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Enrolling Ohio

Groups attempt to educate Ohio’s uninsured while the GOP tries to slow down Obamacare

4 Comments · Wednesday, September 18, 2013
As the Oct. 1 opening date approaches for the Affordable Care Act’s (“Obamacare”) online marketplaces, outreach campaigns are beginning to take root and aim at states with the largest uninsured populations, including Ohio.   
by German Lopez 09.16.2013
Posted In: News, LGBT, Health care at 11:46 AM | Permalink | Comments (0)
 
 
evolution of equality

National Organization Targets LGBT Population for Obamacare

Out 2 Enroll considers Ohio a critical enrollment area

A national organization is looking at Ohio’s LGBT community as a potential target for a nationwide campaign that will raise awareness about the Affordable Care Act’s (“Obamacare”) enacted changes and benefits. Kellan Baker, founder of Out 2 Enroll and associate director of LGBT Health Policy at the Center for American Progress, explains the campaign is crucial for Ohio and other parts of the country because gay, lesbian, bisexual and particularly transgendered groups are often uninsured at greater levels than the rest of the population — both because of poorly targeted outreach efforts and outright discrimination. “We’re hoping to provide the tools that these systems need to see where LGBT people are and include them in these efforts so LGBT community members can get the benefits that they need,” Baker says. To accomplish that, Baker’s team is using data collected through focus groups and other research to establish messages that will resonate with LGBT communities and land in hotspots in which the groups are active. Some of the messaging is as simple as putting pictures of gay couples on brochures. Other times, it will involve reaching deep into specific LGBT circles and social media — perhaps even Grindr, the popular phone application that gay men use to arrange dates and other sexual activities. In its messaging, Out 2 Enroll will tout the potential benefits of Obamacare: tax subsidies, online marketplaces that will allow participants to compare insurance plans and new regulations that protect LGBT groups from discrimination in the health care and insurance industries. Baker says the efforts could be particularly critical for transgendered individuals. According to focus groups conducted by PerryUndem Research & Communication, the transgendered population has generally felt misunderstood and discriminated against when trying to obtain health insurance. Complaints about intrusive, inappropriate questions and being misgendered were fairly common. In some cases, the discrimination wasn’t subtle. Until new regulations were enacted through Obamacare, insurance companies were able to withhold some medical services and refuse coverage altogether by treating gender identity issues as a pre-existing condition. Gays, lesbians and bisexuals have faced their own discrimination as well: The focus groups found one in three respondents in a same-sex relationship tried to get partner coverage through an employer plan; of those, 50 percent had trouble getting partner coverage and 72 percent felt discriminated against during the process. Baker explains that helping with many of these cases could be as simple as raising awareness about Obamacare’s LGBT benefits. Although 64 percent of respondents in the focus groups knew about Obamacare’s mandate to obtain health insurance, 71 percent had not heard about new coverage options made available through the federal law. To reverse the statistical trend and ensure Obamacare’s success, Baker says Out 2 Enroll and other groups partnering with Enroll America will have to target critical enrollment areas with large uninsured populations, including Ohio. A recent analysis from the Health Foundation of Greater Cincinnati put Ohio’s population of uninsured working-age Ohioans at 1.25 million. The outreach campaign will mostly play out in the next six months, as online marketplaces open for enrollment on Oct. 1 and remain open until April.
 
 
by German Lopez 09.11.2013
Posted In: News, 2013 Election, Mayor, Health care at 09:16 AM | Permalink | Comments (0)
 
 
roxanne qualls

Morning News and Stuff

Cranley and Qualls win mayoral primary, state limits Obamacare, zoo levy renewal on ballot

