Saturday, January 11, 2014

Obama administration cutting ties with HealthCare.gov contractor




The Obama administration is cutting ties with contractor CGI Federal over its handling of the problem-plagued HealthCare.gov, months after the troubled Oct. 1 launch.
The Washington Post first reported that federal health officials plan to sign a year-long, $90 million contract with Accenture. A source later confirmed the decision to The Associated Press.
The government's contract with CGI was up at the end of February anyway, but the administration apparently is deciding not to renew it. According to the Post, officials concluded CGI was not effective in fixing the myriad problems with the federal ObamaCare website.
A statement to Fox News from the Centers for Medicare and Medicaid Services said only that it is working with contract partners "to make a mutually agreed upon transition to ensure that HealthCare.gov continues to operate smoothly for consumers."
The statement continued: "We continually evaluate our needs and remain focused on ensuring consumers have access to affordable, quality coverage, and more than 1.1 million already have enrolled in a private plan in the federal Marketplace."
Republicans are not letting up in their criticism of the law's implementation.
"A change in contractors does not change the sad state of this law," House Energy and Commerce Committee Chairman Fred Upton, R-Mich., said in a statement.
Enrollment through the federal website has picked up considerably since the Oct. 1 launch, when many were blocked from accessing the site due to technical glitches.
But outside experts had to be brought in and many lawmakers criticized CGI and other contractors who had been working for years on the project.
At first the administration said the problem was not having enough equipment to handle the high level of interest. But major software and design flaws quickly emerged. For example, unlike most e-commerce sites, HealthCare.gov had no way for prospective customers to browse health plans without first opening an account. That only created more computing work for the overwhelmed system to handle.
The administration later acknowledged HealthCare.gov was down 60 percent of the time in October.
The White House sent in a troubleshooter, management consultant Jeffrey Zients, who managed to turn things around by the end of November. Since then, more than 1 million people have signed up for coverage, and when state-run websites are counted, enrollments total more than 2 million.
CGI and other contractors have told Congress that there was not enough time to properly test the system and also meet the administration's Oct. 1 deadline for launching it.

Friday, January 10, 2014

Dem senator under fire for pressuring agency to change insurance cancellation stats

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Democratic Colorado Sen. Mark Udall is under fire following reports that his staff pressured the Colorado Division of Insurance to walk back its claims that 250,000 people in the state had their health insurance canceled due to ObamaCare. 
"It's downright shameful that Sen. Udall would attempt to intimidate state employees to give him political cover," Colorado GOP Chairman Ryan Call told FOX31 in Denver.
The allegations surfaced Thursday after the news site Complete Colorado published emails between Udall's office and the Colorado insurance agency last November. At the time, controversy was heating up over the hundreds of thousands of insurance cancellation notices going out -- the cancellations undercut President Obama's campaign-trail assertions that those who like their health plans can keep them.
Udall's staff challenged the Colorado agency for saying there had been 249,000 cancellations.
"Sen. Udall says our numbers were wrong. They are not wrong," one insurance department official wrote, according to a Nov. 14 email. "Cancellation notices affected 249,199 people. They want to trash our numbers. I'm holding strong while we get more details. Many have already done early renewals. Regardless, they received cancellation notices."
The dispute apparently was over the fact that many of those receiving cancellation notices were also being offered renewals.
"We reached out to the Dept. of Insurance because 250,000 cancellations was radically different than the number we were hearing from the insurance industry," Udall spokesman Mike Saccone told FOX31 Denver. "In fact, 96 percent of Coloradans who received 'cancellation letters' were offered an opportunity to renew their current coverage. To the average Coloradan, that is not a cancellation."
Udall's office wanted that clarification to be made.
But the tone of the emails drew accusations of intimidation.
One email showed the same insurance agency official telling colleagues she got a "very hostile phone call" from Udall's deputy chief of staff.
Another email showed a Udall staffer telling the division "we need to move on this ASAP -- or we'll be forced to challenge the 249K number ourselves."
Brook Hougesen, a spokeswoman with the National Republican Senatorial Committee, said in a statement that Udall "authorized his staff to pressure and intimidate state officials to manipulate health care cancellation statistics resulting from ObamaCare."
Rep. Cory Gardner, R-Colo., also wrote a letter on Thursday to state Insurance Commissioner Marguerite Salazar pressing for details about their insurance cancellation calculations.
Salazar told the Denver Post there was no "ongoing pattern of intimidation" with Udall's office.
Udall also told the Denver Post it was "really important to correct the record."

