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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>Now that the final numbers from Covered California's first open enrollment period are in, experts are already looking ahead to the next steps.\u003c/p>\n\u003cp>Nearly 1.4 million Californians have signed up for health care coverage through the exchange. Another 1.9 million are now covered by the expanded Medi-Cal program. That's almost 3.5 million state residents.\u003c/p>\n\u003cp>And yet 5.8 million Californians remain uninsured.\u003c/p>\n\u003cp>Gerald Kominski, professor of Health Policy and Management and director of the UCLA Center for Health Policy Research, said these numbers are on target with early projections.\u003c!--more-->\u003c/p>\n\u003cp>Kominski says about one million of the remaining uninsured are undocumented and not eligible for coverage under the Affordable Care Act. But he expects the majority of the others will gain insurance over the next few years.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We really think that enrollment in ACA is a 3-year process rather than get everyone enrolled the first year,\" Kominski said.\u003c/p>\n\u003cp>He projects that by 2017 the number of remaining uninsured, excluding those who are undocumented, will be 1.2 million people.\u003c/p>\n\u003cp>\"I think that would be a tremendous success,\" Kominski said.\u003c/p>\n\u003cp>So why the lag time?\u003c/p>\n\u003cp>\"We projected there would be full expected enrollment after three years of the program,\" Kominski said. \"Part of that is because of the tax penalties that get phased in over the next three years. No one has paid a penalty yet for being uninsured. That will happen next April when income taxes are due.\"\u003c/p>\n\u003cp>Once the penalties hit home, Kominski said he expects those additional enrollments will start rolling in.\u003c/p>\n\u003cp>The other big issue that health policy experts are keeping their eyes on going forward is so-called churn.\u003c/p>\n\u003cp>Ken Jacobs, chair of the UC Berkeley Labor Center, said that it's important that the huge outreach effort continues — both because of Californians that remain uninsured and those that may lose their insurance in coming years for any number of reasons.\u003c/p>\n\u003cp>Changing jobs, getting married or divorced, having or adopting a baby — any of these are qualifying events that will allow people to sign up for coverage outside of the open enrollment periods.\u003c/p>\n\u003cp>Jacobs said at least half a million Californians will become newly eligible for the exchange during the course of the year by losing their existing coverage.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The information storm around the initial enrollment period may be over. But experts say while millions of Californians signed up during this first phase, there are still millions more who will be shopping for Covered California plans over the next few years.\u003c/p>\n\n",
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"excerpt": "The number of uninsured in California could drop from 4.8 to 1.2 million in the next three years.",
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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>Now that the final numbers from Covered California's first open enrollment period are in, experts are already looking ahead to the next steps.\u003c/p>\n\u003cp>Nearly 1.4 million Californians have signed up for health care coverage through the exchange. Another 1.9 million are now covered by the expanded Medi-Cal program. That's almost 3.5 million state residents.\u003c/p>\n\u003cp>And yet 5.8 million Californians remain uninsured.\u003c/p>\n\u003cp>Gerald Kominski, professor of Health Policy and Management and director of the UCLA Center for Health Policy Research, said these numbers are on target with early projections.\u003c!--more-->\u003c/p>\n\u003cp>Kominski says about one million of the remaining uninsured are undocumented and not eligible for coverage under the Affordable Care Act. But he expects the majority of the others will gain insurance over the next few years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We really think that enrollment in ACA is a 3-year process rather than get everyone enrolled the first year,\" Kominski said.\u003c/p>\n\u003cp>He projects that by 2017 the number of remaining uninsured, excluding those who are undocumented, will be 1.2 million people.\u003c/p>\n\u003cp>\"I think that would be a tremendous success,\" Kominski said.\u003c/p>\n\u003cp>So why the lag time?\u003c/p>\n\u003cp>\"We projected there would be full expected enrollment after three years of the program,\" Kominski said. \"Part of that is because of the tax penalties that get phased in over the next three years. No one has paid a penalty yet for being uninsured. That will happen next April when income taxes are due.\"\u003c/p>\n\u003cp>Once the penalties hit home, Kominski said he expects those additional enrollments will start rolling in.\u003c/p>\n\u003cp>The other big issue that health policy experts are keeping their eyes on going forward is so-called churn.\u003c/p>\n\u003cp>Ken Jacobs, chair of the UC Berkeley Labor Center, said that it's important that the huge outreach effort continues — both because of Californians that remain uninsured and those that may lose their insurance in coming years for any number of reasons.\u003c/p>\n\u003cp>Changing jobs, getting married or divorced, having or adopting a baby — any of these are qualifying events that will allow people to sign up for coverage outside of the open enrollment periods.\u003c/p>\n\u003cp>Jacobs said at least half a million Californians will become newly eligible for the exchange during the course of the year by losing their existing coverage.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The information storm around the initial enrollment period may be over. But experts say while millions of Californians signed up during this first phase, there are still millions more who will be shopping for Covered California plans over the next few years.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Obamacare Opens Door for Some to Leave Jobs",
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"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_18796\" class=\"wp-caption aligncenter\" style=\"max-width: 636px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/Screen-Shot-2014-04-21-at-4.46.56-PM.png\">\u003cimg class=\"size-full wp-image-18796\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/Screen-Shot-2014-04-21-at-4.46.56-PM.png\" alt=\"Because Mike Smith of Long Beach was able to get insurance through the Affordable Care Act, he could retire from his job. (Stephanie O'Neill/KPCC)\" width=\"636\" height=\"439\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/04/Screen-Shot-2014-04-21-at-4.46.56-PM.png 636w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/Screen-Shot-2014-04-21-at-4.46.56-PM-400x276.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/Screen-Shot-2014-04-21-at-4.46.56-PM-320x221.png 320w\" sizes=\"(max-width: 636px) 100vw, 636px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Because Mike Smith of Long Beach was able to get insurance through the Affordable Care Act, he could retire from his job. (Stephanie O'Neill/KPCC)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Stephanie O'Neill, KPCC\u003c/strong>\u003c/p>\n\u003cp>It's just after noon on a recent weekday and Mike Smith, 64, of Long Beach is standing over his stove, gently mixing together a sizzling dish of bright green brussels sprouts with caramelized shallots.\" Even people who don't like brussels sprouts love this dish,\" he says of the recipe he culled from the pages of Bon Appétit Magazine many years ago.\u003c/p>\n\u003caside class=\"pullquote alignleft\">They were afraid if they tried to buy insurance on their own, an insurance company would reject them. And now that can't happen.\"\u003c/aside>\n\u003cp>We've got organic shallots, organic brussels sprouts and organic apple cider vinegar,\" Smith says as he stirs the ingredients. \"I love the smell of the shallots, don't you?\"\u003c/p>\n\u003cp>Until recently, Smith had little time to to experiment in the kitchen, to practice guitar or to visit his elderly in-laws or his two-year-old grandchild.\u003c/p>\n\u003cp>Instead, he worked 11 hours a day, Monday through Friday and then half a day on Saturday, as a district manager for a national auto parts chain. Early retirement, while certainly appealing, wasn't a viable option, as both he and his wife relied heavily on his job-provided health insurance.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"At our age, with some preexisting medical conditions, it would have been very costly to buy insurance on the open market, about $3,000 a month,\" he says.\u003c/p>\n\u003cp>But the Affordable Care Act (ACA) changed all that. Smith retired early, as did his wife, Laura, also 64. The couple is now enrolled in a private health insurance policy that costs them only $200 a month, thanks, in part, to the ACA.\u003c/p>\n\u003cp>But it's not just aspiring early retirees who are benefiting from the federal law. \"We used to see people who had preexisting conditions or high health care needs unable to leave a job they didn't like and go start their own small business,\" says Dylan Roby, director of health economics and evaluation research at the UCLA Center for Health Policy Research\u003c/p>\n\u003cp>\"Because they were afraid if they tried to buy insurance on their own, an insurance company would reject them. And now that can¹t happen.\" That¹s because Obamacare now bars insurance companies from either denying coverage or charging higher rates to people with preexisting conditions.\u003c/p>\n\u003cp>It's a policy shift that enabled Rebecca Murray to make a different sort of life change. Last year, the Chicago resident says, her husband, a freelance IT worker, was diagnosed with chronic spinal arthritis. He needed good health insurance, which he received through Murray¹s job as a social worker for a dialysis corporation. But Murray says she despised her job because it forced her, she felt, to compromise her values and ethics.\u003c/p>\n\u003cp>\u003cstrong>Couldn't Get Insurance Before\u003c/strong>\u003c/p>\n\u003cp>Murray says until the ACA took effect, she and her husband, they are both 31, with a 20-month-old daughter and a second child on the way, couldn¹t get insurance on the open market because of his preexisting condition.\u003c/p>\n\u003cp>But under the federal health law, they now qualify for a subsidized policy that costs $535 a month for the whole family. Not inexpensive by any means, she says, but it does allow her to quit her job and launch an online business to help young women, like her, take care of sick loved ones.\u003c/p>\n\u003cp>\"It's thrilling, it's exciting, it's kind of like taking a leap into the unknown, and I know it's a big risk,\" she says of her new venture. \"But this really is allowing me to finally step into what I feel is truly satisfying for the soul,\" she says, adding that just a year ago, \"I was convinced I would be a (dialysis) social worker for the next 30-something years and just raise my kids and hope they could live out their dreams instead.\u003c/p>\n\u003cp>UCLA's Dylan Roby says that's a familiar story as until this year, it's been too hard for many American's to embrace their entrepreneurial dreams.\u003c/p>\n\u003cp>\"For a country that values this idea of innovation and small business we actually fall far behind lots of European countries in terms of our ability to let people do their own thing,\" he says.\u003c/p>\n\u003cp>Roby points to a \u003ca href=\"http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2013/rwjf406367>\" target=\"_blank\">recent study\u003c/a> by Georgetown University and the Urban Institute that predicts the ACA will enable up to 1.5 million Americans to leave unfulfilling jobs and become self-employed or start new businesses. It's a finding that runs counter to claims by ACA critics, who contend the federal health law will cost the nation jobs and cripple America¹s small business economy.\u003c/p>\n\u003cp>Roby goes on to predict the health law will do more than just dissolve such \"job lock\" for unhappy workers. He believes it may also free those Americans who've stayed in stagnant marriages solely as a way to maintain insurance coverage.\u003c/p>\n\u003cp>\"So it provides more options to people who would be maybe delaying a divorce...in order to keep their health insurance coverage,\" he says. And for others, such as Mike and Laura Smith, who aren't yet old enough to qualify for Medicare, the ACA provides a potential pathway to early retirement and a chance to enjoy the simple pleasures in life.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"TgZ9uabEp9hCtwex82i5bCBCUIMMM0bk\"]\u003c/p>\n\n",
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"excerpt": "Because they are no longer denied health insurance for pre-existing conditions, some choose to leave their jobs.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18796\" class=\"wp-caption aligncenter\" style=\"max-width: 636px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/Screen-Shot-2014-04-21-at-4.46.56-PM.png\">\u003cimg class=\"size-full wp-image-18796\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/Screen-Shot-2014-04-21-at-4.46.56-PM.png\" alt=\"Because Mike Smith of Long Beach was able to get insurance through the Affordable Care Act, he could retire from his job. (Stephanie O'Neill/KPCC)\" width=\"636\" height=\"439\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/04/Screen-Shot-2014-04-21-at-4.46.56-PM.png 636w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/Screen-Shot-2014-04-21-at-4.46.56-PM-400x276.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/Screen-Shot-2014-04-21-at-4.46.56-PM-320x221.png 320w\" sizes=\"(max-width: 636px) 100vw, 636px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Because Mike Smith of Long Beach was able to get insurance through the Affordable Care Act, he could retire from his job. (Stephanie O'Neill/KPCC)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Stephanie O'Neill, KPCC\u003c/strong>\u003c/p>\n\u003cp>It's just after noon on a recent weekday and Mike Smith, 64, of Long Beach is standing over his stove, gently mixing together a sizzling dish of bright green brussels sprouts with caramelized shallots.\" Even people who don't like brussels sprouts love this dish,\" he says of the recipe he culled from the pages of Bon Appétit Magazine many years ago.\u003c/p>\n\u003caside class=\"pullquote alignleft\">They were afraid if they tried to buy insurance on their own, an insurance company would reject them. And now that can't happen.\"\u003c/aside>\n\u003cp>We've got organic shallots, organic brussels sprouts and organic apple cider vinegar,\" Smith says as he stirs the ingredients. \"I love the smell of the shallots, don't you?\"\u003c/p>\n\u003cp>Until recently, Smith had little time to to experiment in the kitchen, to practice guitar or to visit his elderly in-laws or his two-year-old grandchild.\u003c/p>\n\u003cp>Instead, he worked 11 hours a day, Monday through Friday and then half a day on Saturday, as a district manager for a national auto parts chain. Early retirement, while certainly appealing, wasn't a viable option, as both he and his wife relied heavily on his job-provided health insurance.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"At our age, with some preexisting medical conditions, it would have been very costly to buy insurance on the open market, about $3,000 a month,\" he says.\u003c/p>\n\u003cp>But the Affordable Care Act (ACA) changed all that. Smith retired early, as did his wife, Laura, also 64. The couple is now enrolled in a private health insurance policy that costs them only $200 a month, thanks, in part, to the ACA.\u003c/p>\n\u003cp>But it's not just aspiring early retirees who are benefiting from the federal law. \"We used to see people who had preexisting conditions or high health care needs unable to leave a job they didn't like and go start their own small business,\" says Dylan Roby, director of health economics and evaluation research at the UCLA Center for Health Policy Research\u003c/p>\n\u003cp>\"Because they were afraid if they tried to buy insurance on their own, an insurance company would reject them. And now that can¹t happen.