Health Insurance PremiumsHealth Insurance Premiums
CA Insurance Commissioner: Insurers Fear Prop. 45, Will Keep Health Rates Low
Why Some Don't Pay Their Covered California Premium: It's Not What You Think
Health Insurers Extend Deadline for February Premiums, Too
Anthem Blue Cross, Kaiser Extend Deadline to Pay Insurance Premiums
Some Covered California Plans Narrow Your Choice of Doctors, Hospitals
How the Affordable Care Act Is Supposed to Pay for Subsidies
Why California's Obamacare Premiums Are Lower Than Expected
Calif's Health Insurance Exchange Sets Plans, Premiums; No Apparent 'Rate Shock'
No 'Rate Shock' in Vermont, First State with Proposed 2014 Premiums
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Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new analysis from the Department of Insurance confirms what has been reported since the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">Covered California exchange opened last October\u003c/a>: Some people saw steep premium increases after the rollout of the Affordable Care Act.\u003c/p>\n\u003cp>According to the department's analysis non-subsidy eligible individuals saw average increases ranging from 22 to 88 percent, depending on their age and where they lived. The review was done of all health plans -- including those managed for the Department of Managed Health Care -- and looked at premiums from California's four largest carriers, Anthem Blue Cross, Kaiser, Blue Shield and Health Net.\u003c/p>\n\u003cp>The release appeared to be politically timed. Covered California's rates for \u003cem>next\u003c/em> year are due on Thursday, and the rumble is that new premiums will show only modest increases.\u003c!--more-->\u003c/p>\n\u003cp>Insurance Commissioner Dave Jones say that's for one reason --\u003ca href=\"http://www.sos.ca.gov/elections/vig-public-display/110414-general-election/prop-45/prop-45-text.pdf\" target=\"_blank\"> Proposition 45\u003c/a> coming on this November's ballot. The ballot measure would give the state's insurance commissioner the authority to reject excessive health insurance rate hikes. Jones believes health insurers are keeping premiums lower than they would have otherwise without the threat of the proposition.\u003c/p>\n\u003cp>\"I fully expect that the degree of those increases will be modest at best,\" Jones said, \"because Proposition 45 is on the ballot, and they are very concerned about creating any sort of backlash from Californians.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>UCLA health policy professor Gerald Kominski expressed no surprise at the news of the department of insurance's analysis and its report of increases in premiums. He said that the Affordable Care Act requires both standardized plans and guaranteed issue, meaning that no one can be turned down because of a preexisting condition. Those two factors alone, he said, account for higher premiums.\u003c/p>\n\u003cp>\"In 2013, premiums were artificially lower, and prior to the ACA, premiums could be held down by excluding high-risk patients from the market and by offering skinny benefits.\"\u003c/p>\n\u003cp>The California Association of Health Plans, an industry group, chastised Jones for \"looking backward\" when open enrollment for 2015 is coming soon.\u003c/p>\n\u003cp>\"The ACA ushered in a new era of health care coverage,\" said vice president Charles Bacchi in a release. \"While some paid more for this expanded health care coverage, many Californians paid less and benefited from subsidies.\"\u003c/p>\n\u003cp>More than a \u003ca href=\"http://news.coveredca.com/2014/04/covered-californias-historic-first-open.html\" target=\"_blank\">million Californians qualified for subsidies\u003c/a> in the 2014 open enrollment. Some non-subsidy eligible Californians saw \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">premiums go down\u003c/a>. Jones asserted that most of the three million people who purchased individual or small group insurance outside of Covered California (in other words, people who were not eligible for a subsidy) \"got significant rate increases.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For its part, Covered California released a one-line statement in response to the department's analysis: \u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\u003cspan class=\"Apple-style-span\">\"Covered California is looking forward to announcing its 2015 rates this Thursday.\"\u003c/span>\u003c/span>\u003c/p>\n\n","blocks":[],"excerpt":"Proposition 45 would give CA's insurance commissioner the authority to reject excessive health premiums.","status":"publish","parent":0,"modified":1413393886,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":465},"headData":{"title":"CA Insurance Commissioner: Insurers Fear Prop. 45, Will Keep Health Rates Low | KQED","description":"Proposition 45 would give CA's insurance commissioner the authority to reject excessive health premiums.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"20407 http://blogs.kqed.org/stateofhealth/?p=20407","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/07/29/ca-insurance-commissioner-insurers-will-keep-health-rates-low-fear-prop-45/","disqusTitle":"CA Insurance Commissioner: Insurers Fear Prop. 45, Will Keep Health Rates Low","path":"/stateofhealth/20407/ca-insurance-commissioner-insurers-will-keep-health-rates-low-fear-prop-45","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_13022\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\">\u003cimg class=\"size-large wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-620x413.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new analysis from the Department of Insurance confirms what has been reported since the \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">Covered California exchange opened last October\u003c/a>: Some people saw steep premium increases after the rollout of the Affordable Care Act.\u003c/p>\n\u003cp>According to the department's analysis non-subsidy eligible individuals saw average increases ranging from 22 to 88 percent, depending on their age and where they lived. The review was done of all health plans -- including those managed for the Department of Managed Health Care -- and looked at premiums from California's four largest carriers, Anthem Blue Cross, Kaiser, Blue Shield and Health Net.\u003c/p>\n\u003cp>The release appeared to be politically timed. Covered California's rates for \u003cem>next\u003c/em> year are due on Thursday, and the rumble is that new premiums will show only modest increases.\u003c!--more-->\u003c/p>\n\u003cp>Insurance Commissioner Dave Jones say that's for one reason --\u003ca href=\"http://www.sos.ca.gov/elections/vig-public-display/110414-general-election/prop-45/prop-45-text.pdf\" target=\"_blank\"> Proposition 45\u003c/a> coming on this November's ballot. The ballot measure would give the state's insurance commissioner the authority to reject excessive health insurance rate hikes. Jones believes health insurers are keeping premiums lower than they would have otherwise without the threat of the proposition.\u003c/p>\n\u003cp>\"I fully expect that the degree of those increases will be modest at best,\" Jones said, \"because Proposition 45 is on the ballot, and they are very concerned about creating any sort of backlash from Californians.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>UCLA health policy professor Gerald Kominski expressed no surprise at the news of the department of insurance's analysis and its report of increases in premiums. He said that the Affordable Care Act requires both standardized plans and guaranteed issue, meaning that no one can be turned down because of a preexisting condition. Those two factors alone, he said, account for higher premiums.\u003c/p>\n\u003cp>\"In 2013, premiums were artificially lower, and prior to the ACA, premiums could be held down by excluding high-risk patients from the market and by offering skinny benefits.\"\u003c/p>\n\u003cp>The California Association of Health Plans, an industry group, chastised Jones for \"looking backward\" when open enrollment for 2015 is coming soon.\u003c/p>\n\u003cp>\"The ACA ushered in a new era of health care coverage,\" said vice president Charles Bacchi in a release. \"While some paid more for this expanded health care coverage, many Californians paid less and benefited from subsidies.\"\u003c/p>\n\u003cp>More than a \u003ca href=\"http://news.coveredca.com/2014/04/covered-californias-historic-first-open.html\" target=\"_blank\">million Californians qualified for subsidies\u003c/a> in the 2014 open enrollment. Some non-subsidy eligible Californians saw \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/10/18/why-some-are-seeing-premiums-go-up-as-affordable-care-act-goes-into-effect-obamacare/\" target=\"_blank\">premiums go down\u003c/a>. Jones asserted that most of the three million people who purchased individual or small group insurance outside of Covered California (in other words, people who were not eligible for a subsidy) \"got significant rate increases.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>For its part, Covered California released a one-line statement in response to the department's analysis: \u003cspan class=\"Apple-style-span\" style=\"color: #000000\">\u003cspan class=\"Apple-style-span\">\"Covered California is looking forward to announcing its 2015 rates this Thursday.\"\u003c/span>\u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20407/ca-insurance-commissioner-insurers-will-keep-health-rates-low-fear-prop-45","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_368","stateofhealth_261","stateofhealth_808"],"featImg":"stateofhealth_13022","label":"stateofhealth"},"stateofhealth_18480":{"type":"posts","id":"stateofhealth_18480","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"18480","score":null,"sort":[1396445839000]},"guestAuthors":[],"slug":"why-some-dont-pay-their-covered-california-premium-its-not-what-you-think","title":"Why Some Don't Pay Their Covered California Premium: It's Not What You Think","publishDate":1396445839,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_18489\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/164113412-3-e1396419467937.jpg\">\u003cimg class=\"size-large wp-image-18489\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/164113412-3-640x439.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"439\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new analysis finds that many people who signed up for a Covered California plan are likely to drop the coverage for a good reason: they found insurance elsewhere.\u003c/p>\n\u003cp>Researchers at the U.C. Berkeley Labor Center \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/churn_enrollment.shtml\" target=\"_blank\">released estimates\u003c/a> Wednesday showing that about 20 percent of Covered California enrollees are expected to leave the program because they found a job that offers health insurance. Another 20 percent will see their incomes fall and become eligible for Medi-Cal, the state's insurance program for people who are low income.\u003c/p>\n\u003cp>In addition to the 40 percent of enrollees who move to Medi-Cal or job-based insurance, between 2 and 8 percent of those who sign up for Covered California are estimated to become uninsured, the analysis noted.\u003c/p>\n\u003caside class=\"pullquote alignleft\">20 percent of Covered California enrollees are estimated to move to job-based insurance over the year. \u003c/aside>\n\u003cp>This process -- \"churn\" to those who study health insurance -- is well-known in the Medi-Cal and individual insurance market.\u003c/p>\n\u003cp>Between 53 and 58 percent of Covered California enrollees are expected to stay in a Covered California plan for 12 months, according to the report. This analysis is consistent with a Kaiser Family Foundation \u003ca href=\"http://kff.org/private-insurance/issue-brief/how-many-people-have-nongroup-health-insurance/\" target=\"_blank\">study published earlier this year\u003c/a> which found that of people who enrolled in an individual insurance plan in 2010, about 48 percent were still in the individual market two years later.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The question of how many people have paid their premium has\u003ca href=\"http://www.politico.com/story/2014/03/obamacare-affordable-care-act-health-insurance-premiums-104602.html\" target=\"_blank\"> become a political issue\u003c/a> nationally, with questions being raised about the true enrollment in an ACA plan. But Ken Jacobs, chair of the Labor Center and an author of the new study, said that even 15 percent non-payment of premiums \"was not a surprising number.\" He said that according to the analysis, in any 3-month period, an estimated 10 percent of enrollees could be expected to leave Covered California, although he says that indeed some may leave the exchange \"because the cost was too high.\"\u003c/p>\n\u003cp>On Monday, Peter Lee, executive director of Covered California said 87 percent of enrollees had paid their premium.\u003c/p>\n\u003cp>Jacobs' team also estimated churn in the Medi-Cal program. They predict nearly 75 percent of enrollees will stay in Medi-Cal for a 12-month period; about 16 percent will become eligible for Covered California due to an increase in income; and about 10 percent will land jobs that offer health insurance.\u003c/p>\n\u003cp>Prior to the Affordable Care Act, the study showed, 55 percent of Medi-Cal enrollees stayed in the program for 12 months. The authors noted that the Medi-Cal population was expected to be more stable because, under the ACA, re-enrollment in the program happens every 12 months instead of every 6, and the process is more automated.\u003c/p>\n\u003cp>In calculating their estimates, the researchers relied upon data from the \u003ca href=\"https://www.census.gov/programs-surveys/sipp/\" target=\"_blank\">Survey of Income Program and Participation\u003c/a> from the U.S. Census Bureau. \"This policy brief predicts a significant level of churn out of Medi-Cal and Covered California each year,\" the authors noted. \"Enrollment in Medi-Cal and Covered California will be dynamic as Californians move in and out of coverage.\"\u003c/p>\n\u003cp>In addition to the 40 percent of enrollees who move to Medi-Cal or job-based insurance, between 2 and 8 percent of those who sign up for Covered California will become uninsured, the analysis noted.\u003c/p>\n\u003cp>Yet just as people will move out of Covered California and Medi-Cal, other people will move in. While open enrollment in Covered California ended on Monday (with a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\">grace period until April 15\u003c/a> for people who had tried to enroll, but could not for technical reasons), many people are expected to sign up if they experience a life event that triggers a \"special enrollment period.\" These events include divorce, marriage, birth of a baby or loss of job-based insurance.\u003c/p>\n\u003cp>\"Consequently, it will be vital for the enrollment infrastructure—from outreach, to the web-site, to in-person and call-center assistance—to be available and active even outside of open enrollment periods,\" the authors said.\u003c/p>\n\u003cp>Medi-Cal does not have enrollment periods. Sign ups can happen at any time during the year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Rw78XszBTeWLG7DPGhWY7Nv1C9DfqyC2\"]\u003c/p>\n\n","blocks":[],"excerpt":"20 percent of Covered California enrollees are estimated to move to job-based insurance over the year.","status":"publish","parent":0,"modified":1396483910,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":704},"headData":{"title":"Why Some Don't Pay Their Covered California Premium: It's Not What You Think | KQED","description":"20 percent of Covered California enrollees are estimated to move to job-based insurance over the year.