Ex-Councilman John Cranley decisively defeated Vice Mayor Roxanne Qualls as both Democratic mayoral candidates won the primary election and advanced to the general election. With all precincts reporting, Cranley got 55.9 percent of the vote and Qualls picked up 37.2 percent, according to unofficial results from the Hamilton County Board of Elections. But voter turnout for yesterday’s primary was especially low at 5.68 percent; in comparison, turnout was 15 percent during the primary held on Sept. 11, 2001 — the day of the terrorist attacks on the World Trade Center and Pentagon — and 21 percent in the 2005 mayoral primary. In the past two mayoral races with primaries, whoever won the primary election lost the general election. Voters will make the final choice for mayor between Qualls and Cranley on Nov. 5. Limitations imposed by Ohio lawmakers who oppose the Affordable Care Act (“Obamacare”) have forced Cincinnati Children’s Hospital Medical Center to give up a $124,419 federal grant that would have gone toward helping uninsured Ohioans navigate new online marketplaces for health insurance. State legislators say the regulations are supposed to clarify who qualifies as a “navigator” under Obamacare to avoid potential abuses and conflicts of interest, but Obamacare’s supporters say Republicans are just trying to make the law more difficult to implement. Under Obamacare, participating organizations are classified as navigators so they can help promote new online marketplaces and tax subsidies to meet the law’s enrollment goals. By losing its classification as a navigator, Cincinnati Children’s Hospital can no longer help in that outreach effort. After getting approval from county commissioners, the Cincinnati Zoo and Botanical Garden is asking voters to renew a levy that will appear as Issue 2 on the Nov. 5 ballot. The renewal wouldn’t increase taxes from today’s rates, but it would keep property taxes $10 higher for every $100,000 of home value. It will go to the care, feeding and maintenance of the zoo’s animals and botanical gardens. A study from the University of Cincinnati Economic Center found the zoo had a $143 million impact on the Cincinnati area in 2012 — representing nearly 3.9 times the zoo’s total spending — and produced 1,700 jobs and nearly $1.6 million in tax revenue for Cincinnati and Hamilton County. State Rep. John Carney announced yesterday that he will run for state auditor. Carney, a Democrat, will aim to replace Republican Dave Yost. He says his run will “bring much-needed bipartisanship and transparency back to our state government,” particularly by ending the one-party rule in many state offices. Carney also took aim at JobsOhio, the privatized development agency that has been mired in scandals in the past few months. Yost split with his fellow Republicans when he pursued a full audit of JobsOhio’s public and private funds, but Republican state legislators cut the debate short by passing a law that made the agency insusceptible to a full audit. Two Ohio prison guards are suspended with pay after the apparent suicide of Ariel Castro, the Cleveland man who was convicted to a life sentence for holding three women captive and beating and raping them. The Ohio Department of Rehabilitation and Correction is investigating whether proper protocols were followed to avoid Castro’s death. Campaign contributions to Republican Gov. John Kasich and Democratic opponent Ed FitzGerald came from people the gubernatorial candidates appointed to government positions. In the case of Kasich, the contributions are legal under state law. But the $1,000 contribution to FitzGerald was returned because it was deemed illegal under a county ethics law that FitzGerald helped establish as Cuyahoga County executive. Still, Kasich’s campaign has criticized FitzGerald for the illegal contribution, even though Kasich isn’t applying the same standard to his own campaign. The panel reviewing the state’s controversial facial recognition program will actually review the entire web-based, decade-old Ohio Law Enforcement Gateway for proper protection protocols. Gov. John Kasich and the American Civil Liberties Union are among two of many who criticized the facial recognition program for potential breaches of privacy. The facial recognition program allows police officers and civilian employees to use a photo to search databases for names and contact information; previously, law enforcement officials needed a name or address to search such databases. The program was online for two months without an independent review of its protocols and before the public was notified of its existence. President Barack Obama nominated former Gov. Ted Strickland to be one of five alternative representatives to the United Nations delegation. People can often remember events early in life better than more recent events, and that might explain why they usually enjoy their parents’ favorite music.
 
 
by German Lopez 09.10.2013
Posted In: News, Health, Health care at 02:42 PM | Permalink | Comments (1)
 
