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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>States that extended Medicaid to low-income adults had an average 7 percent uninsured rate for Latino children, about half the average 13.7 percent uninsured rate of states that did not expand Medicaid.\u003c/p>\n\u003cp>Twenty states had rates of uninsured Latino children that were lower than the national average in 2014, the Georgetown-La Raza report said.\u003c/p>\n\u003cp>Still, Latino children made up 39.5 percent of the nation’s uninsured children in 2014, but only 24.4 percent of the overall child population under 18, according to the report.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Other findings:\u003c/p>\n\u003cul>\n\u003cli>Of 10 states with the largest populations of Latino children, California, New York, Illinois and New Jersey were the only ones with uninsured rates below the 9.7 percent national average for 2014. New York’s was 3.8 percent; Illinois, 4.5 percent; California, 6.8 percent; and New Jersey, 7.0 percent.\u003c/li>\n\u003cli>Four other states in that top 10 group had the highest rates of uninsured Latino children. Georgia and Texas were at 15.3 percent; Arizona, 12.7 percent; and Florida, 12.1 percent.\u003c/li>\n\u003cli>Colorado and North Carolina, the other two states in the top 10, posted uninsured rates of 9.6 percent and 10.5 percent, respectively. Those were not statistically different from the national average, the report said.\u003c/li>\n\u003cli>Two-thirds of the nation’s uninsured Latino children lived in Texas, California, Florida, Arizona and Georgia in 2014.\u003c/li>\n\u003cli>In Texas, 15.3 percent of Latino children were uninsured in 2014, representing 30.6 percent of all uninsured Latino children in the U.S.\u003c/li>\n\u003c/ul>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Obamacare challenges aren’t over for businesses.\u003c/p>\n\u003cp>Starting in January, companies employing 50 to 100 workers face complicated and seemingly contradictory new rules that will affect what kind of insurance they offer and how much they and their workers will pay for it.\u003c/p>\n\u003cp>Wouldn’t you know it, one rule defines them as large businesses and another as small businesses.\u003c/p>\n\u003caside class=\"pullquote alignright\">'These guys are great truck drivers and farm workers, but not human resources guys. Now they’re forced with paying a ton of money to outsource this or do it themselves.' \u003ccite> Adam Rochon, insurance agent \u003c/cite>\u003c/aside>\n\u003cp>“The Affordable Care Act has many different definitions of small business. They’re inconsistent with one another,” says David Chase, California director of the \u003ca href=\"http://www.smallbusinessmajority.org/\" target=\"_blank\">Small Business Majority\u003c/a> advocacy organization.\u003c/p>\n\u003cp>Many of the affected businesses are family-run establishments that don’t have human resources departments, says \u003ca href=\"https://wfis.wellsfargo.com/aboutus/bios/pages/lilianasalazar.aspx\" target=\"_blank\">Liliana Salazar\u003c/a>, a senior vice president at Wells Fargo Insurance who advises employers on their benefits packages.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Many are completely oblivious to what they’re facing,” she says.\u003c/p>\n\u003cp>Adam Rochon, an insurance agent in the Central Valley city of Exeter, confirms employers’ frustrations. Many of his small business clients are farmers and owners of blue-collar companies who are “scared and frustrated.”\u003c/p>\n\u003cp>“These guys are great truck drivers and farm workers, but not human resources guys,” he says. “Now they’re forced with paying a ton of money to outsource this or do it themselves.”\u003c/p>\n\u003cp>Unfortunately, the cost of not complying could also be dear.\u003c/p>\n\u003cp>\u003cstrong>Q: I am a business owner with 78 full-time workers. Is there anything I need to know about health insurance changes next year?\u003c/strong>\u003c/p>\n\u003cp>A: Oh yes.\u003c/p>\n\u003cp>I’m going to focus on two, and I’m going to simplify for your sanity – and mine.\u003c/p>\n\u003cp>If you think you might be subject to these changes, I highly recommend you seek expert guidance. More on that later.\u003c/p>\n\u003cp>\u003cstrong>EMPLOYER MANDATE\u003c/strong>\u003c/p>\n\u003cp>Obamacare’s \u003ca href=\"http://centerforhealthreporting.org/article/health-law-mandate-hits-employers-unevenly\" target=\"_blank\">employer mandate \u003c/a>requires “large” businesses to provide “affordable” health coverage to their employees or face financial penalties. (That’s affordable as defined by the law.)\u003c/p>\n\u003cp>Starting Jan. 1, the mandate will expand to include businesses with at least 50 full-time equivalent workers, compared with 100 this year.\u003c/p>\n\u003cp>In other words, businesses with 50 to 100 workers will be considered large and will be required to offer insurance to their employees.\u003c/p>\n\u003cp>This year, 89 percent of firms with between 50 and 99 workers offered benefits to at least some workers, \u003ca href=\"http://kff.org/report-section/ehbs-2015-section-two-health-benefits-offer-rates/\" target=\"_blank\">according to the nonprofit Kaiser Family Foundation\u003c/a> (KFF).\u003c/p>\n\u003caside class=\"pullquote align right\">'A small business can’t afford a penalty.'\u003ccite> Liliana Salazar, Wells Fargo Insurance\u003c/cite>\u003c/aside>\n\u003cp>Restaurants, retail establishments and construction firms are among the employers in this category that are least likely to offer insurance, says Larry Levitt, a senior vice president at KFF.\u003c/p>\n\u003cp>Next year, they’ll face a penalty if they don’t.\u003c/p>\n\u003cp>More specifically, a business will be dinged if it doesn’t offer insurance to at least 95 percent of its full-time employees and their children, or if the coverage it offers doesn’t meet Obamacare’s standards. (Businesses don’t necessarily have to provide coverage to spouses, Levitt says.)\u003c/p>\n\u003cp>Under the law, a full-time employee is someone who works an average of at least 30 hours a week.\u003c/p>\n\u003cp>The penalties kick in if at least one of the business’ employees signs up for a plan from a health insurance exchange such as Covered California and receives tax credits to reduce the cost of the plan.\u003c/p>\n\u003cp>\u003ca href=\"http://kff.org/infographic/employer-responsibility-under-the-affordable-care-act/\" target=\"_blank\">The penalties\u003c/a> can easily climb into the tens of thousands of dollars.\u003c/p>\n\u003cp>“A small business can’t afford a penalty,” Salazar says.\u003c/p>\n\u003cp>Because this can be complicated, the federal government is giving businesses that are newly subject to the mandate until April 1, 2016 to comply, she says.\u003c/p>\n\u003cp>\u003cstrong>SMALL BUSINESS DEFINITION\u003c/strong>\u003c/p>\n\u003cp>In addition to the requirement that these business offer insurance, \u003ca href=\"http://healthaffairs.org/blog/2015/10/20/cms-allows-states-to-keep-original-aca-small-employer-definition-in-the-pace-act/\" target=\"_blank\">California is among a handful of states \u003c/a>that next year will change the definition of “small” business to include them.\u003c/p>\n\u003cp>This Obamacare-related change will define small businesses as those with up to 100 full-time equivalent employees, up from 50 now.\u003c/p>\n\u003cp>By being classified as small businesses instead of a large business, these employers must offer health insurance that complies with a different and expanded set of Obamacare rules.\u003c/p>\n\u003cp>As a result, most of these businesses will have to purchase new plans that meet the requirements.\u003c/p>\n\u003cp>“The insurance carriers and products are different,” Chase says. “The way they calculate the premiums is different.”\u003c/p>\n\u003cp>For instance, under the new rules, the health plans must contain standard designs – think of those bronze, silver, gold and platinum coverage tiers \u003ca href=\"http://www.coveredca.com/individuals-and-families/getting-covered/coverage-basics/coverage-levels/\" target=\"_blank\">offered by Covered California\u003c/a> – and cover specific medical benefits. They also limit how much more insurers can charge employers for older workers than younger ones.\u003c/p>\n\u003cp>“If you’ve got a young and healthy workforce, you might see a premium increase,” Levitt says. “If you’ve got an older, sicker workforce, you might see a premium decrease.”\u003c/p>\n\u003cp>Overall, Salazar predicts that both employers and workers will see higher premium costs.\u003c/p>\n\u003cp>\u003ca href=\"http://www.coveredca.com\" target=\"_blank\">Covered California\u003c/a>, the state’s health insurance exchange, is opening its small business exchange to businesses in this category and has “experienced a noticeable surge in enrollment” in the past few months, says spokesman Larry Hicks.\u003c/p>\n\u003cp>\u003ca href=\"https://www.calchoice.com\" target=\"_blank\">CaliforniaChoice\u003c/a>, a private health insurance exchange for small businesses, also is opening to these employers and has seen a jump in enrollments, says CEO Ron Goldstein.\u003c/p>\n\u003cp>Finally, you’ll recall from the “employer mandate” section that businesses with under 50 full-time equivalent employees are not required to offer insurance to their employees. However, if they do, their plans also must meet Obamacare requirements for small businesses.\u003c/p>\n\u003cp>\u003cstrong>GET HELP\u003c/strong>\u003c/p>\n\u003cp>If you’re a business in this category, seek guidance. The details are incredibly complex.\u003c/p>\n\u003cp>• Reach out to your local or state chamber of commerce, which can help you figure out where you stand.\u003cbr>\n• Consider hiring an employee benefits consultant, who can advise you on how to comply with Obamacare requirements.\u003cbr>\n• A licensed insurance broker can help you find the right health plan for your business, and there’s no extra cost for the help.\u003c/p>\n\u003cp>\u003cstrong>CHANGE FOR ASK EMILY\u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Starting in January, Ask Emily is moving to a new home with \u003ca href=\"http://www.khn.org\" target=\"_blank\">Kaiser Health News.\u003c/a> Please start directing your questions to \u003ca href=\"mailto:AskEmily@kff.org\" target=\"_blank\">AskEmily@kff.org\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Obamacare challenges aren’t over for businesses.\u003c/p>\n\u003cp>Starting in January, companies employing 50 to 100 workers face complicated and seemingly contradictory new rules that will affect what kind of insurance they offer and how much they and their workers will pay for it.\u003c/p>\n\u003cp>Wouldn’t you know it, one rule defines them as large businesses and another as small businesses.\u003c/p>\n\u003caside class=\"pullquote alignright\">'These guys are great truck drivers and farm workers, but not human resources guys. Now they’re forced with paying a ton of money to outsource this or do it themselves.' \u003ccite> Adam Rochon, insurance agent \u003c/cite>\u003c/aside>\n\u003cp>“The Affordable Care Act has many different definitions of small business. They’re inconsistent with one another,” says David Chase, California director of the \u003ca href=\"http://www.smallbusinessmajority.org/\" target=\"_blank\">Small Business Majority\u003c/a> advocacy organization.\u003c/p>\n\u003cp>Many of the affected businesses are family-run establishments that don’t have human resources departments, says \u003ca href=\"https://wfis.wellsfargo.com/aboutus/bios/pages/lilianasalazar.aspx\" target=\"_blank\">Liliana Salazar\u003c/a>, a senior vice president at Wells Fargo Insurance who advises employers on their benefits packages.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Many are completely oblivious to what they’re facing,” she says.\u003c/p>\n\u003cp>Adam Rochon, an insurance agent in the Central Valley city of Exeter, confirms employers’ frustrations. Many of his small business clients are farmers and owners of blue-collar companies who are “scared and frustrated.”\u003c/p>\n\u003cp>“These guys are great truck drivers and farm workers, but not human resources guys,” he says. “Now they’re forced with paying a ton of money to outsource this or do it themselves.”\u003c/p>\n\u003cp>Unfortunately, the cost of not complying could also be dear.\u003c/p>\n\u003cp>\u003cstrong>Q: I am a business owner with 78 full-time workers. Is there anything I need to know about health insurance changes next year?\u003c/strong>\u003c/p>\n\u003cp>A: Oh yes.\u003c/p>\n\u003cp>I’m going to focus on two, and I’m going to simplify for your sanity – and mine.\u003c/p>\n\u003cp>If you think you might be subject to these changes, I highly recommend you seek expert guidance. More on that later.\u003c/p>\n\u003cp>\u003cstrong>EMPLOYER MANDATE\u003c/strong>\u003c/p>\n\u003cp>Obamacare’s \u003ca href=\"http://centerforhealthreporting.org/article/health-law-mandate-hits-employers-unevenly\" target=\"_blank\">employer mandate \u003c/a>requires “large” businesses to provide “affordable” health coverage to their employees or face financial penalties. (That’s affordable as defined by the law.)\u003c/p>\n\u003cp>Starting Jan. 1, the mandate will expand to include businesses with at least 50 full-time equivalent workers, compared with 100 this year.\u003c/p>\n\u003cp>In other words, businesses with 50 to 100 workers will be considered large and will be required to offer insurance to their employees.\u003c/p>\n\u003cp>This year, 89 percent of firms with between 50 and 99 workers offered benefits to at least some workers, \u003ca href=\"http://kff.org/report-section/ehbs-2015-section-two-health-benefits-offer-rates/\" target=\"_blank\">according to the nonprofit Kaiser Family Foundation\u003c/a> (KFF).\u003c/p>\n\u003caside class=\"pullquote align right\">'A small business can’t afford a penalty.'\u003ccite> Liliana Salazar, Wells Fargo Insurance\u003c/cite>\u003c/aside>\n\u003cp>Restaurants, retail establishments and construction firms are among the employers in this category that are least likely to offer insurance, says Larry Levitt, a senior vice president at KFF.\u003c/p>\n\u003cp>Next year, they’ll face a penalty if they don’t.\u003c/p>\n\u003cp>More specifically, a business will be dinged if it doesn’t offer insurance to at least 95 percent of its full-time employees and their children, or if the coverage it offers doesn’t meet Obamacare’s standards. (Businesses don’t necessarily have to provide coverage to spouses, Levitt says.)\u003c/p>\n\u003cp>Under the law, a full-time employee is someone who works an average of at least 30 hours a week.\u003c/p>\n\u003cp>The penalties kick in if at least one of the business’ employees signs up for a plan from a health insurance exchange such as Covered California and receives tax credits to reduce the cost of the plan.\u003c/p>\n\u003cp>\u003ca href=\"http://kff.org/infographic/employer-responsibility-under-the-affordable-care-act/\" target=\"_blank\">The penalties\u003c/a> can easily climb into the tens of thousands of dollars.\u003c/p>\n\u003cp>“A small business can’t afford a penalty,” Salazar says.\u003c/p>\n\u003cp>Because this can be complicated, the federal government is giving businesses that are newly subject to the mandate until April 1, 2016 to comply, she says.\u003c/p>\n\u003cp>\u003cstrong>SMALL BUSINESS DEFINITION\u003c/strong>\u003c/p>\n\u003cp>In addition to the requirement that these business offer insurance, \u003ca href=\"http://healthaffairs.org/blog/2015/10/20/cms-allows-states-to-keep-original-aca-small-employer-definition-in-the-pace-act/\" target=\"_blank\">California is among a handful of states \u003c/a>that next year will change the definition of “small” business to include them.\u003c/p>\n\u003cp>This Obamacare-related change will define small businesses as those with up to 100 full-time equivalent employees, up from 50 now.\u003c/p>\n\u003cp>By being classified as small businesses instead of a large business, these employers must offer health insurance that complies with a different and expanded set of Obamacare rules.\u003c/p>\n\u003cp>As a result, most of these businesses will have to purchase new plans that meet the requirements.\u003c/p>\n\u003cp>“The insurance carriers and products are different,” Chase says. “The way they calculate the premiums is different.”\u003c/p>\n\u003cp>For instance, under the new rules, the health plans must contain standard designs – think of those bronze, silver, gold and platinum coverage tiers \u003ca href=\"http://www.coveredca.com/individuals-and-families/getting-covered/coverage-basics/coverage-levels/\" target=\"_blank\">offered by Covered California\u003c/a> – and cover specific medical benefits. They also limit how much more insurers can charge employers for older workers than younger ones.\u003c/p>\n\u003cp>“If you’ve got a young and healthy workforce, you might see a premium increase,” Levitt says. “If you’ve got an older, sicker workforce, you might see a premium decrease.”\u003c/p>\n\u003cp>Overall, Salazar predicts that both employers and workers will see higher premium costs.\u003c/p>\n\u003cp>\u003ca href=\"http://www.coveredca.com\" target=\"_blank\">Covered California\u003c/a>, the state’s health insurance exchange, is opening its small business exchange to businesses in this category and has “experienced a noticeable surge in enrollment” in the past few months, says spokesman Larry Hicks.\u003c/p>\n\u003cp>\u003ca href=\"https://www.calchoice.com\" target=\"_blank\">CaliforniaChoice\u003c/a>, a private health insurance exchange for small businesses, also is opening to these employers and has seen a jump in enrollments, says CEO Ron Goldstein.\u003c/p>\n\u003cp>Finally, you’ll recall from the “employer mandate” section that businesses with under 50 full-time equivalent employees are not required to offer insurance to their employees. However, if they do, their plans also must meet Obamacare requirements for small businesses.\u003c/p>\n\u003cp>\u003cstrong>GET HELP\u003c/strong>\u003c/p>\n\u003cp>If you’re a business in this category, seek guidance. The details are incredibly complex.\u003c/p>\n\u003cp>• Reach out to your local or state chamber of commerce, which can help you figure out where you stand.\u003cbr>\n• Consider hiring an employee benefits consultant, who can advise you on how to comply with Obamacare requirements.\u003cbr>\n• A licensed insurance broker can help you find the right health plan for your business, and there’s no extra cost for the help.\u003c/p>\n\u003cp>\u003cstrong>CHANGE FOR ASK EMILY\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Starting in January, Ask Emily is moving to a new home with \u003ca href=\"http://www.khn.org\" target=\"_blank\">Kaiser Health News.\u003c/a> Please start directing your questions to \u003ca href=\"mailto:AskEmily@kff.org\" target=\"_blank\">AskEmily@kff.org\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Covered California Targets African Americans, Latinos In Obamacare Open Enrollment",