\" That¹s because Obamacare now bars insurance companies from either denying coverage or charging higher rates to people with preexisting conditions.\u003c/p>\n\u003cp>It's a policy shift that enabled Rebecca Murray to make a different sort of life change. Last year, the Chicago resident says, her husband, a freelance IT worker, was diagnosed with chronic spinal arthritis. He needed good health insurance, which he received through Murray¹s job as a social worker for a dialysis corporation. But Murray says she despised her job because it forced her, she felt, to compromise her values and ethics.\u003c/p>\n\u003cp>\u003cstrong>Couldn't Get Insurance Before\u003c/strong>\u003c/p>\n\u003cp>Murray says until the ACA took effect, she and her husband, they are both 31, with a 20-month-old daughter and a second child on the way, couldn¹t get insurance on the open market because of his preexisting condition.\u003c/p>\n\u003cp>But under the federal health law, they now qualify for a subsidized policy that costs $535 a month for the whole family. Not inexpensive by any means, she says, but it does allow her to quit her job and launch an online business to help young women, like her, take care of sick loved ones.\u003c/p>\n\u003cp>\"It's thrilling, it's exciting, it's kind of like taking a leap into the unknown, and I know it's a big risk,\" she says of her new venture. \"But this really is allowing me to finally step into what I feel is truly satisfying for the soul,\" she says, adding that just a year ago, \"I was convinced I would be a (dialysis) social worker for the next 30-something years and just raise my kids and hope they could live out their dreams instead.\u003c/p>\n\u003cp>UCLA's Dylan Roby says that's a familiar story as until this year, it's been too hard for many American's to embrace their entrepreneurial dreams.\u003c/p>\n\u003cp>\"For a country that values this idea of innovation and small business we actually fall far behind lots of European countries in terms of our ability to let people do their own thing,\" he says.\u003c/p>\n\u003cp>Roby points to a \u003ca href=\"http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2013/rwjf406367>\" target=\"_blank\">recent study\u003c/a> by Georgetown University and the Urban Institute that predicts the ACA will enable up to 1.5 million Americans to leave unfulfilling jobs and become self-employed or start new businesses. It's a finding that runs counter to claims by ACA critics, who contend the federal health law will cost the nation jobs and cripple America¹s small business economy.\u003c/p>\n\u003cp>Roby goes on to predict the health law will do more than just dissolve such \"job lock\" for unhappy workers. He believes it may also free those Americans who've stayed in stagnant marriages solely as a way to maintain insurance coverage.\u003c/p>\n\u003cp>\"So it provides more options to people who would be maybe delaying a divorce...in order to keep their health insurance coverage,\" he says. And for others, such as Mike and Laura Smith, who aren't yet old enough to qualify for Medicare, the ACA provides a potential pathway to early retirement and a chance to enjoy the simple pleasures in life.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"TgZ9uabEp9hCtwex82i5bCBCUIMMM0bk\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Obamacare: More Than 3.3 Million Californians Signed Up",
"title": "Obamacare: More Than 3.3 Million Californians Signed Up",
"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, the day the marketplace opened. Open enrollment ended Tuesday. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The final numbers are in from the first open enrollment for Covered California. The exchange closed at midnight Tuesday, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\">an extension of two weeks\u003c/a> from the original March 31 deadline for those who had tried to enroll but were unsuccessful for technical reasons. Officials reported Thursday that just shy of 1.4 million Californians signed up since October 1.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The people enrolling continue to get younger, continue to get more diverse and reflect the state of California.\" \u003c/aside>\n\u003cp>An additional 1.9 million people are newly enrolled in Medi-Cal, the state's health insurance program for people who are low income, and several hundred thousand more people have been deemed \"likely eligible\" by the state. They are awaiting final determination of eligibility.\u003c/p>\n\u003cp>At a press conference in Sacramento Thursday morning, Peter Lee walked through some of the demographics. Covered California had drawn criticism for its \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">flawed outreach\u003c/a> to Latinos earlier this year, but the agency had made a \"concerted effort to expand and build on outreach,\" Lee said. \"That hard work has paid off.\"\u003c/p>\n\u003cp>From April 1-15, 39 percent of the sign ups were Latino, Hispanic or Latin origin. Just over 305,000 Latinos are now enrolled, just a bit under 28 percent of all enrollees. That's up from \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/19/california-exceeds-its-target-for-enrollment-in-obamacare-plans/\" target=\"_blank\">21 percent \u003c/a>at the end of January.\u003c!--more-->\u003c/p>\n\u003cp>Young adults, those ages 18-34, were also a key demographic in enrollment. Younger -- and presumably healthier -- people are needed to balance the risk pool. They, too, signed up in higher numbers in March and April and now make up nearly 29 percent of all enrollees. That's up from \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/19/california-exceeds-its-target-for-enrollment-in-obamacare-plans/\" target=\"_blank\">26 percent \u003c/a>at the end of January.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Covered California exceeded projected sign ups \"in every ethnic group, in every demographic category, in every region of the state,\" Lee said. Asians signed up in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/23/insurance-agents-drive-high-asian-enrollment-on-covered-california/\" target=\"_blank\">significantly higher numbers\u003c/a> than expected.\u003c/p>\n\u003cp>\"This matches the momentum we saw in March which is the people enrolling continue to get younger, continue to get more diverse and reflect the state of California,\" Lee added.\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access, a statewide advocacy group, said it was to be expected that the enrollment became more diverse as time went on. \"It's not a surprise that those who came in during February and March, just before the deadline, were folks previously uninsured and learning about new options, people who by definition were younger and more predominantly people of color or lower income.\"\u003c/p>\n\u003cp>What is not known -- and won't be for some time -- is how many of those 3.3 million Californians were previously uninsured. The annual \u003ca href=\"http://healthpolicy.ucla.edu/chis/Pages/default.aspx\" target=\"_blank\">California Health Insurance Survey\u003c/a> later this year may help shed some light on that question.\u003c/p>\n\u003cp>In addition, some of those who signed up may end up not needing the insurance after all. They might have gotten a job with employer-based insurance since they enrolled, for example. Or their income may have declined and they are now eligible for Medi-Cal. Still others may decide they cannot afford insurance. To insurers, this is known as \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/02/why-some-dont-pay-their-covered-california-premium-its-not-what-you-think/\" target=\"_blank\">churn.\u003c/a>\" Covered California expects 85 percent of those who signed up to pay their premium.\u003c/p>\n\u003cp>\u003cstrong>Reviewing the Projections \u003c/strong>\u003c/p>\n\u003cp>Covered California's projected sign ups were an extrapolation \u003ca href=\"http://healthpolicy.ucla.edu/programs/health-economics/projects/CalSIM/Documents/CalSIM_Statewide.pdf\" target=\"_blank\">from modeling\u003c/a> done by researchers at UCLA and UC Berkeley in early 2013.\u003c/p>\n\u003cp>Under the California Simulation of Insurance Model, CalSIM, researchers projected a \"base\" scenario and an \"enhanced\" scenario. Under the latter projection, 1.2 million Californians were expected to enroll in subsidized insurance. With the numbers announced Thursday, Covered California said 88 percent of enrollees are subsidy-eligible. That's 1.22 million people, nearly right on the nose of the 1.2 million projection.\u003c/p>\n\u003cp>\"I might go to Vegas now,\" quipped UCLA's Dylan Roby, a CalSIM lead researcher. \"We did this quite awhile ago now and tried to estimate the best we could based on economic evidence. We're happy we came that close to the final enrollment number.\"\u003c/p>\n\u003cp>\u003cstrong>Enrollment by Channel\u003c/strong>\u003c/p>\n\u003cp>Covered California also looked at how people signed up. While many people successfully enrolled online, others needed in-person assistance. Here's the breakdown:\u003c/p>\n\u003cul>\n\u003cli>41 percent of enrollees signed up on the Covered California website\u003c/li>\n\u003cli>39 percent enrolled through a certified insurance agent\u003c/li>\n\u003cli>9 percent enrolled with a certified enrollment counselor\u003c/li>\n\u003cli>9 percent call center representatives\u003c/li>\n\u003c/ul>\n\u003cp>No data was available for enrollees through county workers.\u003c/p>\n\u003cp>Both Roby and Health Access' Wright pointed out that the enrollment counselor model is new and slower to gain traction. This might have accounted for some of the challenges in enrolling Latinos, who are believed to prefer \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">enrolling in person\u003c/a>. \"How many more people could we have enrolled if we had more enrollment counselors on the ground,\" Wright said. He also pointed out the detriment of long call center hold times. \"Those are issues of scale that we need to be ready for, for the next round.\"\u003c/p>\n\u003cp>\u003cstrong>National Numbers Released\u003c/strong>\u003c/p>\n\u003cp>President Obama also announced Thursday that\u003ca href=\"http://www.npr.org/blogs/thetwo-way/2014/04/17/304184215/obama-affordable-care-act-enrollment-hits-8-million\" target=\"_blank\"> national enrollment\u003c/a> on both the federal and state exchanges had reached 8 million people. California has 12 percent of the nation's population, but has 17.5 percent of all sign ups.\u003c/p>\n\u003cp>Meanwhile, Medi-Cal enrollment is ongoing. People can sign up anytime.\u003c/p>\n\u003cp>While the first open enrollment period is over, anyone who has what insurers call a \"qualifying life event\" -- they get married or divorced, have a baby, lose a job -- enters a \u003ca href=\"https://www.coveredca.com/coverage-basics/special-enrollment/\" target=\"_blank\">special enrollment period\u003c/a>. They have 60 days to sign up for insurance on Covered California.\u003c/p>\n\u003cp>\u003cem>Update: This post has been updated to clarify the CalSIM projection model. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"gnZmhFUyMKJt3CfZPsdYdUn57xGY1Toy\"]\u003c/p>\n\n",
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"excerpt": "Nearly 1.4 million people signed up on CoveredCA; the rest on Medi-Cal. Enrollments exceeded projections.",
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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, the day the marketplace opened. Open enrollment ended Tuesday. (Angela Hart/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>The final numbers are in from the first open enrollment for Covered California. The exchange closed at midnight Tuesday, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\">an extension of two weeks\u003c/a> from the original March 31 deadline for those who had tried to enroll but were unsuccessful for technical reasons. Officials reported Thursday that just shy of 1.4 million Californians signed up since October 1.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"The people enrolling continue to get younger, continue to get more diverse and reflect the state of California.\" \u003c/aside>\n\u003cp>An additional 1.9 million people are newly enrolled in Medi-Cal, the state's health insurance program for people who are low income, and several hundred thousand more people have been deemed \"likely eligible\" by the state. They are awaiting final determination of eligibility.\u003c/p>\n\u003cp>At a press conference in Sacramento Thursday morning, Peter Lee walked through some of the demographics. Covered California had drawn criticism for its \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">flawed outreach\u003c/a> to Latinos earlier this year, but the agency had made a \"concerted effort to expand and build on outreach,\" Lee said. \"That hard work has paid off.\"\u003c/p>\n\u003cp>From April 1-15, 39 percent of the sign ups were Latino, Hispanic or Latin origin. Just over 305,000 Latinos are now enrolled, just a bit under 28 percent of all enrollees. That's up from \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/19/california-exceeds-its-target-for-enrollment-in-obamacare-plans/\" target=\"_blank\">21 percent \u003c/a>at the end of January.\u003c!--more-->\u003c/p>\n\u003cp>Young adults, those ages 18-34, were also a key demographic in enrollment. Younger -- and presumably healthier -- people are needed to balance the risk pool. They, too, signed up in higher numbers in March and April and now make up nearly 29 percent of all enrollees. That's up from \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/19/california-exceeds-its-target-for-enrollment-in-obamacare-plans/\" target=\"_blank\">26 percent \u003c/a>at the end of January.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Covered California exceeded projected sign ups \"in every ethnic group, in every demographic category, in every region of the state,\" Lee said. Asians signed up in \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/23/insurance-agents-drive-high-asian-enrollment-on-covered-california/\" target=\"_blank\">significantly higher numbers\u003c/a> than expected.\u003c/p>\n\u003cp>\"This matches the momentum we saw in March which is the people enrolling continue to get younger, continue to get more diverse and reflect the state of California,\" Lee added.\u003c/p>\n\u003cp>Anthony Wright, executive director of Health Access, a statewide advocacy group, said it was to be expected that the enrollment became more diverse as time went on. \"It's not a surprise that those who came in during February and March, just before the deadline, were folks previously uninsured and learning about new options, people who by definition were younger and more predominantly people of color or lower income.\"\u003c/p>\n\u003cp>What is not known -- and won't be for some time -- is how many of those 3.3 million Californians were previously uninsured. The annual \u003ca href=\"http://healthpolicy.ucla.edu/chis/Pages/default.aspx\" target=\"_blank\">California Health Insurance Survey\u003c/a> later this year may help shed some light on that question.\u003c/p>\n\u003cp>In addition, some of those who signed up may end up not needing the insurance after all. They might have gotten a job with employer-based insurance since they enrolled, for example. Or their income may have declined and they are now eligible for Medi-Cal. Still others may decide they cannot afford insurance. To insurers, this is known as \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/02/why-some-dont-pay-their-covered-california-premium-its-not-what-you-think/\" target=\"_blank\">churn.\u003c/a>\" Covered California expects 85 percent of those who signed up to pay their premium.\u003c/p>\n\u003cp>\u003cstrong>Reviewing the Projections \u003c/strong>\u003c/p>\n\u003cp>Covered California's projected sign ups were an extrapolation \u003ca href=\"http://healthpolicy.ucla.edu/programs/health-economics/projects/CalSIM/Documents/CalSIM_Statewide.pdf\" target=\"_blank\">from modeling\u003c/a> done by researchers at UCLA and UC Berkeley in early 2013.\u003c/p>\n\u003cp>Under the California Simulation of Insurance Model, CalSIM, researchers projected a \"base\" scenario and an \"enhanced\" scenario. Under the latter projection, 1.2 million Californians were expected to enroll in subsidized insurance. With the numbers announced Thursday, Covered California said 88 percent of enrollees are subsidy-eligible. That's 1.22 million people, nearly right on the nose of the 1.2 million projection.