Showing posts with label signups. Show all posts
Showing posts with label signups. Show all posts

Tuesday, April 1, 2014

Health care sign-ups surge _ will they save Dems?

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Health care sign-ups surge _ will they save Dems?

Monday, March 31, 2014

Deadline dash: Glitches slow health care sign-ups







People line up to enroll for health insurance at the Alamodome in San Antonio, Texas on Monday, March 31, 2014. The deadline is just hours away to sign up for insurance in the first enrollment period under President Barack Obama’s signature health care law. (AP Photo/San Antonio Express-News, Jerry Lara) RUMBO DE SAN ANTONIO OUT; NO SALES





People line up to enroll for health insurance at the Alamodome in San Antonio, Texas on Monday, March 31, 2014. The deadline is just hours away to sign up for insurance in the first enrollment period under President Barack Obama’s signature health care law. (AP Photo/San Antonio Express-News, Jerry Lara) RUMBO DE SAN ANTONIO OUT; NO SALES





Charles Ellis, 53, of Salt Lake City, right, works with navigator Luis Rios while seeking help to buy health insurance at the Utah Health Policy Project Monday, March 31, 2014, in Salt Lake City. Ellis said he doesn’t feel he needs insurance but was signing up to avoid a penalty. (AP Photo/Rick Bowmer)





SEIU-UHW worker Kathy Santana, left , assists Ruben Tares, 27, during a health care enrollment event at SEIU-UHW office, Monday, March 31, 2014, in Commerce, Calif. Monday marks this year’s open enrollment deadline, but consumers will get extra time to finish their applications. (AP Photo/Ringo H.W. Chiu)





Lisa Valera and her husband Manuel sign up for Obamacare at the Community Service Society, Monday, March 31, 2014 in New York. The troubled U.S. government web site for signing up for health insurance was unavailable for several hours Monday morning as the midnight deadline for buying coverage loomed. Heading into the deadline, more than 6 million Americans had signed up for health insurance, some of the policies heavily subsidized for lower income people. (AP Photo/Mark Lennihan)





A screen shows the countdown for the deadline to sign up for health insurance during a health care enrollment event at SEIU-UHW office, Monday, March 31, 2014, in Commerce, Calif. Monday marks this year’s open enrollment deadline, but consumers will get extra time to finish their applications. (AP Photo/Ringo H.W. Chiu)













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WASHINGTON (AP) — In a flood of last-minute sign-ups, hundreds of thousands of Americans rushed to apply for health insurance Monday, but deadline day for President Barack Obama’s overhaul brought long, frustrating waits and a new spate of website ills.


“This is like trying to find a parking spot at Wal-Mart on Dec. 23,” said Jason Stevenson, working with a Utah nonprofit group helping people enroll.


At times, more than 125,000 people were simultaneously using HealthCare.gov, straining it beyond its capacity. For long stretches Monday, applicants were shuttled to a virtual waiting room where they could leave an email address and be contacted later.


Officials said the site had not crashed but was experiencing very heavy volume. The website, which was receiving 1.5 million visitors a day last week, had recorded about 1.6 million through 2 p.m. EDT.


Supporters of the health care law fanned out across the country in a final dash to sign up uninsured Americans. People not signed up for health insurance by the deadline, either through their jobs or on their own, were subject to being fined by the IRS, and that threat was helping drive the final dash.


The administration announced last week that people still in line by midnight would get extra time to enroll.


The website stumbled early in the day — out of service for nearly four hours as technicians patched a software bug. Another hiccup in early afternoon temporarily kept new applicants from signing up, and then things slowed further. Overwhelmed by computer problems when launched last fall, the system has been working much better in recent months, but independent testers say it still runs slowly.


At Chicago’s Norwegian American Hospital, people began lining up shortly after 7 a.m. to get help signing up for subsidized private health insurance.


Lucy Martinez, an unemployed single mother of two boys, said she’d previously tried to enroll at a clinic in another part of the city but there was always a problem. She’d wait and wait and they wouldn’t call her name, or they would ask her for paperwork that she was told earlier she didn’t need, she said. Her diabetic mother would start sweating so they’d have to leave.


She’s heard “that this would be better here,” said Martinez, adding that her mother successfully signed up Sunday at a different location.


At St. Francis Hospital in Wilmington, Del., enrollment counselor Hubert Worthen plunged into a long day. “I got my energy drink,” he said. “This is epic, man.”


At a Houston community center, there were immigrants from Ethiopia, Nepal, Eritrea, Somalia, Iraq, Iran and other conflict-torn areas, many of them trying anew after failing to complete applications previously. In addition to needing help with the actual enrollment, they needed to wait for interpreters. Many had taken a day off from work, hoping to meet the deadline.


The White House and other supporters of the law were hoping for an enrollment surge that would push sign-ups in the new health insurance markets to around 6.5 million people. That’s halfway between a revised goal of 6 million and the original target of 7 million. The first goal was scaled back after the federal website’s disastrous launch last fall, which kept it offline during most of October.


The insurance markets — or exchanges — offer subsidized private health insurance to people who don’t have access to coverage through their jobs. The federal government is taking the lead in 36 states, while 14 other states plus Washington, D.C., are running their own enrollment websites.


New York, running its own site, reported more than 812,000 had signed up by Sunday morning, nearly 100,000 of them last week.


However, it’s unclear what those numbers may mean.


The administration hasn’t said how many of the 6 million people nationally who had signed up before the weekend ultimately closed the deal by paying their first month’s premiums. Also unknown is how many were previously uninsured — the real test of Obama’s health care overhaul. In addition, the law expands coverage for low-income people through Medicaid, but only about half the states have agreed to implement that option.


Cheering on the deadline-day sign-up effort, Health and Human Services Secretary Kathleen Sebelius planned to spend much of the day Monday working out of the department’s TV studio, conducting interviews by satellite with stations around the country.


