).\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Under the Affordable Care Act Sandra Lopez, 41, owner of Las Fajitas in Newport Beach, obtained health insurance for the first time since arriving in the U.S. in 1990. (Heidi de Marco/Kaiser Health News).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Anna Gorman,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/July/30/california-uninsured-marketplace-enrollment-survey.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>A significant portion of previously uninsured Californians gained medical coverage through the nation’s health care law – about six in 10 during the state’s first open enrollment, according to a survey released Wednesday.\u003c/p>\n\u003cp>All told, about 3.4 million people who didn’t have health insurance before sign-ups began last fall are now covered, according to the survey by the Kaiser Family Foundation.\u003c/p>\n\u003cp>The largest share of the previously uninsured -- 25 percent -- enrolled through the state’s Medi-Cal program, which has long covered poor families but was expanded this year to include adults without children. Nine percent purchased private plans through the subsidized insurance marketplace, Covered California, which opened in October. And 12 percent became insured through their jobs, the researchers found.\u003c!--more-->\u003c/p>\n\u003cp>Sara Rosenbaum, health law professor at George Washington University, said the state’s progress has national importance.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“California is such an outsized presence in terms of uninsured people,” she said. “For California to have made this progress has a major effect on the national uninsured numbers.”\u003c/p>\n\u003cp>About 1.4 million people purchased private plans through the insurance marketplace by the end of open enrollment – far more than any other state, according to Covered California. Nearly 2 million had enrolled in Medi-Cal.\u003c/p>\n\u003cp>Allynne Noelle, a principal dancer for the Los Angeles ballet, chose a Blue Shield plan offered by her employer through Covered California’s small business exchange. And although the $5,000 deductible is “extremely high” for her, she’s relieved, she said.\u003c/p>\n\u003cp>“This new coverage is a peace of mind,” she said. “It will save me from drowning in medical bills.”\u003c/p>\n\u003cp>The number of previously uninsured Californians cited by the survey who have gained coverage is much larger than expected, said Gerald Kominski, director of the UCLA Center for Health Policy Research, which helped create the official enrollment projections for Covered California.\u003c/p>\n\u003cp>“If the numbers are accurate and borne out by larger studies … I think it is an indication that the law is working even better than many of us anticipated,” he said.\u003c/p>\n\u003cp>\u003cstrong>Still Uninsured\u003c/strong>\u003c/p>\n\u003cp>Even though the state exceeded its own expectations for coverage, more than 40 percent of those previously uninsured still don’t have health insurance, according to the survey. Some said they didn’t enroll because of the cost, while others feared that signing up would bring attention to their family’s immigration status. Those who are in the U.S. illegally are not eligible for coverage.\u003c/p>\n\u003cp>The remaining uninsured may be hard to reach. More than 80 percent either have never been covered or haven’t had a plan in at least two years, the survey found. About 60 percent are Latino.\u003c/p>\n\u003cp>“It would be nice to have coverage,” said Steve Mercill, 59, who most of his life has worked jobs that didn’t offer coverage. He is now a paid caregiver for his father, a retired doctor, in a small town near the Oregon border.\u003c/p>\n\u003cp>Mercill tried to purchase a plan through Covered California last year but said he couldn’t get the website to work and couldn’t get the help he needed through the call center. He plans to try again in the fall.\u003c/p>\n\u003cp>The Kaiser Family Foundation survey focused on those without coverage last fall, before open enrollment.\u003c/p>\n\u003cp>Kominski of UCLA said that by focusing only on those who were previously uninsured, the survey doesn’t paint a complete picture: While some people gained coverage, others lost it.\u003c/p>\n\u003cp>“There is churn in the health care system and this study does not account for that,” he said.\u003c/p>\n\u003cp>\u003cstrong>Aggressive Enrollment\u003c/strong>\u003c/p>\n\u003cp>Before the nation’s health law took effect, California had the highest number of uninsured in the nation, coming from highly diverse ethnic backgrounds and cultures. But the state embraced Obamacare before most others and was the first to create a state-run insurance exchange.\u003c/p>\n\u003cp>Though there were some initial technical problems in the enrollment process, they were fewer and less severe than those in the federal exchange and other states. In addition, the hospitals, community clinics and social services offices were aggressive in enrolling those eligible for Medi-Cal.\u003c/p>\n\u003cp>“The fact that a quarter of the previously uninsured Californians ended up enrolled in Medi-Cal points to what a key piece Medicaid is in the puzzle in getting more Americans covered,” said Mollyann Brodie, executive director of the Kaiser Family Foundation’s Public Opinion and Survey Research.\u003c/p>\n\u003cp>“That was a piece that often got less attention during open enrollment season,” she said.\u003c/p>\n\u003cp>Most of those who got covered said it was easy to sign up. Leslie Ziegler, 31, said signing up for insurance through the Covered California website only took about an hour. Before Obamacare, Ziegler, a San Francisco high-tech entrepreneur, had been turned down by several insurance companies because she had ulcerative colitis, a chronic disease that requires costly medication and treatment.\u003c/p>\n\u003cp>Companies can no longer deny coverage because of pre-existing conditions. Ziegler is thankful, saying having access to insurance and health care whenever she needs it is “a wonderful thing.”\u003c/p>\n\u003cp>Some respondents said, however, that it was difficult to confirm their coverage. Even now, hundreds of thousands of Medi-Cal applicants are waiting for cards confirming their eligibility.\u003c/p>\n\u003cp>Teresa Martinez sought help at a Los Angeles health clinic to sign up for Medi-Cal, but months later, she is still waiting for her card. Martinez, a Koreatown hair stylist, said she is anxious to see a doctor to treat arthritis and pain in her leg, as well as help her keep her blood sugar in check to fend off diabetes.\u003c/p>\n\u003cp>\u003cstrong>‘A Huge Relief’\u003c/strong>\u003c/p>\n\u003cp>Despite an early lag in Latino enrollment, the survey found that more than half of previously uninsured Latinos ultimately got coverage.\u003c/p>\n\u003cp>“It’s a huge relief,” said Newport Beach restaurateur Sandra Lopez, a 41-year-old Mexican immigrant \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/16/latina-small-business-owner-enters-the-covered-california-insurance-marketplace/\" target=\"_blank\">who enrolled her family,\u003c/a> including a young adult son with epilepsy, in a subsidized private plan through California’s exchange.\u003c/p>\n\u003cp>The state’s far-reaching efforts to spread the word about the law and get people signed up made a difference, researchers said. About 60 percent of Medi-Cal or Covered California enrollees had someone help them sign up. About seven in ten uninsured Californians who were contacted about signing up did so, compared to about half of people who were not contacted.\u003c/p>\n\u003cp>“Outreach was such an important predictor in whether an uninsured person got health insurance or not,” Brodie said. But friends and family did not have much of an impact on whether people enrolled.\u003c/p>\n\u003cp>Meifeng Lui, 52, said her family of five had been uninsured for four years because they could not afford coverage. Lui said she was “very grateful and so blessed” that the enrollment counselors spoke their language at the Chinese Community Health Plan in San Francisco and helped her enroll in a private plan through Covered California.\u003c/p>\n\u003cp>“I was so happy because someone knew what to do,” said Lui.\u003c/p>\n\u003cp>When Maria Garcia decided to enroll under Obamacare, she sought help from a counselor at the Ravenswood Family Health Center near her home in East Palo Alto.