"title": "Covered California Targets African Americans, Latinos In Obamacare Open Enrollment",
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"content": "\u003cp>Covered California still faces major challenges in enrolling African-Americans and Latinos as the state’s health insurance exchange launched its third open enrollment period Sunday.\u003c/p>\n\u003cp>“We know we’ve come up short in who’s enrolled today,” Covered California Executive Director Peter Lee said at a recent media briefing on the exchange’s marketing and outreach plans. “Of those who are still uninsured, we want to make sure we reach them.”\u003c/p>\n\u003caside class=\"pullquote alignright\">“We know we’ve come up short in who’s enrolled today.\"\u003cbr>\n\u003ccite>Peter Lee, Covered California Executive Director \u003c/cite>\u003c/aside>\n\u003cp>About 2.4 percent of the exchange’s approximately 1.3 million enrollees are African-American, only about half of the blacks considered eligible for subsidies because of their income. Another 30 percent are Latino; 37 percent are considered eligible for subsidies, according to \u003ca href=\"http://hbex.coveredca.com/data-research/library/Active-Membership-Slides.pdf\" target=\"_blank\">Covered California data\u003c/a>.\u003c/p>\n\u003cp>In contrast, enrollment of whites and Asians has exceeded eligibility projections, meaning that Covered California was better able to reach those groups. The state’s enrollment data is not exact, because more than a quarter of enrollees decline to state their race.\u003c/p>\n\u003cp>[contextly_sidebar id=\"i6jYaraDnQfXmte5cZ5eZKWtJ7cBm8iG\"]While many more California Latinos and African-Americans have become insured since the passage of the Affordable Care Act, including through the state’s Medi-Cal expansion and employer-based insurance, Covered California’s experience echoes that of other states trying to ensure that their minority populations get the health coverage they need, said Larry Levitt, senior vice president at the Kaiser Family Foundation.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>About 55 percent of the nation’s remaining 32.3 million uninsured under age 65 \u003ca href=\"http://kff.org/disparities-policy/issue-brief/estimates-of-eligibility-for-aca-coverage-among-the-uninsured-by-race-and-ethnicity/\" target=\"_blank\">are people of color\u003c/a>, including 34 percent who identify as Hispanic/Latino and 14 percent who identify as black, according to Kaiser Family Foundation data.\u003c/p>\n\u003cp>In California, about \u003ca href=\"http://www.coveredca.com/news/pdfs/CoveredCA-CaliforniansKnowledgeoftheACA.pdf\" target=\"_blank\">2.2 million\u003c/a> Californians remain uninsured but are eligible for Medi-Cal or Covered California insurance plans, Lee said. They are more likely to be Latino and African-American, and younger and slightly more affluent than current enrollees, who may have qualified for subsidies or Medi-Cal, the state’s version of Medicaid.\u003c/p>\n\u003cp>Covered California has earmarked about \u003ca href=\"http://hbex.coveredca.com/financial-reports/PDFs/FINAL%20JUNE%202015-16%20Covered%20CA%20Budget%20Summary_KL.pdf\" target=\"_blank\">$50 million\u003c/a> for marketing and another $13 million for navigators -- trained counselors who help people learn about and sign up for coverage. The exchange unveiled \u003ca href=\"http://news.coveredca.com/2015/10/covered-california-launches-open.html\" target=\"_blank\">its new advertising campaign\u003c/a> Friday, including ads specifically targeted to Latinos and African-Americans. Covered California’s open enrollment runs from Nov. 1 to Jan. 31, 2016.\u003c/p>\n\u003cp>Explanations for the disproportionately low enrollments of eligible African-Americans and Latinos vary. “We’ve got people who don’t trust the government,” said Dan Daniels, coastal area director of the NAACP California State Conference, who oversaw Affordable Care Act outreach in his region.\u003c/p>\n\u003cp>Daniels also cited attitudes among “young invincibles,” who are healthy enough to think they don’t need coverage and are willing to pay the mandatory penalty for not having health insurance. That penalty will rise in 2016 to \u003ca href=\"https://www.healthcare.gov/fees-exemptions/fee-for-not-being-covered/\" target=\"_blank\">$695 per person\u003c/a> or 2.5 percent of income, whichever is higher.\u003c/p>\n\u003cp>[contextly_sidebar id=\"D6TWOWFjS0MLbUxYid2ZhI9XmIOKCRNT\"]Among some Latinos who are legal residents, there is fear that applying for health insurance through Covered California will jeopardize the immigration status of other family members, Levitt said.\u003c/p>\n\u003cp>And affordability remains a looming concern for higher-income people of color who may not be eligible for subsidies or Medi-Cal.\u003c/p>\n\u003cp>For example, Kemisha Roston, a 38-year-old contract lawyer from Riverside, said she makes too much money to qualify for those programs, but not enough to afford Covered California unsubsidized premiums – which top $300 per month — while she pays off student debt.\u003c/p>\n\u003cp>“I’m living check to check, because the market for attorneys is very saturated,” Roston said. “My health is pretty good right now, so I don’t need to go to the doctor. When I do, I go to free clinics or Planned Parenthood. I’m dismayed, because if something does happen and I don’t have health insurance, I could be wiped out.”\u003c/p>\n\u003cp>In addition, some community leaders and health advocates have criticized Covered California’s previous marketing and outreach efforts to both African-American and Latino communities as too generalized and impersonal. The exchange has spent more money on marketing and outreach than other exchanges, with less to show for it, said Hector De La Torre, executive director of the Transamerica Center for Health Studies.\u003c/p>\n\u003cp>[contextly_sidebar id=\"O1fT4KmbMVl23QPu7yIqqfTkXntKSW9w\"]“You have these challenges in these communities and it takes a lot more than a TV commercial to make them aware of what they need to do -– you can’t do that in 30 seconds,” De La Torre said, referring to the need to educate people about the basic value of health insurance. “That’s where Covered California has not done as much as it could in reaching out to these folks. It’s a face-to-face communication effort that needs to take place.”\u003c/p>\n\u003cp>Charla Franklin, community outreach liaison for Healthy African American Families, an advocacy group in Los Angeles, said Covered California did well in reaching out to California’s black churches and community groups to get the word out. But the advertising campaign in her area was “so bland it was ridiculous,” she said. The exchange really needed to better inform people about specific community events and places where people could get in-person help with the complicated and time-consuming online enrollment process, she said.\u003c/p>\n\u003cp>Lee has told reporters recently that Covered California is stepping up its ground game and changing its messaging. Consumer surveys have shown that potential enrollees need more education on how subsidies can lower their out-of-pocket costs, he said. The U.S. Department of Health and Human Services said it will pursue a similar \u003ca href=\"http://www.nytimes.com/2015/10/30/us/politics/obama-administration-campaign-will-publicize-health-care-subsidies.html?_r=1\" target=\"_blank\">strategy\u003c/a> of publicizing financial help available to many people.\u003c/p>\n\u003cp>“We cannot take it as a given that Californians understand that health care is more affordable because subsidies are available,” he said. “We’ll be getting back to basics.”\u003c/p>\n\u003cp>The exchange is also expanding its direct outreach efforts, more than doubling the number of Covered California storefronts where people can get help to enroll to 500, Lee said.\u003c/p>\n\u003cp>But while Lee promised “a more intense ground game,” he also cautioned against overly high expectations for the exchange’s third open enrollment season.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“We have millions of Californians who’ve adopted a culture of coping. They don’t understand they have subsidies available to them and are making do. It’s going to be years to change to a culture of coverage.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Covered California still faces major challenges in enrolling African-Americans and Latinos as the state’s health insurance exchange launched its third open enrollment period Sunday.\u003c/p>\n\u003cp>“We know we’ve come up short in who’s enrolled today,” Covered California Executive Director Peter Lee said at a recent media briefing on the exchange’s marketing and outreach plans. “Of those who are still uninsured, we want to make sure we reach them.”\u003c/p>\n\u003caside class=\"pullquote alignright\">“We know we’ve come up short in who’s enrolled today.\"\u003cbr>\n\u003ccite>Peter Lee, Covered California Executive Director \u003c/cite>\u003c/aside>\n\u003cp>About 2.4 percent of the exchange’s approximately 1.3 million enrollees are African-American, only about half of the blacks considered eligible for subsidies because of their income. Another 30 percent are Latino; 37 percent are considered eligible for subsidies, according to \u003ca href=\"http://hbex.coveredca.com/data-research/library/Active-Membership-Slides.pdf\" target=\"_blank\">Covered California data\u003c/a>.\u003c/p>\n\u003cp>In contrast, enrollment of whites and Asians has exceeded eligibility projections, meaning that Covered California was better able to reach those groups. The state’s enrollment data is not exact, because more than a quarter of enrollees decline to state their race.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>While many more California Latinos and African-Americans have become insured since the passage of the Affordable Care Act, including through the state’s Medi-Cal expansion and employer-based insurance, Covered California’s experience echoes that of other states trying to ensure that their minority populations get the health coverage they need, said Larry Levitt, senior vice president at the Kaiser Family Foundation.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>About 55 percent of the nation’s remaining 32.3 million uninsured under age 65 \u003ca href=\"http://kff.org/disparities-policy/issue-brief/estimates-of-eligibility-for-aca-coverage-among-the-uninsured-by-race-and-ethnicity/\" target=\"_blank\">are people of color\u003c/a>, including 34 percent who identify as Hispanic/Latino and 14 percent who identify as black, according to Kaiser Family Foundation data.\u003c/p>\n\u003cp>In California, about \u003ca href=\"http://www.coveredca.com/news/pdfs/CoveredCA-CaliforniansKnowledgeoftheACA.pdf\" target=\"_blank\">2.2 million\u003c/a> Californians remain uninsured but are eligible for Medi-Cal or Covered California insurance plans, Lee said. They are more likely to be Latino and African-American, and younger and slightly more affluent than current enrollees, who may have qualified for subsidies or Medi-Cal, the state’s version of Medicaid.\u003c/p>\n\u003cp>Covered California has earmarked about \u003ca href=\"http://hbex.coveredca.com/financial-reports/PDFs/FINAL%20JUNE%202015-16%20Covered%20CA%20Budget%20Summary_KL.pdf\" target=\"_blank\">$50 million\u003c/a> for marketing and another $13 million for navigators -- trained counselors who help people learn about and sign up for coverage. The exchange unveiled \u003ca href=\"http://news.coveredca.com/2015/10/covered-california-launches-open.html\" target=\"_blank\">its new advertising campaign\u003c/a> Friday, including ads specifically targeted to Latinos and African-Americans. Covered California’s open enrollment runs from Nov. 1 to Jan. 31, 2016.\u003c/p>\n\u003cp>Explanations for the disproportionately low enrollments of eligible African-Americans and Latinos vary. “We’ve got people who don’t trust the government,” said Dan Daniels, coastal area director of the NAACP California State Conference, who oversaw Affordable Care Act outreach in his region.\u003c/p>\n\u003cp>Daniels also cited attitudes among “young invincibles,” who are healthy enough to think they don’t need coverage and are willing to pay the mandatory penalty for not having health insurance. That penalty will rise in 2016 to \u003ca href=\"https://www.healthcare.gov/fees-exemptions/fee-for-not-being-covered/\" target=\"_blank\">$695 per person\u003c/a> or 2.5 percent of income, whichever is higher.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Among some Latinos who are legal residents, there is fear that applying for health insurance through Covered California will jeopardize the immigration status of other family members, Levitt said.\u003c/p>\n\u003cp>And affordability remains a looming concern for higher-income people of color who may not be eligible for subsidies or Medi-Cal.\u003c/p>\n\u003cp>For example, Kemisha Roston, a 38-year-old contract lawyer from Riverside, said she makes too much money to qualify for those programs, but not enough to afford Covered California unsubsidized premiums – which top $300 per month — while she pays off student debt.\u003c/p>\n\u003cp>“I’m living check to check, because the market for attorneys is very saturated,” Roston said. “My health is pretty good right now, so I don’t need to go to the doctor. When I do, I go to free clinics or Planned Parenthood. I’m dismayed, because if something does happen and I don’t have health insurance, I could be wiped out.”\u003c/p>\n\u003cp>In addition, some community leaders and health advocates have criticized Covered California’s previous marketing and outreach efforts to both African-American and Latino communities as too generalized and impersonal. The exchange has spent more money on marketing and outreach than other exchanges, with less to show for it, said Hector De La Torre, executive director of the Transamerica Center for Health Studies.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>“You have these challenges in these communities and it takes a lot more than a TV commercial to make them aware of what they need to do -– you can’t do that in 30 seconds,” De La Torre said, referring to the need to educate people about the basic value of health insurance. “That’s where Covered California has not done as much as it could in reaching out to these folks. It’s a face-to-face communication effort that needs to take place.”\u003c/p>\n\u003cp>Charla Franklin, community outreach liaison for Healthy African American Families, an advocacy group in Los Angeles, said Covered California did well in reaching out to California’s black churches and community groups to get the word out. But the advertising campaign in her area was “so bland it was ridiculous,” she said. The exchange really needed to better inform people about specific community events and places where people could get in-person help with the complicated and time-consuming online enrollment process, she said.\u003c/p>\n\u003cp>Lee has told reporters recently that Covered California is stepping up its ground game and changing its messaging. Consumer surveys have shown that potential enrollees need more education on how subsidies can lower their out-of-pocket costs, he said. The U.S. Department of Health and Human Services said it will pursue a similar \u003ca href=\"http://www.nytimes.com/2015/10/30/us/politics/obama-administration-campaign-will-publicize-health-care-subsidies.html?_r=1\" target=\"_blank\">strategy\u003c/a> of publicizing financial help available to many people.\u003c/p>\n\u003cp>“We cannot take it as a given that Californians understand that health care is more affordable because subsidies are available,” he said. “We’ll be getting back to basics.”\u003c/p>\n\u003cp>The exchange is also expanding its direct outreach efforts, more than doubling the number of Covered California storefronts where people can get help to enroll to 500, Lee said.\u003c/p>\n\u003cp>But while Lee promised “a more intense ground game,” he also cautioned against overly high expectations for the exchange’s third open enrollment season.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>In advance of the Nov. 1 start of open enrollment for Covered California, new numbers show that just over half of the state's remaining uninsured are eligible for health insurance coverage under the Affordable Care Act.\u003c/p>\n\u003cp>The estimate was part of a \u003ca href=\"http://kff.org/uninsured/issue-brief/new-estimates-of-eligibility-for-aca-coverage-among-the-uninsured/\" target=\"_blank\">state-by-state analysis\u003c/a> compiled by the Kaiser Family Foundation.\u003c/p>\n\u003cp>Researchers found that California has 3.845 million people still uninsured. Of those:\u003c/p>\n\u003cul>\n\u003cli>37 percent are eligible for Medi-Cal, the state's version of Medicaid (1.428 million people)\u003c/li>\n\u003cli>16 percent are eligible for subsidies to purchase insurance on Covered California, the state's health insurance marketplace (623,000 people)\u003c/li>\n\u003c/ul>\n\u003cp>Nationally, 58 percent of the remaining uninsured qualify for coverage under the ACA.\u003c/p>\n\u003cp>The nation's 50 states as a whole break into two groups -- those that opted to participate in the expansion of the Medicaid program and those that didn't. Under the Medicaid expansion, people under 65 with an income at or below 138 percent of the federal poverty level ($16,242 for an individual or $33,365 for a family of four in 2015) are eligible for coverage.