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  #21  
Old 07-26-2013, 10:44 AM
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Mary Pat Campbell
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I am very happy that I don't qualify for any subsidies, thus, I don't have to go through any exchange.

Huzzah.
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  #22  
Old 07-28-2013, 07:35 AM
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As it seems these "marketplaces" will just be call centers at this point, this seems relevant:

http://www.contracostatimes.com/rss/ci_23733819

Quote:
CONCORD -- Earlier this year, Contra Costa County won the right to run a health care call center, where workers will answer questions to help implement the president's Affordable Care Act. Area politicians called the 200-plus jobs it would bring to the region an economic coup.

Now, with two months to go before the Concord operation opens to serve the public, information has surfaced that about half the jobs are part-time, with no health benefits -- a stinging disappointment to workers and local politicians who believed the positions would be full-time.

The Contra Costa County supervisor whose district includes the call center called the whole hiring process -- which attracted about 7,000 applicants -- a "comedy of errors."

.....
It's the latest controversy involving the call center, one of three created statewide to help citizens enroll in various new health care options under President Obama's Affordable Care Act when it goes live at the start of next year.

Contra Costa was selected early on by the state to run the call center, but the deal mandated the county run the operation itself, with state funding, or lose it to another county. Once Contra Costa secured the call center, Concord and Richmond battled for the right to host it. Unions nearly derailed the project before some last-minute wrangling to ensure workers weren't transferred needlessly and would receive appropriate benefits.

The state budget allows for 180 customer service agents, half of them part-time, when the call center opens Oct. 1, said Contra Costa Deputy County Administrator Theresa Speiker. The full-time employees, she said, will handle the core 40-hour work week, while the part-timers will handle the extended hours. For the first three months, the call center at 2500 Bates Ave., off Highway 4 and Port Chicago Highway, will be open 72 hours a week. After that, it drops to 59 hours a week.

"In open session and in (staff reports) we've been pretty clear that not all will be full-time jobs," Speiker said.

Speiker said the 7,000 applications were "totally outside what we anticipated with the demand for these jobs. We were blown away."

The new hires, many of whom left other full-time jobs for the call center positions, were told they were the "cream of the crop," the recent hire said.

....
Those who became part-time were told they would have to pay full freight on their health plans, ranging from $600 to $1,200 a month for a single worker and between $1,400 to $2,900 a month for an employee with a family. That is a steep bill for employees with part-time jobs paying from $15.33 to $18.63 an hour.

....

During negotiations months ago, Service Employees International Union Local 1021, which represents the customer service agents, demanded 80 percent of health insurance premiums be paid by the county, and 20 percent be paid by the employee. SEIU did not return a call for comment.


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  #23  
Old 07-28-2013, 11:43 AM
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The marketplaces' other main function is to determine eligibility for premium subsidies and cost-sharing reductions. Also, I guess they are a one-stop-shop for getting prices and making comparisons.
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  #24  
Old 07-28-2013, 11:48 AM
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Originally Posted by FormLetter View Post
The marketplaces' other main function is to determine eligibility for premium subsidies and cost-sharing reductions. Also, I guess they are a one-stop-shop for getting prices and making comparisons.
...which will be done via call centers (if you look at some of my earlier posts), as opposed to web sites


Or, that's what it seems like it's going to be
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Old 07-28-2013, 11:49 AM
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http://www.washingtonpost.com/blogs/...ht-deadliness/

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SS: You’ve said many times that the marketplaces will be open in every state and every person in America will have quality choices when they do sign up. But what about the enrollment experience? Do you think that will be different in a place where a state has gotten a grant and they’ve already been printing out these promotional materials and they’re plotting all these strategies, and a state where there’s not really that level of buy-in from the leadership?

KS: Well, I don’t really think the enrollment experience will be different per se, because, ideally, either on the Web site, on the telephone or in person, they’ll be walking through the same steps and have a very similar set of choices.