\u003c/p>\n\u003cp>She didn't feel comfortable navigating Covered California’s site. Within hours, she said, the counselor helped her settle on a Kaiser Permanente plan, for which she'd pay just $36 a month thanks to a subsidy from the state.\u003c/p>\n\u003cp>According to the survey, most of those who got insurance said their plan is “a good value” for what they pay but nearly half of people who got plans other than Medi-Cal said that it has been difficult to afford the coverage.\u003c/p>\n\u003cp>Researchers found stark differences in how people signed up for Medi-Cal versus the subsidized private plans in Covered California. More than half of Medi-Cal recipients enrolled in person, compared to 15 percent over the Internet. More than half of Covered California enrollees, however, signed up over the Internet, compared to 15 percent in person.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The researchers surveyed 2,001 uninsured Californians last summer, then conducted a second round of interviews with many of the same people this spring. The margin of sampling error was plus or minus 4 percentage points. For subgroups sampled, the margins were slightly larger.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20198\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/Sandra-Lopez-2.jpg\">\u003cimg class=\"size-large wp-image-20198\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/Sandra-Lopez-2-640x427.jpg\" alt=\"Under the Affordable Care Act Sandra Lopez, 41, owner of Las Fajitas in Newport Beach, obtained health insurance for the first time since arriving in the U.S. in 1990. (Heidi de Marco/Kaiser Health News).\" width=\"640\" height=\"427\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Under the Affordable Care Act Sandra Lopez, 41, owner of Las Fajitas in Newport Beach, obtained health insurance for the first time since arriving in the U.S. in 1990. (Heidi de Marco/Kaiser Health News).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Anna Gorman,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/July/30/california-uninsured-marketplace-enrollment-survey.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>A significant portion of previously uninsured Californians gained medical coverage through the nation’s health care law – about six in 10 during the state’s first open enrollment, according to a survey released Wednesday.\u003c/p>\n\u003cp>All told, about 3.4 million people who didn’t have health insurance before sign-ups began last fall are now covered, according to the survey by the Kaiser Family Foundation.\u003c/p>\n\u003cp>The largest share of the previously uninsured -- 25 percent -- enrolled through the state’s Medi-Cal program, which has long covered poor families but was expanded this year to include adults without children. Nine percent purchased private plans through the subsidized insurance marketplace, Covered California, which opened in October. And 12 percent became insured through their jobs, the researchers found.\u003c!--more-->\u003c/p>\n\u003cp>Sara Rosenbaum, health law professor at George Washington University, said the state’s progress has national importance.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“California is such an outsized presence in terms of uninsured people,” she said. “For California to have made this progress has a major effect on the national uninsured numbers.”\u003c/p>\n\u003cp>About 1.4 million people purchased private plans through the insurance marketplace by the end of open enrollment – far more than any other state, according to Covered California. Nearly 2 million had enrolled in Medi-Cal.\u003c/p>\n\u003cp>Allynne Noelle, a principal dancer for the Los Angeles ballet, chose a Blue Shield plan offered by her employer through Covered California’s small business exchange. And although the $5,000 deductible is “extremely high” for her, she’s relieved, she said.\u003c/p>\n\u003cp>“This new coverage is a peace of mind,” she said. “It will save me from drowning in medical bills.”\u003c/p>\n\u003cp>The number of previously uninsured Californians cited by the survey who have gained coverage is much larger than expected, said Gerald Kominski, director of the UCLA Center for Health Policy Research, which helped create the official enrollment projections for Covered California.\u003c/p>\n\u003cp>“If the numbers are accurate and borne out by larger studies … I think it is an indication that the law is working even better than many of us anticipated,” he said.\u003c/p>\n\u003cp>\u003cstrong>Still Uninsured\u003c/strong>\u003c/p>\n\u003cp>Even though the state exceeded its own expectations for coverage, more than 40 percent of those previously uninsured still don’t have health insurance, according to the survey. Some said they didn’t enroll because of the cost, while others feared that signing up would bring attention to their family’s immigration status. Those who are in the U.S. illegally are not eligible for coverage.\u003c/p>\n\u003cp>The remaining uninsured may be hard to reach. More than 80 percent either have never been covered or haven’t had a plan in at least two years, the survey found. About 60 percent are Latino.\u003c/p>\n\u003cp>“It would be nice to have coverage,” said Steve Mercill, 59, who most of his life has worked jobs that didn’t offer coverage. He is now a paid caregiver for his father, a retired doctor, in a small town near the Oregon border.\u003c/p>\n\u003cp>Mercill tried to purchase a plan through Covered California last year but said he couldn’t get the website to work and couldn’t get the help he needed through the call center. He plans to try again in the fall.\u003c/p>\n\u003cp>The Kaiser Family Foundation survey focused on those without coverage last fall, before open enrollment.\u003c/p>\n\u003cp>Kominski of UCLA said that by focusing only on those who were previously uninsured, the survey doesn’t paint a complete picture: While some people gained coverage, others lost it.\u003c/p>\n\u003cp>“There is churn in the health care system and this study does not account for that,” he said.\u003c/p>\n\u003cp>\u003cstrong>Aggressive Enrollment\u003c/strong>\u003c/p>\n\u003cp>Before the nation’s health law took effect, California had the highest number of uninsured in the nation, coming from highly diverse ethnic backgrounds and cultures. But the state embraced Obamacare before most others and was the first to create a state-run insurance exchange.\u003c/p>\n\u003cp>Though there were some initial technical problems in the enrollment process, they were fewer and less severe than those in the federal exchange and other states. In addition, the hospitals, community clinics and social services offices were aggressive in enrolling those eligible for Medi-Cal.\u003c/p>\n\u003cp>“The fact that a quarter of the previously uninsured Californians ended up enrolled in Medi-Cal points to what a key piece Medicaid is in the puzzle in getting more Americans covered,” said Mollyann Brodie, executive director of the Kaiser Family Foundation’s Public Opinion and Survey Research.\u003c/p>\n\u003cp>“That was a piece that often got less attention during open enrollment season,” she said.\u003c/p>\n\u003cp>Most of those who got covered said it was easy to sign up. Leslie Ziegler, 31, said signing up for insurance through the Covered California website only took about an hour. Before Obamacare, Ziegler, a San Francisco high-tech entrepreneur, had been turned down by several insurance companies because she had ulcerative colitis, a chronic disease that requires costly medication and treatment.\u003c/p>\n\u003cp>Companies can no longer deny coverage because of pre-existing conditions. Ziegler is thankful, saying having access to insurance and health care whenever she needs it is “a wonderful thing.”\u003c/p>\n\u003cp>Some respondents said, however, that it was difficult to confirm their coverage. Even now, hundreds of thousands of Medi-Cal applicants are waiting for cards confirming their eligibility.\u003c/p>\n\u003cp>Teresa Martinez sought help at a Los Angeles health clinic to sign up for Medi-Cal, but months later, she is still waiting for her card. Martinez, a Koreatown hair stylist, said she is anxious to see a doctor to treat arthritis and pain in her leg, as well as help her keep her blood sugar in check to fend off diabetes.