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>California, the most populous state in the country, has the highest number of remaining uninsured of the states that expanded Medicaid. Of the states that have not expanded the program, Texas has the most people still uninsured -- 4.425 million.\u003c/p>\n\u003cp>Of those Californians still uninsured but not eligible for benefits under the ACA, about half (922,000 people) are undocumented immigrants and by law cannot qualify for benefits. The rest either have an income too high for a subsidy or they have an offer of health insurance from their employer.\u003c/p>\n\u003cp>These estimates are compiled from the 2015 Current Population Survey of the U.S. Census Bureau. They are similar to another estimate from researchers at UCLA and UC Berkeley, known as \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/uninsuredbrief-jan2015.pdf\" target=\"_blank\">CalSIM\u003c/a> (California Simulation of Insurance Markets).\u003c/p>\n\u003cp>Prof. Gerald Kominski, an author of that estimate, said the CalSIM modeling showed about 500,000 fewer people eligible for Medi-Cal and 500,000 more people in the undocumented group, but overall the two estimates \"are in the same ballpark.\"\u003c/p>\n\u003cp>The challenge will be reaching those still without insurance, Kominski said. The remaining uninsured who are eligible for Obamacare benefits are people who have sat out during the two open enrollments since the Affordable Care Act went into effect in 2014.\u003c/p>\n\u003cp>Kominski said that for families with mixed immigration status, where some members are lawfully present and others are not, there's \"ongoing concern ... that trusting the process will not result in information being shared\" with immigration authorities. Some other people, he said, may have a distrust of government.\u003c/p>\n\u003cp>James Scullary, a spokesperson for Covered California, said that \"there's no question\" the remaining uninsured will be a more challenging population to reach, but he also pointed to Covered California's success so far in signing up those eligible.\u003c/p>\n\u003cp>As noted above, 16 percent of the remaining uninsured are eligible for Covered California subsidies. Only five states have a better enrollment rate than California (Arizona, Illinois, Maryland, New Jersey, New Mexico).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Scullary said Covered California is \"right in the middle of taking a look at the various models. ... We have not settled yet on an official number of our own.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In advance of the Nov. 1 start of open enrollment for Covered California, new numbers show that just over half of the state's remaining uninsured are eligible for health insurance coverage under the Affordable Care Act.\u003c/p>\n\u003cp>The estimate was part of a \u003ca href=\"http://kff.org/uninsured/issue-brief/new-estimates-of-eligibility-for-aca-coverage-among-the-uninsured/\" target=\"_blank\">state-by-state analysis\u003c/a> compiled by the Kaiser Family Foundation.\u003c/p>\n\u003cp>Researchers found that California has 3.845 million people still uninsured. Of those:\u003c/p>\n\u003cul>\n\u003cli>37 percent are eligible for Medi-Cal, the state's version of Medicaid (1.428 million people)\u003c/li>\n\u003cli>16 percent are eligible for subsidies to purchase insurance on Covered California, the state's health insurance marketplace (623,000 people)\u003c/li>\n\u003c/ul>\n\u003cp>Nationally, 58 percent of the remaining uninsured qualify for coverage under the ACA.\u003c/p>\n\u003cp>The nation's 50 states as a whole break into two groups -- those that opted to participate in the expansion of the Medicaid program and those that didn't. Under the Medicaid expansion, people under 65 with an income at or below 138 percent of the federal poverty level ($16,242 for an individual or $33,365 for a family of four in 2015) are eligible for coverage.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>California, the most populous state in the country, has the highest number of remaining uninsured of the states that expanded Medicaid. Of the states that have not expanded the program, Texas has the most people still uninsured -- 4.425 million.\u003c/p>\n\u003cp>Of those Californians still uninsured but not eligible for benefits under the ACA, about half (922,000 people) are undocumented immigrants and by law cannot qualify for benefits. The rest either have an income too high for a subsidy or they have an offer of health insurance from their employer.\u003c/p>\n\u003cp>These estimates are compiled from the 2015 Current Population Survey of the U.S. Census Bureau. They are similar to another estimate from researchers at UCLA and UC Berkeley, known as \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/uninsuredbrief-jan2015.pdf\" target=\"_blank\">CalSIM\u003c/a> (California Simulation of Insurance Markets).\u003c/p>\n\u003cp>Prof. Gerald Kominski, an author of that estimate, said the CalSIM modeling showed about 500,000 fewer people eligible for Medi-Cal and 500,000 more people in the undocumented group, but overall the two estimates \"are in the same ballpark.\"\u003c/p>\n\u003cp>The challenge will be reaching those still without insurance, Kominski said. The remaining uninsured who are eligible for Obamacare benefits are people who have sat out during the two open enrollments since the Affordable Care Act went into effect in 2014.\u003c/p>\n\u003cp>Kominski said that for families with mixed immigration status, where some members are lawfully present and others are not, there's \"ongoing concern ... that trusting the process will not result in information being shared\" with immigration authorities. Some other people, he said, may have a distrust of government.\u003c/p>\n\u003cp>James Scullary, a spokesperson for Covered California, said that \"there's no question\" the remaining uninsured will be a more challenging population to reach, but he also pointed to Covered California's success so far in signing up those eligible.\u003c/p>\n\u003cp>As noted above, 16 percent of the remaining uninsured are eligible for Covered California subsidies. Only five states have a better enrollment rate than California (Arizona, Illinois, Maryland, New Jersey, New Mexico).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Scullary said Covered California is \"right in the middle of taking a look at the various models. ... We have not settled yet on an official number of our own.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Fully two-thirds of California voters support a significant increase in tobacco taxes -- $2 a pack -- according to a \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2511.pdf\" target=\"_blank\">statewide Field Poll\u003c/a> released Wednesday.\u003c/p>\n\u003cp>California currently \u003ca href=\"https://www.tobaccofreekids.org/research/factsheets/pdf/0097.pdf\" target=\"_blank\">ranks 35th in the country \u003c/a>with 87 cents per pack in state taxes. (New York is first at $4.35.) There is an additional $1.01 in federal taxes.\u003c/p>\n\u003cp>Efforts to raise the tax had stalled legislatively earlier this year in Sacramento, but were revived Wednesday when a new bill was introduced at the special session on health care.\u003c/p>\n\u003cp>Advocates say they are committed to passage of the tax. \"The poll suggests there is strong support for (the tax) among the public,\" said Anthony Wright, executive director of Health Access, \"and we hope that it helps spur legislative action.\"\u003c/p>\n\u003cp>Wright says that if the legislature does not act, there will be a strong push for a ballot measure.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Mark DiCamillo, director of the Field Poll, noted that the 2 to 1 support for the tax was very strong, but cautioned that \"this poll was done before any campaign begins.\"\u003c/p>\n\u003cp>In 2006, he said, there was a similar tobacco tax on the ballot, a bit more than $2 per pack, and it, too, started out ahead two to one in a Field Poll, but \"after the campaign kicked in, with tobacco industry ads\" the measure was ultimately defeated 52 to 48, he said.\u003c/p>\n\u003cp>\"So you can't always say with certainty that initiatives that start out with a two to one lead pass,\" DiCamillo said, \"but certainly its chances are a lot better than if it were closer than what we're seeing in this poll.\"\u003c/p>\n\u003cp>Fifty percent of those responding the poll said they \"favor strongly\" increasing the tax while 17 percent said they \"favor somewhat.\" The question posed in the poll included that the money would be used for \"smoking cessation programs, research into smoking-related disease and tobacco law enforcement efforts.\"\u003c/p>\n\u003cp>In the poll, 68 percent of respondents said they favor raising the minimum wage by $1 an hour each year for five years, which would boost it from $10 per hour next year to $15 per hour by 2021.\u003c/p>\n\u003cp>Last July, the minimum wage was lifted from $8 to $9 an hour, and it is scheduled to rise again next year to $10 an hour.\u003c/p>\n\u003cp>The results were part of the ninth annual Field Poll on health policy. It is sponsored by the California Wellness Foundation. The poll found \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2510.pdf\" target=\"_blank\">increasing support \u003c/a>for the Affordable Care Act (ACA). More than six in 10 voters (62 percent) now support the law, up from 56 percent last year.\u003c/p>\n\u003cp>More significantly, for the first time, more than half of voters in all major regions of the state, all races and ethnicities, and all age groups support the law. DiCamillo said in the years after the 2010 passage of the ACA, support hovered in the 52 to 54 percent range. It was \"supportive but fairly stable.\"\u003c/p>\n\u003cp>He drew a distinction between strong support for the law in California and the 44 percent favorable, 41 percent unfavorable views nationally.\u003c/p>\n\u003cp>Drew Altman is president and CEO of the non-partisan Kaiser Family Foundation, which focuses on national health issues. In an interview, he said that given how California has \"embraced the law and implemented it successfully,\" the poll results were not surprising to him.\u003c/p>\n\u003cp>\"California shows that the ACA can work if there's political will and support,\" he said, \"and it's such harder to make it work in states where there isn't, which is the picture that we're seeing across the country.\"\u003c/p>\n\u003cp>Voters also support expanding Medi-Cal, the state's insurance program for people who are low income, to undocumented immigrants, and this support is growing. Last year, the first year the question was posed in the poll, support was narrow -- 51 to 45 percent. This year, 58 percent of respondents were supportive.\u003c/p>\n\u003cp>\"In California, undocumented people are not an ideological football as they are to some degree in the national debate,\" Altman said. \"They're part of the fabric of life in our state, so people may tend to approach the program from a more pragmatic perspective and believe that it just makes sense to provide health care to people who need it.\"\u003c/p>\n\u003cp>Other questions about the health system showed strong support:\u003c/p>\n\u003cul>\n\u003cli>58 percent say they are satisfied with how the health care system is working since the passage of the ACA\u003c/li>\n\u003cli>86 percent are satisfied with their own individual health plan\u003c/li>\n\u003cli>68 percent believe California has been successful in implementing the ACA in the state. That's up from 60 percent last year.\u003c/li>\n\u003c/ul>\n\u003cp>But the one area presenting a challenge in the poll was cost. Nearly four in 10 respondents said what they pay for health care has increased in the last year. Even at the highest income level -- $100,00 per year or more -- more than one in four respondents said they or a family member had trouble with costs.\u003c/p>\n\u003cp>Still, as the chart shows, the rate of those reporting difficulty with costs are lower than they were last year across all income levels.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png\">\u003cimg class=\"aligncenter wp-image-68174 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png\" alt=\"Screen Shot 2015-08-26 at 10.48.54 AM\" width=\"1010\" height=\"725\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png 1010w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-400x287.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-800x574.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-960x689.png 960w\" sizes=\"(max-width: 1010px) 100vw, 1010px\">\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The poll was conducted June 25-July 16, 2015, among 1,555 registered voters in California in eight languages and dialects. It has an error rate of plus/minus 2.6 percent.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Fully two-thirds of California voters support a significant increase in tobacco taxes -- $2 a pack -- according to a \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2511.pdf\" target=\"_blank\">statewide Field Poll\u003c/a> released Wednesday.\u003c/p>\n\u003cp>California currently \u003ca href=\"https://www.tobaccofreekids.org/research/factsheets/pdf/0097.pdf\" target=\"_blank\">ranks 35th in the country \u003c/a>with 87 cents per pack in state taxes. (New York is first at $4.35.) There is an additional $1.01 in federal taxes.\u003c/p>\n\u003cp>Efforts to raise the tax had stalled legislatively earlier this year in Sacramento, but were revived Wednesday when a new bill was introduced at the special session on health care.\u003c/p>\n\u003cp>Advocates say they are committed to passage of the tax. \"The poll suggests there is strong support for (the tax) among the public,\" said Anthony Wright, executive director of Health Access, \"and we hope that it helps spur legislative action.\"\u003c/p>\n\u003cp>Wright says that if the legislature does not act, there will be a strong push for a ballot measure.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mark DiCamillo, director of the Field Poll, noted that the 2 to 1 support for the tax was very strong, but cautioned that \"this poll was done before any campaign begins.\"\u003c/p>\n\u003cp>In 2006, he said, there was a similar tobacco tax on the ballot, a bit more than $2 per pack, and it, too, started out ahead two to one in a Field Poll, but \"after the campaign kicked in, with tobacco industry ads\" the measure was ultimately defeated 52 to 48, he said.\u003c/p>\n\u003cp>\"So you can't always say with certainty that initiatives that start out with a two to one lead pass,\" DiCamillo said, \"but certainly its chances are a lot better than if it were closer than what we're seeing in this poll.\"\u003c/p>\n\u003cp>Fifty percent of those responding the poll said they \"favor strongly\" increasing the tax while 17 percent said they \"favor somewhat.\" The question posed in the poll included that the money would be used for \"smoking cessation programs, research into smoking-related disease and tobacco law enforcement efforts.\"\u003c/p>\n\u003cp>In the poll, 68 percent of respondents said they favor raising the minimum wage by $1 an hour each year for five years, which would boost it from $10 per hour next year to $15 per hour by 2021.\u003c/p>\n\u003cp>Last July, the minimum wage was lifted from $8 to $9 an hour, and it is scheduled to rise again next year to $10 an hour.\u003c/p>\n\u003cp>The results were part of the ninth annual Field Poll on health policy. It is sponsored by the California Wellness Foundation. The poll found \u003ca href=\"http://www.field.com/fieldpollonline/subscribers/Rls2510.pdf\" target=\"_blank\">increasing support \u003c/a>for the Affordable Care Act (ACA). More than six in 10 voters (62 percent) now support the law, up from 56 percent last year.\u003c/p>\n\u003cp>More significantly, for the first time, more than half of voters in all major regions of the state, all races and ethnicities, and all age groups support the law. DiCamillo said in the years after the 2010 passage of the ACA, support hovered in the 52 to 54 percent range. It was \"supportive but fairly stable.\"\u003c/p>\n\u003cp>He drew a distinction between strong support for the law in California and the 44 percent favorable, 41 percent unfavorable views nationally.\u003c/p>\n\u003cp>Drew Altman is president and CEO of the non-partisan Kaiser Family Foundation, which focuses on national health issues. In an interview, he said that given how California has \"embraced the law and implemented it successfully,\" the poll results were not surprising to him.\u003c/p>\n\u003cp>\"California shows that the ACA can work if there's political will and support,\" he said, \"and it's such harder to make it work in states where there isn't, which is the picture that we're seeing across the country.\"\u003c/p>\n\u003cp>Voters also support expanding Medi-Cal, the state's insurance program for people who are low income, to undocumented immigrants, and this support is growing. Last year, the first year the question was posed in the poll, support was narrow -- 51 to 45 percent. This year, 58 percent of respondents were supportive.\u003c/p>\n\u003cp>\"In California, undocumented people are not an ideological football as they are to some degree in the national debate,\" Altman said. \"They're part of the fabric of life in our state, so people may tend to approach the program from a more pragmatic perspective and believe that it just makes sense to provide health care to people who need it.\"\u003c/p>\n\u003cp>Other questions about the health system showed strong support:\u003c/p>\n\u003cul>\n\u003cli>58 percent say they are satisfied with how the health care system is working since the passage of the ACA\u003c/li>\n\u003cli>86 percent are satisfied with their own individual health plan\u003c/li>\n\u003cli>68 percent believe California has been successful in implementing the ACA in the state. That's up from 60 percent last year.\u003c/li>\n\u003c/ul>\n\u003cp>But the one area presenting a challenge in the poll was cost. Nearly four in 10 respondents said what they pay for health care has increased in the last year. Even at the highest income level -- $100,00 per year or more -- more than one in four respondents said they or a family member had trouble with costs.\u003c/p>\n\u003cp>Still, as the chart shows, the rate of those reporting difficulty with costs are lower than they were last year across all income levels.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png\">\u003cimg class=\"aligncenter wp-image-68174 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png\" alt=\"Screen Shot 2015-08-26 at 10.48.54 AM\" width=\"1010\" height=\"725\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM.png 1010w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-400x287.png 400w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-800x574.png 800w, https://ww2.kqed.org/app/uploads/sites/27/2015/08/Screen-Shot-2015-08-26-at-10.48.54-AM-960x689.png 960w\" sizes=\"(max-width: 1010px) 100vw, 1010px\">\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The poll was conducted June 25-July 16, 2015, among 1,555 registered voters in California in eight languages and dialects. It has an error rate of plus/minus 2.6 percent.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "2 Million Obamacare Enrollees Eligible for More Financial Help",