What I think is different is the education and outreach leading up to enrollment. Certainly it is much more robust in some areas than others. Having consumers be able to get information easy to read, easy to understand, answer questions, pull together their financial information and then get ready, may be more challenging in states where there isn’t a really robust outreach effort. Particularly in communities where people are going to need a lot of in-person assistance, somebody who has never had insurance before who doesn’t even know how to think about terminology – what’s a deductible, what’s a copay, how do I measure that, how do I make a choice about services. That level of consumer dialogue, we’re trying to make sure occurs everywhere in the country, but certainly if there is a lot of help and support from locals it might be easier to put together than in other areas.

SS: Are you worried about that? Do you worry that people aren’t going to understand in those states either what their obligations are or how they can benefit?
KS: Yeah, I worry that people have no idea the opportunities that they’re going to have and the benefits they are going to receive. We always knew that the federal government clearly cannot do this alone. We never anticipated that we would. So building a wide network of stakeholders, health-care providers, people from the faith community, a lot of the health related groups, community outreach groups, a number of the people who actually were involved in passing the legislation in the first place, we’re trying to reengage and involve in making sure we can complete this circle…We have a lots of eager folks who, they worked hard for this president, they helped him get elected, helped him get reelected, and the notion now they can help people get health insurance, it’s like, this is really cool and amazing.
(the url contains the original headline... which provided some amusement)
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Old 07-29-2013, 01:34 PM
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really cool and amazing
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Old 07-29-2013, 02:23 PM
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I'm sure that will be in the call center scripts.
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Old 08-01-2013, 10:56 AM
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Maybe there will be something working after all.

http://www.lifehealthpro.com/2013/07...&_LID=97617789

Quote:
The Centers for Medicare & Medicaid Services may let a Web broker work with the public exchanges it expects to run in 36 states in 2014.

EHealth Inc. — the parent of eHealthInsurance.com, a 15-year-old commercial health insurance exchange — said CMS has agreed to let it connect with the Patient Protection and Affordable Care Act exchange program "data hub."

EHealth could use information from the hub to help consumers enroll in the "qualified health plans" to be sold through the federal exchanges, the company said.

CMS, an arm of the U.S. Department of Health and Human Services, is setting up the data hub to give federal and state agencies the network they need to exchange health program eligibility data, such as data from federal tax returns.
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Old 08-01-2013, 11:30 AM
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....or maybe not

http://www.lifehealthpro.com/2013/07...enefits&page=2

Quote:
If I'm a licensed agent or broker, how, in that case, do I work with a PPACA exchange and the carriers selling through the exchange?

All exchanges will require licensed producers to go through some kind of online training and licensing process with the exchange, and, in most cases, to get appointments from the insurers selling coverage through the exchange.

Some exchanges may be doing better than others at posting the information producers need to figure out how to do business with the exchanges.

Maryland, for example, has already held two producer application process meetings.

Other exchanges may have published virtually nothing.

The best way to find out about exchange application activities might be to bookmark every state exchange website and producer trade group website that you can find, and be religious about attending producer group meetings and reading their newsletters and message boards.

http://www.lifehealthpro.com/2013/07...&_LID=97617789

Quote:
Do we know for certain that the PPACA exchanges will actually open, and that these opportunities will actually exist?

No.

In many of these answers, I am writing as if the exchanges "will exist" to simplify the grammar. It would be more accurate to put something like "could" or "might" in every sentence.

On the other hand, how do you know that whatever traditional health insurance markets you've been using will continue to exist? Nothing is certain under the sun. All is vanity.
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  #30  
Old 08-02-2013, 09:58 AM
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Is this true?

http://www.gpo.gov/fdsys/pkg/FR-2013...2013-14540.pdf

People won't need to get subsidized insurance from the exchanges? If this is passed, that means people can still get subsidies if they buy insurance directly from the insurers? WTH is the point of exchanges then?
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