\u003c/p>\n\u003cp>\u003cstrong>‘A Huge Relief’\u003c/strong>\u003c/p>\n\u003cp>Despite an early lag in Latino enrollment, the survey found that more than half of previously uninsured Latinos ultimately got coverage.\u003c/p>\n\u003cp>“It’s a huge relief,” said Newport Beach restaurateur Sandra Lopez, a 41-year-old Mexican immigrant \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/16/latina-small-business-owner-enters-the-covered-california-insurance-marketplace/\" target=\"_blank\">who enrolled her family,\u003c/a> including a young adult son with epilepsy, in a subsidized private plan through California’s exchange.\u003c/p>\n\u003cp>The state’s far-reaching efforts to spread the word about the law and get people signed up made a difference, researchers said. About 60 percent of Medi-Cal or Covered California enrollees had someone help them sign up. About seven in ten uninsured Californians who were contacted about signing up did so, compared to about half of people who were not contacted.\u003c/p>\n\u003cp>“Outreach was such an important predictor in whether an uninsured person got health insurance or not,” Brodie said. But friends and family did not have much of an impact on whether people enrolled.\u003c/p>\n\u003cp>Meifeng Lui, 52, said her family of five had been uninsured for four years because they could not afford coverage. Lui said she was “very grateful and so blessed” that the enrollment counselors spoke their language at the Chinese Community Health Plan in San Francisco and helped her enroll in a private plan through Covered California.\u003c/p>\n\u003cp>“I was so happy because someone knew what to do,” said Lui.\u003c/p>\n\u003cp>When Maria Garcia decided to enroll under Obamacare, she sought help from a counselor at the Ravenswood Family Health Center near her home in East Palo Alto.\u003c/p>\n\u003cp>She didn't feel comfortable navigating Covered California’s site. Within hours, she said, the counselor helped her settle on a Kaiser Permanente plan, for which she'd pay just $36 a month thanks to a subsidy from the state.\u003c/p>\n\u003cp>According to the survey, most of those who got insurance said their plan is “a good value” for what they pay but nearly half of people who got plans other than Medi-Cal said that it has been difficult to afford the coverage.\u003c/p>\n\u003cp>Researchers found stark differences in how people signed up for Medi-Cal versus the subsidized private plans in Covered California. More than half of Medi-Cal recipients enrolled in person, compared to 15 percent over the Internet. More than half of Covered California enrollees, however, signed up over the Internet, compared to 15 percent in person.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The researchers surveyed 2,001 uninsured Californians last summer, then conducted a second round of interviews with many of the same people this spring. The margin of sampling error was plus or minus 4 percentage points. For subgroups sampled, the margins were slightly larger.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "CA Insurance Commissioner: Insurers Fear Prop. 45, Will Keep Health Rates Low",
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"content": "\u003cfigure id=\"attachment_13022\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\">\u003cimg class=\"size-large wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-620x413.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new analysis from the Department of Insurance confirms what has been reported since the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">Covered California exchange opened last October\u003c/a>: Some people saw steep premium increases after the rollout of the Affordable Care Act.\u003c/p>\n\u003cp>According to the department's analysis non-subsidy eligible individuals saw average increases ranging from 22 to 88 percent, depending on their age and where they lived. The review was done of all health plans -- including those managed for the Department of Managed Health Care -- and looked at premiums from California's four largest carriers, Anthem Blue Cross, Kaiser, Blue Shield and Health Net.\u003c/p>\n\u003cp>The release appeared to be politically timed. Covered California's rates for \u003cem>next\u003c/em> year are due on Thursday, and the rumble is that new premiums will show only modest increases.\u003c!--more-->\u003c/p>\n\u003cp>Insurance Commissioner Dave Jones say that's for one reason --\u003ca href=\"http://www.sos.ca.gov/elections/vig-public-display/110414-general-election/prop-45/prop-45-text.pdf\" target=\"_blank\"> Proposition 45\u003c/a> coming on this November's ballot. The ballot measure would give the state's insurance commissioner the authority to reject excessive health insurance rate hikes. Jones believes health insurers are keeping premiums lower than they would have otherwise without the threat of the proposition.\u003c/p>\n\u003cp>\"I fully expect that the degree of those increases will be modest at best,\" Jones said, \"because Proposition 45 is on the ballot, and they are very concerned about creating any sort of backlash from Californians.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UCLA health policy professor Gerald Kominski expressed no surprise at the news of the department of insurance's analysis and its report of increases in premiums. He said that the Affordable Care Act requires both standardized plans and guaranteed issue, meaning that no one can be turned down because of a preexisting condition. Those two factors alone, he said, account for higher premiums.\u003c/p>\n\u003cp>\"In 2013, premiums were artificially lower, and prior to the ACA, premiums could be held down by excluding high-risk patients from the market and by offering skinny benefits.\"\u003c/p>\n\u003cp>The California Association of Health Plans, an industry group, chastised Jones for \"looking backward\" when open enrollment for 2015 is coming soon.\u003c/p>\n\u003cp>\"The ACA ushered in a new era of health care coverage,\" said vice president Charles Bacchi in a release. \"While some paid more for this expanded health care coverage, many Californians paid less and benefited from subsidies.\"\u003c/p>\n\u003cp>More than a \u003ca href=\"http://news.coveredca.com/2014/04/covered-californias-historic-first-open.html\" target=\"_blank\">million Californians qualified for subsidies\u003c/a> in the 2014 open enrollment. Some non-subsidy eligible Californians saw \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">premiums go down\u003c/a>. Jones asserted that most of the three million people who purchased individual or small group insurance outside of Covered California (in other words, people who were not eligible for a subsidy) \"got significant rate increases.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For its part, Covered California released a one-line statement in response to the department's analysis: \u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\u003cspan class=\"Apple-style-span\">\"Covered California is looking forward to announcing its 2015 rates this Thursday.\"\u003c/span>\u003c/span>\u003c/p>\n\n",
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"excerpt": "Proposition 45 would give CA's insurance commissioner the authority to reject excessive health premiums.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_13022\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\">\u003cimg class=\"size-large wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-620x413.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new analysis from the Department of Insurance confirms what has been reported since the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">Covered California exchange opened last October\u003c/a>: Some people saw steep premium increases after the rollout of the Affordable Care Act.\u003c/p>\n\u003cp>According to the department's analysis non-subsidy eligible individuals saw average increases ranging from 22 to 88 percent, depending on their age and where they lived. The review was done of all health plans -- including those managed for the Department of Managed Health Care -- and looked at premiums from California's four largest carriers, Anthem Blue Cross, Kaiser, Blue Shield and Health Net.\u003c/p>\n\u003cp>The release appeared to be politically timed. Covered California's rates for \u003cem>next\u003c/em> year are due on Thursday, and the rumble is that new premiums will show only modest increases.