"title": "2 Million Obamacare Enrollees Eligible for More Financial Help",
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"content": "\u003cp>More than 2 million people with coverage on the health insurance exchanges may be missing out on subsidies that could lower their deductibles, copayments and maximum out-of-pocket spending limits, according to a new \u003ca href=\"http://avalere.com/expertise/managed-care/insights/more-than-2-million-exchange-enrollees-forgo-cost-sharing-assistance\" target=\"_blank\">analysis by Avalere Health\u003c/a>.\u003c/p>\n\u003cp>Those who may be missing out are people with incomes between 100 and 250 percent of the federal poverty level (\u003ca href=\"http://aspe.hhs.gov/2015-poverty-guidelines#threshholds\" target=\"_blank\">$11,770 to $29,425\u003c/a> for an individual or $24,250-$60,625). Under the health law, people at those income levels are eligible for \u003ca href=\"https://www.healthcare.gov/glossary/cost-sharing-reduction/\" target=\"_blank\">cost-sharing reductions\u003c/a> that can substantially reduce their out-of-pocket costs. But there’s a catch: The reductions are available only to people who buy a silver-level plan.\u003c/p>\n\u003cp>These cost-sharing reductions are a different type of subsidy than the tax credits that help reduce the monthly premium people pay. Those are available to people with incomes up to 400 percent of the poverty level regardless of the type of plan they buy.\u003c/p>\n\u003cp>In its analysis of \u003ca href=\"http://aspe.hhs.gov/sites/default/files/pdf/83656/ib_2015mar_enrollment.pdf\" target=\"_blank\">exchange income data\u003c/a> for those enrolled in 2015 in the health insurance marketplaces, including Covered California, Avalere found that 8.1 million individuals with this coverage had income levels that should have qualified them for cost-sharing reductions. But only 5.9 million received the reductions, which are automatically applied if people enroll in silver-level plans.\u003c/p>\n\u003cp>Some of those who were eligible probably bought cheaper bronze-level plans, says Elizabeth Carpenter, a vice president at Avalere.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Surveys show that people shop for plans based on premiums,” Carpenter says. “But if somebody forgoes cost-sharing reductions in order to pay a lower monthly premium and then has an unexpected accident or illness, their out-of-pocket exposure is likely to be higher.”\u003c/p>\n\u003cp>Silver plans pay 70 percent of medical costs, on average, while bronze plans pay 60 percent.\u003c/p>\n\u003cp>In other words, consumers with a silver plan are responsible for paying 30 percent of their medical costs in deductibles and copayments or coinsurance, \u003ca href=\"https://www.healthcare.gov/glossary/out-of-pocket-maximum-limit/\" target=\"_blank\">up to a maximum\u003c/a> of $6,600 for an individual and $13,200 for a family in 2015.\u003c/p>\n\u003cp>Cost-sharing reduction subsidies \u003ca href=\"https://www.healthcare.gov/choose-a-plan/out-of-pocket-costs/\" target=\"_blank\">reduce those out-of-pocket costs \u003c/a>to those of a gold or even a platinum plan.\u003c/p>\n\u003cp>If your income is within certain ranges, you could reduce your costs, as follows:\u003c/p>\n\u003cul>\n\u003cli>People with incomes below $17,655 for an individual or $36,375 for a family of four are on the hook for no more than 6 percent of their costs -- instead of 30 percent.\u003c/li>\n\u003cli>Those with incomes between $17,656-23,540 for an individual or $36,376-48,500 for a family of four pay 13 percent of costs instead of 30 percent.\u003c/li>\n\u003cli>Even those with slightly higher incomes pay 27 percent at most.\u003c/li>\n\u003c/ul>\n\u003cp>Consumers who are eligible for these \u003ca href=\"http://khn.org/news/070913-michelle-andrews-on-cost-sharing-subsidies/\">cost-sharing reductions\u003c/a> also have lower maximum out-of-pocket spending limits.\u003c/p>\n\u003cp>If you are currently enrolled in a bronze plan, but your income falls within one of the ranges above, talk with an insurance broker or certified counselor to see if you could save money by enrolling in a silver plan -- with these cost-sharing reductions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Michelle Andrews reported this story for \u003c/em>\u003ca href=\"http://khn.org\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>, 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\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>More than 2 million people with coverage on the health insurance exchanges may be missing out on subsidies that could lower their deductibles, copayments and maximum out-of-pocket spending limits, according to a new \u003ca href=\"http://avalere.com/expertise/managed-care/insights/more-than-2-million-exchange-enrollees-forgo-cost-sharing-assistance\" target=\"_blank\">analysis by Avalere Health\u003c/a>.\u003c/p>\n\u003cp>Those who may be missing out are people with incomes between 100 and 250 percent of the federal poverty level (\u003ca href=\"http://aspe.hhs.gov/2015-poverty-guidelines#threshholds\" target=\"_blank\">$11,770 to $29,425\u003c/a> for an individual or $24,250-$60,625). Under the health law, people at those income levels are eligible for \u003ca href=\"https://www.healthcare.gov/glossary/cost-sharing-reduction/\" target=\"_blank\">cost-sharing reductions\u003c/a> that can substantially reduce their out-of-pocket costs. But there’s a catch: The reductions are available only to people who buy a silver-level plan.\u003c/p>\n\u003cp>These cost-sharing reductions are a different type of subsidy than the tax credits that help reduce the monthly premium people pay. Those are available to people with incomes up to 400 percent of the poverty level regardless of the type of plan they buy.\u003c/p>\n\u003cp>In its analysis of \u003ca href=\"http://aspe.hhs.gov/sites/default/files/pdf/83656/ib_2015mar_enrollment.pdf\" target=\"_blank\">exchange income data\u003c/a> for those enrolled in 2015 in the health insurance marketplaces, including Covered California, Avalere found that 8.1 million individuals with this coverage had income levels that should have qualified them for cost-sharing reductions. But only 5.9 million received the reductions, which are automatically applied if people enroll in silver-level plans.\u003c/p>\n\u003cp>Some of those who were eligible probably bought cheaper bronze-level plans, says Elizabeth Carpenter, a vice president at Avalere.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Surveys show that people shop for plans based on premiums,” Carpenter says. “But if somebody forgoes cost-sharing reductions in order to pay a lower monthly premium and then has an unexpected accident or illness, their out-of-pocket exposure is likely to be higher.”\u003c/p>\n\u003cp>Silver plans pay 70 percent of medical costs, on average, while bronze plans pay 60 percent.\u003c/p>\n\u003cp>In other words, consumers with a silver plan are responsible for paying 30 percent of their medical costs in deductibles and copayments or coinsurance, \u003ca href=\"https://www.healthcare.gov/glossary/out-of-pocket-maximum-limit/\" target=\"_blank\">up to a maximum\u003c/a> of $6,600 for an individual and $13,200 for a family in 2015.\u003c/p>\n\u003cp>Cost-sharing reduction subsidies \u003ca href=\"https://www.healthcare.gov/choose-a-plan/out-of-pocket-costs/\" target=\"_blank\">reduce those out-of-pocket costs \u003c/a>to those of a gold or even a platinum plan.\u003c/p>\n\u003cp>If your income is within certain ranges, you could reduce your costs, as follows:\u003c/p>\n\u003cul>\n\u003cli>People with incomes below $17,655 for an individual or $36,375 for a family of four are on the hook for no more than 6 percent of their costs -- instead of 30 percent.\u003c/li>\n\u003cli>Those with incomes between $17,656-23,540 for an individual or $36,376-48,500 for a family of four pay 13 percent of costs instead of 30 percent.\u003c/li>\n\u003cli>Even those with slightly higher incomes pay 27 percent at most.\u003c/li>\n\u003c/ul>\n\u003cp>Consumers who are eligible for these \u003ca href=\"http://khn.org/news/070913-michelle-andrews-on-cost-sharing-subsidies/\">cost-sharing reductions\u003c/a> also have lower maximum out-of-pocket spending limits.\u003c/p>\n\u003cp>If you are currently enrolled in a bronze plan, but your income falls within one of the ranges above, talk with an insurance broker or certified counselor to see if you could save money by enrolling in a silver plan -- with these cost-sharing reductions.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Michelle Andrews reported this story for \u003c/em>\u003ca href=\"http://khn.org\">\u003cem>Kaiser Health News\u003c/em>\u003c/a>\u003cem>, 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\n\u003c/div>\u003c/p>",
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"disqusTitle": "Californians Better Insured, But More Obese and Diabetic, Says Survey",
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"content": "\u003cp>The Affordable Care Act, aka Obamacare, has had a significant impact on\u003cbr>\ndecreasing the number of adults without health insurance, according to new \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/Medi-Cal-factsheet-aug2015.pdf\" target=\"_blank\">data\u003c/a> from the California Health Interview Survey, released Tuesday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>The two-year survey queried 23,160 Californians in 2013 and 24,845 in 2014.\u003c/p>\n\u003cp>The center said that as a result of Obamacare's 2014 expansion of Medi-Cal to those households just above the federal poverty level, the rate of uninsured Californians ages 19-64 fell from 20.6 percent to 17.4 percent.\u003c/p>\n\u003cp>Among all nonelderly Californians, \"the uninsured rate declined to a new low of 13.6%,\" the center said.\u003c/p>\n\u003cp>On the negative side, two troubling statistics:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>About 27 percent of Californians were considered obese in 2014, compared to 19 percent in 2001. That's a whopping 42 percent increase.\u003c/p>\n\u003cp>And nearly 9 percent of respondents reported having been diagnosed with diabetes. The trendline on that is not encouraging, either, surging from 6.6 percent in 20013 to 8.9 percent in 2014.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\">\u003cimg class=\"aligncenter size-full wp-image-64147\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\" alt=\"diabetes\" width=\"640\" height=\"396\">\u003c/a>\u003c/p>\n\u003cp>More findings highlighted by the center in its press release:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Children and sedentary time. On a typical weekday, nearly half (46.5 percent) of children ages 2 to 11 spend 2 or more hours a day watching TV, playing computer games or talking with friends, and that increases on the weekend to more than 7 in 10 children (71.7 percent).\u003c/li>\n\u003cli>Teens and smoking. Roughly 1 in 10 teens reported “vaping,” smoking e-cigarettes.\u003c/li>\n\u003cli>High school students and community. Nearly 90 percent of adolescents feel they can make a difference in their community, a positive attitude that spanned disparate incomes and races/ethnicities.\u003c/li>\n\u003cli>Women and family planning. Birth control pills still reign as the most popular method of family planning among women. Of nearly 2 million women ages 18 to 44 who received birth control from a doctor, 56.6 percent were on the pill. Nearly 34 percent used IUDs, implants and other hormonal methods.\u003c/li>\n\u003cli>Adults and smoking. Nearly 12 percent of adults 18 and older are current smokers, but 7 in 10 of those smokers have thought about quitting in the next 6 months.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>If you want to find more stats related to the survey, you can register at the \u003ca href=\"http://ask.chis.ucla.edu/ask/SitePages/AskChisLogin.aspx?ReturnUrl=%2fAskCHIS%2ftools%2f_layouts%2fAuthenticate.aspx%3fSource%3d%252FAskCHIS%252Ftools%252F%255Flayouts%252FAskChisTool%252Fhome%252Easpx&Source=%2FAskCHIS%2Ftools%2F_layouts%2FAskChisTool%2Fhome%2Easpx\" target=\"_blank\">AskCHIS website\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Affordable Care Act, aka Obamacare, has had a significant impact on\u003cbr>\ndecreasing the number of adults without health insurance, according to new \u003ca href=\"http://healthpolicy.ucla.edu/publications/Documents/PDF/2015/Medi-Cal-factsheet-aug2015.pdf\" target=\"_blank\">data\u003c/a> from the California Health Interview Survey, released Tuesday by the UCLA Center for Health Policy Research.\u003c/p>\n\u003cp>The two-year survey queried 23,160 Californians in 2013 and 24,845 in 2014.\u003c/p>\n\u003cp>The center said that as a result of Obamacare's 2014 expansion of Medi-Cal to those households just above the federal poverty level, the rate of uninsured Californians ages 19-64 fell from 20.6 percent to 17.4 percent.\u003c/p>\n\u003cp>Among all nonelderly Californians, \"the uninsured rate declined to a new low of 13.6%,\" the center said.\u003c/p>\n\u003cp>On the negative side, two troubling statistics:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>About 27 percent of Californians were considered obese in 2014, compared to 19 percent in 2001. That's a whopping 42 percent increase.\u003c/p>\n\u003cp>And nearly 9 percent of respondents reported having been diagnosed with diabetes. The trendline on that is not encouraging, either, surging from 6.6 percent in 20013 to 8.9 percent in 2014.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\">\u003cimg class=\"aligncenter size-full wp-image-64147\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/08/diabetes1-e1440009963382.jpg\" alt=\"diabetes\" width=\"640\" height=\"396\">\u003c/a>\u003c/p>\n\u003cp>More findings highlighted by the center in its press release:\u003c/p>\n\u003cblockquote>\n\u003cul>\n\u003cli>Children and sedentary time. On a typical weekday, nearly half (46.5 percent) of children ages 2 to 11 spend 2 or more hours a day watching TV, playing computer games or talking with friends, and that increases on the weekend to more than 7 in 10 children (71.7 percent).\u003c/li>\n\u003cli>Teens and smoking. Roughly 1 in 10 teens reported “vaping,” smoking e-cigarettes.\u003c/li>\n\u003cli>High school students and community. Nearly 90 percent of adolescents feel they can make a difference in their community, a positive attitude that spanned disparate incomes and races/ethnicities.\u003c/li>\n\u003cli>Women and family planning. Birth control pills still reign as the most popular method of family planning among women. Of nearly 2 million women ages 18 to 44 who received birth control from a doctor, 56.6 percent were on the pill. Nearly 34 percent used IUDs, implants and other hormonal methods.\u003c/li>\n\u003cli>Adults and smoking. Nearly 12 percent of adults 18 and older are current smokers, but 7 in 10 of those smokers have thought about quitting in the next 6 months.\u003c/li>\n\u003c/ul>\n\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>If you want to find more stats related to the survey, you can register at the \u003ca href=\"http://ask.chis.ucla.edu/ask/SitePages/AskChisLogin.aspx?ReturnUrl=%2fAskCHIS%2ftools%2f_layouts%2fAuthenticate.aspx%3fSource%3d%252FAskCHIS%252Ftools%252F%255Flayouts%252FAskChisTool%252Fhome%252Easpx&Source=%2FAskCHIS%2Ftools%2F_layouts%2FAskChisTool%2Fhome%2Easpx\" target=\"_blank\">AskCHIS website\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Medicare Says Doctors Should Get Paid To Discuss End-Of-Life Issues",