Though March 31 was the last day officially to sign up, millions of people are potentially eligible for extensions granted by the administration.


Those include people who had begun enrolling by the deadline but didn’t finish, perhaps because of errors, missing information or website glitches. The government says it will accept paper applications until April 7 and take as much time as necessary to handle unfinished cases on HealthCare.gov. Rules may vary in states running their own insurance marketplaces.


The administration is also offering special extensions to make up for all sorts of problems that might have kept people from getting enrolled on time: Natural disasters. Domestic abuse. Website malfunctions. Errors by insurance companies. Mistakes by application counselors.


To seek a special enrollment period, contact the federal call center, at 1-855-889-4325, or the state marketplace and explain what happened. It’s on the honor system. If the extension is approved, that brings another 60 days to enroll.


Those who still don’t get health insurance run the risk that the Internal Revenue Service will fine them next year for remaining uninsured. It remains to be seen how aggressively the penalties called for in the law are enforced.


Also, the new markets don’t have a monopoly on health insurance. People not already covered by an employer or a government program can comply with the insurance mandate by buying a policy directly from an insurer. They’ll just have to pay the full premium themselves, although in a few states there may be an exception to that rule as well.


Supporters of the law held their breath early Monday when the website was taken down.


Administration spokesman Aaron Albright said the site undergoes “regular nightly maintenance” during off-peak hours and the period was extended because of a “technical problem.” He did not say what the problem was, but an official statement called it “a software bug” unrelated to application volume.


In Oakton, Va., enrollment counselor Rachel Klein said she noticed the website was running slowly.


“We all came into it understanding that today was going to be challenging,” said Klein. “We’re all relieved that there’s going to be a little extra time for people.”


House Speaker John Boehner of Ohio said Monday that Republicans remain committed to repealing Obama’s law. But its supporters are wasting no time trying to shape the next open enrollment season, starting Nov. 15. The advocacy group Families USA will announce ten recommendations Tuesday to make the system more consumer-friendly.


They range from providing more in-person assistance with sign-ups, to eliminating premium penalties for smokers, to aligning enrollment with tax-filing season.


___


Associated Press writers Connie Cass in Washington, Don Babwin in Chicago, Randall Chase in Wilmington, Del., Ramit Plushnick-Masti in Houston, Michelle Price in Salt Lake City and Carolyn Thompson in Buffalo, N.Y., contributed to this report.


Associated Press




Politics Headlines



Deadline dash: Glitches slow health care sign-ups

Deadline dash: Health care sign-ups amid glitches







Charles Ellis, 53, of Salt Lake City, right, works with navigator Luis Rios while seeking help to buy health insurance at the Utah Health Policy Project Monday, March 31, 2014, in Salt Lake City. Ellis said he doesn’t feel he needs insurance but was signing up to avoid a penalty. (AP Photo/Rick Bowmer)





Charles Ellis, 53, of Salt Lake City, right, works with navigator Luis Rios while seeking help to buy health insurance at the Utah Health Policy Project Monday, March 31, 2014, in Salt Lake City. Ellis said he doesn’t feel he needs insurance but was signing up to avoid a penalty. (AP Photo/Rick Bowmer)





SEIU-UHW worker Kathy Santana, left , assists Ruben Tares, 27, during a health care enrollment event at SEIU-UHW office, Monday, March 31, 2014, in Commerce, Calif. Monday marks this year’s open enrollment deadline, but consumers will get extra time to finish their applications. (AP Photo/Ringo H.W. Chiu)





Lisa Valera and her husband Manuel sign up for Obamacare at the Community Service Society, Monday, March 31, 2014 in New York. The troubled U.S. government web site for signing up for health insurance was unavailable for several hours Monday morning as the midnight deadline for buying coverage loomed. Heading into the deadline, more than 6 million Americans had signed up for health insurance, some of the policies heavily subsidized for lower income people. (AP Photo/Mark Lennihan)





A screen shows the countdown for the deadline to sign up for health insurance during a health care enrollment event at SEIU-UHW office, Monday, March 31, 2014, in Commerce, Calif. Monday marks this year’s open enrollment deadline, but consumers will get extra time to finish their applications. (AP Photo/Ringo H.W. Chiu)





The HealthCare.gov website is shown on a laptop in Washington, Monday, March 31, 2014. Today is the deadline to sign up for private heath insurance in the online markets created by President Obama’s heath care law or face a federal fines. (AP Photo/J. David Ake)













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WASHINGTON (AP) — In a flood of last-minute sign-ups, hundreds of thousands of Americans rushed to apply for health insurance Monday, as deadline day for President Barack Obama’s overhaul brought long waits and a new spate of website ills.


“This is like trying to find a parking spot at Wal-Mart on Dec. 23,” said Jason Stevenson, working with a Utah nonprofit group helping people enroll.


Supporters of the health care law fanned out across the country in a final dash to sign up uninsured Americans. The HealthCare.gov website, which was receiving 1.5 million visitors a day last week, had recorded about 1.2 million through noon Monday.


At times, more than 125,000 people were simultaneously using the system, straining it beyond its previously estimated capacity. People not signed up for health insurance by the deadline, either through their jobs or on their own, were subject to being fined by the IRS, and that threat was helping drive the final dash.


The administration announced last week that people still in line by midnight would get extra time to enroll.


The website stumbled early in the day — out of service for nearly four hours as technicians patched a software bug. Another hiccup in early afternoon temporarily kept new applicants from signing up, and then things slowed further as the afternoon wore on. Overwhelmed by computer problems when launched last fall, the system has been working much better in recent months, but independent testers say it still runs slowly.


At Chicago’s Norwegian American Hospital, people began lining up shortly after 7 a.m. to get help signing up for subsidized private health insurance.