\u003c!--more-->\u003c/p>\n\u003cp>Insurance Commissioner Dave Jones say that's for one reason --\u003ca href=\"http://www.sos.ca.gov/elections/vig-public-display/110414-general-election/prop-45/prop-45-text.pdf\" target=\"_blank\"> Proposition 45\u003c/a> coming on this November's ballot. The ballot measure would give the state's insurance commissioner the authority to reject excessive health insurance rate hikes. Jones believes health insurers are keeping premiums lower than they would have otherwise without the threat of the proposition.\u003c/p>\n\u003cp>\"I fully expect that the degree of those increases will be modest at best,\" Jones said, \"because Proposition 45 is on the ballot, and they are very concerned about creating any sort of backlash from Californians.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UCLA health policy professor Gerald Kominski expressed no surprise at the news of the department of insurance's analysis and its report of increases in premiums. He said that the Affordable Care Act requires both standardized plans and guaranteed issue, meaning that no one can be turned down because of a preexisting condition. Those two factors alone, he said, account for higher premiums.\u003c/p>\n\u003cp>\"In 2013, premiums were artificially lower, and prior to the ACA, premiums could be held down by excluding high-risk patients from the market and by offering skinny benefits.\"\u003c/p>\n\u003cp>The California Association of Health Plans, an industry group, chastised Jones for \"looking backward\" when open enrollment for 2015 is coming soon.\u003c/p>\n\u003cp>\"The ACA ushered in a new era of health care coverage,\" said vice president Charles Bacchi in a release. \"While some paid more for this expanded health care coverage, many Californians paid less and benefited from subsidies.\"\u003c/p>\n\u003cp>More than a \u003ca href=\"http://news.coveredca.com/2014/04/covered-californias-historic-first-open.html\" target=\"_blank\">million Californians qualified for subsidies\u003c/a> in the 2014 open enrollment. Some non-subsidy eligible Californians saw \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">premiums go down\u003c/a>. Jones asserted that most of the three million people who purchased individual or small group insurance outside of Covered California (in other words, people who were not eligible for a subsidy) \"got significant rate increases.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For its part, Covered California released a one-line statement in response to the department's analysis: \u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\u003cspan class=\"Apple-style-span\">\"Covered California is looking forward to announcing its 2015 rates this Thursday.\"\u003c/span>\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_15508\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/coveredca.jpg\">\u003cimg class=\"size-full wp-image-15508\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/coveredca.jpg\" alt=\"Screenshot from CoveredCA.com, the website of Covered California.\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Screenshot from CoveredCA.com, the website of Covered California.\u003c/figcaption>\u003c/figure>\n\u003cp>Former foster youth lined up at Covered California's last board meeting to complain about the hoops they have to jump through to enroll in Medi-Cal, the state's health plan for the poor.\u003c/p>\n\u003cp>“Navigating adulthood is challenging enough, let alone trying to find insurance to cover your medical needs,” said Vanessa Hernandez, who spent 14 years in foster care. She says her younger brother tried twice to sign up online before he gave up.\u003c/p>\n\u003cp>“Currently the process is very unclear, it’s hard to navigate, and it’s not very accessible,” she said.\u003c!--more-->\u003c/p>\n\u003cp>For most young people, The Affordable Care Act allows them to stay on their parents’ insurance until they turn 26. But when California foster youth \u003ca href=\"http://www.childsworld.ca.gov/res/pdf/AB12FactSheet.pdf\" target=\"_blank\">age out of the system\u003c/a> between ages 18 and 21, they often have no one. So federal lawmakers added a special provision to the health law that allows these young adults to stay on Medicaid -- called Medi-Cal in California -- until age 26, regardless of their income.\u003c/p>\n\u003cp>“Former foster youth are extremely vulnerable,” says Jessica Haspel a policy associate at the advocacy nonprofit Children Now. She says any obstacles or delays to enrollment are especially problematic for foster youth. Many have special health needs stemming from a history of abuse or neglect and may rely on important medication for things like diabetes or anxiety. \u003ca href=\"http://www.ncd.gov/newsroom/PolicyCorner/05062013\" target=\"_blank\">Studies show \u003c/a>nearly one in three former foster youth exhibit signs of post-traumatic stress disorder -- which is itself about twice the rate of American war veterans.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/160128590&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>“They may have been offered counseling when they were a child, but were not in a position where they were really able or ready to process it,” Haspel says. “As an adult, they want to take advantage of counseling and services to help them deal with everything that they’ve been through.”\u003c/p>\n\u003cp>She says the Covered California website isn't programmed properly to enroll former foster youth into coverage. And call center employees aren't educated about the new provision. As a result, some youth are being told they don't qualify when they do, or they are put in a queue when they should be fast-tracked into coverage.\u003c/p>\n\u003cp>“We are constantly working hard to resolve some of those issues,” says Anne Gonzales, Covered California spokesperson.\u003c/p>\n\u003cp>She says the agency is beefing up training and updating its guide for service center reps. Website fixes are scheduled for the winter.\u003c/p>\n\u003cp>“We are currently urging anyone who thinks they missed out on benefits to sign up now,” she says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But youth advocates are advising young people to sidestep Covered California altogether, and to go to their county social services office instead to sign up for Medi-Cal in person.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_15508\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/coveredca.jpg\">\u003cimg class=\"size-full wp-image-15508\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/coveredca.jpg\" alt=\"Screenshot from CoveredCA.com, the website of Covered California.\" width=\"640\" height=\"360\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-400x225.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/coveredca-320x180.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Screenshot from CoveredCA.com, the website of Covered California.\u003c/figcaption>\u003c/figure>\n\u003cp>Former foster youth lined up at Covered California's last board meeting to complain about the hoops they have to jump through to enroll in Medi-Cal, the state's health plan for the poor.\u003c/p>\n\u003cp>“Navigating adulthood is challenging enough, let alone trying to find insurance to cover your medical needs,” said Vanessa Hernandez, who spent 14 years in foster care. She says her younger brother tried twice to sign up online before he gave up.\u003c/p>\n\u003cp>“Currently the process is very unclear, it’s hard to navigate, and it’s not very accessible,” she said.\u003c!--more-->\u003c/p>\n\u003cp>For most young people, The Affordable Care Act allows them to stay on their parents’ insurance until they turn 26. But when California foster youth \u003ca href=\"http://www.childsworld.ca.gov/res/pdf/AB12FactSheet.pdf\" target=\"_blank\">age out of the system\u003c/a> between ages 18 and 21, they often have no one. So federal lawmakers added a special provision to the health law that allows these young adults to stay on Medicaid -- called Medi-Cal in California -- until age 26, regardless of their income.