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"18480 http://blogs.kqed.org/stateofhealth/?p=18480","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/04/02/why-some-dont-pay-their-covered-california-premium-its-not-what-you-think/","disqusTitle":"Why Some Don't Pay Their Covered California Premium: It's Not What You Think","path":"/stateofhealth/18480/why-some-dont-pay-their-covered-california-premium-its-not-what-you-think","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_18489\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/164113412-3-e1396419467937.jpg\">\u003cimg class=\"size-large wp-image-18489\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/04/164113412-3-640x439.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"439\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>A new analysis finds that many people who signed up for a Covered California plan are likely to drop the coverage for a good reason: they found insurance elsewhere.\u003c/p>\n\u003cp>Researchers at the U.C. Berkeley Labor Center \u003ca href=\"http://laborcenter.berkeley.edu/healthcare/churn_enrollment.shtml\" target=\"_blank\">released estimates\u003c/a> Wednesday showing that about 20 percent of Covered California enrollees are expected to leave the program because they found a job that offers health insurance. Another 20 percent will see their incomes fall and become eligible for Medi-Cal, the state's insurance program for people who are low income.\u003c/p>\n\u003cp>In addition to the 40 percent of enrollees who move to Medi-Cal or job-based insurance, between 2 and 8 percent of those who sign up for Covered California are estimated to become uninsured, the analysis noted.\u003c/p>\n\u003caside class=\"pullquote alignleft\">20 percent of Covered California enrollees are estimated to move to job-based insurance over the year. \u003c/aside>\n\u003cp>This process -- \"churn\" to those who study health insurance -- is well-known in the Medi-Cal and individual insurance market.\u003c/p>\n\u003cp>Between 53 and 58 percent of Covered California enrollees are expected to stay in a Covered California plan for 12 months, according to the report. This analysis is consistent with a Kaiser Family Foundation \u003ca href=\"http://kff.org/private-insurance/issue-brief/how-many-people-have-nongroup-health-insurance/\" target=\"_blank\">study published earlier this year\u003c/a> which found that of people who enrolled in an individual insurance plan in 2010, about 48 percent were still in the individual market two years later.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The question of how many people have paid their premium has\u003ca href=\"http://www.politico.com/story/2014/03/obamacare-affordable-care-act-health-insurance-premiums-104602.html\" target=\"_blank\"> become a political issue\u003c/a> nationally, with questions being raised about the true enrollment in an ACA plan. But Ken Jacobs, chair of the Labor Center and an author of the new study, said that even 15 percent non-payment of premiums \"was not a surprising number.\" He said that according to the analysis, in any 3-month period, an estimated 10 percent of enrollees could be expected to leave Covered California, although he says that indeed some may leave the exchange \"because the cost was too high.\"\u003c/p>\n\u003cp>On Monday, Peter Lee, executive director of Covered California said 87 percent of enrollees had paid their premium.\u003c/p>\n\u003cp>Jacobs' team also estimated churn in the Medi-Cal program. They predict nearly 75 percent of enrollees will stay in Medi-Cal for a 12-month period; about 16 percent will become eligible for Covered California due to an increase in income; and about 10 percent will land jobs that offer health insurance.\u003c/p>\n\u003cp>Prior to the Affordable Care Act, the study showed, 55 percent of Medi-Cal enrollees stayed in the program for 12 months. The authors noted that the Medi-Cal population was expected to be more stable because, under the ACA, re-enrollment in the program happens every 12 months instead of every 6, and the process is more automated.\u003c/p>\n\u003cp>In calculating their estimates, the researchers relied upon data from the \u003ca href=\"https://www.census.gov/programs-surveys/sipp/\" target=\"_blank\">Survey of Income Program and Participation\u003c/a> from the U.S. Census Bureau. \"This policy brief predicts a significant level of churn out of Medi-Cal and Covered California each year,\" the authors noted. \"Enrollment in Medi-Cal and Covered California will be dynamic as Californians move in and out of coverage.\"\u003c/p>\n\u003cp>In addition to the 40 percent of enrollees who move to Medi-Cal or job-based insurance, between 2 and 8 percent of those who sign up for Covered California will become uninsured, the analysis noted.\u003c/p>\n\u003cp>Yet just as people will move out of Covered California and Medi-Cal, other people will move in. While open enrollment in Covered California ended on Monday (with a \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/03/31/covered-california-extends-deadline-with-caveats/\" target=\"_blank\">grace period until April 15\u003c/a> for people who had tried to enroll, but could not for technical reasons), many people are expected to sign up if they experience a life event that triggers a \"special enrollment period.\" These events include divorce, marriage, birth of a baby or loss of job-based insurance.\u003c/p>\n\u003cp>\"Consequently, it will be vital for the enrollment infrastructure—from outreach, to the web-site, to in-person and call-center assistance—to be available and active even outside of open enrollment periods,\" the authors said.\u003c/p>\n\u003cp>Medi-Cal does not have enrollment periods. Sign ups can happen at any time during the year.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Rw78XszBTeWLG7DPGhWY7Nv1C9DfqyC2\"]\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/18480/why-some-dont-pay-their-covered-california-premium-its-not-what-you-think","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_368","stateofhealth_261"],"featImg":"stateofhealth_18489","label":"stateofhealth"},"stateofhealth_17378":{"type":"posts","id":"stateofhealth_17378","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"17378","score":null,"sort":[1391038668000]},"guestAuthors":[],"slug":"health-insurers-extend-deadline-for-february-premiums-too","title":"Health Insurers Extend Deadline for February Premiums, Too","publishDate":1391038668,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_13022\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\">\u003cimg class=\"size-large wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-620x413.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Covered California says that yesterday was the deadline to pay your February premiums. But some of California's biggest insurers have extended their deadlines.\u003c/p>\n\u003cp>Here are new dates for three major carriers:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Blue Shield\u003c/strong>: deadline is Friday, Feb. 14 for people who signed up for coverage starting Feb. 1.\u003c/li>\n\u003cli>\u003cstrong>HealthNet: \u003c/strong>For people who signed up for coverage beginning Feb. 1, you have until Feb 15 to make your first premium payment. You can \u003ca href=\"https://www.healthnet.com/portal/member/content/iwc/home/articles/aca_welcome.action\" target=\"_blank\">pay by phone\u003c/a>. \u003c!--more-->\u003c/li>\n\u003cli>\u003cstrong>Kaiser\u003c/strong>: deadline is now Tuesday, Feb. 18\u003c/li>\n\u003cli>\u003cstrong>Anthem Blue Cross\u003c/strong>: for ongoing members, the deadline is Jan. 31 (although there's a one month grace period before cancellation). New members who signed up for coverage that starts on Feb. 1, have until Monday, Feb. 10 to make their premium payment.\u003c/li>\n\u003cli>\u003cstrong>L.A. Care\u003c/strong>: deadline for participants in \"L.A. Care Covered,\" its Covered California health plan, is now Feb. 21.\u003c/li>\n\u003c/ul>\n\u003cp>A colleague told me \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/01/28/covered-california-the-cobra-glitch/\" target=\"_blank\">yesterday \u003c/a>that her husband had spent 2 and a half hours on hold trying to pay his February Kaiser premium, then got cut off and was on hold for another 2 hours. When he finally got through, the operator told him the payment deadline had been extended. He said he asked her why Kaiser didn't put that information in its recording that people listen to when they're on hold.\u003c/p>\n\u003cp>In an email today explaining the payment extension, a Kaiser spokesperson wrote: \"We are sorry for any difficulties that members experience in contacting our call centers. We are experiencing extremely high call volumes and are working quickly to further extend our capacity.\"\u003c/p>\n\u003cp>On Health Net's website detailing the change, it says: \"Health Net extended the deadline because it's really important to us that you have health insurance coverage.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>This post has been updated to include Anthem Blue Cross and LA Care deadlines and to reflect Blue Shield most recent extension of its deadline for payment.\u003c/em>\u003c/strong>\u003c/p>\n\n","blocks":[],"excerpt":"Covered California says that yesterday was the deadline to pay your February premiums. But some of California's biggest insurers have extended their deadlines. \r\nHere are new dates for three major carriers:","status":"publish","parent":0,"modified":1391516930,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":8,"wordCount":324},"headData":{"title":"Health Insurers Extend Deadline for February Premiums, Too | KQED","description":"Covered California says that yesterday was the deadline to pay your February premiums. But some of California's biggest insurers have extended their deadlines. \r\nHere are new dates for three major carriers:","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"17378 http://blogs.kqed.org/stateofhealth/?p=17378","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/01/29/health-insurers-extend-deadline-for-february-premiums-too/","disqusTitle":"Health Insurers Extend Deadline for February Premiums, Too","path":"/stateofhealth/17378/health-insurers-extend-deadline-for-february-premiums-too","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_13022\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-e1382074913159.jpg\">\u003cimg class=\"size-large wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-620x413.jpg\" alt=\"(Getty Images)\" width=\"620\" height=\"413\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Covered California says that yesterday was the deadline to pay your February premiums. But some of California's biggest insurers have extended their deadlines.\u003c/p>\n\u003cp>Here are new dates for three major carriers:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>Blue Shield\u003c/strong>: deadline is Friday, Feb. 14 for people who signed up for coverage starting Feb. 1.\u003c/li>\n\u003cli>\u003cstrong>HealthNet: \u003c/strong>For people who signed up for coverage beginning Feb. 1, you have until Feb 15 to make your first premium payment. You can \u003ca href=\"https://www.healthnet.com/portal/member/content/iwc/home/articles/aca_welcome.action\" target=\"_blank\">pay by phone\u003c/a>. \u003c!--more-->\u003c/li>\n\u003cli>\u003cstrong>Kaiser\u003c/strong>: deadline is now Tuesday, Feb. 18\u003c/li>\n\u003cli>\u003cstrong>Anthem Blue Cross\u003c/strong>: for ongoing members, the deadline is Jan. 31 (although there's a one month grace period before cancellation). New members who signed up for coverage that starts on Feb. 1, have until Monday, Feb. 10 to make their premium payment.\u003c/li>\n\u003cli>\u003cstrong>L.A. Care\u003c/strong>: deadline for participants in \"L.A. Care Covered,\" its Covered California health plan, is now Feb. 21.\u003c/li>\n\u003c/ul>\n\u003cp>A colleague told me \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/01/28/covered-california-the-cobra-glitch/\" target=\"_blank\">yesterday \u003c/a>that her husband had spent 2 and a half hours on hold trying to pay his February Kaiser premium, then got cut off and was on hold for another 2 hours. When he finally got through, the operator told him the payment deadline had been extended. He said he asked her why Kaiser didn't put that information in its recording that people listen to when they're on hold.\u003c/p>\n\u003cp>In an email today explaining the payment extension, a Kaiser spokesperson wrote: \"We are sorry for any difficulties that members experience in contacting our call centers. We are experiencing extremely high call volumes and are working quickly to further extend our capacity.\"\u003c/p>\n\u003cp>On Health Net's website detailing the change, it says: \"Health Net extended the deadline because it's really important to us that you have health insurance coverage.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>This post has been updated to include Anthem Blue Cross and LA Care deadlines and to reflect Blue Shield most recent extension of its deadline for payment.\u003c/em>\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/17378/health-insurers-extend-deadline-for-february-premiums-too","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_368","stateofhealth_261"],"featImg":"stateofhealth_13022","label":"stateofhealth"},"stateofhealth_17198":{"type":"posts","id":"stateofhealth_17198","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"17198","score":null,"sort":[1389780569000]},"guestAuthors":[],"slug":"deadline-to-pay-obamacare-premiums-is-tonight-except-anthem-blue-cross-kaiser","title":"Anthem Blue Cross, Kaiser Extend Deadline to Pay Insurance Premiums","publishDate":1389780569,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_16141\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/140007839-e1383845514894.jpg\">\u003cimg class=\"size-large wp-image-16141\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/140007839-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By April Dembosky and Lisa Aliferis\u003c/strong>\u003c/p>\n\u003cp>If you signed up for a Covered California plan by the Dec. 23 deadline, Wednesday is the official deadline to pay your January premium.\u003c/p>\n\u003cp>That is, unless you are an Anthem Blue Cross or Kaiser Permanente customer -- in which case you have a little more time.\u003c/p>\n\u003cul>\n\u003cli>If you're a Kaiser member, you have until Jan. 22 to pay your January premium\u003c/li>\n\u003cli>If you're an Anthem Blue Cross customer, you have until Jan. 31 (Update: On Jan. 16, HealthNet also extended its deadline to Jan. 31.)\u003c/li>\n\u003c/ul>\n\u003cp>If you're in one of the other nine plans available statewide, you must pay your premium by midnight Wednesday night.\u003c!--more-->\u003c/p>\n\u003cp>Darrel Ng, a spokesman for Anthem, says the company changed the deadline at the end of last week to give people adequate time to pay their premiums. He said if people have not received their insurance cards, they can call Anthem to request a temporary card or an ID number they could use at the doctor's office. People can also pay out of pocket and seek reimbursement later.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Kaiser Permanente spokesman Mark Brown also says that all new members will be able to \"receive the care they need when they need it\" even if they have not yet received their ID cards. He also said Kaiser has started proactively calling customers to assist them in making payments.\u003c/p>\n\u003cp>\"It's important to note that the overwhelming majority of those who enrolled in coverage for January 1 have already received their invoices and paid for their coverage,\" Brown said in an email.