Saturday, December 14, 2013

#ObamaCare: One Punt After Another

At Politico:
Why do Republicans even bother trying to delay Obamacare? President Barack Obama’s doing it all by himself.

On Thursday, the Obama administration gave customers permission to pay their premiums as late as Dec. 31 for coverage that starts Jan. 1, and officially gave customers an extra week — until Dec. 23 — to sign up for January coverage.

The move was just the latest in a long list of extensions, delays and punts that have plagued the health care law.

Sure, Obama’s not doing the things Republicans have suggested — push off centerpieces like the individual mandate, or even put the entire law on hold for a year. But piece by piece, the Obama administration keeps giving itself extensions on smaller parts of the law, because there’s always some piece that isn’t quite ready.

It’s an attempt to put out fires — but it’s also a painful admission that, yes, there are fires.

The administration is also extending a critical program — the temporary high-risk pool for people with pre-existing conditions — through the end of January, to make sure none of them suddenly lose their health coverage because they can’t sign up for new Obamacare insurance by Jan. 1.

That’s after it postponed the employer coverage requirements for a year, delayed the online enrollment for the federal health insurance exchanges for small businesses, and told health insurers they can extend people’s coverage for an extra year — a last-minute attempt to un-cancel millions of canceled policies. It also delayed the Spanish-language website, even though Hispanics are a large proportion of the uninsured population. It even postponed next year’s enrollment period, pushing it conveniently past the November elections.

“This is the least shocking thing since the sun came up in the east. This is what they do,” said Douglas Holtz-Eakin of the American Action Forum. “They’ve essentially established that there’s going to be a rolling start to this thing.”
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And don't miss this devastating editorial at the Wall Street Journal, "Backdating ObamaCare":
The White House says that ObamaCare is all fixed, but its conduct suggests otherwise. As it has realized that the government-created chaos is exposing patients to nasty and even deadly surprises, the government is now forcing the insurance industry to cover everyone retroactively and also to waive the contractual terms of that coverage—or else.

Late Thursday, the Health and Human Services Department suddenly released a new regulation that explains "there have been unforeseen barriers to enrollment on the exchanges." The passive voice is necessary because the barriers are all the result of politically driven delays, the botched website and the exchanges that transmit false information about enrollment to insurers.

So with a mere 11 business days to go before coverage is supposed to start on New Year's Day, HHS is trying to pre-empt patient uproar by unilaterally ordering plans to backdate all exchange applications. People can sign up for a plan on the exchange as late as Dec. 23. If an application winds up in some technology void, or it is passed to the insurer inaccurately or too late to process, that coverage nonetheless begins on Jan. 1.
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