\u003c/p>\n\u003cp>“Former foster youth are extremely vulnerable,” says Jessica Haspel a policy associate at the advocacy nonprofit Children Now. She says any obstacles or delays to enrollment are especially problematic for foster youth. Many have special health needs stemming from a history of abuse or neglect and may rely on important medication for things like diabetes or anxiety. \u003ca href=\"http://www.ncd.gov/newsroom/PolicyCorner/05062013\" target=\"_blank\">Studies show \u003c/a>nearly one in three former foster youth exhibit signs of post-traumatic stress disorder -- which is itself about twice the rate of American war veterans.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/160128590&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>“They may have been offered counseling when they were a child, but were not in a position where they were really able or ready to process it,” Haspel says. “As an adult, they want to take advantage of counseling and services to help them deal with everything that they’ve been through.”\u003c/p>\n\u003cp>She says the Covered California website isn't programmed properly to enroll former foster youth into coverage. And call center employees aren't educated about the new provision. As a result, some youth are being told they don't qualify when they do, or they are put in a queue when they should be fast-tracked into coverage.\u003c/p>\n\u003cp>“We are constantly working hard to resolve some of those issues,” says Anne Gonzales, Covered California spokesperson.\u003c/p>\n\u003cp>She says the agency is beefing up training and updating its guide for service center reps. Website fixes are scheduled for the winter.\u003c/p>\n\u003cp>“We are currently urging anyone who thinks they missed out on benefits to sign up now,” she says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But youth advocates are advising young people to sidestep Covered California altogether, and to go to their county social services office instead to sign up for Medi-Cal in person.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_16988\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/CoveredCA_Spanish-e1388775098705.jpg\">\u003cimg class=\"size-large wp-image-16988\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/CoveredCA_Spanish-640x480.jpg\" alt=\"A report from Berkeley's Greenlining Institute called on Covered California to make its enrollment website available in more languages than English and Spanish. \" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A report from Berkeley's Greenlining Institute called on Covered California to make its enrollment website available in more languages than English and Spanish.\u003c/figcaption>\u003c/figure>\n\u003cp>Covered California may have had strong overall enrollment, but people who do not speak English as a first language are underrepresented in the state's health insurance marketplace, according to an analysis from Berkeley's Greenlining Institute.\u003c/p>\n\u003cp>The\u003ca href=\"http://greenlining.org/wp-content/uploads/2014/06/iHealth-Report-print-friendly.pdf\" target=\"_blank\"> report \u003c/a>relied on Covered California data, which showed that 20 percent of enrollees do not speak English as a primary language. That's compared with\u003ca href=\"http://censusreporter.org/profiles/04000US06-california/\" target=\"_blank\"> 44 percent of Californians\u003c/a> overall.\u003c/p>\n\u003cp>\"We know California is a diverse state ethnically and linguistically,\" said Jordan Medina, a health policy fellow with Greenlining and lead author of the study. \"Moving forward, if the Affordable Care Act is going to work in California, we have to make sure those populations are represented in the health insurance marketplace.\"\u003c!--more-->\u003c/p>\n\u003cp>As part of its analysis, Greenlining interviewed certified enrollment counselors working to help people sign up for insurance through Covered California. While online sign-up was available in English and Spanish, people who spoke other languages had only printed material available. Counselors reported that they ran out of materials in at least some languages.\u003c/p>\n\u003cp>Counselors said they preferred helping people sign up by using the online portal, but since it was available only in English and Spanish, it slowed them down. A counselor with an agency that worked with Japanese-Americans told Greenlining, \"We tried to use the website, because that's what Covered California suggested we do, but the line-by-line translation with elderly Japanese-Americans made the process extremely tedious.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Greenlining called on Covered California to make the online sign-up available in the 13 most common languages spoken in California.\u003c/p>\n\u003cp>Covered California spokeswoman Anne Gonzales said the agency is looking into this, \"\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\u003cspan class=\"Apple-style-span\">but there is no firm date on when that functionality will be added, or which languages will be added.\"\u003c/span>\u003c/span>\u003c/p>\n\u003cp>Problems with both the Spanish-language marketing campaign and the Spanish-language website were\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\"> widely reported\u003c/a> earlier this year, and Greenlining mentioned these issues. Gonzales pointed to a Spanish-language working group at Covered California that \"recalibrated and focused resources\" on making improvements in these areas. She said Covered California is currently reviewing its resources for Asian-language translations as well, including Mandarin, Korean, Vietnamese and Hmong.\u003c/p>\n\u003cp>Curiously, one of the major issues Greenlining pointed out has already been addressed by the Covered California board. In the first open enrollment period, certified enrollment counselors were paid $58 for every person they enrolled in a plan. But counselors told Greenlining that the fee did not compensate them for the level of work required.\u003c/p>\n\u003cp>Gonzales said that Covered California is \"moving away from that business model.\" During the first open enrollment, there was a division between outreach/education and enrollment. Covered California grantees doing educational events could not also sign people up for insurance.\u003c/p>\n\u003cp>That's changing now. Covered California is \u003ca href=\"http://board.coveredca.com/meetings/2014/6-19/PDFs/PPT%20-%20Covered%20California%20Policy%20and%20Action%20Items_June%2019,%202014.pdf\" target=\"_blank\">instituting a \"navigator\" mode\u003c/a>l and will award a total of $16.9 million in grants to organizations that will handle \"outreach, education and enrollment.\"\u003c/p>\n\u003cp>Greenlining also called on Covered California to move forward on hiring a diversity officer.\u003c/p>\n\u003cp>\"At the end of the day, this helps with accountability,\" Medina said. \"If you have someone whose sole responsibility it is to make sure that all materials -- whether that be on the Web or printed materials -- if there’s one person in charge of that, it makes it really easy for community groups to partner with Covered California to make sure it’s done in an equitable way.”\u003c/p>\n\u003cp>Greenlining credited Covered California, saying that the state \"led the nation in implementing the Affordable Care Act,\" but Medina also observed that the rollout was always expected to be a multi-year effort. \"As we move farther into implementation, Covered California is going to have to really pay attention to hard-to-reach groups,\" he said. \"That's particularly crucial to outreach to Californians who don't speak English well.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"N6YDe3GBE9KI5r58HlM0Xrvwzvipav7x\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16988\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/CoveredCA_Spanish-e1388775098705.jpg\">\u003cimg class=\"size-large wp-image-16988\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/CoveredCA_Spanish-640x480.jpg\" alt=\"A report from Berkeley's Greenlining Institute called on Covered California to make its enrollment website available in more languages than English and Spanish. \" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A report from Berkeley's Greenlining Institute called on Covered California to make its enrollment website available in more languages than English and Spanish.\u003c/figcaption>\u003c/figure>\n\u003cp>Covered California may have had strong overall enrollment, but people who do not speak English as a first language are underrepresented in the state's health insurance marketplace, according to an analysis from Berkeley's Greenlining Institute.