Affordable Care Act

A picture of a dctor holding a stethoscope.
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North Carolina lawmakers have chosen to not expand Medicaid eligibility under the Affordable Care Act.

Republican state leaders, including Senate Leader Phil Berger and House Speaker Tim Moore, have said that, even if the federal government initially subsidizes new people enrolling in Medicaid, the program would eventually cost the state more than it saves.

An image of the Supreme Court
Kjetil Ree / Wikimedia Commons

The United States Supreme Court issued a decision today upholding tax subsidies under the Affordable Care Act. Chief Justice John Roberts wrote the court's opinion.

Three justices, the court's most conservative members, dissented. The decision allows 460,000 North Carolinians to continue to receive subsidies for their health insurance.

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The Affordable Care Act is still attracting big enrollment numbers in North Carolina.

Nearly 500,000 people in the state have coverage, but premiums could rise by as much as 40 percent next year for some health plans.

   

And the Obama administration says more than 300,000 people still are not covered because the state did not expand Medicaid. 

Dr. Richard Bock, a vascular surgeon, listens on speaker phone to another surgeon who is asking for advice before starting bypass surgery.
William Woody / wwoody@citizen-times.com

Mission Health System dominates the healthcare field in Western North Carolina, owning or partnering with six hospitals and controlling more than 40 percent of hospital beds in Western North Carolina. The nonprofit company began its expansion in the 1990s. It absorbed small rural hospitals struggling to foot the bill for an aging, low-income and underinsured population in Western North Carolina. 

On Tax Day, The State of Things talks changes in North Carolina's tax laws.
Ken Teegarden / Flickr Creative Commons

Many North Carolinians are spending April 15 finishing up their income tax statements.

But others have already noticed a few surprises on their returns due to changes in the state tax code and subsidies from the Affordable Care Act. The revisions mean higher or lower tax bills for thousands of taxpayers.

Supreme Court building, Washington, DC, USA. Front facade.
http://commons.wikimedia.org/wiki/User:Daderot

The U.S Supreme Court will take up a case this week that potentially puts half a million North Carolinians at risk of losing their subsidized health insurance through the Affordable Care Act.

In King v. Burwellthe high court will examine whether the federal government can assist in paying insurance premiums for all Americans or if it can only offer funds in states that have created their own health care exchanges.

Image of tools in doctor's office
Morgan via Flickr/Creative Commons

State health secretary Aldona Wos says North Carolina would likely need to change some of its Medicaid rules to expand the program under the Affordable Care Act. 

The health care law offered to pay for expanded Medicaid through 2016, but North Carolina was one of 24 states that rejected the expansion last year.  Gov. Pat McCrory said the state's Medicaid program was broken, and was not confident the federal government would cover the costs. 

But Wos says Medicaid is now more stable, and she plans to present the governor with options for expanding Medicaid. 

Kay Hagan and Thom Tillis shake hands after the debate at UNC-TV Wednesday night.
Mike Oniffrey / UNC-TV

  Healthcare and the Affordable Care Act (ACA) continue to be a topic of discussion on the North Carolina campaign trails. 

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Tim Samoff / Flickr

Two Triangle hospitals will lose a portion of their Medicare reimbursements this year. They're being penalized for re-admitting too many patients within a month of hospitalization.

Under the Affordable Act, the Centers for Medicare and Medicaid Services reduce payments to hospitals which re-admit a higher number of patients than they're supposed to. They're looking at data between the summers of 2010 to 2013. Based on the number re-admissions, the CMS determines what percentage of Medicare reimbursement to withhold.

A picture of a stethoscope.
jasleen_kaur / Flickr/Creative Commons

The three-month open-enrollment period for federally subsidized health care starts in November. This year, federal funding to help people enroll in subsidized health insurance has dropped.

Sorien Schmidt works with the North Carolina chapter of Enroll America to connect people with navigator organizations. She says enrollment was a success last year, but there are still one million uninsured North Carolinians and others will need help to re-enroll.

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