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"content": "\u003cp>Remember the so-called death panels?\u003c/p>\n\u003cp>When Congress debated the Affordable Care Act in 2009, the legislation originally included a provision that would have allowed Medicare to reimburse doctors when they meet with patients to talk about end-of-life care.\u003c/p>\n\u003cp>But then Sarah Palin argued that such payments would lead to care being withheld from the elderly and disabled. Her comment ignited a firestorm among conservatives and helped fuel the opposition to the legislation.\u003c/p>\n\u003cp>Her assertions greatly distressed Dr. Pamelyn Close, a palliative care specialist in Los Angeles.\u003c/p>\n\u003cp>“It did terrible damage to the concept of having this conversation,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Amid the ensuing political uproar, Congress deleted the provision. And the lack of payments and concerns about the controversy further discouraged doctors from initiating these talks, according to Close.\u003c/p>\n\u003cp>“We just are not having these conversations often enough and soon enough,” Close said. “Loved ones who are trying to do always the right thing, end up being weighed with tremendous guilt and tremendous uncertainty without having had that conversation.”\u003c/p>\n\u003cp>When done right, according to Close, these counseling sessions often delve into end-of-life treatment options and legal documents, such as advance directives and living wills. The issues to be covered are complex and typically require a series of discussions.\u003c/p>\n\u003cp>Right now, Medicare only pays doctors for this sort of advanced care planning if it happens during the first visit for new Medicare enrollees. But the government recently has again proposed that Medicare reimburse doctors for including these conversations in their practice, whenever they occur.\u003c/p>\n\u003cp>Already, some private insurance companies are starting to do just that.\u003c/p>\n\u003cp>Meanwhile, the Alliance Defending Freedom, a conservative Christian organization, has formally opposed Medicare’s proposal.\u003c/p>\n\u003cp>“By paying doctors for these conversations, what we’re doing is opening the door to directive counseling and coercion,” said Catherine Glenn Foster, an attorney with the group. Foster says her organization supports end-of-life counseling and planning, but not in a doctor’s office.\u003c/p>\n\u003cp>“A doctor is not really the person you’d want to be having it with – particularly not a general practitioner who would not be able to advise on the nuances of end-of-life care in the first place,” she says.\u003c/p>\n\u003cp>But patients seem to want these talks.\u003c/p>\n\u003cp>Many doctors who initiate the discussions often do so on their own dime. More often, they don’t have them at all, said Dr. Daniel Stone, an internist with Cedars-Sinai Medical Center in Los Angeles.\u003c/p>\n\u003cp>“When a doctor has patients scheduled every 15 minutes, it’s difficult to have a face-to-face conversation about values and goals related to the end of life, which is one of the most sensitive topics that you can possibly discuss with a patient,” Stone said.\u003c/p>\n\u003cp>Dr. Susan Tolle, an internist with the Center for Ethics in Health Care at the Oregon Health and Science University in Portland, says the informality with which such conversations are held now means that family members may not be included. Having the discussion as part of a formal doctor’s appointment can change that, she said.\u003c/p>\n\u003cp>“What it does is, it gives this really important conversation dignity and standing,” she said.\u003c/p>\n\u003cp>In Oregon, doctors have been squeezing end-of-life discussions into regular medical appointments for decades, under less-than-ideal circumstances. Over the last five years a quarter of a million Oregonians filed their wishes with a state registry. They use what’s known as a POLST form, which stands for Physician Orders for Life Sustaining Treatment. A version of it has been adopted by some other states, including New York and West Virginia.\u003c/p>\n\u003cp>Jo Ann Farwell, a retired Portland social worker who was recently diagnosed with a brain tumor, completed the form after talking to her doctor.\u003c/p>\n\u003cp>“I had surgery and had a prognosis of four to six months to live,” she said, after she was diagnosed with a brain tumor.\u003c/p>\n\u003cp>She did it, she said, to make sure her last hours are as comfortable as possible.\u003c/p>\n\u003cp>“I wouldn’t want to be on tube-feeding,” she said. “I wouldn’t want to be resuscitated, or have mechanical ventilation, because that would probably prolong my dying, rather than giving me quality of life.”\u003c/p>\n\u003cp>In the 1990s, health care workers all over Oregon recognized that the wishes of patients weren’t being consistently followed. So the health care establishment worked with the state and with ethicists to prioritize end-of-life talks; the result was the POLST form.\u003c/p>\n\u003cp>Rep. Earl Blumenauer, a Democrat from Portland, has introduced the Medicare reimbursement legislation every session since 2009. Until now, he says, the federal government hasn’t placed any value on helping people prepare for death, and he finds that ironic.\u003c/p>\n\u003cp>“The Medicare program will pay for literally thousands of medical procedures, many of them very expensive and complex, even if the person is at the latest stage of life and it may not do any good,” Blumenauer says.\u003c/p>\n\u003cp>From a purely financial point of view, the change could save money. But Blumenauer says that’s not what’s driving him.\u003c/p>\n\u003cp>“I don’t care what people decide,” he says. “If they want to die in an ICU with tubes up their nose, that’s their choice. What we want is that people know what their choices are.”\u003c/p>\n\u003cp>Farwell, the brain tumor patient, well remembers when her sister was dying from cancer.\u003c/p>\n\u003cp>“She never talked about death or dying,” Farwell said, “never talked about what she wanted at the end. It was very, very difficult for me to try to plan and give her care.”\u003c/p>\n\u003cp>Farwell wants her sons to be in a better position when it comes to carrying out her wishes.\u003c/p>\n\u003cp>The federal government is now accepting public comment on the Medicare reimbursement proposal. It’s expected to make a decision in November.\u003c/p>\n\u003cp>\u003cem>This story is part of a partnership that includes \u003ca href=\"http://www.opb.org/news/\" target=\"_blank\">Oregon Public Broadcasting\u003c/a>, \u003ca href=\"http://www.scpr.org/\" target=\"_blank\">Southern California Public Radio\u003c/a>, \u003ca href=\"http://www.npr.org/sections/news/\" target=\"_blank\">NPR\u003c/a> and Kaiser Health News.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KHN’s coverage of aging and long term care issues is supported in part by a grant from The SCAN Foundation.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Remember the so-called death panels?\u003c/p>\n\u003cp>When Congress debated the Affordable Care Act in 2009, the legislation originally included a provision that would have allowed Medicare to reimburse doctors when they meet with patients to talk about end-of-life care.\u003c/p>\n\u003cp>But then Sarah Palin argued that such payments would lead to care being withheld from the elderly and disabled. Her comment ignited a firestorm among conservatives and helped fuel the opposition to the legislation.\u003c/p>\n\u003cp>Her assertions greatly distressed Dr. Pamelyn Close, a palliative care specialist in Los Angeles.\u003c/p>\n\u003cp>“It did terrible damage to the concept of having this conversation,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Amid the ensuing political uproar, Congress deleted the provision. And the lack of payments and concerns about the controversy further discouraged doctors from initiating these talks, according to Close.\u003c/p>\n\u003cp>“We just are not having these conversations often enough and soon enough,” Close said. “Loved ones who are trying to do always the right thing, end up being weighed with tremendous guilt and tremendous uncertainty without having had that conversation.”\u003c/p>\n\u003cp>When done right, according to Close, these counseling sessions often delve into end-of-life treatment options and legal documents, such as advance directives and living wills. The issues to be covered are complex and typically require a series of discussions.\u003c/p>\n\u003cp>Right now, Medicare only pays doctors for this sort of advanced care planning if it happens during the first visit for new Medicare enrollees. But the government recently has again proposed that Medicare reimburse doctors for including these conversations in their practice, whenever they occur.\u003c/p>\n\u003cp>Already, some private insurance companies are starting to do just that.\u003c/p>\n\u003cp>Meanwhile, the Alliance Defending Freedom, a conservative Christian organization, has formally opposed Medicare’s proposal.\u003c/p>\n\u003cp>“By paying doctors for these conversations, what we’re doing is opening the door to directive counseling and coercion,” said Catherine Glenn Foster, an attorney with the group. Foster says her organization supports end-of-life counseling and planning, but not in a doctor’s office.\u003c/p>\n\u003cp>“A doctor is not really the person you’d want to be having it with – particularly not a general practitioner who would not be able to advise on the nuances of end-of-life care in the first place,” she says.\u003c/p>\n\u003cp>But patients seem to want these talks.\u003c/p>\n\u003cp>Many doctors who initiate the discussions often do so on their own dime. More often, they don’t have them at all, said Dr. Daniel Stone, an internist with Cedars-Sinai Medical Center in Los Angeles.\u003c/p>\n\u003cp>“When a doctor has patients scheduled every 15 minutes, it’s difficult to have a face-to-face conversation about values and goals related to the end of life, which is one of the most sensitive topics that you can possibly discuss with a patient,” Stone said.\u003c/p>\n\u003cp>Dr. Susan Tolle, an internist with the Center for Ethics in Health Care at the Oregon Health and Science University in Portland, says the informality with which such conversations are held now means that family members may not be included. Having the discussion as part of a formal doctor’s appointment can change that, she said.\u003c/p>\n\u003cp>“What it does is, it gives this really important conversation dignity and standing,” she said.\u003c/p>\n\u003cp>In Oregon, doctors have been squeezing end-of-life discussions into regular medical appointments for decades, under less-than-ideal circumstances. Over the last five years a quarter of a million Oregonians filed their wishes with a state registry. They use what’s known as a POLST form, which stands for Physician Orders for Life Sustaining Treatment. A version of it has been adopted by some other states, including New York and West Virginia.\u003c/p>\n\u003cp>Jo Ann Farwell, a retired Portland social worker who was recently diagnosed with a brain tumor, completed the form after talking to her doctor.\u003c/p>\n\u003cp>“I had surgery and had a prognosis of four to six months to live,” she said, after she was diagnosed with a brain tumor.\u003c/p>\n\u003cp>She did it, she said, to make sure her last hours are as comfortable as possible.\u003c/p>\n\u003cp>“I wouldn’t want to be on tube-feeding,” she said. “I wouldn’t want to be resuscitated, or have mechanical ventilation, because that would probably prolong my dying, rather than giving me quality of life.”\u003c/p>\n\u003cp>In the 1990s, health care workers all over Oregon recognized that the wishes of patients weren’t being consistently followed. So the health care establishment worked with the state and with ethicists to prioritize end-of-life talks; the result was the POLST form.\u003c/p>\n\u003cp>Rep. Earl Blumenauer, a Democrat from Portland, has introduced the Medicare reimbursement legislation every session since 2009. Until now, he says, the federal government hasn’t placed any value on helping people prepare for death, and he finds that ironic.\u003c/p>\n\u003cp>“The Medicare program will pay for literally thousands of medical procedures, many of them very expensive and complex, even if the person is at the latest stage of life and it may not do any good,” Blumenauer says.\u003c/p>\n\u003cp>From a purely financial point of view, the change could save money. But Blumenauer says that’s not what’s driving him.\u003c/p>\n\u003cp>“I don’t care what people decide,” he says. “If they want to die in an ICU with tubes up their nose, that’s their choice. What we want is that people know what their choices are.”\u003c/p>\n\u003cp>Farwell, the brain tumor patient, well remembers when her sister was dying from cancer.\u003c/p>\n\u003cp>“She never talked about death or dying,” Farwell said, “never talked about what she wanted at the end. It was very, very difficult for me to try to plan and give her care.”\u003c/p>\n\u003cp>Farwell wants her sons to be in a better position when it comes to carrying out her wishes.\u003c/p>\n\u003cp>The federal government is now accepting public comment on the Medicare reimbursement proposal. It’s expected to make a decision in November.\u003c/p>\n\u003cp>\u003cem>This story is part of a partnership that includes \u003ca href=\"http://www.opb.org/news/\" target=\"_blank\">Oregon Public Broadcasting\u003c/a>, \u003ca href=\"http://www.scpr.org/\" target=\"_blank\">Southern California Public Radio\u003c/a>, \u003ca href=\"http://www.npr.org/sections/news/\" target=\"_blank\">NPR\u003c/a> and Kaiser Health News.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KHN’s coverage of aging and long term care issues is supported in part by a grant from The SCAN Foundation.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "More Obamacare Choices for Rural Northern California Consumers",
"title": "More Obamacare Choices for Rural Northern California Consumers",
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"content": "\u003cp>People who live in rural Northern California will see more choice and competition in the health insurance marketplace next year, giving consumers a better chance of finding a plan -- and a doctor -- that can meet their needs.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/07/27/covered-california-2016-premiums-to-increase-modestly/\" target=\"_blank\">The changes\u003c/a>, unveiled last month by the state’s Affordable Care Act marketplace Covered California, will now allow some consumers to cross state lines for care. That means Californians living near the Oregon or Nevada borders can get subsidies to buy plans that pay for routine care in those states, something that previously was allowed only in emergencies.\u003c/p>\n\u003cp>In addition, all 22 counties that had areas with only one choice of insurer in 2015 and 2014 will now have at least three insurers selling plans.\u003c/p>\n\u003cp>Northern California customers may notice a jump in their premium costs next year, however. Region-wide, they will have a 10.6 percent increase over this year, while the statewide average increase is 4 percent.\u003c/p>\n\u003cfigure id=\"attachment_559016\" class=\"wp-caption alignright\" style=\"max-width: 370px\">\u003cimg class=\"wp-image-559016 size-khn-article-small\" src=\"https://kaiserhealthnews.files.wordpress.com/2015/08/bartolone-california-lomas-570.jpg?w=370&h=247&crop=1\" alt=\"Lori Lomas, an insurance agent with Feather Financial in Quincy, California, has noticed that her clients in San Francisco have many more health carrier options than her mountain neighbors. (Photo by Pauline Bartolone/Capital Public Radio).\" width=\"370\" height=\"247\">\u003cfigcaption class=\"wp-caption-text\">Lori Lomas, an insurance agent with Feather Financial in Quincy, California, welcomes the increased choices Covered California will have for mountain communities in 2016. (Photo by Pauline Bartolone)\u003c/figcaption>\u003c/figure>\n\u003cp>Lori Lomas, a health insurance agent with Feather Financial in Quincy, California, said not being able to travel to Reno, Nevada for medical care has been a hardship for many of her clients who live in isolated communities in the Sierra Nevada mountains.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“It’s disrupted their care,” she said. “It’s affected people’s relationship with their doctors and it’s affected their trust in their insurance companies, big time.”\u003c/p>\n\u003cp>Next year, the two major insurers in the area, Anthem Blue Cross and Blue Shield of California, will offer routine out-of-state doctor coverage in 2016 individual policies.\u003c/p>\n\u003cp>A minimum of three insurers will be offering plans in each ZIP code of a 22 county region, a vast rural area that stretches south from the border of Oregon to the Sacramento County line. Two additional insurers will be selling in some parts of the area.\u003c/p>\n\u003cp>[contextly_sidebar id=\"veGNr4nvAF4rcegfdnCuKBnobHzY4S8o\"]Anthem Blue Cross, which has 91.7 percent of the health exchange’s market share in the Northern California region, says it made the decision to reinstate out-of-state coverage after hearing from consumers that they wanted the benefit.\u003c/p>\n\u003cp>“At the earliest opportunity to make substantive changes to our Covered California policies, we did,” says Darrel Ng, spokesman for Anthem Blue Cross.\u003c/p>\n\u003cp>Consumer demand also motivated Blue Shield of California to expand into areas where they had retreated from in 2014. Before new market rules under the Affordable Care Act, it had sold individual policies in all areas of the state. After Jan. 1, 2014, it stopped selling in about 250 ZIP codes, including vast areas of Northern California, in order to keep “premiums low.”\u003c/p>\n\u003cp>The company now says that decision “created a lot of disruption in the marketplace,” and in 2016 the company will be selling again in all ZIP codes.\u003c/p>\n\u003cp>“We’ve been able to now provide a network that would support us offering coverage in those ZIP codes that we didn’t have covered in 2015,” said Jeff Smith, general manager and vice president for Individual and Family Plans for Blue Shield of California.\u003c/p>\n\u003cp>[contextly_sidebar id=\"vPbPrbLkhNceuPvuX4550TQeJ66OM6lF\"]In the individual market next year, the company will be offering statewide preferred provider organizations (PPOs) and will discontinue the exclusive provider organizations (EPOs) offered this year, which restricted coverage to doctors only in a fixed geographic area.\u003c/p>\n\u003cp>Covered California would not comment on how its negotiations with insurers may have influenced the companies’ decision-making, but the exchange says it is pleased that consumers will get more choices next year.\u003c/p>\n\u003cp>“It’s no secret that Covered California looked to plans to expand and provide stronger and more comprehensive value to consumers, ” says Dana Howard, deputy director of communications for Covered California.\u003c/p>\n\u003cp>United Healthcare and Health Net will also be selling policies in Northern California next year. Covered California consumers may take a good look at those new options next open enrollment period. Lomas says the restricted doctor coverage and Blue Shield’s black out in certain ZIP codes had given the two companies a “bad name.”\u003c/p>\n\u003cp>“Now I’m going to show people the screen and it will be [more] choices for everyone,” says Lomas about the next open enrollment period.\u003c/p>\n\u003cp>In some areas of Northern California, health insurance shoppers will see even more options.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is from \u003ca href=\"http://khn.org\">Kaiser Health News\u003c/a>, 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\n",
