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El Obamacare y los fiascos

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El Obamacare y los fiascos

Mensaje por Charlie319 el Mar Oct 22, 2013 10:33 am


En lo que se esta convirtiendo en emblematico del programa clave del presidente transformacional... PROBLEMAS, MENTIRAS... FRAUDE???


Health insurance exchange launched despite signs of serious problems



By Lena H. Sun and Scott Wilson, Published: October 21 

Days before the launch of President Obama’s online health ­insurance marketplace, government officials and contractors tested a key part of the Web site to see whether it could handle tens of thousands of consumers at the same time. It crashed after a simulation in which just a few hundred people tried to log on simultaneously.
Despite the failed test, federal health officials plowed ahead.

When the Web site went live Oct. 1, it locked up shortly after midnight as about 2,000 users attempted to complete the first step, according to two people familiar with the project.

As new details emerged about early warning signs of serious deficiencies in HealthCare.gov, Obama on Monday gave a consumer-friendly defense of the health-care law, insisting that the problems many Americans have faced in trying to enroll in insurance plans will be fixed quickly.

“There’s no sugarcoating it: The Web site is too slow; people have been getting stuck during the application process,” he said at a White House event.
At the same time, he admonished Republican critics of the federal insurance exchange, saying that “it is time to stop rooting for its failure.”
The president’s remarks reflected rising anxiety within his administration over the widening problems with the online enrollment process. “There’s no excuse for the problems,” he added, “and they are being fixed.”

Obama said government officials are “doing everything we can possibly do” to repair the site, including 24-hour work from “some of the best IT talent in the country.”
“No one is madder about the Web site than I am, which means it’s going to get fixed,” he added.

White House officials said Monday that the problems have not caused the administration to consider delaying the law’s individual mandate, which requires that most Americans have health insurance next year or pay a fine.

A Washington Post-ABC News poll released Monday shows that a majority of Americans, 56 percent, believe that the Web site’s flaws reflect larger problems with the health-care law, an alarming figure for the administration. But support for the law is growing despite the enrollment issues, with 46 percent of Americans saying they support it now, compared with 42 percent who said so last month.
Congressional Republicans have called for the firing of Health and Human Services Secretary Kathleen Sebelius over the enrollment problems. House Republicans have been pressuring her to testify before the Energy and Commerce Committee on Thursday to answer questions about the health-care rollout. Sebelius, who is scheduled to be in Phoenix that day, agreed Monday night to appear on Oct. 30 instead.

Several companies working on HealthCare.gov have confirmed that they will send representatives to the hearing. They include two of the main contractors, CGI Federal and Quality Software Services Inc. (QSSI), a subsidiary of UnitedHealth Group, as well as Serco, which is handling paper applications, and Equifax, which is dealing with some of the income verification.
 
We are now entering week four of the botched health-care rollout, and with hundreds of millions of taxpayer dollars spent for a system that still does not work, Congress and the American people deserve answers,” the panel’s chairman, Rep. Fred Upton (R-Mich.), said in a statement.

And as the administration continues to withhold important details and enrollment figures, I hope Secretary Sebelius is ready to give answers and finally live up to the president’s celebrated claims of transparency.”

Plenty of red flags
There were ample warning signs that the system was not working properly, according to people familiar with the project.

The Centers for Medicare and Medicaid Services (CMS), the federal agency in charge of running the health insurance exchange in 36 states, invited about 10 insurers to give advice and help test the Web site.

About a month before the exchange opened, this testing group urged agency officials not to launch it nationwide because it was still riddled with problems, according to an insurance IT executive who was close to the rollout.

“We discussed . . . is there a way to do a pilot — by state, by geographic region?” the executive said.

It was clear at the time, the executive said, that the CMS was still dealing with the way the exchange handled enrollment, federal subsidies and the security of consumers’ personal information, such as income.

One key problem, according to a person close to the project, was that the agency assumed the role of managing the 55 contractors involved and had not ensured that all the pieces were working together.

Some key testing of the system did not take place until the week before launch, according to this person. As late as Sept. 26, there had been no tests to determine whether a consumer could complete the process from beginning to end: create an account, determine eligibility for federal subsidies and sign up for a health insurance plan, according to two sources familiar with the project.

People working on the project knew that Oct. 1 was set in stone as a launch date.We named it the tyranny of the October 1 date,” said a person close to the project.

“We are working around the clock to identify issues with the site, diagnose them and fix them,” said Joanne Peters, a spokeswoman for Health and Human Services. “We know the site is working significantly better than it was on day one, with more people able to get through the process and enroll everyday, but we still have more work to do. We have to get this right so that everyone who wants coverage can get it, and we are committed to doing so.”

Initial problems centered on account registration, a function that takes place early in the process and was in part a responsibility of contractor QSSI. While that function has improved, it is not fixed, according to the person close to the project.