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Wednesday is also the deadline for uninsured people to enroll to receive coverage starting Feb. 1. For people who file an application and pick a plan by midnight Wednesday must pay their Feb. premium by Jan. 28.\u003c/p>\n\n","blocks":[],"excerpt":"If you signed up for a Covered California plan by the Dec. 23 deadline, Wednesday is the official deadline to pay your January premium.\r\n\r\nThat is, unless you are an Anthem Blue Cross or Kaiser Permanente customer -- in which case you have a little more time.","status":"publish","parent":0,"modified":1390366637,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":10,"wordCount":306},"headData":{"title":"Anthem Blue Cross, Kaiser Extend Deadline to Pay Insurance Premiums | KQED","description":"If you signed up for a Covered California plan by the Dec. 23 deadline, Wednesday is the official deadline to pay your January premium.\r\n\r\nThat is, unless you are an Anthem Blue Cross or Kaiser Permanente customer -- in which case you have a little more time.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"17198 http://blogs.kqed.org/stateofhealth/?p=17198","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/01/15/deadline-to-pay-obamacare-premiums-is-tonight-except-anthem-blue-cross-kaiser/","disqusTitle":"Anthem Blue Cross, Kaiser Extend Deadline to Pay Insurance Premiums","path":"/stateofhealth/17198/deadline-to-pay-obamacare-premiums-is-tonight-except-anthem-blue-cross-kaiser","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16141\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/140007839-e1383845514894.jpg\">\u003cimg class=\"size-large wp-image-16141\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/140007839-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By April Dembosky and Lisa Aliferis\u003c/strong>\u003c/p>\n\u003cp>If you signed up for a Covered California plan by the Dec. 23 deadline, Wednesday is the official deadline to pay your January premium.\u003c/p>\n\u003cp>That is, unless you are an Anthem Blue Cross or Kaiser Permanente customer -- in which case you have a little more time.\u003c/p>\n\u003cul>\n\u003cli>If you're a Kaiser member, you have until Jan. 22 to pay your January premium\u003c/li>\n\u003cli>If you're an Anthem Blue Cross customer, you have until Jan. 31 (Update: On Jan. 16, HealthNet also extended its deadline to Jan. 31.)\u003c/li>\n\u003c/ul>\n\u003cp>If you're in one of the other nine plans available statewide, you must pay your premium by midnight Wednesday night.\u003c!--more-->\u003c/p>\n\u003cp>Darrel Ng, a spokesman for Anthem, says the company changed the deadline at the end of last week to give people adequate time to pay their premiums. He said if people have not received their insurance cards, they can call Anthem to request a temporary card or an ID number they could use at the doctor's office. People can also pay out of pocket and seek reimbursement later.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Kaiser Permanente spokesman Mark Brown also says that all new members will be able to \"receive the care they need when they need it\" even if they have not yet received their ID cards. He also said Kaiser has started proactively calling customers to assist them in making payments.\u003c/p>\n\u003cp>\"It's important to note that the overwhelming majority of those who enrolled in coverage for January 1 have already received their invoices and paid for their coverage,\" Brown said in an email.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Wednesday is also the deadline for uninsured people to enroll to receive coverage starting Feb. 1. For people who file an application and pick a plan by midnight Wednesday must pay their Feb. premium by Jan. 28.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/17198/deadline-to-pay-obamacare-premiums-is-tonight-except-anthem-blue-cross-kaiser","authors":["8344"],"categories":["stateofhealth_15"],"tags":["stateofhealth_294","stateofhealth_38","stateofhealth_368","stateofhealth_261"],"featImg":"stateofhealth_16141","label":"stateofhealth"},"stateofhealth_16615":{"type":"posts","id":"stateofhealth_16615","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"16615","score":null,"sort":[1386716527000]},"guestAuthors":[],"slug":"some-covered-california-plans-narrow-your-choice-of-doctors-hospitals","title":"Some Covered California Plans Narrow Your Choice of Doctors, Hospitals","publishDate":1386716527,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_12938\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/RS2064_doctor-and-patient-Joe-Raedle_Getty-Images-lpr-e1386715964428.jpg\">\u003cimg class=\"size-full wp-image-12938\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/RS2064_doctor-and-patient-Joe-Raedle_Getty-Images-lpr-e1386715964428.jpg\" alt=\"(Joe Raedle/Getty Images)\" width=\"640\" height=\"426\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/05/RS2064_doctor-and-patient-Joe-Raedle_Getty-Images-lpr-e1386715964428.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/RS2064_doctor-and-patient-Joe-Raedle_Getty-Images-lpr-e1386715964428-400x266.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/RS2064_doctor-and-patient-Joe-Raedle_Getty-Images-lpr-e1386715964428-320x213.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Pauline Bartolone\u003c/strong>, \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2013/December/09/California-policyholders-have-few-hospitals-or-choices.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>When Diane Shore \u003ca href=\"http://capsules.kaiserhealthnews.org/wp-content/uploads/2013/12/BlueShield.pdf\" target=\"_blank\">got a letter that her health policy would be canceled\u003c/a>, the small premium increase for a new plan didn’t bother her that much. What she’s really troubled by is: “My physicians will no longer be in this network of physicians, or the hospitals won’t be as well.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">“There isn’t something that says: ‘Alert. Be aware. Take action now to be sure this works for you.\"\u003c/aside>\n\u003cp>Sixty-two year old Shore owned an IT consulting business in the San Francisco Bay Area, and retired when she sold her business in 2000. She says she wants to stick with the providers that she’s had for years, including the surgeon who operated on her for breast cancer in 1998.\u003c/p>\n\u003cp>“I have full confidence in her,” she says. “And my primary care doctor has been my primary care doctor for 20 years.”\u003c/p>\n\u003cp>In Shore’s case, the problem is that the Blue Shield of California plan being offered limits her choice of doctors and hospitals just to Marin County, where she lives, just north of San Francisco. But, she says, “All my doctors are in San Francisco. I live 20 minutes from San Francisco. In fact, it’s more convenient for me to go to San Francisco than to the hospital here in Marin County.”\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Shore’s experience doesn’t surprise San Francisco-based insurance broker Susan Shargel, who’s trying to sort out all the new ways insurers are contracting with doctors. Some health plans will have fewer doctors and hospitals. Blue Shield, for example, says it will have half the doctors and three quarters of the hospitals next year as they have this year in the individual market.\u003c/p>\n\u003cp>Shargel thinks that the changes are not clear in the cancellation letters. “There isn’t something that says: ‘Alert. Be aware. Take action now to be sure this works for you or to be sure you know what’s happening.’ There needs to be a red alert,” she says.\u003c/p>\n\u003cp>\u003cstrong>Narrow Networks Part of Effort to Keep Premiums Low\u003c/strong>\u003c/p>\n\u003cp>The health plan offered to Shore was a Blue Shield of California EPO plan. EPO stands for “exclusive provider organization.” The company says it is offering these lower-cost plans for the first time next year to buyers on the individual market. Other insurers are offering similar plans.\u003c/p>\n\u003cp>Patrick Johnston, president of the California Association of Health Plans, notes that the federal Affordable Care Act requires more benefits than most insurance plans have provided up until now. That includes free preventive care, a limit on annual out-of-pocket spending and a ban on lifetime “caps” for medical expenses. So, to keep health plans affordable for buyers on the individual market, one of the few cost variables to work with is doctor contracts.\u003c/p>\n\u003cp>“In areas where there are a lot of hospitals, some more expensive than others, and a lot of doctors, it’s only natural that a health plan will sign up some, but maybe not all,” he says.\u003c/p>\n\u003cp>So Johnston says if you’re buying your own insurance next year and want to keep your doctors, you may have to shop around. “Transitioning might mean looking or having difficulty signing up exactly the same doctors,” he says.\u003c/p>\n\u003cp>Insurers are negotiating hard, according to Gerry Kominski, director of the Center for Health Policy Research at UCLA, saying to providers, for example: “We’re willing to pay you $50 a visit. If you’re not willing to do that, we know a doctor’s group across the street that will accept that.”\u003c/p>\n\u003cp>Kominski acknowledges the trend of narrowing provider networks pre-dates the Affordable Care Act, but \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/28/why-narrow-networks-may-not-be-such-a-bad-idea/\" target=\"_blank\">has been accelerating under the law\u003c/a>. And not just for individual policyholders; it’s been happening for people who get insurance through work as well.\u003c/p>\n\u003cp>But, he’s quick to add that\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/28/why-narrow-networks-may-not-be-such-a-bad-idea/\" target=\"_blank\"> it’s necessary\u003c/a>: “If we want to keep health care from becoming completely unaffordable for everyone, at some point something has to give. And in this case what’s giving is the ability to choose any doctor and any hospital.”\u003c/p>\n\u003cp>And, he says, some of the plans may have a wider variety of doctor and hospital choices, but they are likely to cost more.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of a reporting partnership that includes Capital Public Radio, NPR and Kaiser Health News. \u003c/em>\u003cem>Blue Shield of California Foundation helps support KHN coverage of California.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"When Diane Shore got a letter that her health policy would be canceled, the small premium increase for a new plan didn’t bother her that much. What she’s really troubled by is: “My physicians will no longer be in this network of physicians, or the hospitals won’t be as well.”\r\n\r\nSixty-two year old Shore owned an IT consulting business in the San Francisco Bay Area, and retired when she sold her business in 2000. She says she wants to stick with the providers that she’s had for years, including the surgeon who operated on her for breast cancer in 1998.","status":"publish","parent":0,"modified":1386716527,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":795},"headData":{"title":"Some Covered California Plans Narrow Your Choice of Doctors, Hospitals | KQED","description":"When Diane Shore got a letter that her health policy would be canceled, the small premium increase for a new plan didn’t bother her that much. What she’s really troubled by is: “My physicians will no longer be in this network of physicians, or the hospitals won’t be as well.”\r\n\r\nSixty-two year old Shore owned an IT consulting business in the San Francisco Bay Area, and retired when she sold her business in 2000. She says she wants to stick with the providers that she’s had for years, including the surgeon who operated on her for breast cancer in 1998.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"16615 http://blogs.kqed.org/stateofhealth/?p=16615","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/12/10/some-covered-california-plans-narrow-your-choice-of-doctors-hospitals/","disqusTitle":"Some Covered California Plans Narrow Your Choice of Doctors, Hospitals","path":"/stateofhealth/16615/some-covered-california-plans-narrow-your-choice-of-doctors-hospitals","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_12938\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/RS2064_doctor-and-patient-Joe-Raedle_Getty-Images-lpr-e1386715964428.jpg\">\u003cimg class=\"size-full wp-image-12938\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/RS2064_doctor-and-patient-Joe-Raedle_Getty-Images-lpr-e1386715964428.jpg\" alt=\"(Joe Raedle/Getty Images)\" width=\"640\" height=\"426\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/05/RS2064_doctor-and-patient-Joe-Raedle_Getty-Images-lpr-e1386715964428.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/RS2064_doctor-and-patient-Joe-Raedle_Getty-Images-lpr-e1386715964428-400x266.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/05/RS2064_doctor-and-patient-Joe-Raedle_Getty-Images-lpr-e1386715964428-320x213.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Pauline Bartolone\u003c/strong>, \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2013/December/09/California-policyholders-have-few-hospitals-or-choices.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>When Diane Shore \u003ca href=\"http://capsules.kaiserhealthnews.org/wp-content/uploads/2013/12/BlueShield.pdf\" target=\"_blank\">got a letter that her health policy would be canceled\u003c/a>, the small premium increase for a new plan didn’t bother her that much. What she’s really troubled by is: “My physicians will no longer be in this network of physicians, or the hospitals won’t be as well.”\u003c/p>\n\u003caside class=\"pullquote alignleft\">“There isn’t something that says: ‘Alert. Be aware. Take action now to be sure this works for you.\"\u003c/aside>\n\u003cp>Sixty-two year old Shore owned an IT consulting business in the San Francisco Bay Area, and retired when she sold her business in 2000. She says she wants to stick with the providers that she’s had for years, including the surgeon who operated on her for breast cancer in 1998.\u003c/p>\n\u003cp>“I have full confidence in her,” she says. “And my primary care doctor has been my primary care doctor for 20 years.”\u003c/p>\n\u003cp>In Shore’s case, the problem is that the Blue Shield of California plan being offered limits her choice of doctors and hospitals just to Marin County, where she lives, just north of San Francisco. But, she says, “All my doctors are in San Francisco. I live 20 minutes from San Francisco. In fact, it’s more convenient for me to go to San Francisco than to the hospital here in Marin County.”\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Shore’s experience doesn’t surprise San Francisco-based insurance broker Susan Shargel, who’s trying to sort out all the new ways insurers are contracting with doctors. Some health plans will have fewer doctors and hospitals. Blue Shield, for example, says it will have half the doctors and three quarters of the hospitals next year as they have this year in the individual market.\u003c/p>\n\u003cp>Shargel thinks that the changes are not clear in the cancellation letters. “There isn’t something that says: ‘Alert. Be aware. Take action now to be sure this works for you or to be sure you know what’s happening.’ There needs to be a red alert,” she says.\u003c/p>\n\u003cp>\u003cstrong>Narrow Networks Part of Effort to Keep Premiums Low\u003c/strong>\u003c/p>\n\u003cp>The health plan offered to Shore was a Blue Shield of California EPO plan. EPO stands for “exclusive provider organization.” The company says it is offering these lower-cost plans for the first time next year to buyers on the individual market. Other insurers are offering similar plans.