\u003c/p>\n\u003cp>The\u003ca href=\"http://greenlining.org/wp-content/uploads/2014/06/iHealth-Report-print-friendly.pdf\" target=\"_blank\"> report \u003c/a>relied on Covered California data, which showed that 20 percent of enrollees do not speak English as a primary language. That's compared with\u003ca href=\"http://censusreporter.org/profiles/04000US06-california/\" target=\"_blank\"> 44 percent of Californians\u003c/a> overall.\u003c/p>\n\u003cp>\"We know California is a diverse state ethnically and linguistically,\" said Jordan Medina, a health policy fellow with Greenlining and lead author of the study. \"Moving forward, if the Affordable Care Act is going to work in California, we have to make sure those populations are represented in the health insurance marketplace.\"\u003c!--more-->\u003c/p>\n\u003cp>As part of its analysis, Greenlining interviewed certified enrollment counselors working to help people sign up for insurance through Covered California. While online sign-up was available in English and Spanish, people who spoke other languages had only printed material available. Counselors reported that they ran out of materials in at least some languages.\u003c/p>\n\u003cp>Counselors said they preferred helping people sign up by using the online portal, but since it was available only in English and Spanish, it slowed them down. A counselor with an agency that worked with Japanese-Americans told Greenlining, \"We tried to use the website, because that's what Covered California suggested we do, but the line-by-line translation with elderly Japanese-Americans made the process extremely tedious.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Greenlining called on Covered California to make the online sign-up available in the 13 most common languages spoken in California.\u003c/p>\n\u003cp>Covered California spokeswoman Anne Gonzales said the agency is looking into this, \"\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\u003cspan class=\"Apple-style-span\">but there is no firm date on when that functionality will be added, or which languages will be added.\"\u003c/span>\u003c/span>\u003c/p>\n\u003cp>Problems with both the Spanish-language marketing campaign and the Spanish-language website were\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\"> widely reported\u003c/a> earlier this year, and Greenlining mentioned these issues. Gonzales pointed to a Spanish-language working group at Covered California that \"recalibrated and focused resources\" on making improvements in these areas. She said Covered California is currently reviewing its resources for Asian-language translations as well, including Mandarin, Korean, Vietnamese and Hmong.\u003c/p>\n\u003cp>Curiously, one of the major issues Greenlining pointed out has already been addressed by the Covered California board. In the first open enrollment period, certified enrollment counselors were paid $58 for every person they enrolled in a plan. But counselors told Greenlining that the fee did not compensate them for the level of work required.\u003c/p>\n\u003cp>Gonzales said that Covered California is \"moving away from that business model.\" During the first open enrollment, there was a division between outreach/education and enrollment. Covered California grantees doing educational events could not also sign people up for insurance.\u003c/p>\n\u003cp>That's changing now. Covered California is \u003ca href=\"http://board.coveredca.com/meetings/2014/6-19/PDFs/PPT%20-%20Covered%20California%20Policy%20and%20Action%20Items_June%2019,%202014.pdf\" target=\"_blank\">instituting a \"navigator\" mode\u003c/a>l and will award a total of $16.9 million in grants to organizations that will handle \"outreach, education and enrollment.\"\u003c/p>\n\u003cp>Greenlining also called on Covered California to move forward on hiring a diversity officer.\u003c/p>\n\u003cp>\"At the end of the day, this helps with accountability,\" Medina said. \"If you have someone whose sole responsibility it is to make sure that all materials -- whether that be on the Web or printed materials -- if there’s one person in charge of that, it makes it really easy for community groups to partner with Covered California to make sure it’s done in an equitable way.”\u003c/p>\n\u003cp>Greenlining credited Covered California, saying that the state \"led the nation in implementing the Affordable Care Act,\" but Medina also observed that the rollout was always expected to be a multi-year effort. \"As we move farther into implementation, Covered California is going to have to really pay attention to hard-to-reach groups,\" he said. \"That's particularly crucial to outreach to Californians who don't speak English well.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"N6YDe3GBE9KI5r58HlM0Xrvwzvipav7x\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_19598\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/187909352.jpg\">\u003cimg class=\"size-large wp-image-19598\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/187909352-640x426.jpg\" alt=\"Covered California executive director Peter Lee, seen here at a November, 2013, press conference. (Max Whittaker/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California executive director Peter Lee, seen here at a November, 2013, press conference. (Max Whittaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>UPDATE: June 20\u003c/strong>\u003c/p>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">KQED's April Dembosky attended the Covered California board meeting Thursday afternoon where the board expressed concern \u003cspan class=\"Apple-style-span\">that a voter initiative on the upcoming November ballot could compromise its authority. The initiative\u003c/span>\u003c/span> would give the state’s insurance commissioner the authority to reject excessive rate increases in health insurance premiums. But Covered California already negotiates rates with insurance plans. How would the initiative, if passed, affect Covered California?\u003c/p>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">Covered California board member Susan Kennedy called on agency staff to conduct an intensive analysis of the initiative’s potential impact Covered California's ability to operate -- and to get it done soon.\u003cbr>\n\u003c/span>\u003c!--more-->\u003c/p>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\"The impact from my perspective could be, really huge, and very negative on our ability to function. We ought to raise the alarm level on this and be much more aggressive,\" Kennedy said.\u003c/span>\u003c/p>\n\u003cp>The board also questioned its ability to meet federal Obamacare deadlines and effectively market plans if rates are caught up in a review process at the Department of Insurance. A coalition of health plans, hospitals and other health care organizations have organized to defeat the measure.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">Julianne Broyles of the California Association of Health Underwriters said it could be problematic if rates aren’t finalized by the time the marketplace opens in mid November.\u003c/span>\u003c/p>\n\u003cp>\"Anything that delays open enrollment, technological or rate review, will create chaos for consumers,\" Broyles said.\u003c/p>\n\u003cp>Proponents of the measure insist fears are overblown.\u003c/p>\n\u003cp>Jamie Court of the nonprofit Consumer Watchdog, which sponsored the initiative, said the ballot measure would bring the process of regulating rates into the public eye.\u003c/p>\n\u003cp>\"The difference between rate regulation and rate negotiation is transparency. And all negotiations for Covered California over rates are done in secret,\" Court said.\u003c/p>\n\u003cp>He said if voters pass the measure, health insurance companies would have to justify their rates to the public and swear under penalty of perjury what they say is true. And he says that will be key in preventing premiums from becoming increasingly unaffordable.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>Ahead of its \u003ca href=\"http://board.coveredca.com/meetings/2014/6-19/PDFs/Agenda%20(Open)%20-%20June%202014%20Board%20Meeting_Public.pdf\" target=\"_blank\">board meeting\u003c/a> Thursday, Covered California officials are raising questions -- literally -- about a November ballot initiative that some say could destabilize the state's health insurance marketplace.