\u003c/p>\n\u003cp>\"I might go to Vegas now,\" quipped UCLA's Dylan Roby, a CalSIM lead researcher. \"We did this quite awhile ago now and tried to estimate the best we could based on economic evidence. We're happy we came that close to the final enrollment number.\"\u003c/p>\n\u003cp>\u003cstrong>Enrollment by Channel\u003c/strong>\u003c/p>\n\u003cp>Covered California also looked at how people signed up. While many people successfully enrolled online, others needed in-person assistance. Here's the breakdown:\u003c/p>\n\u003cul>\n\u003cli>41 percent of enrollees signed up on the Covered California website\u003c/li>\n\u003cli>39 percent enrolled through a certified insurance agent\u003c/li>\n\u003cli>9 percent enrolled with a certified enrollment counselor\u003c/li>\n\u003cli>9 percent call center representatives\u003c/li>\n\u003c/ul>\n\u003cp>No data was available for enrollees through county workers.\u003c/p>\n\u003cp>Both Roby and Health Access' Wright pointed out that the enrollment counselor model is new and slower to gain traction. This might have accounted for some of the challenges in enrolling Latinos, who are believed to prefer \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">enrolling in person\u003c/a>. \"How many more people could we have enrolled if we had more enrollment counselors on the ground,\" Wright said. He also pointed out the detriment of long call center hold times. \"Those are issues of scale that we need to be ready for, for the next round.\"\u003c/p>\n\u003cp>\u003cstrong>National Numbers Released\u003c/strong>\u003c/p>\n\u003cp>President Obama also announced Thursday that\u003ca href=\"http://www.npr.org/blogs/thetwo-way/2014/04/17/304184215/obama-affordable-care-act-enrollment-hits-8-million\" target=\"_blank\"> national enrollment\u003c/a> on both the federal and state exchanges had reached 8 million people. California has 12 percent of the nation's population, but has 17.5 percent of all sign ups.\u003c/p>\n\u003cp>Meanwhile, Medi-Cal enrollment is ongoing. People can sign up anytime.\u003c/p>\n\u003cp>While the first open enrollment period is over, anyone who has what insurers call a \"qualifying life event\" -- they get married or divorced, have a baby, lose a job -- enters a \u003ca href=\"https://www.coveredca.com/coverage-basics/special-enrollment/\" target=\"_blank\">special enrollment period\u003c/a>. They have 60 days to sign up for insurance on Covered California.\u003c/p>\n\u003cp>\u003cem>Update: This post has been updated to clarify the CalSIM projection model. \u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"gnZmhFUyMKJt3CfZPsdYdUn57xGY1Toy\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Obamacare Means New Challenges for California's Safety Net Providers",
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"content": "\u003cfigure id=\"attachment_18694\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/RS9662_P1030281-hpf.jpg\">\u003cimg class=\"size-full wp-image-18694\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/RS9662_P1030281-hpf.jpg\" alt=\"Natividad Medical Center is a public hospital in Salinas. It's part of the system of safety net institutions that serve Californians with nowhere else to go. Even as health reform is implemented, millions of Californians will remain uninsured. (Lisa Morehouse/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9662_P1030281-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9662_P1030281-hpf-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9662_P1030281-hpf-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Natividad Medical Center is a public hospital in Salinas. It's part of the system of safety net institutions that serve Californians with nowhere else to go. Even as health reform is implemented, millions of Californians will remain uninsured. (Lisa Morehouse/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lisa Morehouse\u003c/strong>\u003c/p>\n\u003cp>California leads the nation in the number of people getting insurance through the Affordable Care Act. But now that the final deadline has come and gone on Tuesday, millions are still left uninsured. These people will still turn to community clinics and public hospitals for care -- they are the safety net institutions that serve Californians with nowhere else to go. But as the ACA is implemented, those institutions are facing changes.\u003c/p>\n\u003cp>One such place is Centro Medico. It's tucked away in a corner of a shopping center in Cathedral City, a predominantly Latino bedroom community sandwiched between the resort towns of Palm Springs and Rancho Mirage. Here is where many hospitality workers who serve the neighboring resorts live.\u003c/p>\n\u003cp>Centro Medico's manager, Daisy Morfin, sees a lot of pent-up need for medical care. Since enrollment in the Affordable Care Act started last fall, she says the clinic is getting up to 10 new patients a day.\u003c/p>\n\u003cp>Many are people who have qualified for health insurance for the first time in years -- or ever.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Now they’re coming, and we need to take care of multiple chronic issues,” she says. “We’re having to deal with a lot of referrals, a lot of things that need to be taken care of, medication that hasn’t been adjusted in months. It’s a big difference.”\u003c/p>\n\u003cp>Right now, the workload is heavier for everyone, but Morfin’s not complaining. She believes that after these new patients get their needs met, the volume of appointments will drop, and she’s happy to see them taken care of. Joanna Ramos thinks so too. She's a counselor at Centro Medico.\u003c/p>\n\u003cp>“It is very satisfying,\" Ramos says, \"especially for those that come in and they’ve been discouraged in the past.”\u003c/p>\n\u003cp>Under the Affordable Care Act, people can get help in obtaining insurance in two main ways. One is through expanded Medi-Cal, the state's version of Medicaid. It's available at little or even no cost to people who are low income. The other is through Covered California, the state's marketplace for private insurance. Those who qualify can get a subsidy to help them pay for insurance.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/145012213&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>And millions of Californians have signed up -- more than 1.2 million in Covered California and nearly 2 million in Medi-Cal.\u003c/p>\n\u003cp>The problem is that some people say that even with the subsidy, the insurance is not affordable.\u003c/p>\n\u003cp>“I’ve had some that refused to enroll, they leave upset,” Ramos says. “There’s nothing much I can say. ‘I’m sorry that’s what you qualified for.’”\u003c/p>\n\u003cp>The clinic also sees a lot of patients who are undocumented, a group that’s explicitly excluded from getting insurance under the Affordable Care Act.\u003c/p>\n\u003cp>“We have a lot of households where everyone has legal status except for like, mom,” Ramos says. “We’ve seen that a lot.”\u003c/p>\n\u003cp>People who remain uninsured are at risk of not getting care they need. Safety net clinics and hospitals all over the state, like Centro Medico, are facing new challenges in serving them.\u003c/p>\n\u003cp>\u003cstrong>Changing Sources of Revenue\u003c/strong>\u003c/p>\n\u003cp>Dr. Gary Gray is a family doctor and chief medical officer at Natividad Medical Center in the Monterey County town of Salinas.\u003c/p>\n\u003cp>“We’ve always taken all comers without regard to payer source,” he says.\u003c/p>\n\u003cp>From almost every window at Natividad you can see row crops. A large number of patients here are farmworkers.\u003c/p>\n\u003cp>“I think it’s fitting that we come to work and look out at fields every day,” Gray says. “It reminds us of who we are and our mission and responsibilities.”\u003c/p>\n\u003cp>Monterey County is projected to have the \u003ca href=\"http://www.countyhealthrankings.org/app/california/2014/measure/factors/85/map\" target=\"_blank\">second-highest proportion\u003c/a> of uninsured people in the state as the Affordable Care Act is implemented. (Number one is Los Angeles county.) Historically, state and federal programs compensated safety net hospitals like Natividad. Now, as more patients obtain insurance, that funding is being cut. That puts more pressure on hospitals like this one to hold onto the patients who now have insurance in order to subsidize those who don’t.\u003c/p>\n\u003cp>“With the changing demographics of insured populations, we will all have to work a little harder,” he says. “I think that’s a positive challenge, not a negative challenge.”\u003c/p>\n\u003cp>In some ways, Natividad may be in a good position to meet that challenge. The hospital has focused on welcoming the county’s most needy patients for years. The cafeteria is filled with beautiful photographs of local produce many of their patients pick. Hallways are lined with Mexican-style murals featuring patients, doctors, and MRI machines. Over the last several years the hospital expanded its specialty services like pain management, dermatology, and spine surgery.\u003c/p>\n\u003cp>“Some of those services weren’t previously available to our patients in Monterey County at all,” Gray says.\u003c/p>\n\u003cp>\u003cem>Lisa Morehouse reported this story for the \u003ca href=\"http://www.reportingonhealth.org/fellowships/seminars\" target=\"_blank\">2014 California Endowment Health Journalism Fellowship,\u003c/a> a program of USC's \u003ca href=\"http://annenberg.usc.edu/Home/AcademicPrograms/Jour.aspx\" target=\"_blank\">Annenberg School for Journalism and Communication. \u003c/a>\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"LojsrBhK9I62C2cVUR6EWNFPRzUBsvXF\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18694\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/RS9662_P1030281-hpf.jpg\">\u003cimg class=\"size-full wp-image-18694\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/RS9662_P1030281-hpf.jpg\" alt=\"Natividad Medical Center is a public hospital in Salinas. It's part of the system of safety net institutions that serve Californians with nowhere else to go. Even as health reform is implemented, millions of Californians will remain uninsured. (Lisa Morehouse/KQED)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9662_P1030281-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9662_P1030281-hpf-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/04/RS9662_P1030281-hpf-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Natividad Medical Center is a public hospital in Salinas. It's part of the system of safety net institutions that serve Californians with nowhere else to go. Even as health reform is implemented, millions of Californians will remain uninsured. (Lisa Morehouse/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lisa Morehouse\u003c/strong>\u003c/p>\n\u003cp>California leads the nation in the number of people getting insurance through the Affordable Care Act. But now that the final deadline has come and gone on Tuesday, millions are still left uninsured. These people will still turn to community clinics and public hospitals for care -- they are the safety net institutions that serve Californians with nowhere else to go. But as the ACA is implemented, those institutions are facing changes.\u003c/p>\n\u003cp>One such place is Centro Medico. It's tucked away in a corner of a shopping center in Cathedral City, a predominantly Latino bedroom community sandwiched between the resort towns of Palm Springs and Rancho Mirage. Here is where many hospitality workers who serve the neighboring resorts live.\u003c/p>\n\u003cp>Centro Medico's manager, Daisy Morfin, sees a lot of pent-up need for medical care. Since enrollment in the Affordable Care Act started last fall, she says the clinic is getting up to 10 new patients a day.\u003c/p>\n\u003cp>Many are people who have qualified for health insurance for the first time in years -- or ever.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Now they’re coming, and we need to take care of multiple chronic issues,” she says. “We’re having to deal with a lot of referrals, a lot of things that need to be taken care of, medication that hasn’t been adjusted in months. It’s a big difference.”\u003c/p>\n\u003cp>Right now, the workload is heavier for everyone, but Morfin’s not complaining. She believes that after these new patients get their needs met, the volume of appointments will drop, and she’s happy to see them taken care of. Joanna Ramos thinks so too. She's a counselor at Centro Medico.\u003c/p>\n\u003cp>“It is very satisfying,\" Ramos says, \"especially for those that come in and they’ve been discouraged in the past.”\u003c/p>\n\u003cp>Under the Affordable Care Act, people can get help in obtaining insurance in two main ways. One is through expanded Medi-Cal, the state's version of Medicaid. It's available at little or even no cost to people who are low income. The other is through Covered California, the state's marketplace for private insurance. Those who qualify can get a subsidy to help them pay for insurance.\u003cstrong> \u003c/strong>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/145012213&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\u003cp>And millions of Californians have signed up -- more than 1.2 million in Covered California and nearly 2 million in Medi-Cal.\u003c/p>\n\u003cp>The problem is that some people say that even with the subsidy, the insurance is not affordable.\u003c/p>\n\u003cp>“I’ve had some that refused to enroll, they leave upset,” Ramos says. “There’s nothing much I can say. ‘I’m sorry that’s what you qualified for.’”\u003c/p>\n\u003cp>The clinic also sees a lot of patients who are undocumented, a group that’s explicitly excluded from getting insurance under the Affordable Care Act.\u003c/p>\n\u003cp>“We have a lot of households where everyone has legal status except for like, mom,” Ramos says. “We’ve seen that a lot.”\u003c/p>\n\u003cp>People who remain uninsured are at risk of not getting care they need. Safety net clinics and hospitals all over the state, like Centro Medico, are facing new challenges in serving them.\u003c/p>\n\u003cp>\u003cstrong>Changing Sources of Revenue\u003c/strong>\u003c/p>\n\u003cp>Dr. Gary Gray is a family doctor and chief medical officer at Natividad Medical Center in the Monterey County town of Salinas.\u003c/p>\n\u003cp>“We’ve always taken all comers without regard to payer source,” he says.\u003c/p>\n\u003cp>From almost every window at Natividad you can see row crops. A large number of patients here are farmworkers.\u003c/p>\n\u003cp>“I think it’s fitting that we come to work and look out at fields every day,” Gray says. “It reminds us of who we are and our mission and responsibilities.”\u003c/p>\n\u003cp>Monterey County is projected to have the \u003ca href=\"http://www.countyhealthrankings.org/app/california/2014/measure/factors/85/map\" target=\"_blank\">second-highest proportion\u003c/a> of uninsured people in the state as the Affordable Care Act is implemented. (Number one is Los Angeles county.) Historically, state and federal programs compensated safety net hospitals like Natividad. Now, as more patients obtain insurance, that funding is being cut. That puts more pressure on hospitals like this one to hold onto the patients who now have insurance in order to subsidize those who don’t.\u003c/p>\n\u003cp>“With the changing demographics of insured populations, we will all have to work a little harder,” he says. “I think that’s a positive challenge, not a negative challenge.”\u003c/p>\n\u003cp>In some ways, Natividad may be in a good position to meet that challenge. The hospital has focused on welcoming the county’s most needy patients for years. The cafeteria is filled with beautiful photographs of local produce many of their patients pick. Hallways are lined with Mexican-style murals featuring patients, doctors, and MRI machines. Over the last several years the hospital expanded its specialty services like pain management, dermatology, and spine surgery.\u003c/p>\n\u003cp>“Some of those services weren’t previously available to our patients in Monterey County at all,” Gray says.