One of Obamacare’s big experiments to lower costs is working surprisingly well
One of Obamacare’s big experiments to lower costs is working surprisingly wellClick here to view the story.
April 22, 2019, The Texas Tribune, Elizabeth Byrne - Katherine Edmundson didn’t know her 7-year-old son was off Medicaid until she took him to the dentist for his annual cleaning in February. An employee at the front desk told her that his coverage was invalid and that her son couldn’t be seen that day. “At that time, he was already needing to be seen,” said Edmundson, a receptionist at a public school in Edinburg. “I was going to be charged over $100 just for a cleaning and it was time for him to have X-rays done.” After leaving the dentist with her son’s teeth still in need of a cleaning, Edmundson said she went home and immediately started another Medicaid application. She said she doesn’t remember receiving any notice from the state’s Health and Human Service Commission that her son lost coverage and her income hadn’t changed since it was last renewed. Commission spokeswoman Carrie Williams said confidentiality laws prevented her from discussing individual cases. The struggles of parents like Edmundson are why some state legislators are calling for a change in the renewal process of children’s Medicaid in Texas.
April 20, 2019, The New York Times, Robert Pear - Sarah Lueck, a health policy analyst at the liberal-leaning Center on Budget and Policy Priorities, saw another potential problem in the Senate bill. Even if a person with cancer could buy insurance without being charged a higher premium, she said, “his or her benefits could run out because the insurer imposes an annual or lifetime limit.” Republicans say they want to work with Democrats on the issue. Representative Tom Reed of New York, for example, said that Democrats should just “take yes for an answer” because Republicans agree with them on the need to protect people with pre-existing conditions. “We heard the voice and the fear that was the result of the 2018 election, where this issue became a centerpiece in that vernacular and in that debate,” Mr. Reed said. “Pre-existing condition protections will remain the law of the land.”