\u003c/p>\n\u003cp>If approved by voters the \u003ca href=\"http://www.sos.ca.gov/elections/ballot-measures/qualified-ballot-measures.htm\" target=\"_blank\">Insurance Rate Public Justification and Accountability Act\u003c/a> would give California's insurance commissioner the authority to reject excessive health insurance premium increases. While this idea likely sounds good to consumers, there are concerns that such authority could destabilize Covered California.\u003c/p>\n\u003cp>On Wednesday, Covered California released \u003ca href=\"http://board.coveredca.com/meetings/2014/6-19/PDFs/Insurance%20Rate%20Public%20Justification%20and%20Accountability%20Act%20-%20Operational%20Questions%20Outline.pdf\" target=\"_blank\">an outline of more than three dozen questions\u003c/a> it will analyze. Among the many unknowns: a rate challenge could mean open enrollment would start without finalized premiums.\u003c/p>\n\u003cp>In Covered California's \"\u003ca href=\"http://board.coveredca.com/meetings/2014/6-19/PDFs/Insurance%20Rate%20Public%20Justification%20and%20Accountability%20Act%20-%20Operational%20Questions%20Outline.pdf\" target=\"_blank\">Potential Operational Questions Outline\u003c/a>\" are references to the \"tightly choreographed sequence\" the agency must follow to meet the open enrollment deadline. \"Under the current timelines, there is very little flexibility in the event there are major delays\" -- delays presumably referring to challenges to rate increases.\u003c/p>\n\u003cp>Betsy Imholz is with Consumers Union in San Francisco. She noted that Consumers Union generally supports the kind of rate review proposed in the ballot initiative, but said the group has not yet taken a position on the California initiative.\u003c/p>\n\u003cp>\"The questions are fair,\" Imholz said. \"I think we all have to look at the questions and think about both the underlying policy issues and the operational issues. This is a unique situation we have here, and those questions have to be considered.\"\u003c/p>\n\u003cp>California already has a complicated regulatory health insurance environment, with two regulators governing health insurance products: the Department of Managed Health Care and the Department of Insurance.\u003c/p>\n\u003cp>In addition, the state law that governs Covered California mandates that the agency is an \"active purchaser.\" Covered California has \"statutory responsibility to negotiate with the (health) plans,\" Imholz said, \"to selectively choose the best plans and get the best rates for Californians ... and that makes analyzing (the ballot initiative) a little more complicated.\"\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"j00e1jF7KYyWzdH7BjJKFX9oTR3NYdYH\"]\u003c/p>\n\u003cp>Proponents of the initiative say concerns are overblown and that consumers would benefit if the insurance commissioner had veto power over health insurance rates. Proposition 103, passed by the voters in 1988, already gives the commissioner veto authority over auto, homeowner, property and casualty insurance. The November initiative would extend Prop. 103 to health insurance.\u003c/p>\n\u003cp>Dave Jones, California's insurance commissioner supports the initiative. When he was a state legislator, he tried more than once to pass a law giving the officeholder the authority to reject rates, and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/05/27/insurance-commissioner-defends-health-insurance-initiative/\" target=\"_blank\">frequently points out\u003c/a> that 35 states give their insurance commissioners the authority to reject health insurance rate hikes, but not California.\u003c/p>\n\u003cp>Jamie Court, president of Consumer Watchdog, which sponsored the initiative, said that \"other states have health insurance exchanges and other states have health insurance rate regulations.\" He insisted that \"there shouldn't be any concerns about timing,\" that rate rejection authority can work smoothly with Covered California's timeline. Rates must be approved within 60 days, he said, and that over the many years that Prop. 103 has been in effect, there have only been 10-15 hearings in \"an industry with 6,000 filings a year,\" Court said.\u003c/p>\n\u003cp>Jones has previously stated that his office gets only about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/05/27/insurance-commissioner-defends-health-insurance-initiative/\" target=\"_blank\">100 health insurance rate filings \u003c/a>a year.\u003c/p>\n\u003cp>Court said he had sent a letter to Covered California offering to meet with officials and address their concerns. But \"they demurred,\" he said. \"We're looking forward to answering (the questions) because we can answer all of them.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Covered California will take public comment on the ballot initiative at its board meeting Thursday afternoon.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19598\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/187909352.jpg\">\u003cimg class=\"size-large wp-image-19598\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/187909352-640x426.jpg\" alt=\"Covered California executive director Peter Lee, seen here at a November, 2013, press conference. (Max Whittaker/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Covered California executive director Peter Lee, seen here at a November, 2013, press conference. (Max Whittaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>UPDATE: June 20\u003c/strong>\u003c/p>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">KQED's April Dembosky attended the Covered California board meeting Thursday afternoon where the board expressed concern \u003cspan class=\"Apple-style-span\">that a voter initiative on the upcoming November ballot could compromise its authority. The initiative\u003c/span>\u003c/span> would give the state’s insurance commissioner the authority to reject excessive rate increases in health insurance premiums. But Covered California already negotiates rates with insurance plans. How would the initiative, if passed, affect Covered California?\u003c/p>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">Covered California board member Susan Kennedy called on agency staff to conduct an intensive analysis of the initiative’s potential impact Covered California's ability to operate -- and to get it done soon.\u003cbr>\n\u003c/span>\u003c!--more-->\u003c/p>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\"The impact from my perspective could be, really huge, and very negative on our ability to function. We ought to raise the alarm level on this and be much more aggressive,\" Kennedy said.\u003c/span>\u003c/p>\n\u003cp>The board also questioned its ability to meet federal Obamacare deadlines and effectively market plans if rates are caught up in a review process at the Department of Insurance. A coalition of health plans, hospitals and other health care organizations have organized to defeat the measure.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan class=\"Apple-style-span\" style=\"color: #000000\">Julianne Broyles of the California Association of Health Underwriters said it could be problematic if rates aren’t finalized by the time the marketplace opens in mid November.\u003c/span>\u003c/p>\n\u003cp>\"Anything that delays open enrollment, technological or rate review, will create chaos for consumers,\" Broyles said.\u003c/p>\n\u003cp>Proponents of the measure insist fears are overblown.\u003c/p>\n\u003cp>Jamie Court of the nonprofit Consumer Watchdog, which sponsored the initiative, said the ballot measure would bring the process of regulating rates into the public eye.\u003c/p>\n\u003cp>\"The difference between rate regulation and rate negotiation is transparency. And all negotiations for Covered California over rates are done in secret,\" Court said.\u003c/p>\n\u003cp>He said if voters pass the measure, health insurance companies would have to justify their rates to the public and swear under penalty of perjury what they say is true. And he says that will be key in preventing premiums from becoming increasingly unaffordable.\u003c/p>\n\u003cp>\u003cstrong>Original post:\u003c/strong>\u003c/p>\n\u003cp>Ahead of its \u003ca href=\"http://board.coveredca.com/meetings/2014/6-19/PDFs/Agenda%20(Open)%20-%20June%202014%20Board%20Meeting_Public.pdf\" target=\"_blank\">board meeting\u003c/a> Thursday, Covered California officials are raising questions -- literally -- about a November ballot initiative that some say could destabilize the state's health insurance marketplace.