\u003c/p>\n\u003cp>\u003cem>Lisa Morehouse reported this story for the \u003ca href=\"http://www.reportingonhealth.org/fellowships/seminars\" target=\"_blank\">2014 California Endowment Health Journalism Fellowship,\u003c/a> a program of USC's \u003ca href=\"http://annenberg.usc.edu/Home/AcademicPrograms/Jour.aspx\" target=\"_blank\">Annenberg School for Journalism and Communication. \u003c/a>\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"LojsrBhK9I62C2cVUR6EWNFPRzUBsvXF\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The 2014 enrollment period for the Affordable Care Act closes tonight. For some people the new health law is a godsend. Others barely noticed its existence.\u003c/p>\n\u003cp>Donna Zeuli and her husband lost their insurance when he retired two years ago. Private insurers denied them both because of pre-existing conditions and the COBRA plan offered through his union was too expensive. So they decided to take their chances and wait for Obamacare to take effect.\u003c/p>\n\u003cp>Then, last fall, Zeuli had a mini stroke at her home in Magalia, Calif., in the foothills of Chico, and was rushed to the ER.\u003c/p>\n\u003cp>“You can’t believe the angst I had about not having insurance,” says Zeuli, 55. “The only thing I could think about was how much is this going to cost me. Do the minimum. But make sure I’m not gonna die.”\u003c!--more-->\u003c/p>\n\u003cp>She spent one night in the hospital and came out with an $11,000 bill. She says that’s why she was one of the first in line when the insurance marketplace opened in California.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“As soon as I was able to sign up,” she says. “As of January first, we had insurance.”\u003c/p>\n\u003cp>Bruce Bergren, 60, doesn't share the enthusiasm. He’s a carpenter in Hermosa Beach and he decided to watch the Obamacare deadline come and go.\u003c/p>\n\u003cp>“The problem is right now, business hasn’t been that good so it’s kind of an expense I can’t really afford,” he says.\u003c/p>\n\u003cp>He heard warnings about a tax penalty and reports about financial assistance from the government to make monthly premiums more affordable. But when it came down to it, Bergren had other budget priorities.\u003c/p>\n\u003cp>“I have some debt to get rid of and, rent’s high so that’s one of my biggest expenses,” he says. “And running a business, ya know, replacing tools and stuff, that’s not cheap.”\u003c/p>\n\u003cp>He says he's waiting for lawmakers to pass free, universal health care. Then he'll be interested.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For people who want to complete an application for a health plan, check www.coveredca.com for instructions. But act fast. The deadline is at 11:59 p.m. tonight.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“As soon as I was able to sign up,” she says. “As of January first, we had insurance.”\u003c/p>\n\u003cp>Bruce Bergren, 60, doesn't share the enthusiasm. He’s a carpenter in Hermosa Beach and he decided to watch the Obamacare deadline come and go.\u003c/p>\n\u003cp>“The problem is right now, business hasn’t been that good so it’s kind of an expense I can’t really afford,” he says.\u003c/p>\n\u003cp>He heard warnings about a tax penalty and reports about financial assistance from the government to make monthly premiums more affordable. But when it came down to it, Bergren had other budget priorities.\u003c/p>\n\u003cp>“I have some debt to get rid of and, rent’s high so that’s one of my biggest expenses,” he says. “And running a business, ya know, replacing tools and stuff, that’s not cheap.”\u003c/p>\n\u003cp>He says he's waiting for lawmakers to pass free, universal health care. Then he'll be interested.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For people who want to complete an application for a health plan, check www.coveredca.com for instructions. But act fast. The deadline is at 11:59 p.m. tonight.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_16736\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/154126477-e1387233135649.jpg\">\u003cimg class=\"size-large wp-image-16736\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/154126477-640x412.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"412\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Time's up.\u003c/p>\n\u003cp>After various extensions, the deadline to finish signing up for a health plan under the Affordable Care Act is here. People have until 11:59 p.m. Tuesday to complete their applications.\u003c/p>\n\u003caside class=\"pullquote alignleft\">If you don't have insurance you may have to pay a penalty on your taxes next year -- as much as 1 percent of income.\u003c/aside>\n\u003cp>Dana Howard from the state marketplace Covered California says the deadline is real. There will be no more grace periods for people who encounter long lines or technical difficulties on the website. There will be no special dispensation this time for people who wait until the last minute.\u003c/p>\n\u003cp>“We're not making up a new policy for people who have not taken this seriously,” Howard said. “This is your health. This is a new law.”\u003c!--more-->\u003c/p>\n\u003cp>Organizers with the Service Employees International Union (SEIU) hosted health fairs through the weekend where people who had trouble signing up online by the original March 31\u003csup>st\u003c/sup> deadline could get help in person. They have two fairs on Monday in Los Angeles and Sacramento.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I also find tons of people who say, ya know what, ‘I was able to get all the way through the process, but I didn't pick a plan. I wasn't sure,’” said Elliott Petty, an organizer overseeing fairs in LA.\u003c/p>\n\u003cp>After Tuesday, people will be able to sign up for insurance only if they have what is known as a “\u003ca href=\"https://www.coveredca.com/coverage-basics/special-enrollment/\" target=\"_blank\">qualifying life event\u003c/a>.”\u003c/p>\n\u003cp>“Things like get married, you have or you adopt a child, as well if you lose a job and therefore your health coverage goes out the door,” says Howard.\u003c/p>\n\u003cp>Enrollment in Medi-Cal, the state's no- or low-cost coverage for low-income people, has no deadline for enrollment. People who qualify can sign up anytime.\u003c/p>\n\u003cp>Those who do not have insurance in 2014 may have to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/24/how-tax-preparers-are-encouraging-obamacare-sign-ups/\" target=\"_blank\">pay a penalty\u003c/a> -- 1 percent of income or $95, whichever is greater.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"tCX67DgeJlWg6ajCbKdUSyvJHx0rVfJQ\"]\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16736\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/154126477-e1387233135649.jpg\">\u003cimg class=\"size-large wp-image-16736\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/154126477-640x412.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"412\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Time's up.\u003c/p>\n\u003cp>After various extensions, the deadline to finish signing up for a health plan under the Affordable Care Act is here. People have until 11:59 p.m. Tuesday to complete their applications.\u003c/p>\n\u003caside class=\"pullquote alignleft\">If you don't have insurance you may have to pay a penalty on your taxes next year -- as much as 1 percent of income.\u003c/aside>\n\u003cp>Dana Howard from the state marketplace Covered California says the deadline is real. There will be no more grace periods for people who encounter long lines or technical difficulties on the website. There will be no special dispensation this time for people who wait until the last minute.\u003c/p>\n\u003cp>“We're not making up a new policy for people who have not taken this seriously,” Howard said. “This is your health. This is a new law.”\u003c!--more-->\u003c/p>\n\u003cp>Organizers with the Service Employees International Union (SEIU) hosted health fairs through the weekend where people who had trouble signing up online by the original March 31\u003csup>st\u003c/sup> deadline could get help in person. They have two fairs on Monday in Los Angeles and Sacramento.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I also find tons of people who say, ya know what, ‘I was able to get all the way through the process, but I didn't pick a plan. I wasn't sure,’” said Elliott Petty, an organizer overseeing fairs in LA.\u003c/p>\n\u003cp>After Tuesday, people will be able to sign up for insurance only if they have what is known as a “\u003ca href=\"https://www.coveredca.com/coverage-basics/special-enrollment/\" target=\"_blank\">qualifying life event\u003c/a>.”\u003c/p>\n\u003cp>“Things like get married, you have or you adopt a child, as well if you lose a job and therefore your health coverage goes out the door,” says Howard.\u003c/p>\n\u003cp>Enrollment in Medi-Cal, the state's no- or low-cost coverage for low-income people, has no deadline for enrollment. People who qualify can sign up anytime.\u003c/p>\n\u003cp>Those who do not have insurance in 2014 may have to \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/24/how-tax-preparers-are-encouraging-obamacare-sign-ups/\" target=\"_blank\">pay a penalty\u003c/a> -- 1 percent of income or $95, whichever is greater.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"tCX67DgeJlWg6ajCbKdUSyvJHx0rVfJQ\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_18660\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/impact-house-1000px-e1397234248515.jpg\">\u003cimg class=\"size-large wp-image-18660\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/impact-house-1000px-640x426.jpg\" alt=\"Jessica Schabel, 19, is under treatment at the Impact Drug and Alcohol Treatment Center in Pasadena for heroin and methamphetamine addiction. Her insurance benefits only allowed for 30 days, but the facility paid for her to stay an additional 30 days to continue treatment. (Heidi de Marco/KHN)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jessica Schabel, 19, is under treatment at the Impact Drug and Alcohol Treatment Center in Pasadena for heroin and methamphetamine addiction. Her insurance benefits only allowed for 30 days, but the facility paid for her to stay an additional 30 days to continue treatment. (Heidi de Marco/KHN)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Anna Gorman\u003c/strong>, \u003ca href=\"http://www.kaiserhealthnews.org/stories/2014/april/10/substance-abuse-treatment-access-health-law.aspx?referrer=search\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>The nation’s health law has promised sweeping changes to help millions of people with drug or alcohol addiction get treatment. Many unable to afford services in the past now can receive them without first landing in jail or an emergency room, health officials say.\u003c/p>\n\u003caside class=\"pullquote alignleft\">An old law bars many residential drug treatment centers from billing Medicaid. \u003c/aside>\n\u003cp>\"There is no illness that will be more favorably affected [by the Affordable Care Act] than substance abuse,\" said A. Thomas McLellan, former U.S. deputy drug czar who now heads Treatment Research Institute in Philadelphia. \"This is the beginning of substance abuse disorders being part of mainstream health care.\"\u003c/p>\n\u003cp>The law requires that substance abuse treatment be offered to people newly insured through the insurance exchanges or Medicaid, the government health plan for the poor and disabled.\u003c/p>\n\u003cp>But serious impediments remain to widespread access, including a shortage of substance abuse providers and available beds nationwide, say treatment experts and government officials.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We don't have enough capacity right now,\" said Becky Vaughn, executive director of State Associations of Addiction Services in Washington, D.C.\u003c/p>\n\u003cp>More than 23 million Americans needed treatment for an alcohol or drug problem in 2012 but only about 11 percent received it, according to estimates from the federal Substance Abuse and Mental Health Services Administration (SAMHSA).\u003c/p>\n\u003cp id=\"yui_3_13_0_ym1_1_1396032296675_18810\">One significant barrier to access is that drug treatment centers with more than 16 beds can't bill Medicaid for residential services provided to low-income adults. The restriction steams from a decades-old federal law designed to prevent Medicaid dollars from funding private mental institutions. The purpose was to avoid warehousing of mental patients, treatment providers said.\u003c/p>\n\u003cp>As a result of the limitation, drug rehabilitation centers across the nation are turning away new Medicaid beneficiaries who need residential treatment and now are entitled to receive it under Obamacare.\u003c/p>\n\u003cp>\"The unintended consequence is that you are discriminating against an adult who needs help,\" said Elizabeth Stanley-Salazar, a vice president at the Phoenix House, which offers drug treatment in a dozen states, including California, Florida and Virgina. \"We don't do that for any other illness or disease. … Everyone recognizes that it needs to be fixed.\"\u003c/p>\n\u003cp>\u003cstrong>\"Dumb\" Restriction Doesn't Work Economically or Patients\u003c/strong>\u003c/p>\n\u003cp>Health officials and treatment centers have raised concerns about the restriction.\u003c/p>\n\u003cp>Toby Douglas heads California's Department of Health Care Services. In a letter to the Centers for Medicare & Medicaid Services last month, he said that just 10 percent of the available inpatient beds in the state are in facilities that meet the federal government’s size restrictions. He asked the federal government to give the state some flexibility in counting beds.\u003c/p>\n\u003cp>Similarly, the vast majority of the substance abuse treatment in Colorado is located in centers with more than 16 beds, said Arthur Schut, chief executive officer of Denver-based Arapahoe House. There are ongoing conversations among treatment providers statewide about how to legally get around the restriction so they can offer the newly available benefits to more people, he said.\u003c/p>\n\u003cp>\"Everyone is in agreement about how dumb this is,\" he said. \"It doesn't work economically and it doesn't work for the people seeking treatment.\u003c/p>\n\u003cp>There are no plans to change the law, said Suzanne Fields, a SAMHSA senior advisor on health care financing. The federal government is working with states on other options, including treating patients under programs paid for with other federal money.\u003c/p>\n\u003cp>Fields said federal health officials are also meeting with insurance plans and trade groups to provide information and help them ease the transition to the new system of expanded benefits.\u003c/p>\n\u003cp>In the past, many people didn't have access to substance abuse treatment because they were uninsured or their policies didn't cover it. The majority of states also did not include substance abuse benefits or only offered bare-bones coverage through Medicaid.\u003c/p>\n\u003cp>\"These are services that have not been covered or haven't been covered very well,\" said Dan Belnap, senior health policy analyst at Legal Action Center, a nonprofit advocacy group based in New York. \"There is a lot of ground to make up.\"\u003c/p>\n\u003cp>In addition to the protections under the Affordable Care Act, long-awaited rules for another federal law -- the Mental Health Parity and Addiction Equity Act -- were released late last year requiring that coverage for substance abuse and mental health treatment not be more restrictive than other medical coverage. For example, insurance companies can't have different rules for co-payments or visit limits for substance abuse or other behavioral issues than for medical issues.\u003c/p>\n\u003cp>The expansion of coverage and services is also expected to lower health care spending. Illicit drug use in the U.S. costs more than $190 billion, including from lost productivity and on health care expenditures, according to estimates from the federal government.\u003c/p>\n\u003cp>Still, some of the reforms have sometimes been slow to take root.\u003c/p>\n\u003cp>For example, despite the new coverage and protections, treatment centers said they are continuing to fight with insurance plans over how long they can keep patients in care. The law does not specify length or intensity of treatment.\u003c/p>\n\u003cp>\"This is disease in which continued treatment is essential,\" said David Rosenbloom, a professor at Boston University School of Public Health. \"If the new law is implemented by managed care companies with short leashes, they will undo its potential efficacy.