\u003c/p>\n\u003cp>Patrick Johnston, president of the California Association of Health Plans, notes that the federal Affordable Care Act requires more benefits than most insurance plans have provided up until now. That includes free preventive care, a limit on annual out-of-pocket spending and a ban on lifetime “caps” for medical expenses. So, to keep health plans affordable for buyers on the individual market, one of the few cost variables to work with is doctor contracts.\u003c/p>\n\u003cp>“In areas where there are a lot of hospitals, some more expensive than others, and a lot of doctors, it’s only natural that a health plan will sign up some, but maybe not all,” he says.\u003c/p>\n\u003cp>So Johnston says if you’re buying your own insurance next year and want to keep your doctors, you may have to shop around. “Transitioning might mean looking or having difficulty signing up exactly the same doctors,” he says.\u003c/p>\n\u003cp>Insurers are negotiating hard, according to Gerry Kominski, director of the Center for Health Policy Research at UCLA, saying to providers, for example: “We’re willing to pay you $50 a visit. If you’re not willing to do that, we know a doctor’s group across the street that will accept that.”\u003c/p>\n\u003cp>Kominski acknowledges the trend of narrowing provider networks pre-dates the Affordable Care Act, but \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/28/why-narrow-networks-may-not-be-such-a-bad-idea/\" target=\"_blank\">has been accelerating under the law\u003c/a>. And not just for individual policyholders; it’s been happening for people who get insurance through work as well.\u003c/p>\n\u003cp>But, he’s quick to add that\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/11/28/why-narrow-networks-may-not-be-such-a-bad-idea/\" target=\"_blank\"> it’s necessary\u003c/a>: “If we want to keep health care from becoming completely unaffordable for everyone, at some point something has to give. And in this case what’s giving is the ability to choose any doctor and any hospital.”\u003c/p>\n\u003cp>And, he says, some of the plans may have a wider variety of doctor and hospital choices, but they are likely to cost more.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of a reporting partnership that includes Capital Public Radio, NPR and Kaiser Health News. \u003c/em>\u003cem>Blue Shield of California Foundation helps support KHN coverage of California.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/16615/some-covered-california-plans-narrow-your-choice-of-doctors-hospitals","authors":["8344"],"categories":["stateofhealth_15"],"tags":["stateofhealth_261"],"featImg":"stateofhealth_12938","label":"stateofhealth"},"stateofhealth_16136":{"type":"posts","id":"stateofhealth_16136","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"16136","score":null,"sort":[1383846348000]},"guestAuthors":[],"slug":"how-the-affordable-care-act-is-supposed-to-pay-for-insurance-subsidies-obamacare-premiums","title":"How the Affordable Care Act Is Supposed to Pay for Subsidies","publishDate":1383846348,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp> \u003c/p>\n\u003cfigure id=\"attachment_16141\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/140007839-e1383845514894.jpg\">\u003cimg class=\"size-large wp-image-16141\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/140007839-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"http://www.npr.org/blogs/health/2013/11/07/243584170/how-the-affordable-care-act-pays-for-insurance-subsidies\" target=\"_blank\">\u003cstrong>By John Ydstie\u003c/strong>\u003c/a>, \u003ca href=\"http://www.npr.org/blogs/health/2013/11/07/243584170/how-the-affordable-care-act-pays-for-insurance-subsidies\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>The new health care law will provide around $1 trillion in subsidies to low- and middle-income Americans over the next decade to help them pay for health insurance.\u003c/p>\n\u003cp>Johanna Humbert of Galien, Mich., was pleasantly surprised to discover that she qualifies for an insurance subsidy, since her current plan is being canceled. Humbert makes about $30,000 a year, so she'll get a subsidy of about $300 a month. The new plan is similar to her current one, but it will cost $250 — about half of what she pays now.\u003c/p>\n\u003cp>But where will the money come from to pay for subsidies like these?\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On his show last Friday, liberal comedian Bill Maher called the Affordable Care Act a \"Robin Hood\" plan. \"It does take from the rich to make better the poor,\" he said.\u003c/p>\n\u003cp>You can certainly make a case for that, says economist Joseph Antos of the American Enterprise Institute. \"In a general sense, the rich, of course, subsidize the poor. The rich pay more income taxes,\" he says. \"So, yes, absolutely, that's how subsidies are supposed to work.\"\u003c!--more-->\u003c/p>\n\u003cp>So if you're a low-income person getting a tax credit from the U.S. Treasury to subsidize your health care, a big chunk of that credit is coming from taxes paid by the well-off.\u003c/p>\n\u003cp>\u003cstrong>The Cost Of Subsidies\u003c/strong>\u003c/p>\n\u003cp>But the authors of the Affordable Care Act didn't want the subsidies to become a drain on the Treasury and add to the deficits. So they included provisions designed to offset the cost of the subsidies.\u003c/p>\n\u003cp>MIT economist Jonathan Gruber, who helped develop the law, says about half the costs are offset by projected savings in Medicare payments to insurers and hospitals. Another quarter is offset by added taxes on medical-device makers and drug companies.\u003c/p>\n\u003cp>\"The other source of revenue is a tax increase on the wealthiest Americans,\" he says. \"Those families with incomes above $250,000 a year will now have to pay more in Medicare payroll taxes.\"\u003c/p>\n\u003cp>Those provisions actually make the bill a net positive for the federal budget, \u003ca href=\"http://www.cbo.gov/topics/health-care/affordable-care-act\" target=\"_blank\">according to \u003c/a>the nonpartisan Congressional Budget Office. By the CBO's accounting, Obamacare will produce a surplus. Gruber says the law will \"actually lower the deficit by about $100 billion over the next decade and by $1 trillion in the decade after.\"\u003c/p>\n\u003cp>However, many Republicans have expressed skepticism about those findings.\u003c/p>\n\u003cp>\u003cstrong>New Policy, New Marketplace\u003c/strong>\u003c/p>\n\u003cp>The subsidies do mean some low-income people will pay almost nothing for insurance, while higher-income people will pay the full market price.\u003c/p>\n\u003cp>Dentist Aaron McLemore of Louisville, Ky., makes more than $100,000 a year and doesn't qualify for any subsidy on the Obamacare exchange. The 31-year-old's current policy is being canceled. A new policy from the exchange will more than double his monthly premium and boost his annual deductible to $7,000.\u003c/p>\n\u003cp>His higher costs aren't subsidizing lower-income policyholders, whose subsidy has already been paid by the government. But he is providing a subsidy in another way: The Affordable Care Act requires him to buy a policy with features he doesn't need.\u003c/p>\n\u003cp>\"Seeing as I'm a single male with no kids or dependents, and I'm paying for pediatric dental care and maternity care, it doesn't make a whole lot of sense to me,\" McLemore says.\u003c/p>\n\u003cp>What Obamacare is doing is moving McLemore out of the individual market — where people are sorted by age and health history and scope of coverage — to a market more like the traditional, employer-based group policy, in which young and old workers get the same coverage and pay the same premium.\u003c/p>\n\u003cp>Gruber, the MIT economist, says that model reflects the basic idea of insurance.\u003c/p>\n\u003cp>\"The notion of insurance is we're protected against risk,\" he says. \"What that means is that [during] a period of time when we're healthy, we pay more in premiums than we collect in benefits. In those periods of time we're sick — and we all go through them — we collect more in benefits than we pay in premiums.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Young, healthy people subsidize older people, who are more likely to be sick. Of course, most of those younger folks will eventually become old folks and experience the same benefit.\u003c/p>\n\n","blocks":[],"excerpt":"The new health care law will provide around $1 trillion in subsidies to low- and middle-income Americans over the next decade to help them pay for health insurance.\r\n\r\nJohanna Humbert of Galien, Mich., was pleasantly surprised to discover that she qualifies for an insurance subsidy, since her current plan is being canceled. Humbert makes about $30,000 a year, so she'll get a subsidy of about $300 a month. The new plan is similar to her current one, but it will cost $250 — about half of what she pays now.\r\n","status":"publish","parent":0,"modified":1383872819,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":733},"headData":{"title":"How the Affordable Care Act Is Supposed to Pay for Subsidies | KQED","description":"The new health care law will provide around $1 trillion in subsidies to low- and middle-income Americans over the next decade to help them pay for health insurance.\r\n\r\nJohanna Humbert of Galien, Mich., was pleasantly surprised to discover that she qualifies for an insurance subsidy, since her current plan is being canceled. Humbert makes about $30,000 a year, so she'll get a subsidy of about $300 a month. The new plan is similar to her current one, but it will cost $250 — about half of what she pays now.\r\n","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"16136 http://blogs.kqed.org/stateofhealth/?p=16136","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/11/07/how-the-affordable-care-act-is-supposed-to-pay-for-insurance-subsidies-obamacare-premiums/","disqusTitle":"How the Affordable Care Act Is Supposed to Pay for Subsidies","path":"/stateofhealth/16136/how-the-affordable-care-act-is-supposed-to-pay-for-insurance-subsidies-obamacare-premiums","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp> \u003c/p>\n\u003cfigure id=\"attachment_16141\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/140007839-e1383845514894.jpg\">\u003cimg class=\"size-large wp-image-16141\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/11/140007839-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"http://www.npr.org/blogs/health/2013/11/07/243584170/how-the-affordable-care-act-pays-for-insurance-subsidies\" target=\"_blank\">\u003cstrong>By John Ydstie\u003c/strong>\u003c/a>, \u003ca href=\"http://www.npr.org/blogs/health/2013/11/07/243584170/how-the-affordable-care-act-pays-for-insurance-subsidies\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>The new health care law will provide around $1 trillion in subsidies to low- and middle-income Americans over the next decade to help them pay for health insurance.\u003c/p>\n\u003cp>Johanna Humbert of Galien, Mich., was pleasantly surprised to discover that she qualifies for an insurance subsidy, since her current plan is being canceled. Humbert makes about $30,000 a year, so she'll get a subsidy of about $300 a month. The new plan is similar to her current one, but it will cost $250 — about half of what she pays now.\u003c/p>\n\u003cp>But where will the money come from to pay for subsidies like these?\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On his show last Friday, liberal comedian Bill Maher called the Affordable Care Act a \"Robin Hood\" plan. \"It does take from the rich to make better the poor,\" he said.\u003c/p>\n\u003cp>You can certainly make a case for that, says economist Joseph Antos of the American Enterprise Institute. \"In a general sense, the rich, of course, subsidize the poor. The rich pay more income taxes,\" he says. \"So, yes, absolutely, that's how subsidies are supposed to work.\"\u003c!--more-->\u003c/p>\n\u003cp>So if you're a low-income person getting a tax credit from the U.S. Treasury to subsidize your health care, a big chunk of that credit is coming from taxes paid by the well-off.\u003c/p>\n\u003cp>\u003cstrong>The Cost Of Subsidies\u003c/strong>\u003c/p>\n\u003cp>But the authors of the Affordable Care Act didn't want the subsidies to become a drain on the Treasury and add to the deficits. So they included provisions designed to offset the cost of the subsidies.\u003c/p>\n\u003cp>MIT economist Jonathan Gruber, who helped develop the law, says about half the costs are offset by projected savings in Medicare payments to insurers and hospitals. Another quarter is offset by added taxes on medical-device makers and drug companies.\u003c/p>\n\u003cp>\"The other source of revenue is a tax increase on the wealthiest Americans,\" he says. \"Those families with incomes above $250,000 a year will now have to pay more in Medicare payroll taxes.\"\u003c/p>\n\u003cp>Those provisions actually make the bill a net positive for the federal budget, \u003ca href=\"http://www.cbo.gov/topics/health-care/affordable-care-act\" target=\"_blank\">according to \u003c/a>the nonpartisan Congressional Budget Office. By the CBO's accounting, Obamacare will produce a surplus. Gruber says the law will \"actually lower the deficit by about $100 billion over the next decade and by $1 trillion in the decade after.\"\u003c/p>\n\u003cp>However, many Republicans have expressed skepticism about those findings.\u003c/p>\n\u003cp>\u003cstrong>New Policy, New Marketplace\u003c/strong>\u003c/p>\n\u003cp>The subsidies do mean some low-income people will pay almost nothing for insurance, while higher-income people will pay the full market price.\u003c/p>\n\u003cp>Dentist Aaron McLemore of Louisville, Ky., makes more than $100,000 a year and doesn't qualify for any subsidy on the Obamacare exchange. The 31-year-old's current policy is being canceled. A new policy from the exchange will more than double his monthly premium and boost his annual deductible to $7,000.\u003c/p>\n\u003cp>His higher costs aren't subsidizing lower-income policyholders, whose subsidy has already been paid by the government. But he is providing a subsidy in another way: The Affordable Care Act requires him to buy a policy with features he doesn't need.\u003c/p>\n\u003cp>\"Seeing as I'm a single male with no kids or dependents, and I'm paying for pediatric dental care and maternity care, it doesn't make a whole lot of sense to me,\" McLemore says.\u003c/p>\n\u003cp>What Obamacare is doing is moving McLemore out of the individual market — where people are sorted by age and health history and scope of coverage — to a market more like the traditional, employer-based group policy, in which young and old workers get the same coverage and pay the same premium.\u003c/p>\n\u003cp>Gruber, the MIT economist, says that model reflects the basic idea of insurance.\u003c/p>\n\u003cp>\"The notion of insurance is we're protected against risk,\" he says. \"What that means is that [during] a period of time when we're healthy, we pay more in premiums than we collect in benefits. In those periods of time we're sick — and we all go through them — we collect more in benefits than we pay in premiums.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Young, healthy people subsidize older people, who are more likely to be sick. Of course, most of those younger folks will eventually become old folks and experience the same benefit.