\u003c/p>\n\u003cp>If approved by voters the \u003ca href=\"http://www.sos.ca.gov/elections/ballot-measures/qualified-ballot-measures.htm\" target=\"_blank\">Insurance Rate Public Justification and Accountability Act\u003c/a> would give California's insurance commissioner the authority to reject excessive health insurance premium increases. While this idea likely sounds good to consumers, there are concerns that such authority could destabilize Covered California.\u003c/p>\n\u003cp>On Wednesday, Covered California released \u003ca href=\"http://board.coveredca.com/meetings/2014/6-19/PDFs/Insurance%20Rate%20Public%20Justification%20and%20Accountability%20Act%20-%20Operational%20Questions%20Outline.pdf\" target=\"_blank\">an outline of more than three dozen questions\u003c/a> it will analyze. Among the many unknowns: a rate challenge could mean open enrollment would start without finalized premiums.\u003c/p>\n\u003cp>In Covered California's \"\u003ca href=\"http://board.coveredca.com/meetings/2014/6-19/PDFs/Insurance%20Rate%20Public%20Justification%20and%20Accountability%20Act%20-%20Operational%20Questions%20Outline.pdf\" target=\"_blank\">Potential Operational Questions Outline\u003c/a>\" are references to the \"tightly choreographed sequence\" the agency must follow to meet the open enrollment deadline. \"Under the current timelines, there is very little flexibility in the event there are major delays\" -- delays presumably referring to challenges to rate increases.\u003c/p>\n\u003cp>Betsy Imholz is with Consumers Union in San Francisco. She noted that Consumers Union generally supports the kind of rate review proposed in the ballot initiative, but said the group has not yet taken a position on the California initiative.\u003c/p>\n\u003cp>\"The questions are fair,\" Imholz said. \"I think we all have to look at the questions and think about both the underlying policy issues and the operational issues. This is a unique situation we have here, and those questions have to be considered.\"\u003c/p>\n\u003cp>California already has a complicated regulatory health insurance environment, with two regulators governing health insurance products: the Department of Managed Health Care and the Department of Insurance.\u003c/p>\n\u003cp>In addition, the state law that governs Covered California mandates that the agency is an \"active purchaser.\" Covered California has \"statutory responsibility to negotiate with the (health) plans,\" Imholz said, \"to selectively choose the best plans and get the best rates for Californians ... and that makes analyzing (the ballot initiative) a little more complicated.\"\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"j00e1jF7KYyWzdH7BjJKFX9oTR3NYdYH\"]\u003c/p>\n\u003cp>Proponents of the initiative say concerns are overblown and that consumers would benefit if the insurance commissioner had veto power over health insurance rates. Proposition 103, passed by the voters in 1988, already gives the commissioner veto authority over auto, homeowner, property and casualty insurance. The November initiative would extend Prop. 103 to health insurance.\u003c/p>\n\u003cp>Dave Jones, California's insurance commissioner supports the initiative. When he was a state legislator, he tried more than once to pass a law giving the officeholder the authority to reject rates, and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/05/27/insurance-commissioner-defends-health-insurance-initiative/\" target=\"_blank\">frequently points out\u003c/a> that 35 states give their insurance commissioners the authority to reject health insurance rate hikes, but not California.\u003c/p>\n\u003cp>Jamie Court, president of Consumer Watchdog, which sponsored the initiative, said that \"other states have health insurance exchanges and other states have health insurance rate regulations.\" He insisted that \"there shouldn't be any concerns about timing,\" that rate rejection authority can work smoothly with Covered California's timeline. Rates must be approved within 60 days, he said, and that over the many years that Prop. 103 has been in effect, there have only been 10-15 hearings in \"an industry with 6,000 filings a year,\" Court said.\u003c/p>\n\u003cp>Jones has previously stated that his office gets only about \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/05/27/insurance-commissioner-defends-health-insurance-initiative/\" target=\"_blank\">100 health insurance rate filings \u003c/a>a year.\u003c/p>\n\u003cp>Court said he had sent a letter to Covered California offering to meet with officials and address their concerns. But \"they demurred,\" he said. \"We're looking forward to answering (the questions) because we can answer all of them.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Covered California will take public comment on the ballot initiative at its board meeting Thursday afternoon.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Covered California Disables Part of Site to Handle Traffic",
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"headTitle": "State of Health | KQED News",
"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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"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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"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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"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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"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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}
},
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"id": "californiareportmagazine",
"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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}
},
"city-arts": {
"id": "city-arts",
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"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
},
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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"source": "kqed",
"order": 9
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"id": "freakonomics-radio",
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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
"rss": "https://feeds.feedburner.com/freakonomicsradio"
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
"subscribe": {
"npr": "https://rpb3r.app.goo.gl/3zxy",
"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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"spotify": "https://open.spotify.com/show/2p3Fifq96nw9BPcmFdIq0o?si=39209f7b25774f38",
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"rss": "https://feeds.megaphone.fm/KQINC2275451163"
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
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"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"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.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
"apple": "https://podcasts.apple.com/podcast/id1567098962",
"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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"spotify": "https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x",
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"stitcher": "https://www.stitcher.com/show/on-our-watch",
"rss": "https://feeds.npr.org/510360/podcast.xml"
}
},
"on-the-media": {
"id": "on-the-media",
"title": "On The Media",
"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"info": "One of public radio's most dynamic voices, Sam Sanders helped launch The NPR Politics Podcast and hosted NPR's hit show It's Been A Minute. Now, the award-winning host returns with something brand new, The Sam Sanders Show. Every week, Sam Sanders and friends dig into the culture that shapes our lives: what's driving the biggest trends, how artists really think, and even the memes you can't stop scrolling past. Sam is beloved for his way of unpacking the world and bringing you up close to fresh currents and engaging conversations. The Sam Sanders Show is smart, funny and always a good time.",
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