\"\u003c/p>\n\u003cp>Les Sperling, chief executive officer of the Central Kansas Foundation, said there is significant pressure by insurance companies to shorten the length of time people are in residential care. \"There is that natural tension between a payer and a provider that continues,\" he said.\u003c/p>\n\u003cp>At the Impact Drug and Alcohol Treatment Center in Pasadena, Calif., administrators said they constantly are trying to persuade insurance plans to pay for longer stays. \"We have to paint a picture for the insurance companies of this sick person who needs a lot more help,\" said Mark Paquet, admissions director.\u003c/p>\n\u003cp>\u003cstrong>Recovery from Addiction \"Takes a Long Time\"\u003c/strong>\u003c/p>\n\u003cp>Take 19-year-old Jessica Schabel from Yucaipa, Calif., who is covered through her parents' plan. Her insurance benefits ran out after 30 days but administrators could not get the treatment extended. The facility paid for her to stay an additional 30 days.\u003c/p>\n\u003cp>Outside in the garden, where she sat down to eat a hamburger, Schabel explained that she dropped out of high school and has been arrested numerous times. She started using heroin and methamphetamine when she was 15, a habit Schabel said she supported by selling drugs.\u003c/p>\n\u003cp>\"For people who have used for years, it takes a long time to break that habit,\" she said.\u003c/p>\n\u003cp>Providing care for patients dealing with substance abuse has long been a priority, but plans are now doing what's necessary to meet the new requirements, said Clare Krusing, spokeswoman for America's Health Insurance Plans. Plans are basing their coverage decisions on what the evidence shows is \"proven to be safe and effective for a particular patient given a particular condition,\" she said.\u003c/p>\n\u003cp>Even with all of the unanswered questions and obstacles, the new benefits are a relief for those covered under Obamacare, said Tom Delegatto, executive director of business development for Gateway Foundation in Illinois.\u003c/p>\n\u003cp>\"Nobody is jumping for joy when they have to go into substance abuse treatment,\" he said. \"But they are grateful to have the ability to pay for it. ... They have an opportunity they did not have before.\"\u003c/p>\n\u003cp>\u003cem>Kaiser Health News (KHN) is a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003c/em>\u003ca href=\"http://www.kff.org/\">\u003cstrong>\u003cem>Kaiser Family Foundation\u003c/em>\u003c/strong>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"DWtxiJ5y7LUnWUj9Azjujxpa4z2EmjL5\"]\u003c/p>\n\n",
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"excerpt": "While the ACA is intended to cover substance abuse treatment, an older law bars many residential drug treatment centers from billing Medicaid. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18660\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/impact-house-1000px-e1397234248515.jpg\">\u003cimg class=\"size-large wp-image-18660\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/impact-house-1000px-640x426.jpg\" alt=\"Jessica Schabel, 19, is under treatment at the Impact Drug and Alcohol Treatment Center in Pasadena for heroin and methamphetamine addiction. Her insurance benefits only allowed for 30 days, but the facility paid for her to stay an additional 30 days to continue treatment. (Heidi de Marco/KHN)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jessica Schabel, 19, is under treatment at the Impact Drug and Alcohol Treatment Center in Pasadena for heroin and methamphetamine addiction. Her insurance benefits only allowed for 30 days, but the facility paid for her to stay an additional 30 days to continue treatment. (Heidi de Marco/KHN)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Anna Gorman\u003c/strong>, \u003ca href=\"http://www.kaiserhealthnews.org/stories/2014/april/10/substance-abuse-treatment-access-health-law.aspx?referrer=search\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>The nation’s health law has promised sweeping changes to help millions of people with drug or alcohol addiction get treatment. Many unable to afford services in the past now can receive them without first landing in jail or an emergency room, health officials say.\u003c/p>\n\u003caside class=\"pullquote alignleft\">An old law bars many residential drug treatment centers from billing Medicaid. \u003c/aside>\n\u003cp>\"There is no illness that will be more favorably affected [by the Affordable Care Act] than substance abuse,\" said A. Thomas McLellan, former U.S. deputy drug czar who now heads Treatment Research Institute in Philadelphia. \"This is the beginning of substance abuse disorders being part of mainstream health care.\"\u003c/p>\n\u003cp>The law requires that substance abuse treatment be offered to people newly insured through the insurance exchanges or Medicaid, the government health plan for the poor and disabled.\u003c/p>\n\u003cp>But serious impediments remain to widespread access, including a shortage of substance abuse providers and available beds nationwide, say treatment experts and government officials.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We don't have enough capacity right now,\" said Becky Vaughn, executive director of State Associations of Addiction Services in Washington, D.C.\u003c/p>\n\u003cp>More than 23 million Americans needed treatment for an alcohol or drug problem in 2012 but only about 11 percent received it, according to estimates from the federal Substance Abuse and Mental Health Services Administration (SAMHSA).\u003c/p>\n\u003cp id=\"yui_3_13_0_ym1_1_1396032296675_18810\">One significant barrier to access is that drug treatment centers with more than 16 beds can't bill Medicaid for residential services provided to low-income adults. The restriction steams from a decades-old federal law designed to prevent Medicaid dollars from funding private mental institutions. The purpose was to avoid warehousing of mental patients, treatment providers said.\u003c/p>\n\u003cp>As a result of the limitation, drug rehabilitation centers across the nation are turning away new Medicaid beneficiaries who need residential treatment and now are entitled to receive it under Obamacare.\u003c/p>\n\u003cp>\"The unintended consequence is that you are discriminating against an adult who needs help,\" said Elizabeth Stanley-Salazar, a vice president at the Phoenix House, which offers drug treatment in a dozen states, including California, Florida and Virgina. \"We don't do that for any other illness or disease. … Everyone recognizes that it needs to be fixed.\"\u003c/p>\n\u003cp>\u003cstrong>\"Dumb\" Restriction Doesn't Work Economically or Patients\u003c/strong>\u003c/p>\n\u003cp>Health officials and treatment centers have raised concerns about the restriction.\u003c/p>\n\u003cp>Toby Douglas heads California's Department of Health Care Services. In a letter to the Centers for Medicare & Medicaid Services last month, he said that just 10 percent of the available inpatient beds in the state are in facilities that meet the federal government’s size restrictions. He asked the federal government to give the state some flexibility in counting beds.\u003c/p>\n\u003cp>Similarly, the vast majority of the substance abuse treatment in Colorado is located in centers with more than 16 beds, said Arthur Schut, chief executive officer of Denver-based Arapahoe House. There are ongoing conversations among treatment providers statewide about how to legally get around the restriction so they can offer the newly available benefits to more people, he said.\u003c/p>\n\u003cp>\"Everyone is in agreement about how dumb this is,\" he said. \"It doesn't work economically and it doesn't work for the people seeking treatment.\u003c/p>\n\u003cp>There are no plans to change the law, said Suzanne Fields, a SAMHSA senior advisor on health care financing. The federal government is working with states on other options, including treating patients under programs paid for with other federal money.\u003c/p>\n\u003cp>Fields said federal health officials are also meeting with insurance plans and trade groups to provide information and help them ease the transition to the new system of expanded benefits.\u003c/p>\n\u003cp>In the past, many people didn't have access to substance abuse treatment because they were uninsured or their policies didn't cover it. The majority of states also did not include substance abuse benefits or only offered bare-bones coverage through Medicaid.\u003c/p>\n\u003cp>\"These are services that have not been covered or haven't been covered very well,\" said Dan Belnap, senior health policy analyst at Legal Action Center, a nonprofit advocacy group based in New York. \"There is a lot of ground to make up.\"\u003c/p>\n\u003cp>In addition to the protections under the Affordable Care Act, long-awaited rules for another federal law -- the Mental Health Parity and Addiction Equity Act -- were released late last year requiring that coverage for substance abuse and mental health treatment not be more restrictive than other medical coverage. For example, insurance companies can't have different rules for co-payments or visit limits for substance abuse or other behavioral issues than for medical issues.\u003c/p>\n\u003cp>The expansion of coverage and services is also expected to lower health care spending. Illicit drug use in the U.S. costs more than $190 billion, including from lost productivity and on health care expenditures, according to estimates from the federal government.\u003c/p>\n\u003cp>Still, some of the reforms have sometimes been slow to take root.\u003c/p>\n\u003cp>For example, despite the new coverage and protections, treatment centers said they are continuing to fight with insurance plans over how long they can keep patients in care. The law does not specify length or intensity of treatment.\u003c/p>\n\u003cp>\"This is disease in which continued treatment is essential,\" said David Rosenbloom, a professor at Boston University School of Public Health. \"If the new law is implemented by managed care companies with short leashes, they will undo its potential efficacy.\"\u003c/p>\n\u003cp>Les Sperling, chief executive officer of the Central Kansas Foundation, said there is significant pressure by insurance companies to shorten the length of time people are in residential care. \"There is that natural tension between a payer and a provider that continues,\" he said.\u003c/p>\n\u003cp>At the Impact Drug and Alcohol Treatment Center in Pasadena, Calif., administrators said they constantly are trying to persuade insurance plans to pay for longer stays. \"We have to paint a picture for the insurance companies of this sick person who needs a lot more help,\" said Mark Paquet, admissions director.\u003c/p>\n\u003cp>\u003cstrong>Recovery from Addiction \"Takes a Long Time\"\u003c/strong>\u003c/p>\n\u003cp>Take 19-year-old Jessica Schabel from Yucaipa, Calif., who is covered through her parents' plan. Her insurance benefits ran out after 30 days but administrators could not get the treatment extended. The facility paid for her to stay an additional 30 days.\u003c/p>\n\u003cp>Outside in the garden, where she sat down to eat a hamburger, Schabel explained that she dropped out of high school and has been arrested numerous times. She started using heroin and methamphetamine when she was 15, a habit Schabel said she supported by selling drugs.\u003c/p>\n\u003cp>\"For people who have used for years, it takes a long time to break that habit,\" she said.\u003c/p>\n\u003cp>Providing care for patients dealing with substance abuse has long been a priority, but plans are now doing what's necessary to meet the new requirements, said Clare Krusing, spokeswoman for America's Health Insurance Plans. Plans are basing their coverage decisions on what the evidence shows is \"proven to be safe and effective for a particular patient given a particular condition,\" she said.\u003c/p>\n\u003cp>Even with all of the unanswered questions and obstacles, the new benefits are a relief for those covered under Obamacare, said Tom Delegatto, executive director of business development for Gateway Foundation in Illinois.\u003c/p>\n\u003cp>\"Nobody is jumping for joy when they have to go into substance abuse treatment,\" he said. \"But they are grateful to have the ability to pay for it. ... They have an opportunity they did not have before.\"\u003c/p>\n\u003cp>\u003cem>Kaiser Health News (KHN) is a nonprofit news organization covering health care policy and politics. It is an editorially independent program of the \u003c/em>\u003ca href=\"http://www.kff.org/\">\u003cstrong>\u003cem>Kaiser Family Foundation\u003c/em>\u003c/strong>\u003c/a>\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Analysis: Nearly 500,000 Uninsured Now Covered on California Exchange",
"title": "Analysis: Nearly 500,000 Uninsured Now Covered on California Exchange",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_16531\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/450630139-e1386185604738.jpg\">\u003cimg class=\"size-large wp-image-16531\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/450630139-640x426.jpg\" alt=\"Certified specialist helps a consumer apply to Covered California at a free enrollment fair at Pasadena City College. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Certified specialist helps a consumer apply to Covered California at a free enrollment fair at Pasadena City College. (David McNew/Getty Images) \u003ccite>(David McNew/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn, \u003c/strong>\u003ca href=\"http://www.californiahealthline.org/insight/2014/part-of-early-exchange-success-due-to-insuring-the-already-insured\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>No one knows yet exactly how many of the 1.2 million people enrolled so far in Covered California were previously uninsured -- but one person has a pretty good guess.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Over the next few years at the exchange, we expect to see much higher numbers of the previously uninsured.\" \u003c/aside>\n\u003cp>Ken Jacobs, chair of the Labor Center at UC-Berkeley, projects about 39 percent of enrollees were previously uninsured, or roughly 468,000 people. (With \u003ca href=\"http://www.scpr.org/news/2014/04/10/43424/covered-california-health-enrollment-charging-ahea/\" target=\"_blank\">Thursday's announcement \u003c/a>of an additional 70,000 people enrolled on Covered California during the grace period, it's reasonable that the number of previously-insured-now-covered will rise.)\u003c/p>\n\u003cp>That means it's likely that 61 percent of Covered California enrollees already had health insurance.\u003c/p>\n\u003cp>\"One reason is you have to look at who was expected to enroll in the exchange, and there were two large groups,\" Jacobs said. \"One of those groups is the people in the individual market.\"\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Jacobs helped put together CalSIM -- the California Simulation of Insurance Markets -- used by Covered California to make enrollment and coverage decisions.\u003c/p>\n\u003cp>\u003cstrong>'The Lower-Hanging Fruit'\u003c/strong>\u003c/p>\n\u003cp>CalSIM projected that about 570,000 people with insurance through the individual market would migrate to coverage under the exchange, looking for better coverage and better prices. That number is relatively small compared with the roughly 2.6 million who are eligible for subsidies under the exchange -- but it's a motivated bunch, Jacobs said.\u003c/p>\n\u003cp>\"They've shown a desire for coverage, so we would expect them to enroll first,\" he said.\u003c/p>\n\u003cp>\"It's sort of the lower-hanging fruit of the exchange,\" said John Connolly, associate director at the Insure the Uninsured Project. \"It made sense for them to transfer into this environment.\"\u003c/p>\n\u003cp>Connolly added that because Covered California exceeded its initial enrollment targets, the number of enrollees who were previously uninsured could be higher. \"It'll be interesting to see the numbers when the final results are released,\" he said.\u003c/p>\n\u003cp>\"Over the next few years at the exchange, we expect to see much higher numbers of the previously uninsured,\" Jacobs said.\u003c/p>\n\u003cp>\"Again, this result [for this particular first enrollment period] is largely because of the overall high take-up rate for this group,\" Jacobs said, with an estimated 94 percent take-up rate by those in the individual market.