Lucy Martinez, an unemployed single mother of two boys, said she’d previously tried to enroll at a clinic in another part of the city but there was always a problem. She’d wait and wait and they wouldn’t call her name, or they would ask her for paperwork that she was told earlier she didn’t need, she said. Her diabetic mother would start sweating so they’d have to leave.


She’s heard “that this would be better here,” said Martinez, adding that her mother successfully signed up Sunday at a different location.


At St. Francis Hospital in Wilmington, Del., enrollment counselor Hubert Worthen plunged into a long day. “I got my energy drink,” he said. “This is epic, man.”


At a Houston community center, there were immigrants from Ethiopia, Nepal, Eritrea, Somalia, Iraq, Iran and other conflict-torn areas, many of them trying anew after failing to complete applications previously. In addition to needing help with the actual enrollment, they needed to wait for interpreters. Many had taken a day off from work, hoping to meet the deadline.


The White House and other supporters of the law were hoping for an enrollment surge that would push sign-ups in the new health insurance markets to around 6.5 million people. That’s halfway between a revised goal of 6 million and the original target of 7 million. The first goal was scaled back after the federal website’s disastrous launch last fall, which kept it offline during most of October.


The insurance markets — or exchanges — offer subsidized private health insurance to people who don’t have access to coverage through their jobs. The federal government is taking the lead in 36 states, while 14 other states plus Washington, D.C., are running their own enrollment websites.


New York, running its own site, reported more than 812,000 had signed up by Sunday morning, nearly 100,000 of them last week.


However, it’s unclear what those numbers may mean.


The administration hasn’t said how many of the 6 million people nationally who had signed up before the weekend ultimately closed the deal by paying their first month’s premiums. Also unknown is how many were previously uninsured — the real test of Obama’s health care overhaul. In addition, the law expands coverage for low-income people through Medicaid, but only about half the states have agreed to implement that option.


Cheering on the deadline-day sign-up effort, Health and Human Services Secretary Kathleen Sebelius planned to spend much of the day Monday working out of the department’s TV studio, conducting interviews by satellite with stations around the country.


Though March 31 was the last day officially to sign up, millions of people are potentially eligible for extensions granted by the administration.


Those include people who had begun enrolling by the deadline but didn’t finish, perhaps because of errors, missing information or website glitches. The government says it will accept paper applications until April 7 and take as much time as necessary to handle unfinished cases on HealthCare.gov. Rules may vary in states running their own insurance marketplaces.


The administration is also offering special extensions to make up for all sorts of problems that might have kept people from getting enrolled on time: Natural disasters. Domestic abuse. Website malfunctions. Errors by insurance companies. Mistakes by application counselors.


To seek a special enrollment period, contact the federal call center, at 1-855-889-4325, or the state marketplace and explain what happened. It’s on the honor system. If the extension is approved, that brings another 60 days to enroll.


Those who still don’t get health insurance run the risk that the Internal Revenue Service will fine them next year for remaining uninsured. It remains to be seen how aggressively the penalties called for in the law are enforced.


Also, the new markets don’t have a monopoly on health insurance. People not already covered by an employer or a government program can comply with the insurance mandate by buying a policy directly from an insurer. They’ll just have to pay the full premium themselves, although in a few states there may be an exception to that rule as well.


Supporters of the law held their breath early Monday when the website was taken down.


Administration spokesman Aaron Albright said the site undergoes “regular nightly maintenance” during off-peak hours and the period was extended because of a “technical problem.” He did not say what the problem was, but an official statement called it “a software bug” unrelated to application volume.


In Oakton, Va., enrollment counselor Rachel Klein said she noticed the website was running slowly.


“We all came into it understanding that today was going to be challenging,” said Klein. “We’re all relieved that there’s going to be a little extra time for people.”


House Speaker John Boehner of Ohio said Monday that Republicans remain committed to repealing Obama’s law. But its supporters are wasting no time trying to shape the next open enrollment season, starting Nov. 15. The advocacy group Families USA will announce ten recommendations Tuesday to make the system more consumer-friendly.


They range from providing more in-person assistance with sign-ups, to eliminating premium penalties for smokers, to aligning enrollment with tax-filing season.


___


Associated Press writers Connie Cass in Washington, Don Babwin in Chicago, Randall Chase in Wilmington, Del., Ramit Plushnick-Masti in Houston, Michelle Price in Salt Lake City and Carolyn Thompson in Buffalo, N.Y., contributed to this report.


Associated Press




Politics Headlines



Deadline dash: Health care sign-ups amid glitches

Wednesday, December 11, 2013

Health care signups pick up but may not close gap








Health and Human Services Secretary Kathleen Sebelius testifies on Capitol Hill in Washington, Wednesday, Dec. 11, 2013, before the House Energy and Commerce Committee hearing on the implementation failures of the Affordable Care Act. Playing catch-up with a long way to go, President Barack Obama’s new health insurance markets last month picked up the dismal pace of signups, the administration reported Wednesday. (AP Photo/Susan Walsh)





Health and Human Services Secretary Kathleen Sebelius testifies on Capitol Hill in Washington, Wednesday, Dec. 11, 2013, before the House Energy and Commerce Committee hearing on the implementation failures of the Affordable Care Act. Playing catch-up with a long way to go, President Barack Obama’s new health insurance markets last month picked up the dismal pace of signups, the administration reported Wednesday. (AP Photo/Susan Walsh)





Health and Human Services Secretary Kathleen Sebelius testifies on Capitol Hill in Washington, Wednesday, Dec. 11, 2013, before the House Energy and Commerce Committee hearing on the implementation failures of the Affordable Care Act. Playing catch-up with a long way to go, President Barack Obama’s new health insurance markets last month picked up the dismal pace of signups, the administration reported Wednesday. (AP Photo/Susan Walsh)





Rep. John Shimkus, R-Ill. questions Health and Human Services Secretary Kathleen Sebelius during a House Energy and Commerce Committee hearing on the implementation failures of the Affordable Care Act, Wednesday, Dec. 11, 2013, on Capitol Hill in Washington. Sebelius said in a blog post early Wednesday that she is asking the department’s inspector general to investigate the contracting process, management, performance and payment issues that may have contributed to the flawed launch of HealthCare.gov. (AP Photo/Susan Walsh)





Health and Human Services Secretary Kathleen Sebelius prepares to testify on Capitol Hill in Washington, Wednesday, Dec. 11, 2013, before the House Energy and Commerce Committee hearing on the implementation failures of the Affordable Care Act. Playing catch-up with a long way to go, President Barack Obama’s new health insurance markets last month picked up the dismal pace of signups, the administration reported Wednesday. (AP Photo/Susan Walsh)













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(AP) — With time running short, the nation’s health care rolls still aren’t filling up fast enough.