 
cincinnati children's

Cincinnati Children’s Hospital Loses Obamacare Money

Medical center blocked from helping uninsured navigate online marketplaces

Limitations imposed by Ohio lawmakers who oppose the Affordable Care Act (“Obamacare”) have forced Cincinnati Children’s Hospital Medical Center to give up a $124,419 federal grant that would have gone toward helping uninsured Ohioans navigate new online marketplaces for health insurance. Specifically, the state law, which Gov. John Kasich signed on April 30 and went into effect on July 30, excludes any organization that receives payments from a health care payer, such as an insurance company, from being designated as a “navigator.” The designation is necessary for Cincinnati Children’s Hospital to receive the federal grant, which is part of national outreach efforts to enroll as many Americans, especially young adults, into Obamacare’s online marketplaces when they open for enrollment on Oct. 1. Without the designation, Cincinnati Children’s Hospital was forced to give up the federal money, Cincinnati Children’s Hospital spokesperson Terry Loftus told CityBeat.State legislators passed the restrictions to clarify regulations on navigators that avoid potential abuses and conflicts of interest. But Obamacare’s supporters claim the state law is part of a nationwide effort from state and federal Republicans to make Obamacare more difficult to implement. The federal government intends to sign up 7 million people into Obamacare’s online marketplaces, but 2.7 million have to be young adults to keep costs low. Otherwise, older, less healthy Americans will fill up the marketplaces, exhaust health services and drive up costs. Supporters of Obamacare acknowledge that signing up so many young adults will be difficult, so they’ve taken to national and state-by-state education campaigns that tell young adults about the benefits and cost savings made available through the president’s signature health care law. These campaigns are being headed by various organizations that have been dubbed “navigators.” But opponents, particularly Republicans, are preventing some of the efforts by investigating navigators and passing legislation in state governments that limits what navigators can do and who can be classified as a navigator. Most recently, Republicans in the U.S. House Energy and Commerce Committee sent a letter to groups participating in the navigator program with a series of accusations and questions. “This is a blatant and shameful attempt to intimidate groups who will be working to inform Americans about their new health insurance options and help them enroll in coverage, just like Medicare counselors have been doing for years,” Erin Shields Britt, spokesperson for the U.S. Department of Health and Human Services, told The Hill. For the uninsured, not knowing about the online marketplaces could mean losing out on opportunities to obtain health insurance at lower costs. Recent reports have found that Obamacare’s online marketplaces and tax subsidies will lower costs for Ohioans in the individual health care market. An Aug. 29 study from the RAND Corporation, a reputable think tank, found health care premiums will rise to an average of $5,312 under Obamacare in 2016. Without the law, premiums would reach an average of $3,973 that year. But when Obamacare’s tax credits are plugged in, the average Ohioan will only pay a premium of $3,131 — $842 less than he or she would pay without the law. Avik Roy, a conservative health care economist and prominent critic of Obamacare, found even better results for Ohio. His model found premiums will drop by 30 percent in Ohio, although they’ll rise by 24 percent on average for 13 states, including Ohio, and the District of Columbia as a whole. Unlike RAND, Roy’s calculations don’t take subsidies into account, so the final cost for the average Ohioan is likely much lower.The numbers only apply to Ohioans in the individual health insurance market. Under Obamacare, individuals will be able to enroll for health insurance through an online marketplace. The majority of Americans who get health insurance through their employers or public programs fall under different rules and regulations. It’s unclear how much Republican opposition will ultimately play into the numbers. But for Cincinnati Children’s Hospital, it means $124,419 less to help its neediest, less knowledgeable patients.
 
 

Obamacare to Lower Costs

0 Comments · Wednesday, September 4, 2013
The Affordable Care Act (“Obamacare”) will lead to an increase in Ohio’s raw health care premiums, but the increase will be more than offset by the law’s tax credits.  

Medicaid Expansion Could Reach Thousands in Hamilton County

0 Comments · Wednesday, September 4, 2013
The federally funded Medicaid expansion currently being blocked by state Republicans could provide health insurance to more than 42,000 people living in Hamilton County.  
by German Lopez 09.03.2013
Posted In: News, Health care, Barack Obama, Education at 08:53 AM | Permalink | Comments (0)
 
 
ohio statehouse

Morning News and Stuff

Charter schools fail, Obamacare lowers costs, Medicaid expansion could help thousands