\u003c/p>\n\u003cp>\u003cstrong>'All of Us at Some Point' Are Uninsured\u003c/strong>\u003c/p>\n\u003cp>According to CalSIM, there were roughly 5.4 million uninsured people in California last year. That's a bit of a fungible statistic, Jacobs said, because it's those people who were uninsured at some point during the year -- but not the entire year.\u003c/p>\n\u003cp>There was likely a high rate of uninsured enrolling in Medi-Cal, California's Medicaid program, through the ACA's expansion, Jacobs said. The state reported that 1.9 million Californians signed up for Medi-Cal through the end of March when the exchange's open enrollment period ended.\u003c/p>\n\u003cp>In contrast with the exchanges, \"we would expect 75 percent of newly eligible Medi-Cal enrollees to have been previously uninsured,\" Jacobs said.\u003c/p>\n\u003cp>\"When you ask most people to explain health care reform, it would be to insure the uninsured, but that's not really who the exchange is enrolling,\" said Micah Weinberg, a senior policy advisor for the Bay Area Council. He said the exchange is more likely to enroll people who are \"frictionally uninsured\" -- people who have cycled in and out of coverage because of fluctuations in income or employment, a phenomenon known as churning.\u003c/p>\n\u003cp>\"So they're people who had COBRA (Consolidated Omnibus Budget Reconciliation Act) coverage, but it ran out before they got a new job. Or they had Medicaid and got job-based coverage, or they lost their job and applied for Medicaid but never got it. Or they're young and had health insurance through their parents.\"\u003c/p>\n\u003cp>The point is, he said, \"The uninsured are not some 50 million Americans who are living at the margins of society,\" Weinberg said. \"Really, it's all of us at some point in time.\"\u003c/p>\n\u003cp>\"[The individual market] has always been a place where you have lots of people coming in and out,\" Jacobs said. \"What this does is create a much stronger safety net, so people have a place to land if they have changes.\"\u003c/p>\n\u003cp>\"It's about creating economic security for those moments when people go through transitions,\" Weinberg said.\u003c/p>\n\u003cp>Weinberg said the way the exchange will be successful is by helping to establish a \"culture of coverage\" popularized by exchange board member Kim Belshé.\u003c/p>\n\u003cp>That's why it doesn't much matter how steep a percentage there is of the previously insured in the exchange because the idea is that people will still have continuity of care whenever they move among Medi-Cal, the exchange and employer-based insurance, he said.\u003c/p>\n\u003cp>\"It is a constant process,\" Weinberg said. \"We need to be engaging people to realize they have coverage options and to take advantage of them.\"\u003c/p>\n\u003cp>\u003cstrong>Some Projections Nailed, Some Missed\u003c/strong>\u003c/p>\n\u003cp>About 85 percent of the 1.2 million people in Covered California so far are \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/02/why-some-dont-pay-their-covered-california-premium-its-not-what-you-think/\" target=\"_blank\">expected to pay the premiums \u003c/a>and get coverage. That's close to the enhanced scenario projected by CalSIM of 1.2 million Californians who would pay for coverage in 2014. A second, shorter enrollment period begins in November.\u003c/p>\n\u003cp>The projection nailed the number of subsidy-eligible participants, as well, which it pegged at about 85 percent of enrollees.\u003c/p>\n\u003cp>The Latino enrollment and \"young invincibles\" numbers were also close, while enrollment among the Asian and African-American populations were way off. African-Americans enrolled in much lower numbers than projected, and the Asian community enrolled at a much higher rate than expected.\u003c/p>\n\u003cp>\"People respond to financial incentives in predictable ways, and these were economic simulations,\" Weinberg said. One of the reasons the projections \"were so spot-on is that this was not a political exercise,\" Weinberg said. \"It was a modeling exercise. It was a planning document, not a political document. So they had a lot invested in the accuracy of the numbers.\"\u003c/p>\n\u003cp>Connolly said the next step is to get the actual numbers and figure out where resources and effort need to be spent.\u003c/p>\n\u003cp>\"Let's wait and see for the enrollment data, and see how many remaining uninsured there are, that's the first thing,\" he said. \"We all feel this is the first step, and this is a multi-year project. It's going to take some time before we see the culture of coverage.\"\u003c/p>\n\u003cp>\"It's important to remember,\" Jacobs said, \"there has been a significant reform of the [individual] non-group market, which has always been marked by significant volatility, where rates were continually going up, where products were continually dropped. If they have coverage that's more comprehensive, more affordable and they don't face the same barriers as in the past, the whole dynamic of that market is changing.\"\u003c/p>\n\u003cp>It will take a few months to see how it all settles out, Jacobs said.\u003c/p>\n\u003cp>But one thing is clear, he said: \"Even in year one, it's already made a serious impact among the uninsured, and we expect that to increase over time.\"\u003c/p>\n\u003cp>\"The important thing right now is to evaluate carefully and see where resources need to be spent,\" he said. \"Clearly the Latino community is where work will need to be done.\"\u003c/p>\n\u003cp>\"This is actually causing me to take a moment and celebrate. A short moment,\" Weinberg said. \"That's the thing about California, everyone has been working really hard on this, and lo and behold, we've been the Shabazz Napier of health care,\" he said, referring to the star of the University of Connecticut college basketball team.\u003c/p>\n\u003cp>\"We're in the Final Four, but we haven't won the championship,\" Weinberg said. \"Everyone deserves to be happy for a moment, but there's a game next week.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"qQOlB7nroCtWaJf8ApiM0VgcPbJBjPIS\"]\u003c/p>\n\n",
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"excerpt": "And of the 1.9 million newly enrolled in Medi-Cal, 75 percent were previously uninsured. That's another 1.4 million people.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16531\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/450630139-e1386185604738.jpg\">\u003cimg class=\"size-large wp-image-16531\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/450630139-640x426.jpg\" alt=\"Certified specialist helps a consumer apply to Covered California at a free enrollment fair at Pasadena City College. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Certified specialist helps a consumer apply to Covered California at a free enrollment fair at Pasadena City College. (David McNew/Getty Images) \u003ccite>(David McNew/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn, \u003c/strong>\u003ca href=\"http://www.californiahealthline.org/insight/2014/part-of-early-exchange-success-due-to-insuring-the-already-insured\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>No one knows yet exactly how many of the 1.2 million people enrolled so far in Covered California were previously uninsured -- but one person has a pretty good guess.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Over the next few years at the exchange, we expect to see much higher numbers of the previously uninsured.\" \u003c/aside>\n\u003cp>Ken Jacobs, chair of the Labor Center at UC-Berkeley, projects about 39 percent of enrollees were previously uninsured, or roughly 468,000 people. (With \u003ca href=\"http://www.scpr.org/news/2014/04/10/43424/covered-california-health-enrollment-charging-ahea/\" target=\"_blank\">Thursday's announcement \u003c/a>of an additional 70,000 people enrolled on Covered California during the grace period, it's reasonable that the number of previously-insured-now-covered will rise.)\u003c/p>\n\u003cp>That means it's likely that 61 percent of Covered California enrollees already had health insurance.\u003c/p>\n\u003cp>\"One reason is you have to look at who was expected to enroll in the exchange, and there were two large groups,\" Jacobs said. \"One of those groups is the people in the individual market.\"\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Jacobs helped put together CalSIM -- the California Simulation of Insurance Markets -- used by Covered California to make enrollment and coverage decisions.\u003c/p>\n\u003cp>\u003cstrong>'The Lower-Hanging Fruit'\u003c/strong>\u003c/p>\n\u003cp>CalSIM projected that about 570,000 people with insurance through the individual market would migrate to coverage under the exchange, looking for better coverage and better prices. That number is relatively small compared with the roughly 2.6 million who are eligible for subsidies under the exchange -- but it's a motivated bunch, Jacobs said.\u003c/p>\n\u003cp>\"They've shown a desire for coverage, so we would expect them to enroll first,\" he said.\u003c/p>\n\u003cp>\"It's sort of the lower-hanging fruit of the exchange,\" said John Connolly, associate director at the Insure the Uninsured Project. \"It made sense for them to transfer into this environment.\"\u003c/p>\n\u003cp>Connolly added that because Covered California exceeded its initial enrollment targets, the number of enrollees who were previously uninsured could be higher. \"It'll be interesting to see the numbers when the final results are released,\" he said.\u003c/p>\n\u003cp>\"Over the next few years at the exchange, we expect to see much higher numbers of the previously uninsured,\" Jacobs said.\u003c/p>\n\u003cp>\"Again, this result [for this particular first enrollment period] is largely because of the overall high take-up rate for this group,\" Jacobs said, with an estimated 94 percent take-up rate by those in the individual market.\u003c/p>\n\u003cp>\u003cstrong>'All of Us at Some Point' Are Uninsured\u003c/strong>\u003c/p>\n\u003cp>According to CalSIM, there were roughly 5.4 million uninsured people in California last year. That's a bit of a fungible statistic, Jacobs said, because it's those people who were uninsured at some point during the year -- but not the entire year.\u003c/p>\n\u003cp>There was likely a high rate of uninsured enrolling in Medi-Cal, California's Medicaid program, through the ACA's expansion, Jacobs said. The state reported that 1.9 million Californians signed up for Medi-Cal through the end of March when the exchange's open enrollment period ended.\u003c/p>\n\u003cp>In contrast with the exchanges, \"we would expect 75 percent of newly eligible Medi-Cal enrollees to have been previously uninsured,\" Jacobs said.\u003c/p>\n\u003cp>\"When you ask most people to explain health care reform, it would be to insure the uninsured, but that's not really who the exchange is enrolling,\" said Micah Weinberg, a senior policy advisor for the Bay Area Council. He said the exchange is more likely to enroll people who are \"frictionally uninsured\" -- people who have cycled in and out of coverage because of fluctuations in income or employment, a phenomenon known as churning.\u003c/p>\n\u003cp>\"So they're people who had COBRA (Consolidated Omnibus Budget Reconciliation Act) coverage, but it ran out before they got a new job. Or they had Medicaid and got job-based coverage, or they lost their job and applied for Medicaid but never got it. Or they're young and had health insurance through their parents.\"\u003c/p>\n\u003cp>The point is, he said, \"The uninsured are not some 50 million Americans who are living at the margins of society,\" Weinberg said. \"Really, it's all of us at some point in time.\"\u003c/p>\n\u003cp>\"[The individual market] has always been a place where you have lots of people coming in and out,\" Jacobs said. \"What this does is create a much stronger safety net, so people have a place to land if they have changes.\"\u003c/p>\n\u003cp>\"It's about creating economic security for those moments when people go through transitions,\" Weinberg said.\u003c/p>\n\u003cp>Weinberg said the way the exchange will be successful is by helping to establish a \"culture of coverage\" popularized by exchange board member Kim Belshé.\u003c/p>\n\u003cp>That's why it doesn't much matter how steep a percentage there is of the previously insured in the exchange because the idea is that people will still have continuity of care whenever they move among Medi-Cal, the exchange and employer-based insurance, he said.\u003c/p>\n\u003cp>\"It is a constant process,\" Weinberg said. \"We need to be engaging people to realize they have coverage options and to take advantage of them.\"\u003c/p>\n\u003cp>\u003cstrong>Some Projections Nailed, Some Missed\u003c/strong>\u003c/p>\n\u003cp>About 85 percent of the 1.2 million people in Covered California so far are \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/04/02/why-some-dont-pay-their-covered-california-premium-its-not-what-you-think/\" target=\"_blank\">expected to pay the premiums \u003c/a>and get coverage. That's close to the enhanced scenario projected by CalSIM of 1.2 million Californians who would pay for coverage in 2014. A second, shorter enrollment period begins in November.\u003c/p>\n\u003cp>The projection nailed the number of subsidy-eligible participants, as well, which it pegged at about 85 percent of enrollees.\u003c/p>\n\u003cp>The Latino enrollment and \"young invincibles\" numbers were also close, while enrollment among the Asian and African-American populations were way off. African-Americans enrolled in much lower numbers than projected, and the Asian community enrolled at a much higher rate than expected.\u003c/p>\n\u003cp>\"People respond to financial incentives in predictable ways, and these were economic simulations,\" Weinberg said. One of the reasons the projections \"were so spot-on is that this was not a political exercise,\" Weinberg said. \"It was a modeling exercise. It was a planning document, not a political document. So they had a lot invested in the accuracy of the numbers.\"\u003c/p>\n\u003cp>Connolly said the next step is to get the actual numbers and figure out where resources and effort need to be spent.\u003c/p>\n\u003cp>\"Let's wait and see for the enrollment data, and see how many remaining uninsured there are, that's the first thing,\" he said. \"We all feel this is the first step, and this is a multi-year project. It's going to take some time before we see the culture of coverage.\"\u003c/p>\n\u003cp>\"It's important to remember,\" Jacobs said, \"there has been a significant reform of the [individual] non-group market, which has always been marked by significant volatility, where rates were continually going up, where products were continually dropped. If they have coverage that's more comprehensive, more affordable and they don't face the same barriers as in the past, the whole dynamic of that market is changing.\"\u003c/p>\n\u003cp>It will take a few months to see how it all settles out, Jacobs said.\u003c/p>\n\u003cp>But one thing is clear, he said: \"Even in year one, it's already made a serious impact among the uninsured, and we expect that to increase over time.\"\u003c/p>\n\u003cp>\"The important thing right now is to evaluate carefully and see where resources need to be spent,\" he said. \"Clearly the Latino community is where work will need to be done.\"\u003c/p>\n\u003cp>\"This is actually causing me to take a moment and celebrate. A short moment,\" Weinberg said. \"That's the thing about California, everyone has been working really hard on this, and lo and behold, we've been the Shabazz Napier of health care,\" he said, referring to the star of the University of Connecticut college basketball team.\u003c/p>\n\u003cp>\"We're in the Final Four, but we haven't won the championship,\" Weinberg said. \"Everyone deserves to be happy for a moment, but there's a game next week.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Covered California Now Above 1.2 Million Enrollees -- with More Coming",
"title": "Covered California Now Above 1.2 Million Enrollees -- with More Coming",
"headTitle": "State of Health | KQED News",