New signup numbers Wednesday showed progress for President Barack Obama’s health care law, but not enough to guarantee that Americans who want and need coverage by Jan. 1 will be able to get it. Crunch time is now, as people face a Dec. 23 deadline to sign up if they are to have coverage by New Year’s.


That means more trouble for the White House, too, after months of repairing a dysfunctional enrollment website. Next year could start with a new round of political recriminations over the Affordable Care Act, “Obamacare” to its opponents.


The Health and Human Services Department reported that 364,682 people had signed up for private coverage under the law as of Nov. 30. That is more than three times the October figure, but still less than one-third of the 1.2 million that officials had projected would enroll nationwide by the end of November. The administration’s overall goal was to sign up 7 million people by next March 31, when open enrollment ends.


Secretary Kathleen Sebelius assured Congress on Wednesday that “we are seeing very, very positive trends” now that HealthCare.gov is working reasonably well. She also announced that she’d asked the department’s inspector general for an independent investigation into contracting and management factors that contributed to the technology failure.


Yet the revamped federal website serving 36 states continues to have issues, and some states running their own sites also face problems. Oregon had signed up only 44 people as of Nov. 30.


That’s created stress and uncertainty not only for the uninsured but also for other people who now have insurance but are seeking to avoid an interruption in coverage in January.


Those who are trying to preserve their coverage include some of the more than 4 million people whose individual plans were canceled because they didn’t measure up under the law — as well as hundreds of thousands who are in federal and state programs for people with serious health problems, from cancer to heart disease to AIDS.


Democratic lawmakers say they are relieved the website is finally working, but some are not convinced the turnaround is complete.


“How confident I am? I’m hoping that we’re moving in the right direction,” said Rep. Eliot Engel, D-N.Y., after Wednesday’s Energy and Commerce Committee hearing. “And if we find the day has come and we find that it’s not what we had hoped, then I think there should be changes.” The law should be fixed, not repealed, he said.


Sebelius said at least 1.9 million people appear to be waiting just offstage to sign up. They’ve been found eligible to enroll, but haven’t yet picked a plan.


If they’re all procrastinators who rush forward on Dec. 23, the website would be overwhelmed. It can only handle 50,000 people at a time.


The administration report found a total of 137,204 people enrolled in the states served by the federal HealthCare.gov by the end of November, up from 26,794 in October. The 14 states running their own websites enrolled 227,478 people, up from 79,391 in October.


California, which is running its own program, led the nation, with more than 107,000 signups. New York, also running its own market, had 45,513.


Among states with federally run markets, Florida was the leader with nearly 18,000 signups. Texas, which has a bigger share of its population uninsured than any other state, had 14,038.


Nationally, an additional 803,077 people have been determined to be eligible for Medicaid, the safety-net program shaping up as the health overhaul’s early success story. That’s about double the number for October. Nonetheless, state Medicaid directors are reporting accuracy problems with information on prospective enrollees that the federal government is sending them.


Obama’s law uses a two-track approach to expand coverage for the uninsured. Middle class people who don’t have access to job-based insurance can buy government-subsidized private plans. Low-income people are steered to an expanded version of Medicaid in states accepting it, though not all do. The website is supposed to be the portal to both kinds of coverage.


The administration had spent $ 677 million on technology through the end of October, aiming for smoother operations, but with results still well short of perfection.


Republicans have called for Sebelius to resign, and some Democrats have urged Obama to fire those responsible for problems, but the White House has given no indication of a house-cleaning. Sebelius’ request for an inspector general probe is a sign that there is more explaining to be done.


“I believe strongly in the need for accountability, and in the importance of being good stewards of taxpayer dollars,” Sebelius said at the hearing Wednesday. She seemed to be pointing a finger at the Medicare agency, which is part of her department and oversees Obama’s coverage expansion.


In addition to the inspector general review, Sebelius said she has ordered the agency to hire a new “chief risk officer” to make sure technology programs work as advertised. But like other major federal operations, the Centers for Medicare and Medicaid Services already has several senior tech executives.


HealthCare.gov went live Oct. 1, and consumers immediately got bogged down. A two-month program of fixes directed by White House troubleshooter Jeffrey Zients stabilized the site and made it more workable, resolving hundreds of software glitches and adding more hardware to handle high demand from consumers.


Zients also found that the technical problems were compounded by inadequate oversight and coordination among teams working for the government and its contractors.


Obama, with his poll ratings dropping, not only accepted blame for website woes, but personally apologized for the canceled individual insurance policies. The cancellations issue is highly sensitive politically because it contradicts Obama’s promise that if a person liked his coverage he would be able to keep it.


The president sought to calm the backlash by allowing states and insurers to extend existing plans for another year. But it’s unclear to what extent insurers have taken advantage of the leeway.