QSSI said that a critical component that involves identity management is “successfully handling current volumes,” said Matt Stearns, a spokesman for UnitedHealth Group, the parent company. He said the “entire federal marketplace” was overwhelmed by consumer interest at launch.

The administration had asked CGI to come up with a solution to replace the identity-management piece provided by QSSI, according to documents given to a House panel. But work on that solution has stopped, according to a person familiar with the project.

Additional problems are now showing up in the shopping and enrollment parts of the process, applications that are largely the responsibility of CGI, the person said. Those issues would have shown up earlier if testing had been done sooner, the person said.
CGI built the shopping and enrollment applications to accommodate 60,000 users at the same time. U.S. Chief Technology Officer Todd Park has said that the government expected HealthCare.gov to draw 50,000 to 60,000 simultaneous users but that the site was overwhelmed by up to five times as many users in the first week.

In a statement, CGI said its teams, along with the CMS and its other contractors, “are working around the clock toward the improvement of HealthCare.gov, a system that is complex, ambitious and unprecedented. We remain confident in our ability to deliver continuous improvement in system performance and a more positive user experience.”

Delay the mandate?
White House officials said Monday that it was premature to talk about delaying the individual mandate for those who did not obtain insurance because of enrollment problems. Press secretary Jay Carney said the law already provides a way of removing the tax penalty for those who could not sign up for coverage.

“The issue is, do you have access to affordable health insurance? And the individual responsibility provision is there for those individuals who, even though they have access to affordable health insurance, do not purchase it and therefore are held responsible for that,” he said. “The law addresses that as written.”


Juliet Eilperin, Amy Goldstein, Sarah Kliff and Sandhya Somashekhar contributed to this report.

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Re: El Obamacare y los fiascos

Mensaje por Charlie319 el Mar Oct 22, 2013 11:00 am

http://www.sfgate.com/opinion/saunders/article/Obamacare-s-real-kink-fuzzy-math-4914666.php

Obamacare's real kink - fuzzy math

Debra J. Saunders

Updated 8:57 pm, Monday, October 21, 2013

At an event on Monday to boost the Affordable Care Act after its glitch-rich rollout, President Obama asserted that his signature health care plan is a hit because "prices have come down." That's the administration's big lie: that Washington can mandate universal health care with beefed-up benefits and somehow the plan will save everyone money.

"So one study shows that through new options created by the Affordable Care Act," the president boasted, "nearly 6 in 10 uninsured Americans will find that they can get covered for less than $100 a month." He glossed over the fact that, according to the federal government study, 56 percent of the uninsured should pay less than $100 a month because they qualify for Medicaid or for federal subsidies. To the extent that these people's prices come down, it's because someone else pays the price.

Some people will save without subsidies. Obama read a letter from John Mier of Leetsdale, Pa. Mier agreed the website "stank" when he first logged on, but later he found that instead of paying $1,600 a month for coverage, as his current provider would charge, thanks to Obamacare, "we have a plan that will only cost us $692 a month - a savings of $900 per month."

I talked to Mier, who is a consulting engineer; his wife works for his business. The couple does not qualify for subsidies. He's in his 60s. She's in her late-50s. He has a pre-existing condition, and she has diabetes. One insurer turned down his wife. I asked him if he thought his claims experience, because of the family's medical history, explained the couple's high premiums. Mier answered, "probably, no doubt."
I've been hearing from healthy Californians who were kicked off their private plans because of Obamacare and were informed they would have to pay much higher premiums on Affordable Care Act exchanges. It could be that his family's boon spells a financial hit for healthy individuals who had good affordable health care before Obamacare.

The White House doesn't hold events with families who have been burned by Obamacare. The president had promised Americans that if they liked their heath care plans, they could keep them. But the president doesn't read letters from people who feel they were betrayed and deceived.

Couples who decide to earn less money so that they can qualify for federal subsidies don't swoon on the White House steps as the president crows about how swell Obamacare is. There is no "rate shock" on Pennsylvania Avenue.

So let me quote from an e-mail from a San Francisco contractor who is "very angry over this new health care act." Kaiser informed him that for him to comply with the new law, his deductible would rise from $2,700 per year to $4,500, and his premiums would rise from $356 to $567. "All I ever heard was that if you currently had health insurance, you need not worry, you could keep your same coverage, your doctor and nothing would change for you. Wrong, wrong, wrong."

Voters never should have believed that Washington could provide the same benefits to millions more Americans and that people would pay less. That thinking, not computer glitches, is the real "kink in the system" of Obamacare.

Debra J. Saunders is a San Francisco Chronicle columnist. E-mail: dsaunders@sfchronicle.com Twitter: @DebraJSaunders
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Re: El Obamacare y los fiascos

Mensaje por Charlie319 el Jue Oct 24, 2013 9:17 am

Hoy desperte con el noticion de que la administracion se saco de los calzoncillos el cambiar la fecha estipulada por la ley del mandato individual... No que la ley era un asunto ya decidido????   Pero por lo visto la administracion y su maxime lider se creen que la ley esta escrita en arena para sus intereses y en granito para los de los Republicanos...

http://usnews.nbcnews.com/_news/2013/10/23/21094684-obama-administration-clarifies-dates-related-to-health-care-rollout?lite

 Claro que el cambio lo disfrazan con las palabrerias de reafirmacion...  Hay que ver que es lo que dice el mamotreto de la ley y deberian de obligar al ejecutivo a atenerse a la letra de la ley.