"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>Covered California executive director Peter Lee testified before Congress Thursday morning. He used his 5-minutes to give a quick recap of what's gone right on the nation's biggest state-based exchange.\u003c/p>\n\u003cp>First, Lee released numbers of where Covered California stands as of Monday, the day open enrollment formally ended (although those who could not finish due to technical problems have \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\">until April 15 to finish\u003c/a>):\u003c/p>\n\u003cul>\n\u003cli>1.2 million people enrolled in Covered California\u003c/li>\n\u003cli>1.9 million newly-enrolled in Medi-Cal\u003c/li>\n\u003cli>800,000 people are likely eligible for Medi-Cal but waiting to be confirmed\u003c/li>\n\u003c/ul>\n\u003cp>\"This is close to four million Californians,\" Lee told the \u003ca href=\"http://oversight.house.gov/hearing/examining-obamacares-problem-filled-state-exchanges/\" target=\"_blank\">House Committee on Oversight Government Reform\u003c/a>. \"As of three days ago, California had brought coverage to more than 50 percent of those subsidy-eligible in the exchange.\"\u003c!--more-->\u003c/p>\n\u003cp>In 2013, 7 million people in California \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/C/PDF%20CaiforniaUninsured2013.pdf\" target=\"_blank\">were uninsured.\u003c/a> But because there was no question on the application as to insurance status, it is unclear how many people who are enrolled in insurance were previously.\u003c/p>\n\u003cp>California was the first state to pass legislation to create an exchange -- that was in 2010 just a few months after President Obama signed the Affordable Care Act into law. In that time, Covered California has gone from 10 employees to over 1,000. \"We are a very, very fast start-up that is working to change history,\" Lee said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lee pointed to three things that he says \"make an exchange work\" -- affordable health plans, effecting marketing and effective enrollment. He said he is optimistic that \"rates will stay competitive and affordable\" going forward. As for the overall marketing campaign, Lee said it was important to advertise and reach out across a demographic mix and across languages. More than 200 groups \"anchored in local communities\" were also critical to outreach, Lee said.\u003c/p>\n\u003cp>Despite the strong enrollment, Lee stressed that it has not all been perfect. \"It's been rocks. It's been bumpy, and it will continue to be rocky and bumpy,\" Lee said.\u003c/p>\n\u003cp>In a press call later Thursday morning with reporters, Lee broke out a few more numbers from the month of March and April 1\u003c/p>\n\u003cul>\n\u003cli>416,000 Californians completed applications and picked a plan during March.\u003c/li>\n\u003cli>500,000 people opened accounts in the last week of March but did not pick a plan\u003c/li>\n\u003cli>20,000 people finished their application on Tuesday, April 1\u003c/li>\n\u003c/ul>\n\u003cp>Of the 500,000 people who opened plans in the last week of March, Lee said he does not expect all of them will enroll in a plan by the April 15 deadline. About half, he estimates, will be determined eligible for Medi-Cal. Others may discover they're not eligible for a subsidy and enroll off the exchange, with a broker or directly to a health plan.\u003c/p>\n\u003cp>Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">has been criticized\u003c/a> for its outreach and lower enrollment of Latinos, but March saw \"huge growth\" with this group, Lee said. The number of enrollees who self-identified as Latino was up 65 percent. More than one in three applicants in March was Latino, Lee said, bringing the total up from 22 percent of all enrollees to 26 percent. The UC Berkeley Labor Center had estimated a base enrollment of 290,000 Latinos in Covered California. Enrollment as of March 31 is 252,000. Lee believes the number will go above the base projection but the April 15 final deadline.\u003c/p>\n\u003cp>Young adults ages 18-34 have also enrolled in lower numbers than their share of people eligible for subsidies. But their share also increased in March, from 26 percent to 28 percent of all enrollees.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"SEO90SfoDqqAUK0kHKqcKHll3XmlLsyB\"]\u003c/p>\n\n",
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"excerpt": "Plus, more than 500,000 people opened Covered California accounts in the last week of March.",
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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>Covered California executive director Peter Lee testified before Congress Thursday morning. He used his 5-minutes to give a quick recap of what's gone right on the nation's biggest state-based exchange.\u003c/p>\n\u003cp>First, Lee released numbers of where Covered California stands as of Monday, the day open enrollment formally ended (although those who could not finish due to technical problems have \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\">until April 15 to finish\u003c/a>):\u003c/p>\n\u003cul>\n\u003cli>1.2 million people enrolled in Covered California\u003c/li>\n\u003cli>1.9 million newly-enrolled in Medi-Cal\u003c/li>\n\u003cli>800,000 people are likely eligible for Medi-Cal but waiting to be confirmed\u003c/li>\n\u003c/ul>\n\u003cp>\"This is close to four million Californians,\" Lee told the \u003ca href=\"http://oversight.house.gov/hearing/examining-obamacares-problem-filled-state-exchanges/\" target=\"_blank\">House Committee on Oversight Government Reform\u003c/a>. \"As of three days ago, California had brought coverage to more than 50 percent of those subsidy-eligible in the exchange.\"\u003c!--more-->\u003c/p>\n\u003cp>In 2013, 7 million people in California \u003ca href=\"http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/C/PDF%20CaiforniaUninsured2013.pdf\" target=\"_blank\">were uninsured.\u003c/a> But because there was no question on the application as to insurance status, it is unclear how many people who are enrolled in insurance were previously.\u003c/p>\n\u003cp>California was the first state to pass legislation to create an exchange -- that was in 2010 just a few months after President Obama signed the Affordable Care Act into law. In that time, Covered California has gone from 10 employees to over 1,000. \"We are a very, very fast start-up that is working to change history,\" Lee said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lee pointed to three things that he says \"make an exchange work\" -- affordable health plans, effecting marketing and effective enrollment. He said he is optimistic that \"rates will stay competitive and affordable\" going forward. As for the overall marketing campaign, Lee said it was important to advertise and reach out across a demographic mix and across languages. More than 200 groups \"anchored in local communities\" were also critical to outreach, Lee said.\u003c/p>\n\u003cp>Despite the strong enrollment, Lee stressed that it has not all been perfect. \"It's been rocks. It's been bumpy, and it will continue to be rocky and bumpy,\" Lee said.\u003c/p>\n\u003cp>In a press call later Thursday morning with reporters, Lee broke out a few more numbers from the month of March and April 1\u003c/p>\n\u003cul>\n\u003cli>416,000 Californians completed applications and picked a plan during March.\u003c/li>\n\u003cli>500,000 people opened accounts in the last week of March but did not pick a plan\u003c/li>\n\u003cli>20,000 people finished their application on Tuesday, April 1\u003c/li>\n\u003c/ul>\n\u003cp>Of the 500,000 people who opened plans in the last week of March, Lee said he does not expect all of them will enroll in a plan by the April 15 deadline. About half, he estimates, will be determined eligible for Medi-Cal. Others may discover they're not eligible for a subsidy and enroll off the exchange, with a broker or directly to a health plan.\u003c/p>\n\u003cp>Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">has been criticized\u003c/a> for its outreach and lower enrollment of Latinos, but March saw \"huge growth\" with this group, Lee said. The number of enrollees who self-identified as Latino was up 65 percent. More than one in three applicants in March was Latino, Lee said, bringing the total up from 22 percent of all enrollees to 26 percent. The UC Berkeley Labor Center had estimated a base enrollment of 290,000 Latinos in Covered California. Enrollment as of March 31 is 252,000. Lee believes the number will go above the base projection but the April 15 final deadline.\u003c/p>\n\u003cp>Young adults ages 18-34 have also enrolled in lower numbers than their share of people eligible for subsidies. But their share also increased in March, from 26 percent to 28 percent of all enrollees.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"SEO90SfoDqqAUK0kHKqcKHll3XmlLsyB\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Why Some Don't Pay Their Covered California Premium: It's Not What You Think",
"title": "Why Some Don't Pay Their Covered California Premium: It's Not What You Think",
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"content": "\u003cfigure id=\"attachment_18489\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/164113412-3-e1396419467937.jpg\">\u003cimg class=\"size-large wp-image-18489\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/164113412-3-640x439.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"439\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new analysis finds that many people who signed up for a Covered California plan are likely to drop the coverage for a good reason: they found insurance elsewhere.\u003c/p>\n\u003cp>Researchers at the U.C. Berkeley Labor Center \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/churn_enrollment.shtml\" target=\"_blank\">released estimates\u003c/a> Wednesday showing that about 20 percent of Covered California enrollees are expected to leave the program because they found a job that offers health insurance. Another 20 percent will see their incomes fall and become eligible for Medi-Cal, the state's insurance program for people who are low income.\u003c/p>\n\u003cp>In addition to the 40 percent of enrollees who move to Medi-Cal or job-based insurance, between 2 and 8 percent of those who sign up for Covered California are estimated to become uninsured, the analysis noted.\u003c/p>\n\u003caside class=\"pullquote alignleft\">20 percent of Covered California enrollees are estimated to move to job-based insurance over the year. \u003c/aside>\n\u003cp>This process -- \"churn\" to those who study health insurance -- is well-known in the Medi-Cal and individual insurance market.\u003c/p>\n\u003cp>Between 53 and 58 percent of Covered California enrollees are expected to stay in a Covered California plan for 12 months, according to the report. This analysis is consistent with a Kaiser Family Foundation \u003ca href=\"http://kff.org/private-insurance/issue-brief/how-many-people-have-nongroup-health-insurance/\" target=\"_blank\">study published earlier this year\u003c/a> which found that of people who enrolled in an individual insurance plan in 2010, about 48 percent were still in the individual market two years later.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The question of how many people have paid their premium has\u003ca href=\"http://www.politico.com/story/2014/03/obamacare-affordable-care-act-health-insurance-premiums-104602.html\" target=\"_blank\"> become a political issue\u003c/a> nationally, with questions being raised about the true enrollment in an ACA plan. But Ken Jacobs, chair of the Labor Center and an author of the new study, said that even 15 percent non-payment of premiums \"was not a surprising number.\" He said that according to the analysis, in any 3-month period, an estimated 10 percent of enrollees could be expected to leave Covered California, although he says that indeed some may leave the exchange \"because the cost was too high.\"\u003c/p>\n\u003cp>On Monday, Peter Lee, executive director of Covered California said 87 percent of enrollees had paid their premium.\u003c/p>\n\u003cp>Jacobs' team also estimated churn in the Medi-Cal program. They predict nearly 75 percent of enrollees will stay in Medi-Cal for a 12-month period; about 16 percent will become eligible for Covered California due to an increase in income; and about 10 percent will land jobs that offer health insurance.\u003c/p>\n\u003cp>Prior to the Affordable Care Act, the study showed, 55 percent of Medi-Cal enrollees stayed in the program for 12 months. The authors noted that the Medi-Cal population was expected to be more stable because, under the ACA, re-enrollment in the program happens every 12 months instead of every 6, and the process is more automated.\u003c/p>\n\u003cp>In calculating their estimates, the researchers relied upon data from the \u003ca href=\"https://www.census.gov/programs-surveys/sipp/\" target=\"_blank\">Survey of Income Program and Participation\u003c/a> from the U.S. Census Bureau. \"This policy brief predicts a significant level of churn out of Medi-Cal and Covered California each year,\" the authors noted. \"Enrollment in Medi-Cal and Covered California will be dynamic as Californians move in and out of coverage.\"\u003c/p>\n\u003cp>In addition to the 40 percent of enrollees who move to Medi-Cal or job-based insurance, between 2 and 8 percent of those who sign up for Covered California will become uninsured, the analysis noted.\u003c/p>\n\u003cp>Yet just as people will move out of Covered California and Medi-Cal, other people will move in. While open enrollment in Covered California ended on Monday (with a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\">grace period until April 15\u003c/a> for people who had tried to enroll, but could not for technical reasons), many people are expected to sign up if they experience a life event that triggers a \"special enrollment period.\" These events include divorce, marriage, birth of a baby or loss of job-based insurance.\u003c/p>\n\u003cp>\"Consequently, it will be vital for the enrollment infrastructure—from outreach, to the web-site, to in-person and call-center assistance—to be available and active even outside of open enrollment periods,\" the authors said.\u003c/p>\n\u003cp>Medi-Cal does not have enrollment periods. Sign ups can happen at any time during the year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Rw78XszBTeWLG7DPGhWY7Nv1C9DfqyC2\"]\u003c/p>\n\n",
