Affordable Care Act

A picture of an elderly person's hand with an I.V. tube taped to it.
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.

Laptop computer
Ian Usher / Flickr

Universities across the country have made it clear that providing health coverage for temporary employees -- like adjunct professors and grad students -- is prohibitively expensive.

healthcare.gov
healthcare.gov / US Centers for Medicare and Medicaid

  

Two different interpretations of the Affordable Care Act have raised questions about whether some states can give out subsidies to help people pay for health insurance. 

The D.C. Circuit Court ruled yesterday that subsidies are illegal in states that did not set up their own insurance exchanges. North Carolina is one of those states. 

Then, hours later, the 4th Circuit Court said they are legal.

Host Frank Stasio talks with Duke University law professor Neil Siegel about what the rulings mean for North Carolina.

Tulane Publications via Flickr/Creative Commons

North Carolinians are waiting to hear what happens next after a pair of contradictory rulings on the Affordable Care Act.

A three judge panel in Washington shot down the law's subsidies for state's where people are enrolled in the federal exchange, not a state-run exchange. This includes North Carolina. A separate panel ruled just the opposite just hours later, saying the subsidies were, in fact, lawful.

Healthcare.gov logo
Healthcare.Gov

    

The deadline for signing up for health insurance through the Affordable Care Act is just around the corner. By Monday March 31st, the Obama administration hopes that 6 million Americans will have begun the process of enrollment. 

North Carolina legislative building
Wikimedia Commons

Some state lawmakers met today to learn more about how the Affordable Care Act may affect North Carolina.

Speaker of the House Thom Tillis and Senate President Pro Tem Phil Berger- both Republicans- created the Joint Study Committee on the Affordable Care Act and Implementation Issues back in January. Its purpose is to discuss the impact of the 2010 Affordable Care Act.

Today marked the first meeting of the committee.

The 'Old Well' UNC-Chapel HIll
Caroline Culler / Wikipedia

Individuals are enrolling in health care through the federal online marketplace, but thousands of North Carolinians might find themselves with employer-sponsored health plans next year.   

In January, the Affordable Care Act will require businesses to offer health insurance to full-time employees working 30 hours a week or more. This would now include graduate teaching assistants and visiting faculty at the University of North Carolina.

a pharmacist
NC Department of Health and Human Services

This week, Blue Cross Blue Shield of North Carolina announced that 6,400 people went all the way through the process of enrolling for a plan on the federal exchange, but never paid their first month's premium. Thus, they were never eligible to receive benefits. The federal government, however, has been including those people in its tally of newly enrolled individuals.

The Affordable Care Act requires that individuals pay their first month's premium before they can receive benefits.

Community Care of North Carolina

North Carolina is enrolling more uninsured people than any other state that refused to set up its own health care exchange under the Affordable Care Act.

Health care policy director Adam Searing of the NC Justice Center says the state-run Medicaid system, Community Care, has made a big difference.

The state has encouraged social and health services to cooperate to provide Medicaid patients solid care up front, and now friends and family members who don't qualify for Medicaid have affordable options and guidance for enrolling in private healthcare.

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