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"excerpt": "For starters, people living near Oregon or Nevada will now be able to travel there for routine care, which wasn't covered in past years.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>People who live in rural Northern California will see more choice and competition in the health insurance marketplace next year, giving consumers a better chance of finding a plan -- and a doctor -- that can meet their needs.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/07/27/covered-california-2016-premiums-to-increase-modestly/\" target=\"_blank\">The changes\u003c/a>, unveiled last month by the state’s Affordable Care Act marketplace Covered California, will now allow some consumers to cross state lines for care. That means Californians living near the Oregon or Nevada borders can get subsidies to buy plans that pay for routine care in those states, something that previously was allowed only in emergencies.\u003c/p>\n\u003cp>In addition, all 22 counties that had areas with only one choice of insurer in 2015 and 2014 will now have at least three insurers selling plans.\u003c/p>\n\u003cp>Northern California customers may notice a jump in their premium costs next year, however. Region-wide, they will have a 10.6 percent increase over this year, while the statewide average increase is 4 percent.\u003c/p>\n\u003cfigure id=\"attachment_559016\" class=\"wp-caption alignright\" style=\"max-width: 370px\">\u003cimg class=\"wp-image-559016 size-khn-article-small\" src=\"https://kaiserhealthnews.files.wordpress.com/2015/08/bartolone-california-lomas-570.jpg?w=370&h=247&crop=1\" alt=\"Lori Lomas, an insurance agent with Feather Financial in Quincy, California, has noticed that her clients in San Francisco have many more health carrier options than her mountain neighbors. (Photo by Pauline Bartolone/Capital Public Radio).\" width=\"370\" height=\"247\">\u003cfigcaption class=\"wp-caption-text\">Lori Lomas, an insurance agent with Feather Financial in Quincy, California, welcomes the increased choices Covered California will have for mountain communities in 2016. (Photo by Pauline Bartolone)\u003c/figcaption>\u003c/figure>\n\u003cp>Lori Lomas, a health insurance agent with Feather Financial in Quincy, California, said not being able to travel to Reno, Nevada for medical care has been a hardship for many of her clients who live in isolated communities in the Sierra Nevada mountains.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“It’s disrupted their care,” she said. “It’s affected people’s relationship with their doctors and it’s affected their trust in their insurance companies, big time.”\u003c/p>\n\u003cp>Next year, the two major insurers in the area, Anthem Blue Cross and Blue Shield of California, will offer routine out-of-state doctor coverage in 2016 individual policies.\u003c/p>\n\u003cp>A minimum of three insurers will be offering plans in each ZIP code of a 22 county region, a vast rural area that stretches south from the border of Oregon to the Sacramento County line. Two additional insurers will be selling in some parts of the area.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Anthem Blue Cross, which has 91.7 percent of the health exchange’s market share in the Northern California region, says it made the decision to reinstate out-of-state coverage after hearing from consumers that they wanted the benefit.\u003c/p>\n\u003cp>“At the earliest opportunity to make substantive changes to our Covered California policies, we did,” says Darrel Ng, spokesman for Anthem Blue Cross.\u003c/p>\n\u003cp>Consumer demand also motivated Blue Shield of California to expand into areas where they had retreated from in 2014. Before new market rules under the Affordable Care Act, it had sold individual policies in all areas of the state. After Jan. 1, 2014, it stopped selling in about 250 ZIP codes, including vast areas of Northern California, in order to keep “premiums low.”\u003c/p>\n\u003cp>The company now says that decision “created a lot of disruption in the marketplace,” and in 2016 the company will be selling again in all ZIP codes.\u003c/p>\n\u003cp>“We’ve been able to now provide a network that would support us offering coverage in those ZIP codes that we didn’t have covered in 2015,” said Jeff Smith, general manager and vice president for Individual and Family Plans for Blue Shield of California.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>In the individual market next year, the company will be offering statewide preferred provider organizations (PPOs) and will discontinue the exclusive provider organizations (EPOs) offered this year, which restricted coverage to doctors only in a fixed geographic area.\u003c/p>\n\u003cp>Covered California would not comment on how its negotiations with insurers may have influenced the companies’ decision-making, but the exchange says it is pleased that consumers will get more choices next year.\u003c/p>\n\u003cp>“It’s no secret that Covered California looked to plans to expand and provide stronger and more comprehensive value to consumers, ” says Dana Howard, deputy director of communications for Covered California.\u003c/p>\n\u003cp>United Healthcare and Health Net will also be selling policies in Northern California next year. Covered California consumers may take a good look at those new options next open enrollment period. Lomas says the restricted doctor coverage and Blue Shield’s black out in certain ZIP codes had given the two companies a “bad name.”\u003c/p>\n\u003cp>“Now I’m going to show people the screen and it will be [more] choices for everyone,” says Lomas about the next open enrollment period.\u003c/p>\n\u003cp>In some areas of Northern California, health insurance shoppers will see even more options.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is from \u003ca href=\"http://khn.org\">Kaiser Health News\u003c/a>, 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\n\u003c/div>\u003c/p>",
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"disqusTitle": "Start Up Insurer Coming to California, Seeks to 'Revolutionize' Health Care. Really?",
"title": "Start Up Insurer Coming to California, Seeks to 'Revolutionize' Health Care. Really?",
"headTitle": "State of Health | KQED News",
"content": "\u003cp>Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/07/27/covered-california-2016-premiums-to-increase-modestly/\" target=\"_blank\">made it official late last month\u003c/a>: the buzzed-about startup health insurer Oscar is coming to California. The company will start selling plans in Los Angeles and Orange County during the next open enrollment starting in November.\u003c/p>\n\u003cp>But can Oscar's services live up to its \u003ca href=\"http://www.nytimes.com/2014/03/29/business/start-up-health-insurer-finds-foothold-in-new-york.html?_r=1\" target=\"_blank\">press clippings\u003c/a>? And is the New York-based company ready to compete in a brand-new market, more than 3,000 miles away from its home base?\u003c/p>\n\u003cp>\u003cstrong>Why Covered California Let Oscar In\u003c/strong>\u003c/p>\n\u003cp>California's exchange is infamous for its selectivity; unlike nearly every other exchange across the country, the number of plans participating in Covered California \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2014/most-insurance-exchanges-just-got-bigger-covered-california-is-getting-smaller\" target=\"_blank\">actually shrunk\u003c/a> last year.\u003c/p>\n\u003cp>\"Choice is important,\" Covered California's director Peter Lee said at a January 2015 board meeting, not long after \u003ca href=\"http://www.capradio.org/articles/2014/12/23/oregon-based-insurer-rejected-from-covered-california/\" target=\"_blank\">news broke\u003c/a> that the exchange had turned away Moda Health, a popular Oregon-based insurer. \"But adding more plans that are either not by price, network, or design substantially different is not necessarily an advantage for consumers.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Yet Oscar's entrance into the California market seems almost preordained.\u003c/p>\n\u003cp>CEO Mario Schlosser and his co-founders have a Silicon Valley pedigree -- they have youth, Harvard degrees, and experience with firms like Instagram, Microsoft and Vostu. They're backed by venture capitalists like Peter Thiel.\u003c/p>\n\u003cp>They've got an Internet company-like valuation: After officially launching in New York two years ago, Oscar is \u003ca href=\"http://www.nytimes.com/2015/04/21/business/dealbook/oscar-a-health-insurance-start-up-valued-at-1-5-billion.html\" target=\"_blank\">already valued\u003c/a> at $1.5 billion -- despite having just 40,000 members.\u003c/p>\n\u003cp>(In comparison, UnitedHealthcare is valued at $115 billion and has about 45 million members. A smaller rival insurer, Health Net, is valued at about $5 billion -- and has more than 3 million members.)\u003c/p>\n\u003cp>And Oscar's staff evangelizes about its product in a way that's familiar to anyone who's spent much time in the San Francisco startup scene.\u003c/p>\n\u003cp>\"Health care is broken; we're trying to fix it,\" Oscar's \u003ca href=\"https://www.linkedin.com/company/oscar-health\" target=\"_blank\">LinkedIn page\u003c/a> reads. \"Backed by a renowned set of investors and advisors, we've set out to revolutionize health care.\"\u003c/p>\n\u003cp>\"Oscar was created by people with a background in technology,\" co-founder \u003ca href=\"http://board.coveredca.com/meetings/2015/1-15/Comments%20to%20the%20Board%20-%20Master_January%2015%202015%20(External).pdf\" target=\"_blank\">Kevin Nazemi wrote\u003c/a> to the Covered California board in January 2015, as the company began to lay the groundwork for its arrival. \"Oscar's founders were frustrated with the available health insurance choices and thought there was a better way to provide health insurance coverage.\"\u003c/p>\n\u003cp>Oscar has tried to distinguish itself through Web savvy, like its personalized search engine for members, and mobile-friendly services.\u003c/p>\n\u003cp>And that tech-heavy message resonated with Covered California, spokesperson Lizelda Lopez told me\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\"While our examination of Oscar's experience in New York gave us confidence they understood the complexities of operating in a state-based Exchange environment, and could be successful in California, that was not our principal reason for adding them,\" Lopez said via email.\u003c/p>\n\u003cp>The level of innovation they bring to the marketplace is what we found most compelling.\"\u003c/p>\n\u003cp>\u003cstrong>Oscar's Hype vs. Oscar's Reviews\u003c/strong>\u003c/p>\n\u003cp>One of the state's leading consumer advocates is hailing the move to add Oscar.\u003c/p>\n\u003cp>\"I think it's positive that [Oscar] is coming into the California market,\" California Insurance Commissioner Dave Jones told \u003cem>California Healthline. \u003c/em>(He's been critical of Covered California's selectivity in the past.) \"The more insurers the better,\" Jones added.\u003c/p>\n\u003cp>But as Oscar starts to introduce itself to Californians, there's still a big question about the company: How much is skillful marketing, and how much is actual breakthrough innovation?\u003c/p>\n\u003cp>For instance, CEO Schlosser touted Oscar's \"unique set of features for its customers, including 24/7 telemedicine and incentivized health and fitness goals.\"\u003c/p>\n\u003cp>It's worth noting that Anthem, already one of the major players on the exchange, \u003ca href=\"https://livehealthonline.com/\" target=\"_blank\">offers its own\u003c/a> 24/7 telemedicine service. And many insurers are debuting or have already launched their own wellness services, too.\u003c/p>\n\u003cp>Schlosser also said that Oscar's simple message and ease-of-use will set it apart. \"As in New York and New Jersey, the Oscar approach suits the needs of Californians looking for accessible, transparent and human health care in the current consumer health care landscape,\" he said\u003cem>.\u003c/em>\u003c/p>\n\u003cp>But more than a few New York-area customers have complained that Oscar's smooth packaging hasn't always delivered a similarly smooth experience with the health care system. Some customers have warned that they were misinformed about Oscar's provider networks and copays.\u003c/p>\n\u003cp>\"Agree with the rest here,\" a user named \u003ca href=\"http://www.yelp.com/biz/oscar-insurance-corporation-new-york?hrid=PsUXsiRaIDHCPa0awgh91g&utm_campaign=www_review_share_popup&utm_medium=copy_link&utm_source=(direct)\" target=\"_blank\">Mary B. writes\u003c/a> on Yelp. \"Slick on the surface. Bad coverage for the money.\"\u003c/p>\n\u003cp>Another disgruntled Oscar \u003ca href=\"http://valleywag.gawker.com/what-happens-when-a-healthcare-startup-leaves-you-with-1598186714\" target=\"_blank\">customer ranted\u003c/a> to the much-read blog \"Valleywag\" last year, sharing personal communications with the company and even posting pictures of the bill.\u003c/p>\n\u003cp>\"In the emerging health and wellness markets, startups like Oscar intimately disrupt and destroy their customer's lives through incorrect datasets where an A/B testing mentality results in exorbitant fees, angry hospital administrators and patients with no recourse except to bankrupt themselves paying bills they didn't expect,\" the customer wrote.\u003c/p>\n\u003cp>\u003cstrong>Can Oscar Succeed in California?\u003c/strong>\u003c/p>\n\u003cp>It's tough to know how much stock to place in Oscar's grouches. Despite all the disgruntled online reviews, Oscar's mediocre 2.5 stars on Yelp in New York are downright luxurious compared to the one star for United Healthcare and other insurance companies.\u003c/p>\n\u003cp>But experts agree that Oscar will face at least one major challenge in California: How can the company compete in a state that's already dominated by a handful of health insurers?\u003c/p>\n\u003cp>\"We still have a problem with the degree of concentration that the top four insurers have,\" Jones said, pointing out that Anthem, Blue Shield, Health Net and Kaiser Permanente, are collectively responsible for 94 percent of all enrollment on Covered California. As I've previously reported, small health plans have \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2014/most-small-health-plans-arent-thriving-in-covered-california-meet-two-exceptions\" target=\"_blank\">consistently had trouble\u003c/a> attracting customers on the state's exchange.\u003c/p>\n\u003cp>Oscar's advertising strategy will be interesting to watch. The company gained awareness in New York City thanks to ubiquitous, clever \u003ca href=\"https://twitter.com/ddiamond/status/540665174408323072\" target=\"_blank\">advertisements in the city's subway\u003c/a>; Southern Californians aren't known for their love of public transportation.\u003c/p>\n\u003cp>(Oscar declined to comment on the company's goals for the next enrollment period.)\u003c/p>\n\u003cp>And in the growing retail insurance market, where customers often shop by price, Oscar is not slated to have the \u003ca href=\"http://www.coveredca.com/PDFs/7-27-CoveredCA-2016PlanRates-prelim.pdf\" target=\"_blank\">cheapest plan\u003c/a> -- or the biggest, most recognizable name. That could scare away some would-be customers, several experts said.\u003c/p>\n\u003cp>\"I agree that Oscar's price may be prohibitive for many people, but they may have decided to compete on network and choice,\" said Dylan Roby of UCLA's Center for Health Policy Research.\u003c/p>\n\u003cp>He pointed out that Oscar does have one ace in the hole in Southern California: They're including UCLA Medical Center in their network. The pricey hospital had been \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2013/when-health-plans-drop-your-doctor-are-narrow-networks-a-bad-idea\" target=\"_blank\">left out\u003c/a> of nearly every other Covered California plan.\u003c/p>\n\u003cp>\"They are an EPO plan,\" Roby added, \"so perhaps they will try to draw the smaller group of people who want UCLA doctors and no gatekeeper as would occur in an HMO product.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003cspan id=\"page_0_content_0_Author_Authors_Name_0\" class=\"author__name\">This story was originally published in \u003c/span>\u003cspan id=\"page_0_content_0_Author_Authors_Title_0\" class=\"author__title\">\u003ca href=\"http://www.californiahealthline.org/road-to-reform/2015/oscar-wants-to-revolutionize-health-care-but-will-it-even-survive-covered-california\" target=\"_blank\">California Healthline\u003c/a>, where Dan Diamond is a contributing editor.\u003c/span>\u003c/em>\u003c/p>\n\n",
