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mat2046668

Aetna to Pull Out of Most Obamacare Exchanges - 0 views

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    Many insurance companies- like Aetna, are concerned that the low premiums with Obamacare are too costly. Aetna will still provide individual policies outside the realm of Obamacare but will not participate in federal government subsidies.
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    It is pretty interesting on how Obamacare is beginning to cause problems for insurance companies. This is definitely going to affect families greatly in the coming future.
kcreek9942

Why is Obamacare so controversial? - 0 views

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    One of the central provisions of President Barack Obama and the Democrats' healthcare reform law, known popularly as Obamacare, took effect on 1 October. Here is an explainer.
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    Obamacare was created to help American citizens receive affordable health care. It provides employees with health care they might not of had. The law aims to help the rising cost of health care.
sarahkeeler

Effort to defund Planned Parenthood threatens Obamacare repeal - 0 views

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    Republicans attempt to defund Planned Parenthood is having an impact on Obamacare
Nicholas Dubs

Patrick Brennan - Six Problems with the Latest Obamacare 'Fix' - 0 views

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    Under the new Obamacare the uninsured are being treated unfairly. The new law is also weakened for people who already have insurance. However, some revision have been made to Obamacare for people who their plans have been canceled. They can now go uninsured without a cost.
rom51239

Does Obamacare Infringe on Our Liberty? Or Does It Give Us Even More Freedom? - 0 views

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    Does Obamacare infringe on our Personal Freedom??? This site will explore if it does or if it increases our personal freedom.
Alberto Sandoval

Religious freedom is an important, fundamental constitutional right - 0 views

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    Religious freedom violation that had to do with the Obamacare mandate. Talks about how current organizations rely on our religious freedoms.
lukevolk

Obama Care Dismantled - 1 views

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    What does the dismantling of Obamacare mean for Americans? Is there going to be a better alternative? Should President Donald Trump undo what he did?
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    I am also curious to see how this is going to change. What can be done differently or offered if it is dismantled?
Megan Nitka

How to Calculate ObamaCare Penalties - 0 views

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    This article describes the penalty for not having health insurance. If an individual or family does not have health insurance the penalty goes up each year. The article also gives an example of a family having to pay over $2000 by 2016.
Lizette Pacheco

Obamacare Facts: What It Is and How It Affects You - 0 views

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    What is Obamacare? It requires you to have health insurance or pay a tax. People have to purchase insurance or if not you get fined a certain amount of money. The U.S has to be insured and then others are charged more.
Paxton Alger

It ain't over till it's over - Beyond Obamacare.pdf - 0 views

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    The Illinois Single-Payer Coalition has a health care plan that can please both political parties. The people have the ability to choose their own health care providers.
Enrique Vargas

Individual mandate in Obama's health care law: good for freedom, bad for free-riders - 0 views

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    In the article, it states how Obamacare doesn't allow for everyone to receive the right kind of health care. These "free-riders", will end up paying more than they have to on their insurance.
Christina Romano

Penalties for smokers and obese - 0 views

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    This weighs the options of penalizing obese people ans well as smokers. On average they die 10 years faster than the normal person. It is something they feel against the poor. "Its not about their health its about everyone else"
suzie5050

Trump Touts Executive Orders, Preparation for Health Care Repeal After First Week - 4 views

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    This article briefly cover the changes that the new president has made in his first week in office.
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    It does list all of the big-hitting topics in the news lately. The repeal of AHA, the TPP, the pipeline, and many other first week orders. I don't recall of any other president making so many drastic changes or attempts at drastic changes this early in their term.
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    I worry about how fast he is doing things and that he isn't really thinking through consequences. I'm not a big fan of Obamacare, but when faced with that or nothing, I'd stick with it, at least until something better can be found to make sure everyone has access to affordable health care.
David Kroll

Lumber Company Wins Exemption From Contraception Mandate - 0 views

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    A federal judge ruled in favor of a lumber company who opposed providing contraceptive coverage to employees on the grounds that it violated the companies religious beliefs. The article details an example of a for-profit company winning an exemption.
Samantha Cobbs

What Arizona residents need to know about Obama Care - 0 views

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    This is a site that allows you to get information on the new Health Care Act. Information on how to enroll, what is required, and an estimate of costs, plus more.
doucette44

Health Care Fines Press Millennials as Deadline Nears - 0 views

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    This article talks about how millions of young adults are trying to avoid of getting hit with a fine because they do not have insurance. People are getting fined due to not having any insurance. For 2016, the fine nearly doubled being 695$.
bri2213783