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/16136/how-the-affordable-care-act-is-supposed-to-pay-for-insurance-subsidies-obamacare-premiums","authors":["8344"],"categories":["stateofhealth_15"],"tags":["stateofhealth_294","stateofhealth_261"],"featImg":"stateofhealth_16141","label":"stateofhealth"},"stateofhealth_13011":{"type":"posts","id":"stateofhealth_13011","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"13011","score":null,"sort":[1369870763000]},"guestAuthors":[],"slug":"why-californias-obamacare-premiums-are-lower-than-expected","title":"Why California's Obamacare Premiums Are Lower Than Expected","publishDate":1369870763,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cdiv>\n\u003cp>\u003cstrong>Dan Diamond, \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2013/low-costs-and-narrow-networks-inside-covered-california.aspx\" target=\"_blank\">California Healthline\u003c/a>\u003c/strong>\u003c/p>\n\u003c/div>\n\u003cdiv>\n\u003cfigure id=\"attachment_13022\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-medium wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-300x200.jpg\" alt=\"(Getty Images)\" width=\"300\" height=\"200\">\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>No Aetna. No United.\u003c/p>\n\u003cp>No Cedars-Sinai.\u003c/p>\n\u003cp>Covered California's list of participating health care providers and insurers \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/23/californias-health-insurance-exchange-sets-plans-premiums-no-apparent-rate-shock/\" target=\"_blank\">is out\u003c/a>, and it's possibly more notable for who \u003cem>isn't \u003c/em>partaking in the state's new health insurance exchange rather than for who is.\u003c/p>\n\u003cp>The reasons for the big-name absences are manifold, ranging from payer strategy to high hospital prices to even accusations of gamesmanship. And they help explain the caution that -- despite news that premiums \u003ca href=\"http://www.californiahealthline.org/articles/2013/5/24/state-exchange-reveals-premium-rates-participating-insurers.aspx\">will be far lower than expected\u003c/a> -- the exchange transition may be bumpier than some early, optimistic reports suggest.\u003c/p>\n\u003cp>\u003cstrong>Why Top Payers are Absent\u003c/strong>\u003c/p>\n\u003cp>According to representatives for Aetna, United and Cigna, the firms are \u003ca href=\"http://www.californiahealthline.org/articles/2013/5/23/aetna-cigna-unitedhealth-opt-out-of-state-insurance-exchange.aspx\">sitting out California's exchange\u003c/a> because they're taking a wait-and-see approach.\u003c/p>\n\u003cp>\"We are simply taking the time to carefully evaluate and better understand how the exchanges will work to ensure we are best prepared to participate meaningfully in their development,\" a \u003ca href=\"http://www.latimes.com/business/la-fi-health-insure-20130523,0,807264,full.story\" target=\"_blank\">United spokesperson told\u003c/a> Chad Terhune at the \u003cem>Los Angeles Times.\u003c!--more-->\u003c/em>\u003c/p>\n\u003cp>Top health plans have made similar moves in other states. For example, Regence BlueCross BlueShield -- Oregon's largest health plan, based on enrollment numbers -- recently pulled out of that state's insurance exchange. Anonymous observers \u003ca href=\"http://www.thelundreport.org/resource/regence_bluecross_blueshield_pulls_out_of_oregon%E2%80%99s_insurance_exchange\" target=\"_blank\">groused to the Lund Report \u003c/a>that by sitting out of Cover Oregon, Regence \"is setting themselves up to compete by not participating in the exchange and not gamble on a risky population that they can't predict.\"\u003c/p>\n\u003cp>(According to Regence, the company instead wanted to launch a separate plan called BridgeSpan, which will be focused on serving the needs of individual consumers.)\u003c/p>\n\u003cp>United and Cigna are \u003ca href=\"http://www.georgiahealthnews.com/2013/05/7-insurers-plan-participate-georgia-exchange/\" target=\"_blank\">sitting out\u003c/a> of Georgia's health insurance exchange, too.\u003c/p>\n\u003cp>Bob Laszewski, president of Health Policy and Strategy Associates, thinks the payers' absences are predictable.\u003c/p>\n\u003cp>\"It's absolutely no surprise,\" that the national plans are sitting out of exchanges like Covered California, he told California Healthline.\u003c/p>\n\u003cp>Unlike the 2006 launch of Medicare Part D, \"which was like the Oklahoma land rush,\" Laszewski said, where national players felt they had \"to get in and get share, because all these Medicare patients would be signing up on Day 1 -- growth in the exchanges [is expected] to be very slow. There's not a big upside to being in on Day 1.\"\u003c/p>\n\u003cp>And that's especially true given the probable downsides. The population that will likely seek initial coverage through the exchanges may be less healthy; if customers encounter administrative problems related to launch, insurers could face brushback; and national plans could strain their IT resources if they are trying to participate in multiple state exchanges. \"The big guys are limiting their involvement to the places where they feel they need to be for market share,\" Laszewski concluded.\u003c/p>\n\u003cp>\u003cstrong>Why Some Top Providers Are MIA\u003c/strong>\u003c/p>\n\u003cp>At the same time, some premier provider networks also are absent from the exchange -- although that decision may have been out of their hands.\u003c/p>\n\u003cp>Cedars-Sinai wasn't included in any exchange plans, and UCLA Medical Center's network also was mostly excluded, \u003ca href=\"http://articles.latimes.com/2013/may/24/business/la-fi-health-rates-deals-20130525\" target=\"_blank\">Terhune also reports\u003c/a>.\u003c/p>\n\u003cp>The rationale for leaving the providers off many payers' lists: They cost too much. Cedars-Sinai is among the \u003ca href=\"http://articles.latimes.com/2013/may/17/business/la-fi-cedars-hospital-prices-20130517\" target=\"_blank\">most expensive hospitals\u003c/a> in the nation, based on the list price of its procedures, and UCLA Medical Center's charges also rank above average.\u003c/p>\n\u003cp>\"If we want to keep costs down, something has to give,\" said Betsy Imholz, special projects director for Consumers Union, \u003ca href=\"http://www.upi.com/Top_News/US/2013/05/25/Covered-California-to-offer-limited-choice-of-providers/UPI-99881369512281/\" target=\"_blank\">told UPI\u003c/a>.\u003c/p>\n\u003cp>Narrowing a provider network in hopes of controlling spending, and specifically excluding Cedars-Sinai and UCLA, isn't a new trend; Anthem Blue Cross \u003ca href=\"http://articles.latimes.com/2012/sep/21/business/la-fi-hospital-costs-20120921\" target=\"_blank\">moved to cut\u003c/a> both high-cost providers from a plan offered to Los Angeles city workers last year. And since 2008, thousands of California businesses and agencies have opted for \u003ca href=\"http://www.californiahealthline.org/articles/2011/4/4/many-calif-employers-opting-for-hmos-with-slim-provider-networks.aspx\" target=\"_blank\">narrow-network plans\u003c/a> of their own in hopes of lowering health costs.\u003c/p>\n\u003cp>But will narrow networks work? And will consumers care?\u003c/p>\n\u003cp>Evidence from Massachusetts -- which instituted its own health insurance mandate and exchange half-a-dozen years ago -- suggests that the model can succeed \"when plans contract with providers that are pursuing a low-cost strategy, rather than with those that are simply granting temporary discounts to pick up volume,\" David E. Williams, president of the \u003ca href=\"http://www.healthbusinessgroup.com/\" target=\"_blank\">Health Business Group\u003c/a>, told \u003cem>California Healthline.\u003c/em>\u003c/p>\n\u003cp>For example, Williams cites Fallon Community Health Plan in Massachusetts, which \"partners with Steward Health Care System to offer a narrow network product for about 20% less than comparable plans with broader networks.\" The plan has been popular with certain individuals and employers who are purchasing coverage through the state's Health Connector and can see side-by-side pricing, Williams adds.\u003c/p>\n\u003cp>Takeaways and Questions\u003c/p>\n\u003cp>Meanwhile, California officials have tried to stress that consumers won't suffer for the absences of various payers and providers; for example, the 13 health insurers selected for the exchange -- out of 33 applicants -- will still offer access to roughly 80% of California health providers, the officials told Terhune.\u003c/p>\n\u003cp>And theoretically, the Golden State's \"active-purchaser\" approach means that the plans in the exchange are \"the cream of the crop,\" Sarah Kliff writes at the \u003cem>Washington Post\u003c/em>'s \"\u003ca href=\"http://www.washingtonpost.com/blogs/wonkblog/wp/2013/05/28/california-didnt-have-rate-shock-but-california-isnt-like-most-other-states/\" target=\"_blank\">Wonkblog\u003c/a>.\" That helped to tamp down premiums to lower-than-expected levels.\u003c/p>\n\u003cp>But Laszewski thinks that the attempt to explain Covered California's seemingly low-cost premiums relies on a comparison that isn't apples-to-apples, but \"a case of apples to oranges to grapefruit,\" he \u003ca href=\"http://healthpolicyandmarket.blogspot.com/2013/05/rate-shock-in-californiathe-new-health.html\" target=\"_blank\">writes at his blog\u003c/a>, Health Care Policy and Marketplace Review.\u003c/p>\n\u003cp>For example, the \u003cem>Los Angeles Times \u003c/em>notes that the average premium for individual plans sold through eHealthInsurance in California last year was $177 per month, whereas Covered California's average premium for the three lowest Silver plans statewide will be about 81 percent higher at $321 per month, although with more comprehensive benefits.\u003c/p>\n\u003cp>\"For those insured right now, and the estimated 40% that won't be eligible for a federal premium subsidy, that sure looks like rate shock to me,\" Laszewski writes. \"For the 60% who will get a subsidy, this means the taxpayers are going to have to fork out lots more money.\"\u003c/p>\n\u003cp>And for all the focus on Covered California, only a minority of state residents -- about five million Californians, or roughly one-sixth of the Golden State's population -- are expected to gain coverage through the exchange.\u003c/p>\n\u003cp>So what about the other 13 million who get their health coverage through their employers and \u003ca href=\"http://www.chcf.org/publications/2013/03/data-viz-health-plans\" target=\"_blank\">group plans\u003c/a>? The key question, \u003ca href=\"https://twitter.com/ChasRoades/status/338666122066939904\" target=\"_blank\">according to Chas Roades\u003c/a>, the Advisory Board Company's chief research officer, is the \"impact of exchange plans on [employer-sponsored insurance]. My guess is we'll see lower actuarial values and narrower networks quickly adopted.\" (The Advisory Board Company publishes \u003cem>California Healthline.)\u003c/em>\u003c/p>\n\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Covered California's list of participating health care providers and insurers is out, and it's possibly more notable for who isn't partaking in the state's new health insurance exchange rather than for who is.\r\n\r\nThe reasons for the big-name absences are manifold, ranging from payer strategy to high hospital prices to even accusations of gamesmanship. And they help explain the caution that -- despite news that premiums will be far lower than expected -- the exchange transition may be bumpier than some early, optimistic reports suggest.","status":"publish","parent":0,"modified":1370041509,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1153},"headData":{"title":"Why California's Obamacare Premiums Are Lower Than Expected | KQED","description":"Covered California's list of participating health care providers and insurers is out, and it's possibly more notable for who isn't partaking in the state's new health insurance exchange rather than for who is.\r\n\r\nThe reasons for the big-name absences are manifold, ranging from payer strategy to high hospital prices to even accusations of gamesmanship. And they help explain the caution that -- despite news that premiums will be far lower than expected -- the exchange transition may be bumpier than some early, optimistic reports suggest.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"13011 http://blogs.kqed.org/stateofhealth/?p=13011","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/05/29/why-californias-obamacare-premiums-are-lower-than-expected/","disqusTitle":"Why California's Obamacare Premiums Are Lower Than Expected","path":"/stateofhealth/13011/why-californias-obamacare-premiums-are-lower-than-expected","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cdiv>\n\u003cp>\u003cstrong>Dan Diamond, \u003ca href=\"http://www.californiahealthline.org/road-to-reform/2013/low-costs-and-narrow-networks-inside-covered-california.aspx\" target=\"_blank\">California Healthline\u003c/a>\u003c/strong>\u003c/p>\n\u003c/div>\n\u003cdiv>\n\u003cfigure id=\"attachment_13022\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-medium wp-image-13022\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/96226495-300x200.jpg\" alt=\"(Getty Images)\" width=\"300\" height=\"200\">\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>No Aetna. No United.\u003c/p>\n\u003cp>No Cedars-Sinai.\u003c/p>\n\u003cp>Covered California's list of participating health care providers and insurers \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/23/californias-health-insurance-exchange-sets-plans-premiums-no-apparent-rate-shock/\" target=\"_blank\">is out\u003c/a>, and it's possibly more notable for who \u003cem>isn't \u003c/em>partaking in the state's new health insurance exchange rather than for who is.\u003c/p>\n\u003cp>The reasons for the big-name absences are manifold, ranging from payer strategy to high hospital prices to even accusations of gamesmanship. And they help explain the caution that -- despite news that premiums \u003ca href=\"http://www.californiahealthline.org/articles/2013/5/24/state-exchange-reveals-premium-rates-participating-insurers.aspx\">will be far lower than expected\u003c/a> -- the exchange transition may be bumpier than some early, optimistic reports suggest.\u003c/p>\n\u003cp>\u003cstrong>Why Top Payers are Absent\u003c/strong>\u003c/p>\n\u003cp>According to representatives for Aetna, United and Cigna, the firms are \u003ca href=\"http://www.californiahealthline.org/articles/2013/5/23/aetna-cigna-unitedhealth-opt-out-of-state-insurance-exchange.aspx\">sitting out California's exchange\u003c/a> because they're taking a wait-and-see approach.\u003c/p>\n\u003cp>\"We are simply taking the time to carefully evaluate and better understand how the exchanges will work to ensure we are best prepared to participate meaningfully in their development,\" a \u003ca href=\"http://www.latimes.com/business/la-fi-health-insure-20130523,0,807264,full.story\" target=\"_blank\">United spokesperson told\u003c/a> Chad Terhune at the \u003cem>Los Angeles Times.\u003c!--more-->\u003c/em>\u003c/p>\n\u003cp>Top health plans have made similar moves in other states. For example, Regence BlueCross BlueShield -- Oregon's largest health plan, based on enrollment numbers -- recently pulled out of that state's insurance exchange. Anonymous observers \u003ca href=\"http://www.thelundreport.org/resource/regence_bluecross_blueshield_pulls_out_of_oregon%E2%80%99s_insurance_exchange\" target=\"_blank\">groused to the Lund Report \u003c/a>that by sitting out of Cover Oregon, Regence \"is setting themselves up to compete by not participating in the exchange and not gamble on a risky population that they can't predict.\"\u003c/p>\n\u003cp>(According to Regence, the company instead wanted to launch a separate plan called BridgeSpan, which will be focused on serving the needs of individual consumers.)