Mientras tanto, la deuda fiscal continua creciendo bajo el lastre de una administracion gastadora y se anticipa que llegara a los $20 trillones de dolares para el 2016... Ademas, el plan de salud del presidente activista comubnitario fracasara en otorgarle seguro medico a todos ya que segun datos por la Congressional Budget Office, solo se agregaran 17 millones de asegurados y se quedaran afuera 30 millones de personas en un plan multi-trillonario que habra que pagar con impuestos nuevos o ampliados...  y encima de eso, la ley alienta a los patronos a reducir las horas de los empleados o a no contratar nuevos empleados para evitar caer dentro de el perfil que los obligara a ofrecer seguro medico.  Asi que si usted ve que sus horas se ven reducidas a 29 por semana, o ve que se estancan las contrataciones mientras la carga de trabajo se incrementa, ya sabra a quien agradecerle su buena fortuna de tener que buscarse dos o tres trabajos part-time cuando antes podia contar con uno de tiempo completo...

Repita conmigo: "quiere papas con su orden?"  Para alla va nuestra economia.
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Re: El Obamacare y los fiascos

Mensaje por Charlie319 el Jue Oct 31, 2013 8:28 am

Esto del Washington Times...    La pregunta es:  Y en PR, como estaran los precios???

HARPER: Obamacare’s sticker shock

 



By Christopher Harper
-
The Washington Times
Wednesday, October 30, 2013

 
 
ANALYSIS/OPINION:
As many journalists focused on the technical problems of HealthCare.gov, the website for signing up for the Affordable Care Act, few looked at a much more serious problem — the actual cost of Obamacare for individuals and families.
 
I had resisted the tendency to test the system, but cheery emails and updates sent to me from aides to Kathleen Sebelius, the secretary of the Department of Health and Human Services, got me curious about what was behind the curtain.
A few anecdotal stories popped up about higher premiums like The Daily Beast’s David Frum harrumphing about having to pay $200 more a month with a significantly higher deductible.
 
President Obama said families would save an average of $2,500 a year, but that certainly would not apply to me if I had to buy my current insurance coverage under the new program. The plan for my wife, my daughter and me, which costs $4,604.52 a year through Temple University, would run an estimated $14,472.72. That’s an increase of nearly $10,000 a year, or more than 200 percent.

 
A Heritage Foundation survey estimated only five states would see actual reductions in insurance premiums. Eleven states would have increases of more than 100 percent for those 27 years old and younger. Thirteen states would have hikes of more than 50 percent for those 50 years old and above. Arizona, Arkansas, Georgia, Kansas and Vermont face the largest increases in premiums. “Many families and individuals will face this reality as they apply for coverage, and the implications of experiencing sticker shock are important to consider if enough people choose not to sign up,” the report stated. You can see the report at herit.ag/196AwoQ.
 
As Mrs. Sebelius and the administration faced criticism over the rollout of the health care website, including late-night talk show jokes that it was easier to join al Qaeda online than to get insurance, the spin doctors have been sending me material, with headlines such as “Tech Surge: How We’re Making HealthCare.gov Better.”
 
Some journalists bought the spin. For example, E.J. Dionne Jr., a columnist at The Washington Post, wrote about the exchanges handled by states and the District of Columbia rather than the federal government. He actually began his story this way: “Obamacare is working.”
 
CBS News has been the most aggressive television network on the rollout debacle, including a variety of stories about the economic, political and social implications. The network’s analysis found a completely different story from that of Mr. Dionne in many of the state-based health programs. Reporter Jan Crawford discovered more people were enrolling in Medicaid rather than buying private health insurance. “If that trend continues, there’s concern there won’t be enough healthy people buying health insurance for the system to work,” she said.
 
NBC News also reported that many of the estimated 14 million consumers who buy their insurance individually might receive a cancellation letter or the equivalent because their existing policies don’t meet the new standards under the law. The network maintained the administration knew about this prospect and apparently chose to ignore it on the 2012 campaign trail.
 
Although I understand the concern about the technical problems right now, those are likely to be fixed eventually. What is really scary is what the health care plan would cost for many individuals and families. I don’t think I will be alone when other people face sticker shock when they finally get onto the website and check out the premiums. That’s what the media need to start focusing on.
 
 
Christopher Harper is a professor at Temple University. He worked for more than 20 years at The Associated Press, Newsweek, ABC News and “20/20.” He can be contacted at charper@washingtontimes.com. Twitter: @charper51

 
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Re: El Obamacare y los fiascos

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