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KFF Health News’ ‘What the Health?’: For ACA Plans, It’s Time to Shop Around

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Thu, 02 Nov 2023 19:05:00 +0000

Mary Agnes Carey
KFF Health News


@maryagnescarey


Read Mary Agnes’ stories

Partnerships Editor and Senior Correspondent, oversees placement of KFF Health News content in publications nationwide and covers health reform and federal health policy. Before joining KFF Health News, Mary Agnes was associate editor of CQ HealthBeat, Capitol Hill Bureau Chief for Congressional Quarterly, and a reporter with Dow Jones Newswires. A frequent radio and television commentator, she has appeared on CNN, C-SPAN, the PBS NewsHour, and on NPR affiliates nationwide. Her stories have appeared in The Washington Post, USA Today, TheAtlantic.com, Time.com, Money.com, and The Daily Beast, among other publications. She worked for newspapers in Connecticut and Pennsylvania, and has a master’s degree in journalism from Columbia University.

In most states, open enrollment for plans on the Affordable Care Act exchange — also known as Obamacare — began Nov. 1 and lasts until Dec. 15, though some states go longer. With premiums expected to increase by a median of 6%, consumers who get their health coverage through the federal or state ACA marketplaces are encouraged to shop around. Because of enhanced subsidies and cost-sharing assistance, they might save money by switching plans.

Meanwhile, Ohio is yet again an election-year battleground state. A ballot issue that would provide constitutional protection to reproductive health decisions has become a flashpoint for misinformation and message testing.

This week’s panelists are Mary Agnes Carey of KFF Health News, Jessie Hellmann of CQ Roll Call, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Rachana Pradhan of KFF Health News.

Panelists

Jessie Hellmann
CQ Roll Call


@jessiehellmann


Read Jessie’s stories

Joanne Kenen
Johns Hopkins Bloomberg School of Public Health and Politico


@JoanneKenen


Read Joanne’s stories

Rachana Pradhan
KFF Health News


@rachanadpradhan


Read Rachana’s stories

Among the takeaways from this week’s episode:

  • Open enrollment for most plans on the Affordable Care Act exchange — also known as Obamacare — began Nov. 1 and lasts until Dec. 15, though enrollment lasts longer in some states. With premiums expected to increase by a median of 6%, consumers are advised to shop around. Enhanced subsidies are still in place post-pandemic, and enhanced cost-sharing assistance is available to those who qualify. Many people who have lost health coverage may be eligible for subsidies.
  • In Ohio, voters will consider a ballot issue that would protect abortion rights under the state constitution. This closely watched contest is viewed by anti-abortion advocates as a testing ground for messaging on the issue. Abortion is also key in other races, such as for Pennsylvania’s Supreme Court and Virginia’s state assembly, where the entire legislature is up for election.
  • Earlier this week, President Joe Biden issued an executive order that calls on federal agencies, including the Department of Health and Human Services, to step into the artificial intelligence arena. AI is a buzzword at every health care conference or panel these days, and the technologies are already in use in health care, with insurers using AI to help make coverage decisions. There is also the recurring question, after many hearings and much discussion: Why hasn’t Congress acted to regulate AI yet?
  • Our health care system — in particular the doctors, nurses, and other medical personnel — hasn’t recovered from the pandemic. Workers are still burned out, and some have participated in work stoppages to make the point that they can’t take much more. Will this be the next area for organized labor, fresh from successful strikes against automakers, to grow union membership? Take pharmacy workers, for instance, who are beginning to stage walkouts to push for improvements.
  • And, of course, for the next installment of the new podcast feature, “This Week in Medical Misinformation:” The official government website of the Republican-controlled Ohio Senate is attacking the proposed abortion amendment in what some experts have said is a highly unusual and misleading manner. Headlines on its “On The Record” blog include “Abortion Is Killing the Black Community” and say the ballot measure would cause “unimaginable atrocities.” The Associated Press termed the blog’s language “inflammatory.”

Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too:

Mary Agnes Carey: Stat News’ “The Health Care Issue Democrats Can’t Solve: Hospital Reform,” by Rachel Cohrs.

Jessie Hellmann: The Washington Post’s “Drugstore Closures Are Leaving Millions Without Easy Access to a Pharmacy,” by Aaron Gregg and Jaclyn Peiser.

Joanne Kenen: The Washington Post’s “Older Americans Are Dominating Like Never Before, but What Comes Next?” by Marc Fisher.

Rachana Pradhan: The New York Times’ “How a Lucrative Surgery Took Off Online and Disfigured Patients,” by Sarah Kliff and Katie Thomas.

Credits

Francis Ying
Audio producer

Stephanie Stapleton
Editor

To hear all our podcasts, click here.

And subscribe to KFF Health News’ “What the Health?” on SpotifyApple PodcastsPocket Casts, or wherever you listen to podcasts.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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Title: KFF Health News’ ‘What the Health?’: For ACA Plans, It’s Time to Shop Around
Sourced From: kffhealthnews.org/news/podcast/what-the-health-321-aca-open-enrollment-ohio-abortion-november-2-2023/
Published Date: Thu, 02 Nov 2023 19:05:00 +0000

Kaiser Health News

Texas Measles Outbreak Nears 100 Cases, Raising Concerns About Undetected Spread

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kffhealthnews.org – Amy Maxmen – 2025-02-21 10:15:00

SUMMARY: A measles outbreak in West Texas has led to private school closures, overwhelming local health departments. Since the outbreak began three weeks ago, 90 cases have been confirmed, mostly in children under 18, with 16 hospitalizations. Health officials fear the outbreak will worsen, and some parents may be avoiding testing their children. The outbreak has been exacerbated by low vaccination rates, particularly in communities like Gaines, which has one of the lowest vaccination rates in Texas. Local officials are working to contain the virus through pop-up clinics, mobile testing, and educating schools, but the situation remains challenging.

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Kaiser Health News

GOP Takes Aim at Medicaid, Putting Enrollees and Providers at Risk

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kffhealthnews.org – Phil Galewitz, KFF Health News – 2025-02-21 04:00:00

SUMMARY: Republicans are again targeting Medicaid, proposing significant funding cuts to finance President Trump’s agenda on tax cuts and border security. Approximately 79 million people rely on Medicaid and the Children’s Health Insurance Program (CHIP), vital for numerous hospitals and states. Amid Democratic resistance, potential cuts could include reducing federal matching funds and imposing work requirements, which critics argue adds unnecessary barriers. Historically controversial, these efforts reflect deep partisan divides over Medicaid’s role as a safety net versus a welfare program. Many Americans favor Medicaid, making proposed cuts politically sensitive. The outcome remains uncertain as GOP leaders face internal challenges.

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Kaiser Health News

An Ice Rink To Fight Opioid Crisis: Drug-Free Fun vs. Misuse of Settlement Cash

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kffhealthnews.org – Aneri Pattani – 2025-02-20 04:00:00

SUMMARY: Carter County, Kentucky, has controversially spent $15,000 of its opioid settlement funds on an ice rink, raising concerns about its relevance to the ongoing opioid crisis. Advocates argue that resources could be better allocated to overdose prevention, such as Narcan kits or local substance abuse programs. Brittany Herrington, a local in recovery, criticized the decision as neglecting community needs. While officials claim the rink fosters drug-free youth activities, critics note it lacks direct ties to combating addiction. Local leaders are calling for stricter oversight on how settlement funds are used, emphasizing the need for targeted support in addressing substance use disorders.

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