\u003c/p>\n\u003cp>United and Cigna are \u003ca href=\"http://www.georgiahealthnews.com/2013/05/7-insurers-plan-participate-georgia-exchange/\" target=\"_blank\">sitting out\u003c/a> of Georgia's health insurance exchange, too.\u003c/p>\n\u003cp>Bob Laszewski, president of Health Policy and Strategy Associates, thinks the payers' absences are predictable.\u003c/p>\n\u003cp>\"It's absolutely no surprise,\" that the national plans are sitting out of exchanges like Covered California, he told California Healthline.\u003c/p>\n\u003cp>Unlike the 2006 launch of Medicare Part D, \"which was like the Oklahoma land rush,\" Laszewski said, where national players felt they had \"to get in and get share, because all these Medicare patients would be signing up on Day 1 -- growth in the exchanges [is expected] to be very slow. There's not a big upside to being in on Day 1.\"\u003c/p>\n\u003cp>And that's especially true given the probable downsides. The population that will likely seek initial coverage through the exchanges may be less healthy; if customers encounter administrative problems related to launch, insurers could face brushback; and national plans could strain their IT resources if they are trying to participate in multiple state exchanges. \"The big guys are limiting their involvement to the places where they feel they need to be for market share,\" Laszewski concluded.\u003c/p>\n\u003cp>\u003cstrong>Why Some Top Providers Are MIA\u003c/strong>\u003c/p>\n\u003cp>At the same time, some premier provider networks also are absent from the exchange -- although that decision may have been out of their hands.\u003c/p>\n\u003cp>Cedars-Sinai wasn't included in any exchange plans, and UCLA Medical Center's network also was mostly excluded, \u003ca href=\"http://articles.latimes.com/2013/may/24/business/la-fi-health-rates-deals-20130525\" target=\"_blank\">Terhune also reports\u003c/a>.\u003c/p>\n\u003cp>The rationale for leaving the providers off many payers' lists: They cost too much. Cedars-Sinai is among the \u003ca href=\"http://articles.latimes.com/2013/may/17/business/la-fi-cedars-hospital-prices-20130517\" target=\"_blank\">most expensive hospitals\u003c/a> in the nation, based on the list price of its procedures, and UCLA Medical Center's charges also rank above average.\u003c/p>\n\u003cp>\"If we want to keep costs down, something has to give,\" said Betsy Imholz, special projects director for Consumers Union, \u003ca href=\"http://www.upi.com/Top_News/US/2013/05/25/Covered-California-to-offer-limited-choice-of-providers/UPI-99881369512281/\" target=\"_blank\">told UPI\u003c/a>.\u003c/p>\n\u003cp>Narrowing a provider network in hopes of controlling spending, and specifically excluding Cedars-Sinai and UCLA, isn't a new trend; Anthem Blue Cross \u003ca href=\"http://articles.latimes.com/2012/sep/21/business/la-fi-hospital-costs-20120921\" target=\"_blank\">moved to cut\u003c/a> both high-cost providers from a plan offered to Los Angeles city workers last year. And since 2008, thousands of California businesses and agencies have opted for \u003ca href=\"http://www.californiahealthline.org/articles/2011/4/4/many-calif-employers-opting-for-hmos-with-slim-provider-networks.aspx\" target=\"_blank\">narrow-network plans\u003c/a> of their own in hopes of lowering health costs.\u003c/p>\n\u003cp>But will narrow networks work? And will consumers care?\u003c/p>\n\u003cp>Evidence from Massachusetts -- which instituted its own health insurance mandate and exchange half-a-dozen years ago -- suggests that the model can succeed \"when plans contract with providers that are pursuing a low-cost strategy, rather than with those that are simply granting temporary discounts to pick up volume,\" David E. Williams, president of the \u003ca href=\"http://www.healthbusinessgroup.com/\" target=\"_blank\">Health Business Group\u003c/a>, told \u003cem>California Healthline.\u003c/em>\u003c/p>\n\u003cp>For example, Williams cites Fallon Community Health Plan in Massachusetts, which \"partners with Steward Health Care System to offer a narrow network product for about 20% less than comparable plans with broader networks.\" The plan has been popular with certain individuals and employers who are purchasing coverage through the state's Health Connector and can see side-by-side pricing, Williams adds.\u003c/p>\n\u003cp>Takeaways and Questions\u003c/p>\n\u003cp>Meanwhile, California officials have tried to stress that consumers won't suffer for the absences of various payers and providers; for example, the 13 health insurers selected for the exchange -- out of 33 applicants -- will still offer access to roughly 80% of California health providers, the officials told Terhune.\u003c/p>\n\u003cp>And theoretically, the Golden State's \"active-purchaser\" approach means that the plans in the exchange are \"the cream of the crop,\" Sarah Kliff writes at the \u003cem>Washington Post\u003c/em>'s \"\u003ca href=\"http://www.washingtonpost.com/blogs/wonkblog/wp/2013/05/28/california-didnt-have-rate-shock-but-california-isnt-like-most-other-states/\" target=\"_blank\">Wonkblog\u003c/a>.\" That helped to tamp down premiums to lower-than-expected levels.\u003c/p>\n\u003cp>But Laszewski thinks that the attempt to explain Covered California's seemingly low-cost premiums relies on a comparison that isn't apples-to-apples, but \"a case of apples to oranges to grapefruit,\" he \u003ca href=\"http://healthpolicyandmarket.blogspot.com/2013/05/rate-shock-in-californiathe-new-health.html\" target=\"_blank\">writes at his blog\u003c/a>, Health Care Policy and Marketplace Review.\u003c/p>\n\u003cp>For example, the \u003cem>Los Angeles Times \u003c/em>notes that the average premium for individual plans sold through eHealthInsurance in California last year was $177 per month, whereas Covered California's average premium for the three lowest Silver plans statewide will be about 81 percent higher at $321 per month, although with more comprehensive benefits.\u003c/p>\n\u003cp>\"For those insured right now, and the estimated 40% that won't be eligible for a federal premium subsidy, that sure looks like rate shock to me,\" Laszewski writes. \"For the 60% who will get a subsidy, this means the taxpayers are going to have to fork out lots more money.\"\u003c/p>\n\u003cp>And for all the focus on Covered California, only a minority of state residents -- about five million Californians, or roughly one-sixth of the Golden State's population -- are expected to gain coverage through the exchange.\u003c/p>\n\u003cp>So what about the other 13 million who get their health coverage through their employers and \u003ca href=\"http://www.chcf.org/publications/2013/03/data-viz-health-plans\" target=\"_blank\">group plans\u003c/a>? The key question, \u003ca href=\"https://twitter.com/ChasRoades/status/338666122066939904\" target=\"_blank\">according to Chas Roades\u003c/a>, the Advisory Board Company's chief research officer, is the \"impact of exchange plans on [employer-sponsored insurance]. My guess is we'll see lower actuarial values and narrower networks quickly adopted.\" (The Advisory Board Company publishes \u003cem>California Healthline.)\u003c/em>\u003c/p>\n\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/13011/why-californias-obamacare-premiums-are-lower-than-expected","authors":["8344"],"categories":["stateofhealth_15"],"tags":["stateofhealth_38","stateofhealth_368","stateofhealth_261","stateofhealth_365"],"featImg":"stateofhealth_13022","label":"stateofhealth"},"stateofhealth_12907":{"type":"posts","id":"stateofhealth_12907","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"12907","score":null,"sort":[1369325748000]},"guestAuthors":[],"slug":"californias-health-insurance-exchange-sets-plans-premiums-no-apparent-rate-shock","title":"Calif's Health Insurance Exchange Sets Plans, Premiums; No Apparent 'Rate Shock'","publishDate":1369325748,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_14199\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\" wp-image-14199\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/RS170_108160554-scr-640x426.jpg\" alt=\"RS170_108160554-scr\" width=\"640\" height=\"426\">\u003cfigcaption class=\"wp-caption-text\">(Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update: Aug. 7, 2013: \u003c/strong>Covered California announced Wednesday that 12 insurance companies have formally signed contracts with the agency to offer plans on the new marketplace. Since the initial announcement (below), one company, Ventura County Health Plan, has withdrawn from offering coverage on the marketplace. The following companies will offer plans on the marketplace, although not all companies will offer plans in every region of California:\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Learn more about Obamacare; check out KQED's guide, specifically for Californians\u003c/a>\u003c/aside>\n\u003cp>· Alameda Alliance for Health\u003c/p>\n\u003cp>· Anthem Blue Cross of California\u003c/p>\n\u003cp>· Blue Shield of California\u003c/p>\n\u003cp>· Chinese Community Health Plan\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>· Contra Costa Health Plan\u003c/p>\n\u003cp>· Health Net\u003c/p>\n\u003cp>· Kaiser Permanente\u003c/p>\n\u003cp>· L.A. Care Health Plan\u003c/p>\n\u003cp>· Molina Healthcare\u003c/p>\n\u003cp>· Sharp Health Plan\u003c/p>\n\u003cp>· Valley Health Plan\u003c/p>\n\u003cp>· Western Health Advantage\u003c/p>\n\u003cp>Last week, Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/01/covered-california-sets-small-business-marketplace-plans-premiums/\" target=\"_blank\">announced\u003c/a> tentative plans and premiums for its small business marketplace, also called SHOP.\u003c/p>\n\u003cp>\u003cstrong>ORIGINAL POST:\u003c/strong>\u003c/p>\n\u003cp>The state's health insurance exchange, Covered California, announced Thursday morning the plans and premiums that will be available to millions of Californians.\u003c/p>\n\u003cp>And what everyone wants to know is: how much will it cost. Experts had warned of \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/27/health-care-overhaul-actuaries-say-costs-could-go-up-32-percent/\">rate shock\u003c/a>,\" that premiums might skyrocket for all kinds of reasons. That has not happened.\u003c/p>\n\u003cp>Covered California says that individuals will pay an average premium of $321 per month for a \"silver\" plan. (More on silver plans below.) Many people will be eligible for subsidies to reduce that cost further.\u003c/p>\n\u003cp>Across the state, people who had been working toward this day seemed to heave a collective sigh of relief.\u003c/p>\n\u003cp>\"This is a home run for consumers in every region of California,\" said Peter Lee, executive director of Covered California, in a release to reporters. \"Californians should be proud of how not only health plans in this state, but doctors, medical groups and hospitals have stepped up -- creating a market that will allow millions of consumers to enroll in affordably priced products.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003ca href=\"http://www.coveredca.com/news/PDFs/CC_Health_Plans_Booklet.pdf\">Look up a sample of plans, premiums offered in your area.\u003c/a> \u003c/aside>\n\u003cp>Charles Bacchi, executive vice president with the California Association of Health Plans called it an \"important day\" and commended both insurance companies and providers for working together \"to deliver quality, affordable health care. We couldn't have done this without providers willing to join us to make the Affordable Care Act a success,\" he said in a reference to provider groups working to keep rates low.\u003c/p>\n\u003cp>The plans on the exchange are required to offer a standard set of comprehensive benefits. It's hard to compare premiums next year to what's in place this year, since there is no standard set of benefits at present. Covered California chose as the best comparison the average premium for a small business plan. The rates in Covered California range from 2 percent above to 29 percent below that benchmark.\u003c!--more-->\u003c/p>\n\u003cp>\"It's nice to have a good news day in California,\" said Daniel Zingale, senior vice president of The California Endowment. \"It turns out there's power in numbers when it comes to … health plans.\"\u003c/p>\n\u003cp>\u003cstrong>13 Plans Selected for the Insurance Exchange\u003c/strong>\u003c/p>\n\u003cp>The selected plans and premiums are still subject to review by state regulators. Covered California has picked 13 plans, including Anthem Blue Cross, Blue Shield of California, Health Net and Kaiser as well as many regional plans and some country-sponsored health plans. Those include Alameda Alliance for Health, Chinese Community Health Plan, Contra Costa Health Services, L.A. Care Health Plan, Molina Helathcare, Sharp Health Paln, Valley Health Plan, Ventura County Health Care Plan and Western Health Advantage. \u003ca href=\"http://www.coveredca.com/news/PDFs/CC_Health_Plans_Booklet.pdf\">You can look up your own region\u003c/a> and see what plans and premiums you can choose from.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Everything will be quite standardized and literally charted out. So you can look across lines and compare plans.\" -- \u003cem>Betsy Imholz, Consumers Union\u003c/em>\u003c/aside>\n\u003cp>Plans will be offered in tiers of coverage: platinum, gold, silver, bronze. The platinum plans have the highest premiums but you will pay less when you see the doctor; the bronze plans have the lowest premium, meaning you will pay more when you see the doctor.\u003c/p>\n\u003cp>The \"silver\" plan mentioned above is in the middle. It has the same standard set of benefits as the other plans, and has a $2,000 annual deductible. Still, preventive care and some other services are outside the deductible -- people would pay only a co-pay when they see the doctor.\u003c/p>\n\u003cp>When setting an individual's premium, insurance plans in the exchange may look at only three factors: age, where you live and family size. Insurance companies may no longer use your health condition or your health history to set premiums. People may no longer be turned down for pre-existing conditions.\u003c/p>\n\u003cp>Subsidies are available for people making from 138 to 400 percent of the federal poverty level – or about $15,500 to $45,000 for an individual or about $31,000 to $92,000 for a family of four.\u003c/p>\n\u003cp>\u003cstrong>Breakdown on Premiums, Before and After Subsidy\u003c/strong>\u003c/p>\n\u003cp>Covered California provided tables of average rates for a 21-year-old and a 40-year-old single person. For the 21-year-old buying the most affordable silver plan, the premium is $216 per month. But depending on income, the 21-year-old may get a subsidy, making the price that person would pay range from $44 per month to $216 per month.\u003c/p>\n\u003cp>The premium for a 40-year-old buying the most affordable silver plan will be $276. But depending on the subsidy, that 40-year-old will pay from $40 to the full $276.\u003c/p>\n\u003cp>Starting this fall, people will be able to go online and look up plans and rates across the board for themselves or their families.\u003c/p>\n\u003cp>\"Everything will be quite standardized and literally charted out,\" said Betsy Imholz, special projects director for Consumers Union. \"So you can look across lines and compare plans.\"\u003c/p>\n\u003cp>On average, people in the larger metropolitan areas in California will be able to choose from among five different plans. Covered California says that even in rural areas where options have typically been sparse, people will have two or three health plans to choose from.\u003c/p>\n\u003cp>\"We were particularly concerned about Californians in rural parts of the state,\" Zingale said. \"So it's a relief to see that they will have doctors, hospitals and health benefits available in those areas.