Affordable Care Act

Connecticut, like other states, launched an online health exchange -- Access Health CT -- where residents can shop for and purchase health insurance. There could be new opportunities for the unemployed or uninsured to receive health insurance. Here, we gather our coverage of changes under the new federal law.

Jeff Cohen / WNPR

U.S. Senator Chris Murphy applauded today's Supreme Court decision upholding the part of the Affordable Care Act that allows the government to subsidize health care for the poor and middle class. 

Updated at 1 p.m. ET

The U.S. Supreme Court on Thursday handed the Obama administration a major victory on health care, ruling 6-3 that nationwide subsidies called for in the Affordable Care Act are legal.

"Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them," the court's majority said in the opinion, which was written by Chief Justice John Roberts. But they acknowledged that "petitioners' arguments about the plain meaning ... are strong."

As the Supreme Court edges closer to issuing an opinion that could deal a blow to the federal health exchange operating in more than 30 states, Democrats have sounded a warning to their colleagues on the other side: Be careful what you wish for.

The states that set up their own insurance marketplaces have nothing to lose in King v. Burwell, the big Supreme Court case that will be decided by the end of June. But that doesn't mean those states are breathing easy.

With varying degrees of difficulty, all of the state-based exchanges are struggling to figure out how to become financially self-sufficient as the spigot of federal start-up money shuts off.

The agency that runs the state's insurance marketplace under Obamacare approved a new budget Thursday, and this will be the first year that Access Health CT will operate without substantial federal support. 

The future of Vermont’s health insurance exchange depends on the Shumlin administration’s ability to meet a looming deadline. Still unanswered, though, is the question of how to proceed if the milestone goes unmet. Lt. Gov. Phil Scott and top lawmakers think the solution might be in Connecticut.

Darko Stojanovic / Creative Commons

For one year, journalist Karen Brown set out to learn why more young doctors aren't choosing primary care. Her findings are now the subject of a new documentary, “The Path to Primary Care: Who Will Be The Next Generation of Frontline Doctors?” 

This hour, Karen joins us along with some primary care professionals to weigh in on the latest trends, and to tell us what the future of primary care looks like both here in the northeast and across America.

The politics of the Affordable Care Act in the state of Louisiana aren't subtle: The law isn't popular.

The state was part of the lawsuit to strike down Obamacare in 2012; it didn't expand Medicaid and has no plans to. Louisiana also didn't set up its own marketplace to sell health insurance.

The Affordable Care Act requires all Americans to get health insurance or pay a penalty. To help coax people to buy a health plan, the federal government now subsidizes premiums for millions of Americans.

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Open enrollment for the Affordable Care Act ended in February. But as WNPR's Jeff Cohen reports, uninsured Connecticut residents who just found out about the financial penalty in the law now have one more month to apply for coverage. 

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A dispute between Governor Dannel Malloy and the federal government over Medicaid reimbursement rates could cost state taxpayers an extra $45 million. 

A heavy workload caused by the Affordable Care Act, government technology limits and staff shortages are causing unusually long delays in filling public records requests, federal health officials say.

The waits in some cases could stretch out a decade or more.

The Freedom of Information Act requires federal agencies to respond to records requests in 20 working days, though providing documents often takes much longer. The FBI, for instance, recently reported that complex requests could average more than two years to fill.

Johnny Reynolds knew that something was wrong as far back as 2003. That's when he first started experiencing extreme fatigue.

"It was like waking up every morning and just putting a person over my shoulders and walking around with them all day long," says Reynolds, 54, who lived in Ohio at the time.

In addition, Reynolds was constantly thirsty and drank so much water that he would urinate 20 or 30 times per day. "And overnight I would probably get up at least eight or nine times a night," he says.

Jessica Hill / The Associated Press

A new report says Governor Dannel Malloy's plan to save the state money by reducing the number of people on Medicaid will harm low-income families. 

Mark Fischer (Flickr Creative Commons)

The nation's highest court again has the future of the president's signature health care law in its hands. 

The Supreme Court will hear arguments Wednesday from opponents who say it's being wrongly implemented. The case is called King v. Burwell, and the plaintiffs say the federal government is breaking the law when it pays subsidies to people buying health insurance through the three-dozen states in the federal exchange.

Darko Stojanovic / Creative Commons

For one year, journalist Karen Brown set out to learn why more young doctors aren't choosing primary care. Her findings are now the subject of a new documentary, “The Path to Primary Care: Who Will Be The Next Generation of Frontline Doctors?” 

This hour, Karen joins us along with some primary care professionals to weigh in on the latest trends, and to tell us what the future of primary care looks like both here in the northeast and across America.

When people without health insurance get around to filing their taxes this year, they may find that they have to pay a penalty. State officials are working on a fix. 

The Affordable Care Act mandates that everyone have insurance or face a fine. Last year was the first year the penalty applied, but some people may not know they owe it until they prepare their 2014 taxes -- and it's already too late to sign up for health insurance for 2015.

Kaiser Health News

Open enrollment for the second year of the Affordable Care Act ends in one month, but how many people have signed up so far? 

The head of the Massachusetts health connector is stepping down after a tumultuous year in which the state's health care exchange failed and was later rebuilt.

When the Affordable Care Act passed, many people focused on the law's creation of marketplaces to help the uninsured buy coverage, often with the help of federal subsidies.

A Split View On Obamacare's Past And Future

Dec 29, 2014

Kevin Counihan and Michael Cannon look at the Affordable Care Act and see very different things.

Cannon is part of the brain trust behind a Supreme Court case that could result in the repeal of a part of the exchanges he says is illegal.

Jeff Cohen / WNPR

Kevin Counihan began 2014 as the head of Connecticut's health care marketplace under the Affordable Care Act. Now, he's the head of the entire federal Obamacare effort. WNPR checked in with him recently.

This time last year, federal officials were scrambling to get as many people enrolled in health insurance through HealthCare.gov as they could before the start of the program on Jan. 1.

Now, with the technical problems mostly fixed, they're facing a different problem: the possibility that the Supreme Court might rule that the subsidies that help people afford coverage are illegal in the 37 states where the federal government is running the program.

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This is the second year of open enrollment in the Affordable Care Act. The state said it has nearly exceeded its goals. 

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