Ohio charter school have largely failed to live up to their promises, according to The Columbus Dispatch. Charter schools were originally pursued by Ohio lawmakers to help find a suitable alternative to the state’s struggling urban public schools. But in the latest school report cards, charter schools performed just as poorly as urban public schools. Charter schools are allowed to run a profit and skip on certain state rules and regulations, which was supposed to give them some leniency in implementing successful academic models. Obamacare will lower average health care costs in Ohio’s individual market, according to a study from RAND Corporation, a reputable think tank. Although premiums will rise as a result of the law, the tax credits offered in Obamacare will be more than enough to offset the increases. The numbers only apply to the individual marketplaces; anyone who gets insurance through an employer or public program falls under different rules and regulation. Still, the findings are good news for Obamacare as the federal government aims to insure 7 million people — and 2.7 million young, healthy adults among those — to make the individual marketplaces work. As part of Obamacare, states and the federal government will open online enrollment for new, subsidized individual insurance plans on Oct. 1, and the plans will go into effect at the start of next year. The Medicaid expansion could insure more than 42,000 people in Hamilton County, according to the Ohio Poverty Law Center. As part of Obamacare, states are asked to expand their Medicaid programs to include anyone at or below 138 percent of the federal poverty level ($15,856 for a single-person household). If states accept, the federal government will pay for the entire expansion for the first three years then phase down its payments indefinitely to 90 percent of the expansion’s total cost. Earlier this year, the Health Policy Institute of Ohio released an analysis that found the Medicaid expansion would insure nearly half a million Ohioans and save the state about $1.8 billion in the next decade. Gov. John Kasich says he wants to slow down Attorney General Mike DeWine’s facial recognition program and work with the Ohio legislature to review if changes are necessary. Kasich compared the program to federal surveillance programs like the NSA and FISA, which have come under scrutiny in the past few months after leaks unveiled broader snooping and data collection of Americans’ private communications than previously expected. The facial recognition program allows police officers and civilian employees to use a photo to search databases for names and contact information; previously, law enforcement officials needed a name or address to search such databases. The program was criticized by the American Civil Liberties Union because knowledge of the program’s existence was withheld from the public for two-plus months and an independent group never reviewed the program’s privacy-protecting protocols. Democratic City Council candidate Greg Landsman backed the second phase of the streetcar in a column Friday. The endorsement could be vital to the project’s future because Landsman is widely considered a favorite in this year’s City Council race. JobsOhio’s leaders plan to launch a public relations offensive to repair the agency’s image. The privatized development agency has been criticized for its lack of transparency after media outlets uncovered that it was handing out tax credits to companies with direct financial ties to JobsOhio board members. Democrats argue the agency needs more transparency and checks on its recommendations, while Republicans, who created the agency to replace the Ohio Department of Development, claim the agency’s privatized, secretive nature allows it to move more quickly with job-creating development deals. The University of Cincinnati was named public university of the year by The Washington Center. The award recognizes UC for supporting experiential education through its partnership with The Washington Center, an independent academic organization that serves hundreds of colleges and universities by providing internships and other opportunities in Washington, D.C., for school credit. Police busted a $1 million shoplifting ring in Ohio that targeted discount retail stores along the Interstate 75 corridor, such as Walmart, Meijer, CVS and Family Dollar. State law will soon require vaccine immunizations against several diseases for children attending school. Cincinnati-based Kroger is cutting health care benefits for employees’ spouses on Jan. 1, but the plan will also increase pay, stabilize the company’s pension fund and provide more benefits for part-time employees. Obamacare apparently played a role in the decision to cut spousal benefits, but Kroger says the most influential factor was rising health care costs all around the nation — a trend that has been ongoing for decades. Here is a visualization of the urban heat island effect, which will make cities warm up much faster as global warming continues. Could you survive the end of the universe? io9 tackles the question here.
 
 
by German Lopez 08.30.2013
Posted In: News, Health care, Barack Obama at 10:35 AM | Permalink | Comments (1)
 
 
barack obama 2

Obamacare to Lower Ohioans’ Health Care Costs

Individuals’ premiums will rise, but tax credits will more than make up for the increase