\"\u003c/p>\n\u003cp>But not everyone was delighted. Jay Nelson is a 33-year-old attorney who lives with his wife and three children in Oakland. Nelson does not have employer-based insurance, although his firm is looking into options. He has been unable to afford insurance for his family. Nelson said he was disappointed the premiums were not cheaper.\u003c/p>\n\u003cp>\"We're exactly in that income level that is essentially uninsurable,\" he said. \"We make too much money to qualify for any help, but we don't make enough money to pay for this … comfortably.\"\u003c/p>\n\u003cp>Bacchi acknowledged that while the Covered California premiums are generally \"positive news,\" that's not the case for everyone. \"The reality is that there are some people who will pay more than they currently pay. That's because the Affordable Care Act requires increased benefits and it also imposes less cost sharing on the enrollee through deductibles and co-pays.\"\u003c/p>\n\u003cp>Plans and premiums for Covered California's small business exchange are expected to be announced in June, and a major \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/14/californias-health-insurance-exchange-builds-critical-outreach-network/\">education and outreach campaign\u003c/a> will launch this summer.\u003c/p>\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Listen to a discussion of the new plans and premiums on KQED's Forum:\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201305240900.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201305240900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n","blocks":[],"excerpt":"The state's health insurance exchange, Covered California, announced Thursday morning the plans and premiums that will be available to people statewide to millions of Californians.\r\n\r\nAnd what everyone wants to know is: how much will it cost. Experts had warned of \"rate shock,\" that premiums might skyrocket for all kinds of reasons.\r\n\r\nThat does not appear to be the case. Covered California says that individuals will pay an average premium of $321 per month for a \"silver\" plan.","status":"publish","parent":0,"modified":1377118703,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":44,"wordCount":1332},"headData":{"title":"Calif's Health Insurance Exchange Sets Plans, Premiums; No Apparent 'Rate Shock' | KQED","description":"The state's health insurance exchange, Covered California, announced Thursday morning the plans and premiums that will be available to people statewide to millions of Californians.\r\n\r\nAnd what everyone wants to know is: how much will it cost. Experts had warned of "rate shock," that premiums might skyrocket for all kinds of reasons.\r\n\r\nThat does not appear to be the case. Covered California says that individuals will pay an average premium of $321 per month for a "silver" plan.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"12907 http://blogs.kqed.org/stateofhealth/?p=12907","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/05/23/californias-health-insurance-exchange-sets-plans-premiums-no-apparent-rate-shock/","disqusTitle":"Calif's Health Insurance Exchange Sets Plans, Premiums; No Apparent 'Rate Shock'","path":"/stateofhealth/12907/californias-health-insurance-exchange-sets-plans-premiums-no-apparent-rate-shock","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_14199\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\" wp-image-14199\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/05/RS170_108160554-scr-640x426.jpg\" alt=\"RS170_108160554-scr\" width=\"640\" height=\"426\">\u003cfigcaption class=\"wp-caption-text\">(Joe Raedle/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update: Aug. 7, 2013: \u003c/strong>Covered California announced Wednesday that 12 insurance companies have formally signed contracts with the agency to offer plans on the new marketplace. Since the initial announcement (below), one company, Ventura County Health Plan, has withdrawn from offering coverage on the marketplace. The following companies will offer plans on the marketplace, although not all companies will offer plans in every region of California:\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003ca href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Learn more about Obamacare; check out KQED's guide, specifically for Californians\u003c/a>\u003c/aside>\n\u003cp>· Alameda Alliance for Health\u003c/p>\n\u003cp>· Anthem Blue Cross of California\u003c/p>\n\u003cp>· Blue Shield of California\u003c/p>\n\u003cp>· Chinese Community Health Plan\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>· Contra Costa Health Plan\u003c/p>\n\u003cp>· Health Net\u003c/p>\n\u003cp>· Kaiser Permanente\u003c/p>\n\u003cp>· L.A. Care Health Plan\u003c/p>\n\u003cp>· Molina Healthcare\u003c/p>\n\u003cp>· Sharp Health Plan\u003c/p>\n\u003cp>· Valley Health Plan\u003c/p>\n\u003cp>· Western Health Advantage\u003c/p>\n\u003cp>Last week, Covered California \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/08/01/covered-california-sets-small-business-marketplace-plans-premiums/\" target=\"_blank\">announced\u003c/a> tentative plans and premiums for its small business marketplace, also called SHOP.\u003c/p>\n\u003cp>\u003cstrong>ORIGINAL POST:\u003c/strong>\u003c/p>\n\u003cp>The state's health insurance exchange, Covered California, announced Thursday morning the plans and premiums that will be available to millions of Californians.\u003c/p>\n\u003cp>And what everyone wants to know is: how much will it cost. Experts had warned of \"\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/27/health-care-overhaul-actuaries-say-costs-could-go-up-32-percent/\">rate shock\u003c/a>,\" that premiums might skyrocket for all kinds of reasons. That has not happened.\u003c/p>\n\u003cp>Covered California says that individuals will pay an average premium of $321 per month for a \"silver\" plan. (More on silver plans below.) Many people will be eligible for subsidies to reduce that cost further.\u003c/p>\n\u003cp>Across the state, people who had been working toward this day seemed to heave a collective sigh of relief.\u003c/p>\n\u003cp>\"This is a home run for consumers in every region of California,\" said Peter Lee, executive director of Covered California, in a release to reporters. \"Californians should be proud of how not only health plans in this state, but doctors, medical groups and hospitals have stepped up -- creating a market that will allow millions of consumers to enroll in affordably priced products.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\u003ca href=\"http://www.coveredca.com/news/PDFs/CC_Health_Plans_Booklet.pdf\">Look up a sample of plans, premiums offered in your area.\u003c/a> \u003c/aside>\n\u003cp>Charles Bacchi, executive vice president with the California Association of Health Plans called it an \"important day\" and commended both insurance companies and providers for working together \"to deliver quality, affordable health care. We couldn't have done this without providers willing to join us to make the Affordable Care Act a success,\" he said in a reference to provider groups working to keep rates low.\u003c/p>\n\u003cp>The plans on the exchange are required to offer a standard set of comprehensive benefits. It's hard to compare premiums next year to what's in place this year, since there is no standard set of benefits at present. Covered California chose as the best comparison the average premium for a small business plan. The rates in Covered California range from 2 percent above to 29 percent below that benchmark.\u003c!--more-->\u003c/p>\n\u003cp>\"It's nice to have a good news day in California,\" said Daniel Zingale, senior vice president of The California Endowment. \"It turns out there's power in numbers when it comes to … health plans.\"\u003c/p>\n\u003cp>\u003cstrong>13 Plans Selected for the Insurance Exchange\u003c/strong>\u003c/p>\n\u003cp>The selected plans and premiums are still subject to review by state regulators. Covered California has picked 13 plans, including Anthem Blue Cross, Blue Shield of California, Health Net and Kaiser as well as many regional plans and some country-sponsored health plans. Those include Alameda Alliance for Health, Chinese Community Health Plan, Contra Costa Health Services, L.A. Care Health Plan, Molina Helathcare, Sharp Health Paln, Valley Health Plan, Ventura County Health Care Plan and Western Health Advantage. \u003ca href=\"http://www.coveredca.com/news/PDFs/CC_Health_Plans_Booklet.pdf\">You can look up your own region\u003c/a> and see what plans and premiums you can choose from.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Everything will be quite standardized and literally charted out. So you can look across lines and compare plans.\" -- \u003cem>Betsy Imholz, Consumers Union\u003c/em>\u003c/aside>\n\u003cp>Plans will be offered in tiers of coverage: platinum, gold, silver, bronze. The platinum plans have the highest premiums but you will pay less when you see the doctor; the bronze plans have the lowest premium, meaning you will pay more when you see the doctor.\u003c/p>\n\u003cp>The \"silver\" plan mentioned above is in the middle. It has the same standard set of benefits as the other plans, and has a $2,000 annual deductible. Still, preventive care and some other services are outside the deductible -- people would pay only a co-pay when they see the doctor.\u003c/p>\n\u003cp>When setting an individual's premium, insurance plans in the exchange may look at only three factors: age, where you live and family size. Insurance companies may no longer use your health condition or your health history to set premiums. People may no longer be turned down for pre-existing conditions.\u003c/p>\n\u003cp>Subsidies are available for people making from 138 to 400 percent of the federal poverty level – or about $15,500 to $45,000 for an individual or about $31,000 to $92,000 for a family of four.\u003c/p>\n\u003cp>\u003cstrong>Breakdown on Premiums, Before and After Subsidy\u003c/strong>\u003c/p>\n\u003cp>Covered California provided tables of average rates for a 21-year-old and a 40-year-old single person. For the 21-year-old buying the most affordable silver plan, the premium is $216 per month. But depending on income, the 21-year-old may get a subsidy, making the price that person would pay range from $44 per month to $216 per month.\u003c/p>\n\u003cp>The premium for a 40-year-old buying the most affordable silver plan will be $276. But depending on the subsidy, that 40-year-old will pay from $40 to the full $276.\u003c/p>\n\u003cp>Starting this fall, people will be able to go online and look up plans and rates across the board for themselves or their families.\u003c/p>\n\u003cp>\"Everything will be quite standardized and literally charted out,\" said Betsy Imholz, special projects director for Consumers Union. \"So you can look across lines and compare plans.\"\u003c/p>\n\u003cp>On average, people in the larger metropolitan areas in California will be able to choose from among five different plans. Covered California says that even in rural areas where options have typically been sparse, people will have two or three health plans to choose from.\u003c/p>\n\u003cp>\"We were particularly concerned about Californians in rural parts of the state,\" Zingale said. \"So it's a relief to see that they will have doctors, hospitals and health benefits available in those areas.\"\u003c/p>\n\u003cp>But not everyone was delighted. Jay Nelson is a 33-year-old attorney who lives with his wife and three children in Oakland. Nelson does not have employer-based insurance, although his firm is looking into options. He has been unable to afford insurance for his family. Nelson said he was disappointed the premiums were not cheaper.\u003c/p>\n\u003cp>\"We're exactly in that income level that is essentially uninsurable,\" he said. \"We make too much money to qualify for any help, but we don't make enough money to pay for this … comfortably.\"\u003c/p>\n\u003cp>Bacchi acknowledged that while the Covered California premiums are generally \"positive news,\" that's not the case for everyone. \"The reality is that there are some people who will pay more than they currently pay. That's because the Affordable Care Act requires increased benefits and it also imposes less cost sharing on the enrollee through deductibles and co-pays.\"\u003c/p>\n\u003cp>Plans and premiums for Covered California's small business exchange are expected to be announced in June, and a major \u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/05/14/californias-health-insurance-exchange-builds-critical-outreach-network/\">education and outreach campaign\u003c/a> will launch this summer.\u003c/p>\n\u003cp>\u003cstrong>Learn More:\u003c/strong>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Listen to a discussion of the new plans and premiums on KQED's Forum:\u003cbr>\n\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201305240900.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201305240900.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/12907/californias-health-insurance-exchange-sets-plans-premiums-no-apparent-rate-shock","authors":["240"],"categories":["stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_368","stateofhealth_231","stateofhealth_261","stateofhealth_365"],"featImg":"stateofhealth_12938","label":"stateofhealth"},"stateofhealth_11868":{"type":"posts","id":"stateofhealth_11868","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"11868","score":null,"sort":[1364915396000]},"guestAuthors":[],"slug":"no-rate-shock-in-vermont-first-state-with-proposed-2014-premiums","title":"No 'Rate Shock' in Vermont, First State with Proposed 2014 Premiums","publishDate":1364915396,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>By Phil Galewitz, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2013/04/no-rate-shock-seen-in-proposed-2014-premiums-in-vermont/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11871\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/02/no-rate-shock-in-vermont-first-state-with-proposed-2014-premiums/vermontsign_-flickr_herzogb/\" rel=\"attachment wp-att-11871\">\u003cimg class=\"size-medium wp-image-11871\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/VermontSign_-Flickr_herzogb-300x223.jpg\" alt=\"Vermont may not see rate shock, but its insurance market is strikingly different from that in California. (herzog/Flickr)\" width=\"300\" height=\"223\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vermont may not see rate shock, but its insurance market is strikingly different from that in California. (herzog/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>After years of anticipation, Vermont became the first state Monday \u003ca href=\"http://www.dfr.vermont.gov/sites/default/files/Filed%20QHP%20rates.pdf\">to publish proposed 2014 individual health \u003c/a>insurance rates under the federal health law. Despite Republican and insurers’ predictions, there was no “rate shock” in the new premiums, according to the Vermont governor’s office and insurance representatives\u003cstrong>.\u003c/strong>\u003c/p>\n\u003cp>That state may not be the best barometer of the impact of the heath overhaul on premiums, however, because it already prohibits insurers from using health status to determine an individual’s premiums. It is one of only seven states in the country which have so-called community rating regulations.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Unlike California, Vermont already prohibits insurers from using health status to determine an individual’s premiums.\u003c/aside>\n\u003cp>California does not currently have community rating regulations.