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"description": "Covered California made it official late last month: the buzzed-about startup health insurer Oscar is coming to California. The company will start selling plans in Los Angeles and Orange County during the next open enrollment starting in November. But can Oscar's services live up to its press clippings? And is the New York-based company ready",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/07/27/covered-california-2016-premiums-to-increase-modestly/\" target=\"_blank\">made it official late last month\u003c/a>: the buzzed-about startup health insurer Oscar is coming to California. The company will start selling plans in Los Angeles and Orange County during the next open enrollment starting in November.\u003c/p>\n\u003cp>But can Oscar's services live up to its \u003ca href=\"http://www.nytimes.com/2014/03/29/business/start-up-health-insurer-finds-foothold-in-new-york.html?_r=1\" target=\"_blank\">press clippings\u003c/a>? And is the New York-based company ready to compete in a brand-new market, more than 3,000 miles away from its home base?\u003c/p>\n\u003cp>\u003cstrong>Why Covered California Let Oscar In\u003c/strong>\u003c/p>\n\u003cp>California's exchange is infamous for its selectivity; unlike nearly every other exchange across the country, the number of plans participating in Covered California \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2014/most-insurance-exchanges-just-got-bigger-covered-california-is-getting-smaller\" target=\"_blank\">actually shrunk\u003c/a> last year.\u003c/p>\n\u003cp>\"Choice is important,\" Covered California's director Peter Lee said at a January 2015 board meeting, not long after \u003ca href=\"http://www.capradio.org/articles/2014/12/23/oregon-based-insurer-rejected-from-covered-california/\" target=\"_blank\">news broke\u003c/a> that the exchange had turned away Moda Health, a popular Oregon-based insurer. \"But adding more plans that are either not by price, network, or design substantially different is not necessarily an advantage for consumers.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Yet Oscar's entrance into the California market seems almost preordained.\u003c/p>\n\u003cp>CEO Mario Schlosser and his co-founders have a Silicon Valley pedigree -- they have youth, Harvard degrees, and experience with firms like Instagram, Microsoft and Vostu. They're backed by venture capitalists like Peter Thiel.\u003c/p>\n\u003cp>They've got an Internet company-like valuation: After officially launching in New York two years ago, Oscar is \u003ca href=\"http://www.nytimes.com/2015/04/21/business/dealbook/oscar-a-health-insurance-start-up-valued-at-1-5-billion.html\" target=\"_blank\">already valued\u003c/a> at $1.5 billion -- despite having just 40,000 members.\u003c/p>\n\u003cp>(In comparison, UnitedHealthcare is valued at $115 billion and has about 45 million members. A smaller rival insurer, Health Net, is valued at about $5 billion -- and has more than 3 million members.)\u003c/p>\n\u003cp>And Oscar's staff evangelizes about its product in a way that's familiar to anyone who's spent much time in the San Francisco startup scene.\u003c/p>\n\u003cp>\"Health care is broken; we're trying to fix it,\" Oscar's \u003ca href=\"https://www.linkedin.com/company/oscar-health\" target=\"_blank\">LinkedIn page\u003c/a> reads. \"Backed by a renowned set of investors and advisors, we've set out to revolutionize health care.\"\u003c/p>\n\u003cp>\"Oscar was created by people with a background in technology,\" co-founder \u003ca href=\"http://board.coveredca.com/meetings/2015/1-15/Comments%20to%20the%20Board%20-%20Master_January%2015%202015%20(External).pdf\" target=\"_blank\">Kevin Nazemi wrote\u003c/a> to the Covered California board in January 2015, as the company began to lay the groundwork for its arrival. \"Oscar's founders were frustrated with the available health insurance choices and thought there was a better way to provide health insurance coverage.\"\u003c/p>\n\u003cp>Oscar has tried to distinguish itself through Web savvy, like its personalized search engine for members, and mobile-friendly services.\u003c/p>\n\u003cp>And that tech-heavy message resonated with Covered California, spokesperson Lizelda Lopez told me\u003cem>.\u003c/em>\u003c/p>\n\u003cp>\"While our examination of Oscar's experience in New York gave us confidence they understood the complexities of operating in a state-based Exchange environment, and could be successful in California, that was not our principal reason for adding them,\" Lopez said via email.\u003c/p>\n\u003cp>The level of innovation they bring to the marketplace is what we found most compelling.\"\u003c/p>\n\u003cp>\u003cstrong>Oscar's Hype vs. Oscar's Reviews\u003c/strong>\u003c/p>\n\u003cp>One of the state's leading consumer advocates is hailing the move to add Oscar.\u003c/p>\n\u003cp>\"I think it's positive that [Oscar] is coming into the California market,\" California Insurance Commissioner Dave Jones told \u003cem>California Healthline. \u003c/em>(He's been critical of Covered California's selectivity in the past.) \"The more insurers the better,\" Jones added.\u003c/p>\n\u003cp>But as Oscar starts to introduce itself to Californians, there's still a big question about the company: How much is skillful marketing, and how much is actual breakthrough innovation?\u003c/p>\n\u003cp>For instance, CEO Schlosser touted Oscar's \"unique set of features for its customers, including 24/7 telemedicine and incentivized health and fitness goals.\"\u003c/p>\n\u003cp>It's worth noting that Anthem, already one of the major players on the exchange, \u003ca href=\"https://livehealthonline.com/\" target=\"_blank\">offers its own\u003c/a> 24/7 telemedicine service. And many insurers are debuting or have already launched their own wellness services, too.\u003c/p>\n\u003cp>Schlosser also said that Oscar's simple message and ease-of-use will set it apart. \"As in New York and New Jersey, the Oscar approach suits the needs of Californians looking for accessible, transparent and human health care in the current consumer health care landscape,\" he said\u003cem>.\u003c/em>\u003c/p>\n\u003cp>But more than a few New York-area customers have complained that Oscar's smooth packaging hasn't always delivered a similarly smooth experience with the health care system. Some customers have warned that they were misinformed about Oscar's provider networks and copays.\u003c/p>\n\u003cp>\"Agree with the rest here,\" a user named \u003ca href=\"http://www.yelp.com/biz/oscar-insurance-corporation-new-york?hrid=PsUXsiRaIDHCPa0awgh91g&utm_campaign=www_review_share_popup&utm_medium=copy_link&utm_source=(direct)\" target=\"_blank\">Mary B. writes\u003c/a> on Yelp. \"Slick on the surface. Bad coverage for the money.\"\u003c/p>\n\u003cp>Another disgruntled Oscar \u003ca href=\"http://valleywag.gawker.com/what-happens-when-a-healthcare-startup-leaves-you-with-1598186714\" target=\"_blank\">customer ranted\u003c/a> to the much-read blog \"Valleywag\" last year, sharing personal communications with the company and even posting pictures of the bill.\u003c/p>\n\u003cp>\"In the emerging health and wellness markets, startups like Oscar intimately disrupt and destroy their customer's lives through incorrect datasets where an A/B testing mentality results in exorbitant fees, angry hospital administrators and patients with no recourse except to bankrupt themselves paying bills they didn't expect,\" the customer wrote.\u003c/p>\n\u003cp>\u003cstrong>Can Oscar Succeed in California?\u003c/strong>\u003c/p>\n\u003cp>It's tough to know how much stock to place in Oscar's grouches. Despite all the disgruntled online reviews, Oscar's mediocre 2.5 stars on Yelp in New York are downright luxurious compared to the one star for United Healthcare and other insurance companies.\u003c/p>\n\u003cp>But experts agree that Oscar will face at least one major challenge in California: How can the company compete in a state that's already dominated by a handful of health insurers?\u003c/p>\n\u003cp>\"We still have a problem with the degree of concentration that the top four insurers have,\" Jones said, pointing out that Anthem, Blue Shield, Health Net and Kaiser Permanente, are collectively responsible for 94 percent of all enrollment on Covered California. As I've previously reported, small health plans have \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2014/most-small-health-plans-arent-thriving-in-covered-california-meet-two-exceptions\" target=\"_blank\">consistently had trouble\u003c/a> attracting customers on the state's exchange.\u003c/p>\n\u003cp>Oscar's advertising strategy will be interesting to watch. The company gained awareness in New York City thanks to ubiquitous, clever \u003ca href=\"https://twitter.com/ddiamond/status/540665174408323072\" target=\"_blank\">advertisements in the city's subway\u003c/a>; Southern Californians aren't known for their love of public transportation.\u003c/p>\n\u003cp>(Oscar declined to comment on the company's goals for the next enrollment period.)\u003c/p>\n\u003cp>And in the growing retail insurance market, where customers often shop by price, Oscar is not slated to have the \u003ca href=\"http://www.coveredca.com/PDFs/7-27-CoveredCA-2016PlanRates-prelim.pdf\" target=\"_blank\">cheapest plan\u003c/a> -- or the biggest, most recognizable name. That could scare away some would-be customers, several experts said.\u003c/p>\n\u003cp>\"I agree that Oscar's price may be prohibitive for many people, but they may have decided to compete on network and choice,\" said Dylan Roby of UCLA's Center for Health Policy Research.\u003c/p>\n\u003cp>He pointed out that Oscar does have one ace in the hole in Southern California: They're including UCLA Medical Center in their network. The pricey hospital had been \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2013/when-health-plans-drop-your-doctor-are-narrow-networks-a-bad-idea\" target=\"_blank\">left out\u003c/a> of nearly every other Covered California plan.\u003c/p>\n\u003cp>\"They are an EPO plan,\" Roby added, \"so perhaps they will try to draw the smaller group of people who want UCLA doctors and no gatekeeper as would occur in an HMO product.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003cspan id=\"page_0_content_0_Author_Authors_Name_0\" class=\"author__name\">This story was originally published in \u003c/span>\u003cspan id=\"page_0_content_0_Author_Authors_Title_0\" class=\"author__title\">\u003ca href=\"http://www.californiahealthline.org/road-to-reform/2015/oscar-wants-to-revolutionize-health-care-but-will-it-even-survive-covered-california\" target=\"_blank\">California Healthline\u003c/a>, where Dan Diamond is a contributing editor.\u003c/span>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Just over two-thirds of Californians who did not have health insurance before the Affordable Care Act went into full effect in 2014 are now covered, according to a survey from the Kaiser Family Foundation.\u003c/p>\n\u003cp>The newly insured are much less likely to say that paying for health care is a problem, compared to when they were uninsured.\u003c/p>\n\u003cp>\"This is really great news for California,\" said Sarah de Guia, executive director of the California Pan-Ethnic Health Network, an advocacy group. She spoke of people being lifted from the fear of paying for care. \"There's this sense of relief, that they're not one accident or incident away from bankruptcy. ... They can keep their costs contained.\"\u003c/p>\n\u003cp>The rate of newly insured -- 68 percent -- is an increase over the first Obamacare open enrollment last year. Then, 58 percent of the previously uninsured had gained covered.\u003c/p>\n\u003cp>At the same time, nearly a third of those surveyed this year -- 32 percent -- are still uninsured. Many of them fall into two categories. One group, about four in 10, are undocumented immigrants and ineligible for coverage.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Another chunk of those people who are remaining uninsured have been uninsured for a long period of time and therefore may be harder to reach, a harder group to bring into the fold,\" said Bianca DiJulio, associate director with the foundation's Public Opinion and Survey Research Program.\u003c/p>\n\u003cp>The largest share of the newly insured -- 34 percent -- are covered in the Medi-Cal, the state's version of Medicaid. Fourteen percent say they are insured through their employer and 12 percent purchased insurance through Covered California, the marketplace established under the ACA.\u003c/p>\n\u003cp>The newly insured largely say their health care needs are being met with 86 percent saying their needs are being \"very well\" or \"somewhat\" well met, up from 51 percent in 2013.\u003c/p>\n\u003cp>Before the health law, nearly 6 million adults in Californians were uninsured, the most of any state, and Latinos made up more than half of them. While initial campaigns to reach Latinos were \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">widely criticized\u003c/a>, newer efforts seem to be more successful. The survey found that whites and Latinos signed up in nearly equal proportions, 79 percent for whites and 74 percent for Latinos (after excluding those Latinos who would be ineligible for ACA benefits due to their immigration status).\u003c/p>\n\u003cp>Yet last year's\u003ca href=\"https://kaiserfamilyfoundation.files.wordpress.com/2014/07/ca-uninsured-charts-final_for-chartpack1.pdf\" target=\"_blank\"> survey of the previously uninsured \u003c/a>after the first open enrollment concluded showed that whites and Latinos signed up at the same rate, 61 percent.\u003c/p>\n\u003cp>Advocate de Guia said the small gap found this year -- five percentage points -- was worrisome, because grants to community groups to help people sign up have declined by millions of dollars. \"Enrollment dollars are going down or being cut,\" she said. \"We don't want to see that gap widen over time.\"\u003c/p>\n\u003cp>Gerald Kominski, director of the UCLA Center for Health Policy Research said the survey findings were \"obviously very good news,\" but cautioned that the findings have a limitation. The group of people that is being followed all had previously lacked insurance.\u003c/p>\n\u003cp>\"There's another cohort of Californians who are not in this survey -- people who had insurance and lost it,\" he said in an interview. \"Some portion of those individuals remain uninsured.\"\u003c/p>\n\u003cp>Overall, those saying it's hard to afford health care dropped from 86 percent in 2013 to 49 percent today.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png\">\u003cimg class=\"aligncenter size-full wp-image-54488\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png\" alt=\"Screen Shot 2015-07-30 at 4.37.51 PM\" width=\"639\" height=\"466\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png 639w, https://ww2.kqed.org/app/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM-400x292.png 400w\" sizes=\"(max-width: 639px) 100vw, 639px\">\u003c/a>\u003c/p>\n\u003cp>In the survey, 85 percent of the uninsured say paying for health care is their top financial concern -- ahead of paying their mortgage or rent. Of those who have gained coverage, paying for health care now ranks fourth among financial concerns -- behind rent/mortgage, utilities and even gasoline.\u003c/p>\n\u003cp>\"It's below the price of gas,\" said UCLA's Kominski. \"I found that truly remarkable ... the fact that health care for people newly insured (is) no longer a primary concern, I think is significant.\"\u003c/p>\n\u003cp>While 76 percent of the newly insured say their experience with their plan has been positive, some are reporting issues in accessing care, including 28 percent who say they had to wait longer than they thought they should have to for an appointment or finding that a doctor said they would not accept their insurance (17 percent of Medi-Cal recipients; 23 percent of people with a Covered California plan).\u003c/p>\n\u003cp>This survey is the third in a series of people who were uninsured in 2013, before the Affordable Care Act went into full effect. From February 18 to May 13, 2015, 1,105 adults who had participated in the first survey were contacted. The margin of sampling error is plus or minus 4 percentage points for results based on the full sample, 5 percentage points for recently insured Californians, and 8 percentage points for those Californians who remain uninsured.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Just over two-thirds of Californians who did not have health insurance before the Affordable Care Act went into full effect in 2014 are now covered, according to a survey from the Kaiser Family Foundation.\u003c/p>\n\u003cp>The newly insured are much less likely to say that paying for health care is a problem, compared to when they were uninsured.\u003c/p>\n\u003cp>\"This is really great news for California,\" said Sarah de Guia, executive director of the California Pan-Ethnic Health Network, an advocacy group. She spoke of people being lifted from the fear of paying for care. \"There's this sense of relief, that they're not one accident or incident away from bankruptcy. ... They can keep their costs contained.\"\u003c/p>\n\u003cp>The rate of newly insured -- 68 percent -- is an increase over the first Obamacare open enrollment last year. Then, 58 percent of the previously uninsured had gained covered.\u003c/p>\n\u003cp>At the same time, nearly a third of those surveyed this year -- 32 percent -- are still uninsured. Many of them fall into two categories. One group, about four in 10, are undocumented immigrants and ineligible for coverage.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Another chunk of those people who are remaining uninsured have been uninsured for a long period of time and therefore may be harder to reach, a harder group to bring into the fold,\" said Bianca DiJulio, associate director with the foundation's Public Opinion and Survey Research Program.\u003c/p>\n\u003cp>The largest share of the newly insured -- 34 percent -- are covered in the Medi-Cal, the state's version of Medicaid. Fourteen percent say they are insured through their employer and 12 percent purchased insurance through Covered California, the marketplace established under the ACA.\u003c/p>\n\u003cp>The newly insured largely say their health care needs are being met with 86 percent saying their needs are being \"very well\" or \"somewhat\" well met, up from 51 percent in 2013.\u003c/p>\n\u003cp>Before the health law, nearly 6 million adults in Californians were uninsured, the most of any state, and Latinos made up more than half of them. While initial campaigns to reach Latinos were \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/02/17/missteps-in-covered-californias-marketing-campaign-to-latinos/\" target=\"_blank\">widely criticized\u003c/a>, newer efforts seem to be more successful. The survey found that whites and Latinos signed up in nearly equal proportions, 79 percent for whites and 74 percent for Latinos (after excluding those Latinos who would be ineligible for ACA benefits due to their immigration status).\u003c/p>\n\u003cp>Yet last year's\u003ca href=\"https://kaiserfamilyfoundation.files.wordpress.com/2014/07/ca-uninsured-charts-final_for-chartpack1.pdf\" target=\"_blank\"> survey of the previously uninsured \u003c/a>after the first open enrollment concluded showed that whites and Latinos signed up at the same rate, 61 percent.