Associated Press




Top Headlines



Health care signups pick up but may not close gap

Health care signups pick up pace in November







Health and Human Services Secretary Kathleen Sebelius testifies on Capitol Hill in Washington, Wednesday, Dec. 11, 2013, before the House Energy and Commerce Committee hearing on the implementation failures of the Affordable Care Act. Playing catch-up with a long way to go, President Barack Obama’s new health insurance markets last month picked up the dismal pace of signups, the administration reported Wednesday. (AP Photo/Susan Walsh)





Health and Human Services Secretary Kathleen Sebelius testifies on Capitol Hill in Washington, Wednesday, Dec. 11, 2013, before the House Energy and Commerce Committee hearing on the implementation failures of the Affordable Care Act. Playing catch-up with a long way to go, President Barack Obama’s new health insurance markets last month picked up the dismal pace of signups, the administration reported Wednesday. (AP Photo/Susan Walsh)





Rep. John Shimkus, R-Ill. questions Health and Human Services Secretary Kathleen Sebelius during a House Energy and Commerce Committee hearing on the implementation failures of the Affordable Care Act, Wednesday, Dec. 11, 2013, on Capitol Hill in Washington. Sebelius said in a blog post early Wednesday that she is asking the department’s inspector general to investigate the contracting process, management, performance and payment issues that may have contributed to the flawed launch of HealthCare.gov. (AP Photo/Susan Walsh)





Health and Human Services Secretary Kathleen Sebelius testifies on Capitol Hill in Washington, Wednesday, Dec. 11, 2013, before the House Energy and Commerce Committee hearing on the implementation failures of the Affordable Care Act. Playing catch-up with a long way to go, President Barack Obama’s new health insurance markets last month picked up the dismal pace of signups, the administration reported Wednesday. (AP Photo/Susan Walsh)













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(AP) — Playing catch-up with a long way to go, President Barack Obama’s new health insurance markets last month picked up the dismal pace of signups, the administration reported Wednesday.


Enrollment statistics from the Health and Human Services Department showed that 364,682 people have signed up for private coverage as of Nov. 30 under the federal health law. Although that’s more than three times the October total, it’s less than one-third of the 1.2 million people officials had originally projected would enroll nationwide by the end of November.


Crunch time is now for Obama’s health care law, as consumers face a Dec. 23 enrollment deadline if they want to have coverage on Jan. 1. Yet HealthCare.gov, the revamped federal website serving 36 states, continues to have issues. Just Tuesday there was an extended maintenance outage. And some states running their own websites are also having problems.


That’s created stress and uncertainty not only for the uninsured but also for consumers seeking to avoid an interruption in coverage in January. Those trying to preserve coverage include some or many of the more than 4 million people whose individual plans were canceled because they didn’t measure up under the law, as well as hundreds of thousands in federal and state programs for people with serious health problems, from cancer to heart disease to AIDS.


Health and Human Services Secretary Kathleen Sebelius told the House Energy and Commerce on Wednesday that the signup trend is turning positive.


“I don’t think there is any question that the flawed launch of the website put a damper on people’s enthusiasm,” Sebelius said. “Having said that, we are seeing very, very positive trends. We are seeing lots of people re-engage.”


Another 1.9 million people have made it through the enrollment process, but have not yet picked a plan, she said. Consumers must pay their premiums by Dec. 31 for coverage to take effect at the beginning of the year.


Lawmakers have questions about how and why HealthCare.gov did not work as advertised, whether the federal website meets government security standards and how much all the repairs are costing.


In a blog post early Wednesday, Sebelius said that she has asked the department’s inspector general to investigate how HealthCare.gov went off track. She wants an independent review of the contracting process, management, performance and payment issues that may have contributed to the flawed launch.


The administration report found a total of 137,204 people enrolled in the states served by the federal website by the end of November, up from 26,794 in October.


The 14 states running their own websites enrolled 227,478 people, up from 79,391 in October.


California, which is running its own program, led the nation, with more than 107,000 signups. Oregon, also running its own market, had the lowest total, with just 44 people enrolled. Florida was the leader among states with federally run markets, with nearly 18,000 signups.


Nationally, an additional 803,077 people have been determined to be eligible for Medicaid, the safety-net program shaping up as the health overhaul’s early success story. That’s about double the number for October. Nonetheless, state Medicaid directors are reporting accuracy problems with information on prospective enrollees that the federal government is sending them.


Although Republicans have called for Sebelius to resign, and some Democrats have urged Obama to fire those responsible, the White House has given no indication that a house-cleaning is coming. The secretary’s request for an inspector general probe indicates that she realizes she has some explaining to do.


“I believe strongly in the need for accountability, and in the importance of being good stewards of taxpayer dollars,” Sebelius said in her announcement. Sebelius told the committee the administration has spent $ 677 million on technology through the end of October.


In addition to the inspector general review, Sebelius said she has ordered the hiring of a new “chief risk officer” at the Medicare agency, which also oversees the new programs created to expand health insurance coverage under Obama’s law. That official will focus on making sure technology programs work as advertised.


Sebelius also said she’s ordered a retraining of her department on best practices for outside contracting.


The site went live Oct. 1 and immediately turned into an impenetrable maze for most consumers. A two-month program of fixes directed by White House troubleshooter Jeffrey Zients stabilized the site and made it more workable, resolving hundreds of software glitches and adding more hardware to handle high demand from consumers.


Zients also found that the technical problems were compounded by inadequate oversight and coordination among teams working for the government and its contractors. That raises questions about how Sebelius and her subordinates have managed the complex program. Through the summer and into the fall, the secretary had repeatedly assured Congress and the public that the insurance markets would open for business on schedule Oct. 1.


With his poll ratings in a dive, Obama not only accepted the blame for website woes, but personally apologized for the canceled individual insurance policies. The cancellations issue is highly sensitive politically because it contradicts Obama’s promise that if you like your coverage you would be able to keep it.


The president sought to calm the backlash by allowing states and insurers to extend existing plans for another year. Thirty-eight have done so, according to analysis by the consulting firm Avalere Health. But it’s unclear to what extent insurers have taken advantage of the leeway granted by state regulators.