\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/28/health-care-overhaul-to-dramatically-reduce-premiums-for-many-individuals-study-finds/\" target=\"_blank\"> A major study last week \u003c/a>concluded that individual premiums will likely go down substantially for many Californians and up for others on the individual market, once the new online marketplace for health insurance opens later this year. Premiums are expected to be announced for California in several weeks.\u003c/p>\n\u003cp>Vermont also requires prices to be the same regardless of person’s age. Two of the health law’s biggest changes include prohibiting insurers from using health status to determine premiums and prohibiting insurers from charging older people more than three times the rates of younger people.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c!--more-->California is expected to implement both these provisions.\u003c/p>\n\u003cp>Blue Cross and Blue Shield of Vermont and MVP Health Care submitted plans to state regulators with monthly premiums that range from an average of $265 for catastrophic coverage for young adults to $609 for platinum coverage, which has the lowest cost-sharing among four categories of plans.\u003c/p>\n\u003cp>“We think this is a positive development for folks who were worried about what rates would look like in 2014,” said Kevin Goddard, spokesman for Blue Cross and Blue Shield of Vermont, which is the state’s dominant commercial carrier, controlling about two-thirds of the market. He confirmed rates are similar to what the company now offers.\u003c/p>\n\u003cp>“These rates are comparable to what’s on the market today and that’s good news,” said Robin Lunge, director of health reform in the Vermont governor’s office. She said it’s difficult to do an apples-to-apples comparison because of the many benefit changes required under President Barack Obama’s health overhaul. These changes, which take effect Jan. 1, include an end to annual lifetime limits in policies and a prohibition on denying coverage to people with medical problems.\u003c/p>\n\u003cp>Insurance industry predictions of rate shock are more likely in the majority of states that currently allow insurers to set premiums based on an individual’s health status, Goddard said.\u003c/p>\n\u003cp>Starting Oct. 1, individual and small group coverage in the state will be sold on a new online health insurance \u003ca href=\"http://healthconnect.vermont.gov/\">marketplace\u003c/a> as required under the Affordable Care Act. Health insurers nationwide have just begun submitting their pricing and benefit information to states and the federal government for policies which will be sold in \u003ca href=\"http://www.healthcare.gov/marketplace\">the marketplaces\u003c/a>, or exchanges. Most people who buy on the new marketplaces are expected to be eligible for government subsidies.\u003c/p>\n\u003cp>Vermont insurance regulators still must approve the insurers’ proposed rates. In January 2013, the state approved about a 10 percent rate increase on the individual market after carriers asked for about a 13 percent increase, Lunge said.\u003c/p>\n\u003cp>All the health plans in the new marketplaces are standardized into platinum, gold, silver and bronze categories depending on their actuarial value so consumers have an easier time comparing.\u003c/p>\n\u003cp>The Vermont 2014 annual premiums for bronze plans range from $4,200 to $4,440, compared to a Congressional Budget Office estimate of $4,500 for an individual, according to Carolyn Pearson of consulting firm Avalere Health.\u003c/p>\n\u003cp>Mary Eversole, executive director of the Vermont Insurance Agents Association, said she was surprised the rate increases were not higher. At first blush, she said the 2014 proposed rates appear to be about 10 percent higher than this year. Premiums for the gold and platinum policies appear lower than similar products, but silver and bronze policies are higher.\u003c/p>\n\u003cp>Officials from MVP were not available for immediate comment.\u003c/p>\n\u003cp>Learn more:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.washingtonpost.com/blogs/wonkblog/wp/2013/04/02/the-confused-debate-over-obamacare-and-insurance-premiums/\" target=\"_blank\">The Confused Debate Over Obamacare and Insurance Premiums\u003c/a> (Ezra Klein, Washington Post)\u003c/p>\n\n","blocks":[],"excerpt":"After years of anticipation, Vermont became the first state Monday to publish proposed 2014 individual health insurance rates under the federal health law. Despite Republican and insurers’ predictions, there was no “rate shock” in the new premiums, according to the Vermont governor’s office and insurance representatives.\r\n\r\nThat state may not be the best barometer of the impact of the heath overhaul on premiums, however, because it already prohibits insurers from using health status to determine an individual’s premiums. It is one of only seven states in the country which have so-called community rating regulations.","status":"publish","parent":0,"modified":1365021312,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":20,"wordCount":761},"headData":{"title":"No 'Rate Shock' in Vermont, First State with Proposed 2014 Premiums | KQED","description":"After years of anticipation, Vermont became the first state Monday to publish proposed 2014 individual health insurance rates under the federal health law. Despite Republican and insurers’ predictions, there was no “rate shock” in the new premiums, according to the Vermont governor’s office and insurance representatives.\r\n\r\nThat state may not be the best barometer of the impact of the heath overhaul on premiums, however, because it already prohibits insurers from using health status to determine an individual’s premiums. It is one of only seven states in the country which have so-called community rating regulations.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11868 http://blogs.kqed.org/stateofhealth/?p=11868","disqusUrl":"https://ww2.kqed.org/stateofhealth/2013/04/02/no-rate-shock-in-vermont-first-state-with-proposed-2014-premiums/","disqusTitle":"No 'Rate Shock' in Vermont, First State with Proposed 2014 Premiums","path":"/stateofhealth/11868/no-rate-shock-in-vermont-first-state-with-proposed-2014-premiums","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Phil Galewitz, \u003ca href=\"http://capsules.kaiserhealthnews.org/index.php/2013/04/no-rate-shock-seen-in-proposed-2014-premiums-in-vermont/\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_11871\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/04/02/no-rate-shock-in-vermont-first-state-with-proposed-2014-premiums/vermontsign_-flickr_herzogb/\" rel=\"attachment wp-att-11871\">\u003cimg class=\"size-medium wp-image-11871\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/04/VermontSign_-Flickr_herzogb-300x223.jpg\" alt=\"Vermont may not see rate shock, but its insurance market is strikingly different from that in California. (herzog/Flickr)\" width=\"300\" height=\"223\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Vermont may not see rate shock, but its insurance market is strikingly different from that in California. (herzog/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>After years of anticipation, Vermont became the first state Monday \u003ca href=\"http://www.dfr.vermont.gov/sites/default/files/Filed%20QHP%20rates.pdf\">to publish proposed 2014 individual health \u003c/a>insurance rates under the federal health law. Despite Republican and insurers’ predictions, there was no “rate shock” in the new premiums, according to the Vermont governor’s office and insurance representatives\u003cstrong>.\u003c/strong>\u003c/p>\n\u003cp>That state may not be the best barometer of the impact of the heath overhaul on premiums, however, because it already prohibits insurers from using health status to determine an individual’s premiums. It is one of only seven states in the country which have so-called community rating regulations.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Unlike California, Vermont already prohibits insurers from using health status to determine an individual’s premiums.\u003c/aside>\n\u003cp>California does not currently have community rating regulations.\u003ca href=\"http://ww2.kqed.org/stateofhealth/2013/03/28/health-care-overhaul-to-dramatically-reduce-premiums-for-many-individuals-study-finds/\" target=\"_blank\"> A major study last week \u003c/a>concluded that individual premiums will likely go down substantially for many Californians and up for others on the individual market, once the new online marketplace for health insurance opens later this year. Premiums are expected to be announced for California in several weeks.\u003c/p>\n\u003cp>Vermont also requires prices to be the same regardless of person’s age. Two of the health law’s biggest changes include prohibiting insurers from using health status to determine premiums and prohibiting insurers from charging older people more than three times the rates of younger people.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c!--more-->California is expected to implement both these provisions.\u003c/p>\n\u003cp>Blue Cross and Blue Shield of Vermont and MVP Health Care submitted plans to state regulators with monthly premiums that range from an average of $265 for catastrophic coverage for young adults to $609 for platinum coverage, which has the lowest cost-sharing among four categories of plans.\u003c/p>\n\u003cp>“We think this is a positive development for folks who were worried about what rates would look like in 2014,” said Kevin Goddard, spokesman for Blue Cross and Blue Shield of Vermont, which is the state’s dominant commercial carrier, controlling about two-thirds of the market. He confirmed rates are similar to what the company now offers.\u003c/p>\n\u003cp>“These rates are comparable to what’s on the market today and that’s good news,” said Robin Lunge, director of health reform in the Vermont governor’s office. She said it’s difficult to do an apples-to-apples comparison because of the many benefit changes required under President Barack Obama’s health overhaul. These changes, which take effect Jan. 1, include an end to annual lifetime limits in policies and a prohibition on denying coverage to people with medical problems.\u003c/p>\n\u003cp>Insurance industry predictions of rate shock are more likely in the majority of states that currently allow insurers to set premiums based on an individual’s health status, Goddard said.\u003c/p>\n\u003cp>Starting Oct. 1, individual and small group coverage in the state will be sold on a new online health insurance \u003ca href=\"http://healthconnect.vermont.gov/\">marketplace\u003c/a> as required under the Affordable Care Act. Health insurers nationwide have just begun submitting their pricing and benefit information to states and the federal government for policies which will be sold in \u003ca href=\"http://www.healthcare.gov/marketplace\">the marketplaces\u003c/a>, or exchanges. Most people who buy on the new marketplaces are expected to be eligible for government subsidies.\u003c/p>\n\u003cp>Vermont insurance regulators still must approve the insurers’ proposed rates. In January 2013, the state approved about a 10 percent rate increase on the individual market after carriers asked for about a 13 percent increase, Lunge said.\u003c/p>\n\u003cp>All the health plans in the new marketplaces are standardized into platinum, gold, silver and bronze categories depending on their actuarial value so consumers have an easier time comparing.\u003c/p>\n\u003cp>The Vermont 2014 annual premiums for bronze plans range from $4,200 to $4,440, compared to a Congressional Budget Office estimate of $4,500 for an individual, according to Carolyn Pearson of consulting firm Avalere Health.\u003c/p>\n\u003cp>Mary Eversole, executive director of the Vermont Insurance Agents Association, said she was surprised the rate increases were not higher. At first blush, she said the 2014 proposed rates appear to be about 10 percent higher than this year. Premiums for the gold and platinum policies appear lower than similar products, but silver and bronze policies are higher.\u003c/p>\n\u003cp>Officials from MVP were not available for immediate comment.\u003c/p>\n\u003cp>Learn more:\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.washingtonpost.com/blogs/wonkblog/wp/2013/04/02/the-confused-debate-over-obamacare-and-insurance-premiums/\" target=\"_blank\">The Confused Debate Over Obamacare and Insurance Premiums\u003c/a> (Ezra Klein, Washington Post)\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/11868/no-rate-shock-in-vermont-first-state-with-proposed-2014-premiums","authors":["240"],"categories":["stateofhealth_15"],"tags":["stateofhealth_38","stateofhealth_261"],"featImg":"stateofhealth_11871","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2023/08/possible-5gxfizEbKOJ-pbF5ASgxrs_.1400x1400.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. 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And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/powerpress/1440_0017_BayCurious_iTunesTile_01.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://ww2.kqed.org/app/uploads/2021/10/BBC_1400.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2021/12/CodeSwitchLifeKit_StationGraphics_300x300EmailGraphic.png","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2019/07/commonwealthclub.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2022/02/Consider-This_3000_V3-copy-scaled-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://ww2.kqed.org/app/uploads/2022/06/forum-logo-900x900tile-1.gif","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png","officialWebsiteLink":"http://freakonomics.com/","airtime":"SUN 1am-2am, SAT 3pm-4pm","meta":{"site":"radio","source":"WNYC"},"link":"/radio/program/freakonomics-radio","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519","tuneIn":"https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/","rss":"https://feeds.feedburner.com/freakonomicsradio"}},"fresh-air":{"id":"fresh-air","title":"Fresh Air","info":"Hosted by Terry Gross, \u003cem>Fresh Air from WHYY\u003c/em> is the Peabody Award-winning weekday magazine of contemporary arts and issues. One of public radio's most popular programs, Fresh Air features intimate conversations with today's biggest luminaries.","airtime":"MON-FRI 7pm-8pm","imageSrc":"https://ww2.kqed.org/app/uploads/2021/10/FreshAir_1400.jpg","officialWebsiteLink":"https://www.npr.org/programs/fresh-air/","meta":{"site":"radio","source":"npr"},"link":"/radio/program/fresh-air","subscribe":{"npr":"https://rpb3r.app.goo.gl/4s8b","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Fresh-Air-p17/","rss":"https://feeds.npr.org/381444908/podcast.xml"}},"here-and-now":{"id":"here-and-now","title":"Here & Now","info":"A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.","airtime":"MON-THU 11am-12pm","imageSrc":"https://ww2.kqed.org/app/uploads/2021/10/HereNow_1400.jpg","officialWebsiteLink":"http://www.wbur.org/hereandnow","meta":{"site":"news","source":"npr"},"link":"/radio/program/here-and-now","subsdcribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=426698661","tuneIn":"https://tunein.com/radio/Here--Now-p211/","rss":"https://feeds.npr.org/510051/podcast.xml"}},"how-i-built-this":{"id":"how-i-built-this","title":"How I Built This with Guy Raz","info":"Guy Raz dives into the stories behind some of the world's best known companies. 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No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/insideEurope.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. 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We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2022/02/mindshift2021-tile-3000x3000-1-scaled-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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