Chris Christie

Political Cartoons by Glenn McCoy

Unemployment benefits extension hits snag in Senate

Senate Democrats’ plan to extend long-term jobless benefits has hit political turbulence after Senate Majority Leader Harry Reid pushed a reworked version but blocked Republicans from offering any changes.
The dispute threatened to stall the legislation, just days after it narrowly cleared a Senate hurdle.
“Indiana voters didn’t send me here to be told just to sit down and forget it,” said Sen. Dan Coats, R-Ind., complaining Republicans had been sidelined.
The original version of the bill was a three-month, $6 billion extension that was not paid for. Republicans objected, and Reid came back with a 10-month extension that was paid for.
But he then moved to block Republicans from offering amendments, going so far as to accuse Republicans of “continually denigrating our economy, our president and frankly, I believe, our country.”
Coats, who had earlier in the week helped advance the bill, expressed anger he hadn’t been consulted about changes in the legislation. By Thursday evening, most of the Republicans who had been on board with the plan earlier in the week signaled they’d be pulling their support.
The now-expired law provided a maximum 47 weeks of payments after an unemployed worker had used up state-funded benefits generally capped at 26 weeks.
The re-worked legislation reduces the 47 weeks to a maximum of 31 weeks, based on a sliding scale that dates to the expired program. Reducing the number of weeks would save about $8 billion, a Senate source told Fox News.
The first tier of additional benefits would be six weeks, and be generally available to all who have used up their state’s eligibility.
An additional six weeks would be available in states where unemployment is 6 percent or higher; an additional nine weeks in states with a joblessness rate of 7 percent or higher; and 10 or more weeks in states where unemployment is 9 percent or more.
The cost, which Republicans had issue with, would be offset in part by extending a previously-approved reduction in Medicare payments to providers. It would also be paid for by extending the sequester cuts to mandatory spending by another year, which would save around $17 billion.
Additional funding would come from limiting or eliminating the ability of people on Social Security disability from also receiving unemployment benefits, which the Senate source told Fox would save another $1 billion.
Senators from the two states — Democrat Jack Reed of Rhode Island and Dean Heller, a Republican from Nevada — were central to the talks, and the White House was also being kept informed.
Sen. Chuck Schumer, D-N.Y., told reporters that administration officials have indicated they would be satisfied with a deal that won the backing of Senate Democrats.
Another Senate vote is tentatively scheduled for next week.
Any legislation that clears the Senate would also have to pass the House, where Speaker John Boehner, R-Ohio, has said he is only willing to consider an extension of the expired program that is fully paid for.
Calls to Boehner’s office Thursday by FoxNews.com were not immediately returned.

San Francisco environmentalist group wants global warming warning on gas pumps

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Bailey comment: " Ever notice that our idiot politicians all across America use California as their role models".
First cigarettes, now gas pumps.
A group of San Francisco environmentalists want to remind drivers that refilling their cars with gas is leading to global warming by slapping a sticker on gas pumps similar to those you find on a carton of cigarettes, The San Francisco Chronicle reported.
"The goal isn't to take transportation away from people and say, 'You're a bad person,'" Jamie Brooks, a member of the Bay Area chapter of 350.org, told the paper. "The goal is to create a signal saying, 'You need to change your behavior.'"
350.org is a group that seeks to build a global grassroots movement to "solve the climate crisis," according to its webpage, and the group made clear that the warning label fight is solely an initiative by the Bay Area branch.
The label's design is straightforward. It has white on black writing, topped off with "Warning" in bold on an orange background. The text reads, "The state of California has determined that global warming caused by greenhouse gases poses a serious threat to the economic well-being, public health, natural resources and the environment of California."
The Bay Area group is pitching the idea to local government. Gas station owners and oil companies would likely fight a ruling in favor of the warning labels.

Thursday, January 9, 2014

Reid Overstates Reduction in Uninsured

Senate Majority Leader Harry Reid incorrectly claimed that 9 million Americans “have health care that didn’t have it before” because of the Affordable Care Act. That figure includes an unknown number who previously had insurance but switched to a policy sold through the exchanges, plus an unknown number of Medicaid recipients who renewed their coverage.