\u003c/p>\n\u003cp>Advocate de Guia said the small gap found this year -- five percentage points -- was worrisome, because grants to community groups to help people sign up have declined by millions of dollars. \"Enrollment dollars are going down or being cut,\" she said. \"We don't want to see that gap widen over time.\"\u003c/p>\n\u003cp>Gerald Kominski, director of the UCLA Center for Health Policy Research said the survey findings were \"obviously very good news,\" but cautioned that the findings have a limitation. The group of people that is being followed all had previously lacked insurance.\u003c/p>\n\u003cp>\"There's another cohort of Californians who are not in this survey -- people who had insurance and lost it,\" he said in an interview. \"Some portion of those individuals remain uninsured.\"\u003c/p>\n\u003cp>Overall, those saying it's hard to afford health care dropped from 86 percent in 2013 to 49 percent today.\u003c/p>\n\u003cp>\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png\">\u003cimg class=\"aligncenter size-full wp-image-54488\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png\" alt=\"Screen Shot 2015-07-30 at 4.37.51 PM\" width=\"639\" height=\"466\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM.png 639w, https://ww2.kqed.org/app/uploads/sites/27/2015/07/Screen-Shot-2015-07-30-at-4.37.51-PM-400x292.png 400w\" sizes=\"(max-width: 639px) 100vw, 639px\">\u003c/a>\u003c/p>\n\u003cp>In the survey, 85 percent of the uninsured say paying for health care is their top financial concern -- ahead of paying their mortgage or rent. Of those who have gained coverage, paying for health care now ranks fourth among financial concerns -- behind rent/mortgage, utilities and even gasoline.\u003c/p>\n\u003cp>\"It's below the price of gas,\" said UCLA's Kominski. \"I found that truly remarkable ... the fact that health care for people newly insured (is) no longer a primary concern, I think is significant.\"\u003c/p>\n\u003cp>While 76 percent of the newly insured say their experience with their plan has been positive, some are reporting issues in accessing care, including 28 percent who say they had to wait longer than they thought they should have to for an appointment or finding that a doctor said they would not accept their insurance (17 percent of Medi-Cal recipients; 23 percent of people with a Covered California plan).\u003c/p>\n\u003cp>This survey is the third in a series of people who were uninsured in 2013, before the Affordable Care Act went into full effect. From February 18 to May 13, 2015, 1,105 adults who had participated in the first survey were contacted. The margin of sampling error is plus or minus 4 percentage points for results based on the full sample, 5 percentage points for recently insured Californians, and 8 percentage points for those Californians who remain uninsured.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Covered California 2016 Premiums to Increase Modestly",
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"content": "\u003cp>Premiums for the state's 1.3 million Covered California consumers will rise an average 4 percent, officials with the agency said Monday. This increase is slightly less than \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/31/californias-2015-obamacare-premiums-will-increase-modestly/\" target=\"_blank\">last year's increase \u003c/a>of 4.2 percent.\u003c/p>\n\u003cp>\"This is another year of good news for California's consumers and further evidence that the Affordable Care Act is working,\" said Covered California executive director Peter Lee.\u003c/p>\n\u003cp>Consumers who live in \u003ca href=\"http://www.coveredca.com/PDFs/7-27-CoveredCA-2016PlanRates-prelim.pdf\" target=\"_blank\">different parts of the state will see varying rates\u003c/a>. In Southern California, consumers who stay in their plan will see an increase of just 1.8 percent, or an average $296 per month, but in Northern California, where health care costs are typically higher due to greater consolidation among doctors and hospitals, the increase is an average 7 percent, or a monthly $384.\u003c/p>\n\u003cp>[contextly_sidebar id=\"po9tXC7ohd0zSvjmUvQKvytfN47IBaFe\"]In the Santa Cruz area specifically, premiums will rise 13 percent. Peter Lee blamed providers focused on their bottom line.\u003c/p>\n\u003cp>\"Is it the case that health care really costs that much more in Santa Cruz and Monterey? Are people sicker? I don't think so,\" Lee said. \"I've seen folks surfing in Santa Cruz; they look pretty healthy. (The increase) is not because of the health plans, it's because of the underlying delivery system.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On the flip side, some consumers could see their premiums go down, if they choose to shop around.\u003c/p>\n\u003cp>\"Health care is also local. Where you live frames what your options are,\" Lee said. \"If you live in Los Angeles and you shop around, you could see your premiums go down 11 percent.\"\u003c/p>\n\u003cp>Betsy Imholz with Consumers Union, an advocacy group, called the average increase \"terrific\" and also encouraged people to shop on price. \"Often you can get a lower rate by moving to another carrier,\" she said.\u003c/p>\n\u003cp>Lee said Covered California spent weeks negotiating with insurers, part of the \"active purchaser\" model in the state's marketplace.\u003c/p>\n\u003cp>\"We've created a market where the consumer drives what's working in California,\" he said. \"Throughout our negotiations, consumers in California saved more than $200 million.\"\u003c/p>\n\u003cp>Larry Levitt, senior vice president of the nonpartisan Kaiser Family Foundation, was positive about the \"modest\" increases. \u003cspan style=\"line-height: 1.5\">\"This shows what a stable, competitive individual insurance market can look like,\" he said via email. \u003c/span>\u003c/p>\n\u003cp>In part, Levitt credited the cost containment to Covered California's \"substantial enrollment so far.\" It's a sign, he said, that the marketplace is likely attracting healthy people to help spread the risk of sicker enrollees.\u003c/p>\n\u003cp>Levitt said the agency's role as an active purchaser helps keep premium increases down. \"I think a key element of California's success is the standardization of insurance policies, which simplifies the choices for consumers and focuses competition squarely on premiums,\" he said.\u003c/p>\n\u003cp>Not many states have publicly announced their rate data yet, Levitt said. But of those that have \u003ca href=\"http://kff.org/health-reform/issue-brief/analysis-of-2016-premium-changes-and-insurer-participation-in-the-affordable-care-acts-health-insurance-marketplaces/\" target=\"_blank\">released at least some data\u003c/a>, California appears to be \"a little bit better than average,\" Levitt said.\u003c/p>\n\u003cp>[contextly_sidebar id=\"pKiBNCuC7aJzIrXA5Mdj3PdMPtmVoZkO\"]Covered California also announced that two new insurers will join the marketplace. UnitedHealthcare, the largest health insurer in the country, will offer plans in some parts of the state, including the counties that start north of Sacramento and stretch to the Oregon and Nevada borders. Where some people had a choice of only one plan, now they will have two or three.\u003c/p>\n\u003cp>\"Covered California did the right thing by targeting the new additions to the places where more choice is needed,\" Imholz said.\u003c/p>\n\u003cp>Under the UnitedHealthcare plan, people who live near the Oregon and Nevada borders will also be able to cross state lines to see a doctor, a practice that was \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/12/29/on-californias-state-borders-people-struggle-with-health-insurance-restrictions/\" target=\"_blank\">often prohibited \u003c/a>in other plans.\u003c/p>\n\u003cp>\"Sometimes people were driving many hours in order to get care,\" said Beth Capell, an advocate with Health Access. People who live in Susanville, for example, were accustomed to getting care in nearby Reno, Nevada. But through Covered California, they had to drive several hours to Sacramento. \"They will now have the choice of another carrier that will be offering them coverage beyond the borders of California.\"\u003c/p>\n\u003cp>UnitedHealthcare will also offer plans in Santa Cruz, San Benito and Monterey counties, as well as several Central Valley counties.\u003c/p>\n\u003cp>Parts of Los Angeles County and Orange County will see new insurer Oscar Health Plan of California, which currently sells insurance only in two states, New York and New Jersey.\u003c/p>\n\u003cp>In a call with reporters, representatives of both companies stressed technology tools that could help consumers get better care.\u003c/p>\n\u003cp>Lee said that new additions to the marketplace were chosen because they have good networks and are good for consumers.\u003c/p>\n\u003cp>\"Covered California does not think more plans are always better. In 2014 and 2015 we turned plans away,\" he said. \"We're not adding plans just because they knock on our door.\"\u003c/p>\n\u003cp>In addition to the two new plans, all plans from last year were renewed for 2016: Anthem Blue Cross, Blue Shield, Chinese Community Health Plan, Health Net, Kaiser, Molina Healthcare, Sharp Health Plan, Valley Health Plan, LA Care Health Plan and Western Health Advantage.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The rates announced Monday are preliminary and will be reviewed by state regulators over the next 60 days.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Premiums for the state's 1.3 million Covered California consumers will rise an average 4 percent, officials with the agency said Monday. This increase is slightly less than \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/31/californias-2015-obamacare-premiums-will-increase-modestly/\" target=\"_blank\">last year's increase \u003c/a>of 4.2 percent.\u003c/p>\n\u003cp>\"This is another year of good news for California's consumers and further evidence that the Affordable Care Act is working,\" said Covered California executive director Peter Lee.\u003c/p>\n\u003cp>Consumers who live in \u003ca href=\"http://www.coveredca.com/PDFs/7-27-CoveredCA-2016PlanRates-prelim.pdf\" target=\"_blank\">different parts of the state will see varying rates\u003c/a>. In Southern California, consumers who stay in their plan will see an increase of just 1.8 percent, or an average $296 per month, but in Northern California, where health care costs are typically higher due to greater consolidation among doctors and hospitals, the increase is an average 7 percent, or a monthly $384.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>In the Santa Cruz area specifically, premiums will rise 13 percent. Peter Lee blamed providers focused on their bottom line.\u003c/p>\n\u003cp>\"Is it the case that health care really costs that much more in Santa Cruz and Monterey? Are people sicker? I don't think so,\" Lee said. \"I've seen folks surfing in Santa Cruz; they look pretty healthy. (The increase) is not because of the health plans, it's because of the underlying delivery system.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On the flip side, some consumers could see their premiums go down, if they choose to shop around.\u003c/p>\n\u003cp>\"Health care is also local. Where you live frames what your options are,\" Lee said. \"If you live in Los Angeles and you shop around, you could see your premiums go down 11 percent.\"\u003c/p>\n\u003cp>Betsy Imholz with Consumers Union, an advocacy group, called the average increase \"terrific\" and also encouraged people to shop on price. \"Often you can get a lower rate by moving to another carrier,\" she said.\u003c/p>\n\u003cp>Lee said Covered California spent weeks negotiating with insurers, part of the \"active purchaser\" model in the state's marketplace.\u003c/p>\n\u003cp>\"We've created a market where the consumer drives what's working in California,\" he said. \"Throughout our negotiations, consumers in California saved more than $200 million.\"\u003c/p>\n\u003cp>Larry Levitt, senior vice president of the nonpartisan Kaiser Family Foundation, was positive about the \"modest\" increases. \u003cspan style=\"line-height: 1.5\">\"This shows what a stable, competitive individual insurance market can look like,\" he said via email. \u003c/span>\u003c/p>\n\u003cp>In part, Levitt credited the cost containment to Covered California's \"substantial enrollment so far.\" It's a sign, he said, that the marketplace is likely attracting healthy people to help spread the risk of sicker enrollees.\u003c/p>\n\u003cp>Levitt said the agency's role as an active purchaser helps keep premium increases down. \"I think a key element of California's success is the standardization of insurance policies, which simplifies the choices for consumers and focuses competition squarely on premiums,\" he said.\u003c/p>\n\u003cp>Not many states have publicly announced their rate data yet, Levitt said. But of those that have \u003ca href=\"http://kff.org/health-reform/issue-brief/analysis-of-2016-premium-changes-and-insurer-participation-in-the-affordable-care-acts-health-insurance-marketplaces/\" target=\"_blank\">released at least some data\u003c/a>, California appears to be \"a little bit better than average,\" Levitt said.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Covered California also announced that two new insurers will join the marketplace. UnitedHealthcare, the largest health insurer in the country, will offer plans in some parts of the state, including the counties that start north of Sacramento and stretch to the Oregon and Nevada borders. Where some people had a choice of only one plan, now they will have two or three.\u003c/p>\n\u003cp>\"Covered California did the right thing by targeting the new additions to the places where more choice is needed,\" Imholz said.\u003c/p>\n\u003cp>Under the UnitedHealthcare plan, people who live near the Oregon and Nevada borders will also be able to cross state lines to see a doctor, a practice that was \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/12/29/on-californias-state-borders-people-struggle-with-health-insurance-restrictions/\" target=\"_blank\">often prohibited \u003c/a>in other plans.\u003c/p>\n\u003cp>\"Sometimes people were driving many hours in order to get care,\" said Beth Capell, an advocate with Health Access. People who live in Susanville, for example, were accustomed to getting care in nearby Reno, Nevada. But through Covered California, they had to drive several hours to Sacramento. \"They will now have the choice of another carrier that will be offering them coverage beyond the borders of California.\"\u003c/p>\n\u003cp>UnitedHealthcare will also offer plans in Santa Cruz, San Benito and Monterey counties, as well as several Central Valley counties.\u003c/p>\n\u003cp>Parts of Los Angeles County and Orange County will see new insurer Oscar Health Plan of California, which currently sells insurance only in two states, New York and New Jersey.\u003c/p>\n\u003cp>In a call with reporters, representatives of both companies stressed technology tools that could help consumers get better care.\u003c/p>\n\u003cp>Lee said that new additions to the marketplace were chosen because they have good networks and are good for consumers.\u003c/p>\n\u003cp>\"Covered California does not think more plans are always better. In 2014 and 2015 we turned plans away,\" he said. \"We're not adding plans just because they knock on our door.\"\u003c/p>\n\u003cp>In addition to the two new plans, all plans from last year were renewed for 2016: Anthem Blue Cross, Blue Shield, Chinese Community Health Plan, Health Net, Kaiser, Molina Healthcare, Sharp Health Plan, Valley Health Plan, LA Care Health Plan and Western Health Advantage.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The rates announced Monday are preliminary and will be reviewed by state regulators over the next 60 days.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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},
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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",
"subscribe": {
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"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"info": "Close All Tabs breaks down how digital culture shapes our world through thoughtful insights and irreverent humor.",
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"officialWebsiteLink": "/podcasts/closealltabs",
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"order": 1
},
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
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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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},
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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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"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
"subscribe": {
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
"info": "Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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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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"source": "kqed",
"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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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
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"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
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"apple": "http://mastersofscale.app.link/",
"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",
"imageAlt": "On Our Watch from NPR and KQED",
"officialWebsiteLink": "/podcasts/onourwatch",
"meta": {
"site": "news",
"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/",
"meta": {
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"source": "pbs"
},
"link": "/radio/program/pbs-newshour",
"subscribe": {
"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": {
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