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Morning Briefing

Summaries of health policy coverage from major news organizations

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Monday, Dec 18 2017

Full Issue

ACA Outreach Cutbacks, Shorter Enrollment Window Likely To Hurt Vulnerable Populations

The health law sparked some of the biggest gains in coverage for minority populations. But those same populations may be the ones most effected by the administration's decision to slash sign-up efforts. The deadline for coverage passed on Friday, and although the pace of enrollment surged over last year, the shorter window will likely result in fewer sign-ups overall.

Denise English was one of just two employees working six days a week to handle the crowd of people signing up for health insurance under the Affordable Care Act at a neighborhood health clinic here, as the Friday deadline for open enrollment loomed. Most of the people who sat waiting wanted to speak to her co-worker, who speaks Spanish. But Ms. English 鈥 she speaks only 鈥渦n poquito鈥 鈥 was doing her best, her phone open to Google Translate, as she tried to help clients like Ana Gonzalez and Celso Morales, who moved here from Puerto Rico in April, sign up for a subsidized health plan. (Zernike and Pear, 12/15)

Consumers jammed call centers and enrollment offices in the final sprint toward the Friday deadline in most of the country to get Affordable Care Act health plans for 2018, defying months of naysaying by President Trump about the law鈥檚 insurance marketplaces. In several states, enrollment helpers reported a crush of interest in recent days. Some navigator organizations, which help people sign up, received more requests for appointments than they could accommodate 鈥 a consequence of an enrollment season that is half as long as the past three years鈥 time frame and large cuts by federal officials in grants to those groups. (Goldstein, 12/15)

The end of open enrollment under the Affordable Care Act Friday saw an uptick in people selecting health plans, but with a shorter window this year鈥檚 sign-ups are still expected to fall short of last year鈥檚, an outcome that could further imperil the fragile individual insurance market. Less robust sign-ups on the federal health exchange are likely to lead to higher premiums and bolster critics who say that the law is failing. Supporters say the enrollment pace has defied expectations, given that the Trump administration shortened the sign-up window and cut millions of dollars in outreach funding. (Armour, 12/15)

A deadline burst of sign-ups after a tumultuous year for the Obama health law has revealed continued demand for the program's subsidized individual health plans. But the Affordable Care Act's troubles aren't over. On the plus side for the overhaul, official numbers showed a sizable share of first-time customers, 36 percent, were among those rushing to finish HealthCare.gov applications in the run-up to Friday's enrollment deadline. One new challenge comes from the GOP tax bill, which repeals the law's requirement that people have health insurance or risk fines. (12/18)

States and insurance companies ramped up outreach for health coverage enrollment this year to fill the gap left by a drastic funding cut by the Trump administration. In many places, the hard work is showing. A recent study by the Wesleyan Media Project showed an overall spike in advertising this open enrollment season, a surprise given the Department of Health and Human Services鈥 decision to slash federal聽funds for marketing by 90 percent and in-person outreach by 41 percent. (Clason, 12/15)

The Trump administration declined to extend the ObamaCare sign-up period amid the last-minute surge of enrollees, a break with the聽precedent set聽under the Obama administration. The enrollment period ended Friday at midnight. The Obama administration in previous years consistently extended the deadline for a few days to accommodate the high number of enrollees who wait until the last minute聽to enroll. (Sullivan, 12/16)

After a rush of last-minute sign-ups, the Trump administration says it's extending the deadline for some people to finish health insurance applications for next year under the Affordable Care Act. Callers to the HealthCare.gov service center on Saturday morning got a recorded message saying "don't worry" 鈥 if they'd called and left their phone number before the deadline, they'll get a call back and still can enroll for 2018. (12/16)

Enrollment for 2018 health insurance through the Affordable Care Act ended Friday for most people, but Texans affected by Hurricane Harvey will get two extra weeks to sign up. People in Houston and a wide swath of storm-affected areas will be able to enroll for plans on the federally mandated exchange through Dec. 31. But advocates caution that applying after Friday can be cumbersome. (Deam, 12/15)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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