The Affordable Care Act (“Obamacare”) will lead to an increase in Ohio’s raw health care premiums, but the increase will be more than offset by the law’s tax credits, according to an Aug. 29 study from the RAND Corporation, a reputable think tank. Specifically, health care premiums will rise to an average of $5,312 under Obamacare in 2016. Without the law, premiums would reach an average of $3,973 that year. But when Obamacare’s tax credits are plugged in, the average Ohio individual will only pay a premium of $3,131 — $842 less than an individual Ohioan would pay without the law. The tax credits will be available to individuals between 100 percent ($11,490 in annual income) and 400 percent of the federal poverty level ($45,960 in annual income). The subsidies will be smaller for higher income levels, and the raw premium will vary depending on the insurance plan, so the premium and subsidy numbers don’t apply perfectly across the board. The numbers also only apply to Ohioans in the individual health insurance market. Under Obamacare, individuals will be able to enroll for health insurance through an online marketplace. The majority of Americans who get health insurance through their employers or public programs fall under different rules and regulations. Obamacare will help more non-elderly Ohioans get health insurance. Without the law, 14.9 percent of non-elderly individuals would lack insurance. With the law, only 6.2 percent will go without insurance. RAND attributes the difference in insurance rates to tax credits, which make health insurance more affordable, and the individual mandate, which requires certain Americans buy health insurance or pay a fine. The numbers are good news for Obamacare, which needs a certain amount of young adults to enroll to avoid causing health care costs to skyrocket. Federal officials say they expect to enroll 7 million people through individual marketplaces, but 2.7 million must be young adults. That’s because young adults tend to be healthier, which will help balance out sicker, older people flowing into health care plans. The online marketplaces are supposed to open enrollment on Oct. 1. The actual plans will go into effect on Jan. 1.
 
 

GOP Continues Playing Politics with Ohioans’ Health

0 Comments · Wednesday, July 31, 2013
Ohio officials announced on July 23 that they’ll take a hands-off approach to promoting the Affordable Care Act (“Obamacare”), leaving it to the federal government to inform citizens about opportunities and benefits provided under the law.   
by German Lopez 07.22.2013
Posted In: News, Health care, Health at 02:19 PM | Permalink | Comments (0)
 
 
ohio statehouse

Poll: More Than 1.25 Million Ohioans are Uninsured

Ohioans increasingly reliant on public health insurance

A poll analysis released today suggests more than 1.25 million Ohioans between the ages of 18 and 65 are uninsured, representing about 17 percent of the state’s working-age population. The poll also found that working-age Ohioans are obtaining health insurance less through employers and more through public insurance programs like Medicare, Medicaid and veteran benefits. About two in 10 working-age Ohioans use public programs in 2013, up from 12 percent in 2006. At the same time, 52 percent now get insurance through an employer, down from 64 percent in 2006. The numbers are relatively unchanged from 2012, according to the analysis from the Health Foundation of Greater Cincinnati. Nearly one in 10 of those who did have insurance also reported losing it in the past 12 months. “Certain groups are more likely to experience insurance instability,” said Jennifer Chubinski, director of community research at the Health Foundation, in a statement. “Almost half of adults living below 100 percent of the federal poverty level, African-Americans and adults with less than a high school education were uninsured currently or at some point in the past year.”The analysis also concluded that Ohioans with health insurance are generally healthier than those without it. The results came from the 2013 Ohio Health Issues Poll, which between May 19 and June 2 interviewed 868 Ohio adults by phone. The poll had a margin of error of 3.3 percent. It was conducted by the University of Cincinnati’s Institute for Policy Research for the Health Foundation. The poll’s findings could spur efforts to widen Medicaid eligibility in Ohio, which has become a contentious political issue fueled by mostly Republican opposition and Democratic support. Under the Affordable Care Act (“Obamacare”), states are asked to expand the public insurance program to include everyone at or below 138 percent of the federal poverty level, or roughly $15,856 for a single-person household. If a state agrees, the federal government will pay for the entire expansion for the first three years then phase its support down to 90 percent, where it would indefinitely remain. The offer presents a great deal for the state, according to the Health Policy Institute of Ohio. The think tank’s analysis found the expansion would insure roughly half a million Ohioans and generate about $1.8 billion in revenue for the state in the next decade. But the Republican-controlled General Assembly rejected the expansion in the state budget, despite Republican Gov. John Kasich’s pleas to embrace the Obamacare initiative. Legislators say they’re concerned the federal government won’t be able to uphold its commitment to Medicaid in the future. That, they argue, would leave Ohioans stranded if the state is forced to pare back benefits. The federal government and states have jointly funded Medicaid programs around the nation since 1965. About 57 percent of the cost is carried by the federal government.Still, the legislature will in the fall consider a standalone bill that would take up the expansion. But that bill will likely face continued opposition from tea party groups that are historically opposed to increased government spending at any level. Whatever the case, legislative approval may be politically prudent: Earlier-reported results from the Ohio Health Issues Poll found 63 percent of Ohioans favor the Medicaid expansion.
 
 

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