Why is health care in the US so expensive? - CNN Video - 0 views

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    This video explains why healthcare is so expensive in the USA. It also contains information on what healthcare will look like in the future.
smurphy6600

Health Net lawsuit reveals the financial engine of drug rehab industry - 0 views

  • The only "Obamacare" health insurer in metro Phoenix and Pima County is ensnared in a legal dispute with several addiction treatment centers over the cost of care amid an Arizona opioid epidemic that is taking an average of two lives each day. 
  • Maricopa County Superior Court lawsuit
  • widespread fraud among Arizona and California drug rehab centers in 2015 and 2016, when it alleges"teams of brokers" recruited out-of-state clients to fraudulently obtain insurance policies and to seek treatment in Arizona.
  • ...30 more annotations...
  •  residential “sober homes”
  • headaches for local government officials as they try to determine how to manage the unregulated industry.
  • Prescott, which once claimed more than 100 sober homes, has adopted regulations to provide more oversight of them.
  • Federal and state prosecutors have aggressively pursued cases in Florida and California in connection with fraudulent activities such as patient brokering.
  • There have been no criminal cases filed in Arizona, however. 
  • Six of the rehab facilities that accuse Health Net of improperly withholding payments are in Prescott: Chapter 5 Counseling, Prescott House, Compass Recovery Center, Clean Adventures of Sober Living, Decision Point Center and Carleton Recovery Centers.
  • Three others, T R U Recovery Solutions, North Ridge Counseling and Desert Cove Recovery, list Scottsdale addresses. 
  • The rehab facilities allege that Health Net improperly withheld payments to virtually every rehab center in Arizona and southern California beginning in January 2016. Health Net halted the payments as part of an investigative audit that demanded each center provide detailed records such as proof of patients' residency and assurances that patients did not receive incentives to sign up for rehab. 
  • Health Net said in court documents that claims filed by rehab centers in Arizona soared because of widespread fraud
  • Health Net's PPO plans paid $2.4 million to all Arizona rehab centers in 2014. Those payments soared to $47.4 million in 2015
  • Those plans paid more for rehab care that year than all other types of care in Arizona, including typically expensive medical care such as cancer, heart disease and child births, according to the insurer’s counterclaim.
  • Here’s how the fraud worked, the insurer said in its counterclaim:Brokers would scout out people in 12-step programs, Alcoholics Anonymous meetings, homeless shelters and jails, then refer these clients to the “highest-bidding clinic.”Clinics that were not part of the insurer’s network paid clients’ insurance premiums and out-of-pocket costs such as deductibles and co-payments.The result was that people secured Health Net coverage “arranged and bought for them by financially-interested providers for one purpose only: to obtain coverage for the limited time needed to rack up millions of dollars in substance abuse treatment.” Some clinics misrepresented the home addresses of patients, many of whom lived out of state. 
  • “a sophisticated fraud involving the fraudulent enrollment of non-Arizona residents,” who signed up for Arizona insurance policies. 
  • misrepresenting their home address
  • Clean Adventures staff member told him to list the rehab facility's address on his insurance application.
  • put him in contact with an insurance agent who suggested using Clean Adventures' address on his insurance application
  • The insurer named 10 other examples of people who lived in California, Indiana, New Jersey, New York, Tennessee and Wisconsin but represented that they lived in Prescott or Scottsdale.
  • The insurer also said the rehab centers engaged in fraudulent billing, charging for services that were not medically necessary or in amounts that exceeded what the plan allowed.
  • A 2008 law called the Mental Health Parity and Addiction Act requires insurance plans to provide equitable coverage for substance abuse and addiction treatment. The Affordable Care Act also requires health insurance plans cover essential health benefits, including behavioral health services, and it forbids insurers from denying coverage to individuals based on existing medical conditions. 
  • The unintended consequence was (some) addiction treatments centers began taking advantage of that and over-billing," said Angie Geren, executive director of Addiction Haven, a grassroots and advocacy organization focusing on addiction issues. 
  • House Bill 2333
  • curb the practice of paying referral fees to brokers who steer patients to rehab centers.
  • bill never made it out of committee.
  • Florida
  • "The scam starts with deceptive advertising at the beginning," Aronberg said. "You are lured down to sunny Florida with a free plane ticket, which is illegal. You are given illegal benefits to keep you there."
  • patients often find themselves booted from treatment when their insurance benefits run out.
  • incentive for people to relapse so they can obtain another round of coverage.
  • Sober Home Task Force targeting the practice of buying and selling patients battling addiction
  • Johnson said rehab centers that provide legitimate services are being harmed as insurance companies scrutinize payments and bad actors poach patients away. 
  • ken.alltucker@arizonarepublic.com
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