The administration had set a goal of signing up 7 million people by the end of open enrollment season March 31. HHS health reform director Mike Hash says they’re still “on track” to meet it. Uninsured people who procrastinate beyond that date will face tax penalties when they file their returns for the 2014 tax year.


Associated Press




U.S. Headlines



Health care signups pick up pace in November

Saturday, October 5, 2013

Obama to public: Don"t give up on health sign-ups







In this photo taken Friday, Oct. 4, 2013, President Barack Obama poses for a photo prior to an exclusive interview with The Associated Press in the White House library in Washington four days into a partial shutdown of the government. Obama, who successfully ran for president as a first-term senator, spoke critically about first-term Republican senators, such as Ted Cruz of Texas, who have been leading efforts to shut the government if Republicans can’t extract concessions from the White House. He said that when he was in the Senate, he “didn’t go around courting the media. And I certainly didn’t go around trying to shut down the government.” (AP Photo/Charles Dharapak)





In this photo taken Friday, Oct. 4, 2013, President Barack Obama poses for a photo prior to an exclusive interview with The Associated Press in the White House library in Washington four days into a partial shutdown of the government. Obama, who successfully ran for president as a first-term senator, spoke critically about first-term Republican senators, such as Ted Cruz of Texas, who have been leading efforts to shut the government if Republicans can’t extract concessions from the White House. He said that when he was in the Senate, he “didn’t go around courting the media. And I certainly didn’t go around trying to shut down the government.” (AP Photo/Charles Dharapak)





In this photo taken Friday, Oct. 4, 2013, President Barack Obama speaks during an exclusive interview with The Associated Press in the White House library in Washington. “There are enough votes in the House of Representatives to make sure that the government reopens today,” Obama said. “And I’m pretty willing to bet that there are enough votes in the House of Representatives right now to make sure that the United States doesn’t end up being a deadbeat,” he said. (AP Photo/Charles Dharapak)





In this photo taken Friday, Oct. 4, 2013, President Barack Obama speaks during an exclusive interview with The Associated Press in the White House library in Washington. “I recognize that in today’s media age, being controversial, taking controversial positions, rallying the most extreme parts of your base, whether it’s left or right, is a lot of times the fastest way to get attention and raise money,” Obama said. “But it’s not good for government.” (AP Photo/Charles Dharapak)





In this photo taken Friday, Oct. 4, 2013, President Barack Obama speaks during an exclusive interview with The Associated Press in the White House library in Washington. Defending the shaky rollout of his health care law, Obama said frustrated Americans “definitely shouldn’t give up” on the problem-plagued program now at the heart of his dispute with Republicans over reopening the federal government. Obama said he would be willing to negotiate with Republicans on health care, deficit reduction and spending, only if Republican House Speaker John Boehner holds votes to reopen the government and increase the nation’s borrowing limit. (AP Photo/Charles Dharapak)













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WASHINGTON (AP) — Defending the shaky rollout of his health care law, President Barack Obama said frustrated Americans “definitely shouldn’t give up” on the problem-plagued program now at the heart of his dispute with Republicans over reopening the federal government.


Obama said public interest far exceeded the government’s expectations, causing technology glitches that thwarted millions of Americans when trying to use government-run health care websites.


“Folks are working around the clock and have been systematically reducing the wait times,” he said.


The federal gateway website was taken down for repairs over the weekend, again hindering people from signing up for insurance.


Obama, in a wide-ranging interview with The Associated Press, also disclosed that U.S. intelligence agencies believe Iran continues to be a year or more away from having the capability to make a nuclear weapon. That assessment is at odds with Israel, which contends Tehran is on a faster course toward a bomb.


He expressed optimism about the blossoming diplomacy between his administration and Iran’s new president, but said the U.S. would not accept a “bad deal” on the Islamic republic’s nuclear program.


The president spoke to the AP on Friday, four days into a partial shutdown of the federal government that has forced 800,000 people off the job, closed national parks and curbed many government services.


Obama reiterated his opposition to negotiating with House Republicans to end the shutdown or raise the nation’s debt ceiling.


“There are enough votes in the House of Representatives to make sure that the government reopens today,” he said. “And I’m pretty willing to bet that there are enough votes in the House of Representatives right now to make sure that the United States doesn’t end up being a deadbeat.”


On other points, Obama:


—Contrasted his tenure as a senator with the current crop of first-term Republican senators, saying he “didn’t go around courting the media” or “trying to shut down the government” while he was in the Senate.


—Said he’s considering keeping some American forces in Afghanistan after the war formally ends in late 2014, if an agreement can be reached with the Afghan government. He tried to do the same in Iraq but was unable to reach an agreement with its government.


—Suggested that the owner of the Washington Redskins football team consider changing its name because, the president said, the current name offends “a sizable group of people.”


With no sign of a breakthrough to end the government shutdown, Obama said he would be willing to negotiate with Republicans on health care, deficit reduction and spending — but only if House Speaker John Boehner, R-Ohio, holds votes to reopen the government and increase the nation’s borrowing limit.


Some House Republicans are seeking health care concessions from Obama in exchange for approving government financing and want more spending cuts before raising the debt ceiling.


The Treasury Department says the nation will hit its borrowing limit around Oct. 17. Obama didn’t specifically rule out taking action on his own if Congress fails to increase the debt ceiling, but said he doesn’t expect to get to that point.


Obama, who successfully ran for president as a first-term senator, also spoke critically about first-term Republican senators, such as Ted Cruz of Texas, who have been leading efforts to shut the government if Republicans can’t extract concessions from the White House.


The president said that when he was in the Senate, he “didn’t go around courting the media. And I certainly didn’t go around trying to shut down the government.”


“I recognize that in today’s media age, being controversial, taking controversial positions, rallying the most extreme parts of your base, whether it’s left or right, is a lot of times the fastest way to get attention and raise money,” he said. “But it’s not good for government.”