 
Reid made the statement on CBS’ “Face the Nation” on Jan. 5, saying:
Reid, Jan. 5: [R]ight now, as we speak, there are 9 million Americans … who have health care that didn’t have it before. We have, as you know, we have 3 million Medicare [Medicaid]. We have 3 million on their policies because they haven’t reached, they haven’t reached age 26. And we’ll have more than 2 million. They’re coming.
The 9 million figure includes three categories of Americans: 2.1 million who have selected plans on the federal or state insurance marketplaces, or exchanges; 3.9 million who were determined to be eligible for Medicaid and the Children’s Health Insurance Program (higher than the 3 million figure Reid used); and an estimated 3.1 million young adults under the age of 26 who were able to join their parents’ policies as a result of the ACA.
But it’s wrong to assume, as Reid does, that all of those people were previously uninsured.
Let’s start with those who were uninsured. Some may consider the inclusion of the 3.1 million young adults an attempt to puff up the numbers after a slow, glitch-filled and, by any standard, unsuccessful launch of the exchanges last fall. After all, this provision of the law was implemented in September 2010. But this is the one estimate that’s made up exclusively of those gaining insurance. The estimate comes from the Department of Health and Human Services, which said in a June 2012 press release that the figure was based on the National Health Interview Survey conducted by the National Center for Health Statistics, which found an increase in the percentage of young adults (age 19 to 25) with insurance between September 2010 and December 2011. (Some among this estimate may well have gained coverage in another manner — other than being added to their parents’ plans — but the number does represent an increase in the insured in an age group directly affected by the law at the time.)
It’s the other two categories that include folks who did have health coverage before, contrary to Reid’s remarks.
The 2.1 million people who selected exchange plans include some who had insurance but switched to these marketplace plans, such as those whose insurers canceled specific plans or even pulled out of the individual insurance market altogether. And, as Washington Post Fact Checker Glenn Kessler pointed out, it even includes Reid, who, like other previously insured members of Congress are required to get their coverage through the exchanges, rather than the Federal Employees Health Benefits Program, as they did before.
Then there’s the Medicaid estimate. Marilyn Tavenner, administrator of the Centers for Medicare & Medicaid Services, announced on Dec. 31 that 3.9 million “learned they’re eligible for coverage through Medicaid and the Children’s Health Insurance Program (CHIP) in October and November.” She noted: “These numbers include new eligibility determinations and some Medicaid and CHIP renewals.”
So, some portion of that 3.9 million — a figure that comes from state reports — includes Americans who already had Medicaid or CHIP and are simply renewing, and it could include those who had insurance through another source and are now eligible for Medicaid. CMS doesn’t have such a breakdown on these Medicaid-eligible folks. The figure also includes those who were previously eligible for Medicaid (before the ACA) and are now signing up. Some of those previously eligible folks may not have been influenced by the law; others may have been prompted to seek coverage because of the individual mandate, or because they’ve heard so much about the health care law.
One last note: Americans buying their own insurance don’t have to go through the exchanges; they can buy directly from an insurance carrier. It’s possible some of the previously uninsured have done so, but we know of no estimate for that.
What we do know is that it’s incorrect to say, as Reid did, that the 9 million figure represents “Americans who have health care that didn’t have it before.”
The nonpartisan Congressional Budget Office has estimated that in 2014, due to the Affordable Care Act, the number of uninsured would decline by 14 million, with 7 million joining the exchanges, 9 million gaining Medicaid and CHIP, and 2 million fewer Americans getting coverage through the individual market. It remains to be seen how closely reality will track with those estimates.
– Lori Robertson

Rodman







Political Cartoons by Chip BokAny other time or place this creep would have been put against a wall and shot. They use to call them traitors, but now the kids call them basketball stars.

Chamber of Commerce vows to fight ObamaCare employer mandate in 2014

The head of the U.S. Chamber of Commerce vowed Wednesday to fight ObamaCare's so-called employer mandate and other "onerous" provisions in the year ahead, even as the pro-business group acknowledged the bill as a whole cannot be repealed in the current climate.
The agenda was outlined by Commerce President and CEO Thomas Donohue, in his annual Washington address. Though the law's requirement on mid-sized and large businesses to provide health coverage to workers was delayed by a year, Donohue said the Chamber still plans to lobby against that mandate in 2014.
“In 2014, we will work to repeal onerous health care taxes; repeal, delay, or change the employer mandate; and give companies and their employees more flexibility in the choice of health insurance plans,” Donohue said. He also cited immigration reform, entitlement reform and more domestic energy production as other major objectives.
“We’re not going to get rid of [the Affordable Care Act] so we’re going to have to find ways to make it work,” Donohue said afterward. “It’s a massive tax bill. It’s a massive rules-and-regulations system. And lots of people are worried about how they are going to get their health care.”
In his speech, Donohue said the health insurance cancellations that “swamped” the individual market last year are expected to hit the small business market even harder this year. And many firms are not hiring and are cutting workers’ hours because of the law’s mandates, he said -- despite claims by the Obama administration to the contrary.
Donohue deflected a question after the speech about how long of a delay he wants for the employer mandate, which requires businesses with 50 or more full-time employees to offer insurance, saying only that he was speaking in “broad terms.”
“We’ll delay what we have to delay,” he said. “Whatever we have to keep, we’ll keep.
As further indication that the chamber doesn’t support the ObamaCare repeal effort by the Tea Party and others in the most conservative wing of the Republican Party, Donohue suggested those trying to extract spending cuts or other deals when negotiating over raising the federal debt ceiling “are not helping us.”
He also made clear the Chamber will support candidates in the 2014 elections who “want to work within the legislative process.”
Despite the Chamber’s apparent resignation to ObamaCare being here to stay, he said the group would “head to court to sue” if necessary to achieve its objectives on health care and other issues.
Donohue said the Chamber repeatedly warned Congress and the administration about ObamaCare’s many flaws and argued problems with the president’s signature law go beyond the rollout of the websites on which Americans buy insurance policies from private companies.
“The administration is obviously committed to keeping the law in place, so the Chamber has been working pragmatically to fix those parts of ObamaCare that can be fixed,” he said. “Computers can be fixed.”

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