Affordable Care Act

Affordable Care Act
10:45 pm
Tue September 23, 2014

Insurance ‘Navigators’ Gear Up For Second Enrollment Season

Dana Taylor of the Missouri Foundation for Health.
Credit Durrie Bouscaren / St. Louis Public Radio

At a YMCA in North St. Louis, Nancy Kelley of the Missouri Foundation for Health coached about 50 navigators on how to encourage people to purchase health insurance this year.

“In some ways, we got the easy people last year. Maybe they were motivated, maybe they had some knowledge about the marketplace. So we need to get creative,” Kelley told the crowd.

152,335 people bought health insurance on the federal exchange last year, according to the Cover Missouri Coalition. The organization’s goal is to bring the amount of uninsured Missourians below 5 percent in five years.

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Affordable Care Act
12:43 pm
Mon September 8, 2014

Legislator Tells Federal Appeals Court Why He Objects To Birth-Control Coverage

Paul Wieland
Credit Provided

The lawyer for state Rep. Paul Wieland, R-Imperial, predicts that his suit against mandated contraceptive coverage will help launch an avalanche of court challenges to the Affordable Care Act’s provision requiring insurance companies to offer such benefits.

But first Wieland needs to persuade a federal appeals court to reinstate his case. A lower court had tossed it out.

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Affordable Care Act
8:45 pm
Thu August 7, 2014

New Report: St. Louis Area Hospitals Improved With Financial Incentives

Barnes Jewish Hospital in St. Louis
Credit courtesy of Barnes Jewish Hospital

A health industry report published Thursday suggests federal programs that tie hospital quality scores to Medicare reimbursements are giving St. Louis hospitals a reason to improve.

Seventeen St. Louis area hospitals received bonus payments this year from Medicare thanks to programs in the Affordable Care Act that reward hospitals for providing a high quality of care. At the same  time, 25 were penalized for low scores, high readmission rates or failing to improve between 2011 and 2012.

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Affordable Care Act
12:09 pm
Wed July 23, 2014

Differing Court Rulings On Obamacare Mean One Thing: Nothing Changes For Now

Will people from Missouri and Illinois who bought health insurance on the federal exchange lose their subsidies?
Credit (via Flickr/Jennifer Boriss)

On Tuesday, two federal appeals courts issued conflicting decisions that could have major ramifications for the future of the Affordable Care Act.

The controversy hinges on whether people in the 36 states that opted NOT to set up their own health insurance exchanges can qualify for subsidies (really, tax credits) on their health insurance premiums. Missouri and Illinois are among those 36 that don't have state-run exchanges.

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New roles for paramedics
9:26 pm
Wed April 16, 2014

New Take On Emergency Care: Christian Hospital Using Paramedics To Reduce 911 Calls

Shannon Watson, community health supervisor in the EMS; and EMS Chief Chris Ceborello reviewing EMS data on recent calls for service. in front of an EMS vehicle.
Credit (Credit: Nora Ibrahim, St. Louis Public Radio Intern)

Paramedic Jaclyn Kloecker has experienced her share of tension, turmoil, rising adrenaline and blaring sirens. She's been responding to 911 calls and rushing the sick or injured to emergency rooms for 15 years. 

On a recent rainy morning, however, Kloecker wasn't responding to an emergency. Rather, she was on a calmer, quieter mission, performing medical screenings aimed at reducing the number of 911 calls that Christian Hospital’s Emergency Medical Service system handles.

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Affordable Care Act
9:02 pm
Wed March 26, 2014

Illinois Expanded Its Medicaid Program. Missouri Didn’t. How Are Those Choices Working Out?

In his hospital room at Touchette Regional Hospital in Centerville, patient Steven Glispie finishes signing the paperwork to enroll in Medicaid.
Credit Véronique LaCapra, St. Louis Public Radio

For years in most states, Medicaid eligibility had been limited to disabled adults, seniors needing long-term care and very low-income parents with their children.

Then along came the Affordable Care Act. It was designed to grow health insurance coverage across the board. One of its tenets was to expand Medicaid coverage beyond the extremely poor and disabled to include all adults earning up to 138 percent of federal poverty levels.

But in 2012, the Supreme Court gave states the chance to opt out Medicaid expansion.

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Affordable Care Act
11:11 am
Wed March 26, 2014

Obama Administration Will Allow More Time For Health Insurance Sign-Ups

Credit Flickr Creative Commons Users/Compiled By Kelsey Proud, St. Louis Public Radio

The Obama administration says it will give people more time to sign up for health insurance through the federal online marketplace.

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The Rundown
11:42 pm
Sun March 23, 2014

Health, Science, Environment Rundown: Spring Fling

Spring is springing.
Credit (UPI/Bill Greenblatt)

Last week, people all over St. Louis – and all over the Midwest and East Coast, probably – celebrated the official start of spring. They celebrated because the winter has been unusually long and cold and, somehow, darker than usual. And they celebrated with a tinge of worry that the brutal winter could give way to an equally brutal, hot summer.

If that does happen, be prepared for a lot of talk about climate change. 

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St. Louis on the Air
4:35 pm
Wed March 12, 2014

Are You Ready? What You Need To Know Before March 31 ACA Enrollment Deadline

Nanette Hegamin

The first open enrollment period for insurance under the Affordable Care Act ends March 31, and individuals who don’t have insurance by that deadline could face penalties.

Joining us to discuss enrollment, the deadline, and those penalties were three guests who are experts on what the Affordable Care Act provisions mean for Missourians:

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Healthcare and Medicaid
3:59 pm
Fri January 31, 2014

Sebelius Puts A Price And Face On Health Insurance Coverage In Missouri

Secretary of Health and Human Services Kathleen Sebelius holds a press conference with St. Louis Mayor Francis Slay in north St. Louis. Law student Nathaniel Carroll spoke about the benefit of having health insurance.
Credit Jason Rosenbaum, St. Louis Public Radio and the Beacon

U.S. Health and Human Services Secretary Kathleen Sebelius tried to put a price tag and a face on the government’s health reform push in Missouri when she visited the Grace Hill Water Tower Health Center on Friday. 

The price tag: $5 million a day. That’s how much she says Missouri is losing by refusing to expand its Medicaid program under the Affordable Care Act.

The face: a local resident who praised the law for the help it is providing his family while he attends law school.

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