The deadline for keeping the government open coincided with the Oct. 1 start of sign-ups for the insurance markets at the center of the health care overhaul Obama signed into law during his first term. Government websites struggled in the first week to keep up with high demand for the new marketplaces. It’s not clear that more than a few managed to enroll the first day.


Obama said he didn’t know how many people had enrolled. Administration officials have said they do not plan to release real-time data on the number of people enrolling, though some states running their own exchange websites are doing so.


The president predicted that when the six-month signup window for the insurance exchanges ends, “we are going to probably exceed what anybody expected in terms of the amount of interest that people had.”


In the flurry of domestic issues consuming his second term, Obama has launched a diplomatic outreach to Iran, aimed at resolving the dispute over Tehran’s nuclear program. Last week, he spoke by phone with President Hassan Rouhani, marking the first direct exchange between U.S. and Iranian leaders in more than 30 years.


“Rouhani has staked his position on the idea that he can improve relations with the rest of the world,” Obama said. “And so far he’s been saying a lot of the right things. And the question now is, can he follow through?”


But Obama said Rouhani is not Iran’s only “decision-maker. He’s not even the ultimate decision-maker,” a reference to the control wielded by Iran’s supreme leader, Ayatollah Ali Khamenei.


Given the supreme leader’s broad influence, some countries, most notably Israel, have questioned whether Rouhani actually represents real change in Iran or just new packaging of old policies.


Khamenei said Saturday that he supported Rouhani’s outreach to the West, but at the same time called the U.S. government “untrustworthy, arrogant, illogical and a promise-breaker,” according to comment summarized on his website.


Obama also put distance between U.S. and Israeli assessments of when Iran might have the capacity to build a nuclear weapon. Israeli officials have said Iran is just months away from being able to build a bomb, while Obama said Tehran was a year or more away.


The president used the same timetable in March, before traveling to Israel. The U.S. and Israel contend that Iran’s nuclear program is aimed at building a bomb, while Tehran says it is enriching uranium for peaceful purposes.


On the 12-year war in Afghanistan, Obama said he would consider keeping some American forces on the ground after the conflict formally ends next year, but acknowledged that doing so would require an agreement from the Afghan government. He suggested that if no agreement can be reached, he would be comfortable with a full pullout of U.S. troops.


“If in fact we can get an agreement that makes sure that U.S. troops are protected, makes sure that we can operate in a way that is good for our national security, then I’ll certainly consider that,” he said. “If we can’t, we will continue to make sure that all the gains we’ve made in going after al-Qaida we accomplish, even if we don’t have any U.S. military on Afghan soil.”


All U.S. forces left Iraq at the end of 2011 after no deal could be reached to keep some there longer.


Obama, an avid sports fan, also weighed in on the controversy surrounding the Redskins as the name of Washington’s NFL football team. The name has faced a new barrage of criticism for being offensive to Native Americans.


The president said he doesn’t think Redskins’ fans mean any offense by using the name. But he added: “If I were the owner of the team and I knew that the name of my team, even if they’ve had a storied history, that was offending a sizable group of people, I’d think about changing it.”


___


Follow Julie Pace at http://twitter.com/jpaceDC


Associated Press




Politics Headlines



Obama to public: Don"t give up on health sign-ups

Obama to public: Don"t give up on health sign-ups







In this photo taken Friday, Oct. 4, 2013, President Barack Obama speaks during an exclusive interview with The Associated Press in the White House library in Washington. “There are enough votes in the House of Representatives to make sure that the government reopens today,” Obama said. “And I’m pretty willing to bet that there are enough votes in the House of Representatives right now to make sure that the United States doesn’t end up being a deadbeat,” he said. (AP Photo/Charles Dharapak)





In this photo taken Friday, Oct. 4, 2013, President Barack Obama speaks during an exclusive interview with The Associated Press in the White House library in Washington. “There are enough votes in the House of Representatives to make sure that the government reopens today,” Obama said. “And I’m pretty willing to bet that there are enough votes in the House of Representatives right now to make sure that the United States doesn’t end up being a deadbeat,” he said. (AP Photo/Charles Dharapak)





In this photo taken Friday, Oct. 4, 2013, President Barack Obama speaks during an exclusive interview with The Associated Press in the White House library in Washington. “I recognize that in today’s media age, being controversial, taking controversial positions, rallying the most extreme parts of your base, whether it’s left or right, is a lot of times the fastest way to get attention and raise money,” Obama said. “But it’s not good for government.” (AP Photo/Charles Dharapak)





In this photo taken Friday, Oct. 4, 2013, President Barack Obama speaks during an exclusive interview with The Associated Press in the White House library in Washington. Defending the shaky rollout of his health care law, Obama said frustrated Americans “definitely shouldn’t give up” on the problem-plagued program now at the heart of his dispute with Republicans over reopening the federal government. Obama said he would be willing to negotiate with Republicans on health care, deficit reduction and spending, only if Republican House Speaker John Boehner holds votes to reopen the government and increase the nation’s borrowing limit. (AP Photo/Charles Dharapak)





In this photo taken Friday, Oct. 4, 2013, President Barack Obama poses for a photo prior to an exclusive interview with The Associated Press in the White House library in Washington four days into a partial shutdown of the government. Obama, who successfully ran for president as a first-term senator, spoke critically about first-term Republican senators, such as Ted Cruz of Texas, who have been leading efforts to shut the government if Republicans can’t extract concessions from the White House. He said that when he was in the Senate, he “didn’t go around courting the media. And I certainly didn’t go around trying to shut down the government.” (AP Photo/Charles Dharapak)













Buy AP Photo Reprints







(AP) — Defending the shaky rollout of his health care law, President Barack Obama said frustrated Americans “definitely shouldn’t give up” on the problem-plagued program now at the heart of his dispute with Republicans over reopening the federal government.


