Saturday, July 20, 2013

California Insurance Commissioner on Obamacare Enrollment Counselors: "We can have a real disaster on our hands."
...The exchange, known as Covered California, recently adopted rules for a network of more than 21,000 enrollment counselors who will provide consumers with in-person assistance as part of the federal Affordable Care Act. In some cases, they will have access to personal and financial information, from ID cards to medical histories.

But the state insurance commissioner and anti-fraud groups say the exchange is falling short in ensuring that the people hired as counselors are adequately screened and monitored.

Insurance Commissioner Dave Jones also said the exchange does not have a plan for investigating any complaints that might arise once the counselors start work. That means consumers who might fall prey to bogus health care products, identity theft and other abuses will have a hard time seeking justice if unscrupulous counselors get ahold of their Social Security number, bank accounts, health records or other private information, he said.

"We can have a real disaster on our hands," Jones, a Democrat, said in an interview....

Hospital trusts rapped over major failures
Eleven hospital trusts are being placed in special measures because of major failings, the government has announced.

Health Secretary Jeremy Hunt said the trusts, among 14 investigated for high death rates, had problems so entrenched that tough action was needed....

...Mr Hunt set out a detailed breakdown of the problems identified at the individual trusts, but among the common themes listed were:

• Patients being left on trolleys, unmonitored for excessive periods and then being talked down to by consultants

• Poor maintenance in operating theatres, potentially putting patients in danger

• Patients often being moved repeatedly between wards without being told why

• Staff working for 12 days in a row without a break

• Backlogs in complaints

• A patient inappropriately exposed where there were both male and female patients present

• Low levels of clinical cover - especially out of hours

• Hospital boards being unaware of potential problems, including a spate of still births

California Obamacare Patients Can Expect Few Choices, As Well as a "Real Disaster"
As Peter Suderman documented yesterday, California Insurance Commissioner Dave Jones, a member of President Obama's own party, sees a potential for "real disaster" as poorly screened enrollment counselors gain access to sensitive patient data through Covered California, the state health exchange set up under the Affordable Care Act. Making matters worse, options for private health care coverage are dwindling to the point that residents of California, the most populous state in the union, will have very little to pick from should they choose to put their personal data at risk by shopping for coverage through Covered California — or elsewhere, for that matter.

In a July 2 press release from the California Department of Insurance, Jones revealed that United Healthcare will follow Aetna's exit from the state at the end of the year....

Obama to Congress: Only I Can Amend ObamaCare
...Yesterday, he threatened to veto both bills. Think about that. President Obama has threatened to veto a bill that would codify his own policy of repealing the employer mandate for one year. He supports rewriting federal law – but only if he does it. Not if Congress does it.

I’d wager lots of congressional Democrats are pretty angry at President Obama today.

The individual mandate is ObamaCare’s least popular provision. Just 17 percent of Americans support it. Only 12 percent support letting it take effect while employers get a pass. When he unilaterally delayed the employer mandate, President Obama put House Democrats, and potentially Senate Democrats, in the position of having to cast their most unpopular pro-ObamaCare vote, ever. The attack ads practically write themselves. ”Congressman X voted against giving families the same breaks as big business.”

On top of that, Obama’s threat to veto the bill codifying the employer-mandate delay marginalizes all of Congress, Democrats included. It also puts Democrats in an impossible situation. If Democrats vote against the president on the employer mandate – by voting for the bill codifying his policy (are you confused yet?) – then they are breaking ranks with their party’s leader. If they vote with the president – by voting against the bill codifying the president’s policy – they would be participating in their own marginalization....