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"excerpt": "20 percent of Covered California enrollees are estimated to move to job-based insurance over the year.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18489\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/164113412-3-e1396419467937.jpg\">\u003cimg class=\"size-large wp-image-18489\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/164113412-3-640x439.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"439\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new analysis finds that many people who signed up for a Covered California plan are likely to drop the coverage for a good reason: they found insurance elsewhere.\u003c/p>\n\u003cp>Researchers at the U.C. Berkeley Labor Center \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/churn_enrollment.shtml\" target=\"_blank\">released estimates\u003c/a> Wednesday showing that about 20 percent of Covered California enrollees are expected to leave the program because they found a job that offers health insurance. Another 20 percent will see their incomes fall and become eligible for Medi-Cal, the state's insurance program for people who are low income.\u003c/p>\n\u003cp>In addition to the 40 percent of enrollees who move to Medi-Cal or job-based insurance, between 2 and 8 percent of those who sign up for Covered California are estimated to become uninsured, the analysis noted.\u003c/p>\n\u003caside class=\"pullquote alignleft\">20 percent of Covered California enrollees are estimated to move to job-based insurance over the year. \u003c/aside>\n\u003cp>This process -- \"churn\" to those who study health insurance -- is well-known in the Medi-Cal and individual insurance market.\u003c/p>\n\u003cp>Between 53 and 58 percent of Covered California enrollees are expected to stay in a Covered California plan for 12 months, according to the report. This analysis is consistent with a Kaiser Family Foundation \u003ca href=\"http://kff.org/private-insurance/issue-brief/how-many-people-have-nongroup-health-insurance/\" target=\"_blank\">study published earlier this year\u003c/a> which found that of people who enrolled in an individual insurance plan in 2010, about 48 percent were still in the individual market two years later.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The question of how many people have paid their premium has\u003ca href=\"http://www.politico.com/story/2014/03/obamacare-affordable-care-act-health-insurance-premiums-104602.html\" target=\"_blank\"> become a political issue\u003c/a> nationally, with questions being raised about the true enrollment in an ACA plan. But Ken Jacobs, chair of the Labor Center and an author of the new study, said that even 15 percent non-payment of premiums \"was not a surprising number.\" He said that according to the analysis, in any 3-month period, an estimated 10 percent of enrollees could be expected to leave Covered California, although he says that indeed some may leave the exchange \"because the cost was too high.\"\u003c/p>\n\u003cp>On Monday, Peter Lee, executive director of Covered California said 87 percent of enrollees had paid their premium.\u003c/p>\n\u003cp>Jacobs' team also estimated churn in the Medi-Cal program. They predict nearly 75 percent of enrollees will stay in Medi-Cal for a 12-month period; about 16 percent will become eligible for Covered California due to an increase in income; and about 10 percent will land jobs that offer health insurance.\u003c/p>\n\u003cp>Prior to the Affordable Care Act, the study showed, 55 percent of Medi-Cal enrollees stayed in the program for 12 months. The authors noted that the Medi-Cal population was expected to be more stable because, under the ACA, re-enrollment in the program happens every 12 months instead of every 6, and the process is more automated.\u003c/p>\n\u003cp>In calculating their estimates, the researchers relied upon data from the \u003ca href=\"https://www.census.gov/programs-surveys/sipp/\" target=\"_blank\">Survey of Income Program and Participation\u003c/a> from the U.S. Census Bureau. \"This policy brief predicts a significant level of churn out of Medi-Cal and Covered California each year,\" the authors noted. \"Enrollment in Medi-Cal and Covered California will be dynamic as Californians move in and out of coverage.\"\u003c/p>\n\u003cp>In addition to the 40 percent of enrollees who move to Medi-Cal or job-based insurance, between 2 and 8 percent of those who sign up for Covered California will become uninsured, the analysis noted.\u003c/p>\n\u003cp>Yet just as people will move out of Covered California and Medi-Cal, other people will move in. While open enrollment in Covered California ended on Monday (with a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\">grace period until April 15\u003c/a> for people who had tried to enroll, but could not for technical reasons), many people are expected to sign up if they experience a life event that triggers a \"special enrollment period.\" These events include divorce, marriage, birth of a baby or loss of job-based insurance.\u003c/p>\n\u003cp>\"Consequently, it will be vital for the enrollment infrastructure—from outreach, to the web-site, to in-person and call-center assistance—to be available and active even outside of open enrollment periods,\" the authors said.\u003c/p>\n\u003cp>Medi-Cal does not have enrollment periods. Sign ups can happen at any time during the year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Rw78XszBTeWLG7DPGhWY7Nv1C9DfqyC2\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Covered California Extends Deadline -- With Caveats",
"title": "Covered California Extends Deadline -- With Caveats",
"headTitle": "State of Health | KQED News",
"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>\u003cstrong>By Lisa Aliferis and April Dembosky\u003c/strong>\u003c/p>\n\u003cp>Because of what it termed a \"dramatic spike\" in traffic, Covered California announced late Monday that it would extend the March 31 deadline to enroll in a health insurance plan. But the extension has certain limitations.\u003c/p>\n\u003cul>\n\u003cli>Anyone who has not been able to get on the website for technical reason can apply \u003cem>in person \u003c/em>or through the Covered California call center by April 15\u003c/li>\n\u003cli>Anyone who starts an application by midnight Monday (March 31) has until April 15 to finish, either online or in person (this was \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/26/covered-california-gives-until-april-15-to-finish-open-applications/\" target=\"_blank\">previously announced\u003c/a>)\u003c/li>\n\u003cli>Anyone who is filing a paper application must mail it today; it must be postmarked March 31 -- but Covered California strongly encourages people to apply in person as opposed to mailing your application\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan>For consumers who complete an application and select a plan by 11:59pm April 15, insurance will take effect May 1.\u003c!--more-->\u003c/span>\u003c/p>\n\u003cp>People are on the honor system when they say that they had experienced difficulty. \"People can lie. We think people won't. We think Californians are honest people,\" Peter Lee, executive director of Covered California, said in a call with reporters.\u003c/p>\n\u003caside class=\"pullquote alignright\">Covered California saw 5.9 million page views Monday -- as compared to 1.9 million on Dec. 23, the last big deadline. \u003c/aside>\n\u003cp>But he said there are few downsides to people being dishonest. \"The harm would be an individual getting coverage that would not have gotten health coverage.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan>\u003ca href=\"http://news.coveredca.com/2014/03/covered-california-helps-consumers-as.html\" target=\"_blank\">In a release\u003c/a>, Covered California said that between midnight and 2:30pm Monday, some 324,000 \"unique visitors\" came to CoveredCA.com -- with more than 5.7 million pages viewed. \u003c/span>\u003c/p>\n\u003cp>\u003cspan>By comparison, on Dec. 23, 2013 -- the deadline to select a plan that took effect Jan. 1 -- visitors to the website viewed more than 1.9 million pages.\u003c/span>\u003c/p>\n\u003cp>Not surprisingly, Covered California says the traffic Monday is a record.\u003c/p>\n\u003cp>For anyone reading this who wants to apply, but has not been able to start an application, to \"apply in person,\" you must talk to one of the following:\u003c/p>\n\u003cul>\n\u003cli>Certified Enrollment Counselor\u003c/li>\n\u003cli>Certified Insurance Agent\u003c/li>\n\u003cli>An eligibility worker at a county office\u003c/li>\n\u003cli>A health insurance plan (\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/02/univision-obamacare-deal-could-put-wellpoint-ahead-of-competitors/\" target=\"_blank\">you can call a plan directly\u003c/a>, and they are authorized to sell you a subsidized plan. This is called \"plan-based enrollment.\")\u003c/li>\n\u003cli>The Covered California call center -- (800) 300-1506\u003c/li>\n\u003c/ul>\n\u003cp>To find a counselor, certified agent or county office near you, visit \u003ca href=\"https://www.coveredca.com\" target=\"_blank\">CoveredCA.com\u003c/a> and click on the yellow button in the middle of the page that says \"Find Local Help.\"\u003c/p>\n\u003cp>There is no charge to work with anyone certified to work on Covered California plans. Certified Insurance Agents are professional insurance brokers whose commissions are paid by the health insurance companies, not by the consumer receiving help.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"V3WnMQENsbEhxSYokihRQsAx8XI3FYCD\"]\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>\u003cstrong>By Lisa Aliferis and April Dembosky\u003c/strong>\u003c/p>\n\u003cp>Because of what it termed a \"dramatic spike\" in traffic, Covered California announced late Monday that it would extend the March 31 deadline to enroll in a health insurance plan. But the extension has certain limitations.\u003c/p>\n\u003cul>\n\u003cli>Anyone who has not been able to get on the website for technical reason can apply \u003cem>in person \u003c/em>or through the Covered California call center by April 15\u003c/li>\n\u003cli>Anyone who starts an application by midnight Monday (March 31) has until April 15 to finish, either online or in person (this was \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/26/covered-california-gives-until-april-15-to-finish-open-applications/\" target=\"_blank\">previously announced\u003c/a>)\u003c/li>\n\u003cli>Anyone who is filing a paper application must mail it today; it must be postmarked March 31 -- but Covered California strongly encourages people to apply in person as opposed to mailing your application\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan>For consumers who complete an application and select a plan by 11:59pm April 15, insurance will take effect May 1.\u003c!--more-->\u003c/span>\u003c/p>\n\u003cp>People are on the honor system when they say that they had experienced difficulty. \"People can lie. We think people won't. We think Californians are honest people,\" Peter Lee, executive director of Covered California, said in a call with reporters.\u003c/p>\n\u003caside class=\"pullquote alignright\">Covered California saw 5.9 million page views Monday -- as compared to 1.9 million on Dec. 23, the last big deadline. \u003c/aside>\n\u003cp>But he said there are few downsides to people being dishonest. \"The harm would be an individual getting coverage that would not have gotten health coverage.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan>\u003ca href=\"http://news.coveredca.com/2014/03/covered-california-helps-consumers-as.html\" target=\"_blank\">In a release\u003c/a>, Covered California said that between midnight and 2:30pm Monday, some 324,000 \"unique visitors\" came to CoveredCA.com -- with more than 5.7 million pages viewed. \u003c/span>\u003c/p>\n\u003cp>\u003cspan>By comparison, on Dec. 23, 2013 -- the deadline to select a plan that took effect Jan. 1 -- visitors to the website viewed more than 1.9 million pages.\u003c/span>\u003c/p>\n\u003cp>Not surprisingly, Covered California says the traffic Monday is a record.\u003c/p>\n\u003cp>For anyone reading this who wants to apply, but has not been able to start an application, to \"apply in person,\" you must talk to one of the following:\u003c/p>\n\u003cul>\n\u003cli>Certified Enrollment Counselor\u003c/li>\n\u003cli>Certified Insurance Agent\u003c/li>\n\u003cli>An eligibility worker at a county office\u003c/li>\n\u003cli>A health insurance plan (\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/02/univision-obamacare-deal-could-put-wellpoint-ahead-of-competitors/\" target=\"_blank\">you can call a plan directly\u003c/a>, and they are authorized to sell you a subsidized plan. This is called \"plan-based enrollment.\")\u003c/li>\n\u003cli>The Covered California call center -- (800) 300-1506\u003c/li>\n\u003c/ul>\n\u003cp>To find a counselor, certified agent or county office near you, visit \u003ca href=\"https://www.coveredca.com\" target=\"_blank\">CoveredCA.com\u003c/a> and click on the yellow button in the middle of the page that says \"Find Local Help.\"\u003c/p>\n\u003cp>There is no charge to work with anyone certified to work on Covered California plans. Certified Insurance Agents are professional insurance brokers whose commissions are paid by the health insurance companies, not by the consumer receiving help.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"V3WnMQENsbEhxSYokihRQsAx8XI3FYCD\"]\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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"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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"order": 10
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"link": "/californiareportmagazine",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
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"id": "city-arts",
"title": "City Arts & Lectures",
"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",
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"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
"id": "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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"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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"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.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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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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"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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"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
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"source": "WNYC"
},
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "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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"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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},
"hidden-brain": {
"id": "hidden-brain",
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"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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"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.",
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"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
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"link": "/radio/program/how-i-built-this",
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"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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},
"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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"order": 18
},
"link": "/podcasts/jerrybrown",
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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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},
"link": "/radio/program/latino-usa",
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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": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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},
"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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"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",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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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",
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"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
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"source": "kqed",
"order": 11
},
"link": "/podcasts/onourwatch",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw",
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},
"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",
"airtime": "SUN 2pm-3pm, MON 12am-1am",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/onTheMedia.png",
"officialWebsiteLink": "https://www.wnycstudios.org/shows/otm",
"meta": {
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"source": "wnyc"
},
"link": "/radio/program/on-the-media",
"subscribe": {
"apple": "https://itunes.apple.com/us/podcast/on-the-media/id73330715?mt=2",
"tuneIn": "https://tunein.com/radio/On-the-Media-p69/",
"rss": "http://feeds.wnyc.org/onthemedia"
}
},
"pbs-newshour": {
"id": "pbs-newshour",
"title": "PBS NewsHour",
"info": "Analysis, background reports and updates from the PBS NewsHour putting today's news in context.",
"airtime": "MON-FRI 3pm-4pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/PBS-News-Hour-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.pbs.org/newshour/",
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
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"apple": "https://itunes.apple.com/us/podcast/pbs-newshour-full-show/id394432287?mt=2",
"tuneIn": "https://tunein.com/radio/PBS-NewsHour---Full-Show-p425698/",
"rss": "https://www.pbs.org/newshour/feeds/rss/podcasts/show"
}
},
"perspectives": {
"id": "perspectives",
"title": "Perspectives",
"tagline": "KQED's series of daily listener commentaries since 1991",
"info": "KQED's series of daily listener commentaries since 1991.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/01/Perspectives_Tile_Final.jpg",
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"officialWebsiteLink": "/perspectives/",
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"order": 14
},
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