Obama said public interest far exceeded the government’s expectations, causing technology glitches that thwarted millions of Americans when trying to use government-run health care websites.


“Folks are working around the clock and have been systematically reducing the wait times,” he said.


The federal gateway website was taken down for repairs over the weekend, again hindering people from signing up for insurance.


Obama, in a wide-ranging interview with The Associated Press, also disclosed that U.S. intelligence agencies believe Iran continues to be a year or more away from having the capability to make a nuclear weapon. That assessment is at odds with Israel, which contends Tehran is on a faster course toward a bomb.


He expressed optimism about the blossoming diplomacy between his administration and Iran’s new president, but said the U.S. would not accept a “bad deal” on the Islamic republic’s nuclear program.


The president spoke to the AP on Friday, four days into a partial shutdown of the federal government that has forced 800,000 people off the job, closed national parks and curbed many government services.


Obama reiterated his opposition to negotiating with House Republicans to end the shutdown or raise the nation’s debt ceiling.


“There are enough votes in the House of Representatives to make sure that the government reopens today,” he said. “And I’m pretty willing to bet that there are enough votes in the House of Representatives right now to make sure that the United States doesn’t end up being a deadbeat.”


On other points, Obama:


—Contrasted his tenure as a senator with the current crop of first-term Republican senators, saying he “didn’t go around courting the media” or “trying to shut down the government” while he was in the Senate.


—Said he’s considering keeping some American forces in Afghanistan after the war formally ends in late 2014, if an agreement can be reached with the Afghan government. He tried to do the same in Iraq but was unable to reach an agreement with its government.


—Suggested that the owner of the Washington Redskins football team consider changing its name because, the president said, the current name offends “a sizable group of people.”


With no sign of a breakthrough to end the government shutdown, Obama said he would be willing to negotiate with Republicans on health care, deficit reduction and spending — but only if House Speaker John Boehner, R-Ohio, holds votes to reopen the government and increase the nation’s borrowing limit.


Some House Republicans are seeking health care concessions from Obama in exchange for approving government financing and want more spending cuts before raising the debt ceiling.


The Treasury Department says the nation will hit its borrowing limit around Oct. 17. Obama didn’t specifically rule out taking action on his own if Congress fails to increase the debt ceiling, but said he doesn’t expect to get to that point.


Obama, who successfully ran for president as a first-term senator, also spoke critically about first-term Republican senators, such as Ted Cruz of Texas, who have been leading efforts to shut the government if Republicans can’t extract concessions from the White House.


The president said that when he was in the Senate, he “didn’t go around courting the media. And I certainly didn’t go around trying to shut down the government.”


“I recognize that in today’s media age, being controversial, taking controversial positions, rallying the most extreme parts of your base, whether it’s left or right, is a lot of times the fastest way to get attention and raise money,” he said. “But it’s not good for government.”


The deadline for keeping the government open coincided with the Oct. 1 start of sign-ups for the insurance markets at the center of the health care overhaul Obama signed into law during his first term. Government websites struggled in the first week to keep up with high demand for the new marketplaces. It’s not clear that more than a few managed to enroll the first day.


Obama said he didn’t know how many people had enrolled. Administration officials have said they do not plan to release real-time data on the number of people enrolling, though some states running their own exchange websites are doing so.


The president predicted that when the six-month signup window for the insurance exchanges ends, “we are going to probably exceed what anybody expected in terms of the amount of interest that people had.”


In the flurry of domestic issues consuming his second term, Obama has launched a diplomatic outreach to Iran, aimed at resolving the dispute over Tehran’s nuclear program. Last week, he spoke by phone with President Hassan Rouhani, marking the first direct exchange between U.S. and Iranian leaders in more than 30 years.


“Rouhani has staked his position on the idea that he can improve relations with the rest of the world,” Obama said. “And so far he’s been saying a lot of the right things. And the question now is, can he follow through?”


But Obama said Rouhani is not Iran’s only “decision-maker. He’s not even the ultimate decision-maker,” a reference to the control wielded by Iran’s supreme leader, Ayotollah Ali Khamenei.


Given the supreme leader’s broad influence, some countries, most notably Israel, have questioned whether Rouhani actually represents real change in Iran or just new packaging of old policies.


Obama also put distance between U.S. and Israeli assessments of when Iran might have the capacity to build a nuclear weapon. Israeli officials have said Iran is just months away from being able to build a bomb, while Obama said Tehran was a year or more away.


The president used the same timetable in March, before traveling to Israel. The U.S. and Israel contend that Iran’s nuclear program is aimed at building a bomb, while Tehran says it is enriching uranium for peaceful purposes.


On the 12-year war in Afghanistan, Obama said he would consider keeping some American forces on the ground after the conflict formally ends next year, but acknowledged that doing so would require an agreement from the Afghan government. He suggested that if no agreement can be reached, he would be comfortable with a full pullout of U.S. troops.


“If in fact we can get an agreement that makes sure that U.S. troops are protected, makes sure that we can operate in a way that is good for our national security, then I’ll certainly consider that,” he said. “If we can’t, we will continue to make sure that all the gains we’ve made in going after al-Qaida we accomplish, even if we don’t have any U.S. military on Afghan soil.”


All U.S. forces left Iraq at the end of 2011 after no deal could be reached to keep some there longer.


Obama, an avid sports fan, also weighed in on the controversy surrounding the Redskins as the name of Washington’s NFL football team. The name has faced a new barrage of criticism for being offensive to Native Americans.


The president said he doesn’t think Redskins’ fans mean any offense by using the name. But he added: “If I were the owner of the team and I knew that the name of my team, even if they’ve had a storied history, that was offending a sizable group of people, I’d think about changing it.”


___


Follow Julie Pace at http://twitter.com/jpaceDC


Associated Press




Politics Headlines



Obama to public: Don"t give up on health sign-ups